EXPRESS SCRIPTS INC
10-Q, 1998-05-15
SPECIALTY OUTPATIENT FACILITIES, NEC
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                       SECURITIES AND EXCHANGE COMMISSION
                             WASHINGTON, D.C. 20549

                                    FORM 10-Q

   X     QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES
         EXCHANGE ACT OF 1934 For the quarterly period ended March 31, 1998.

         TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES
         EXCHANGE ACT OF 1934 For the transition period from ____________ to
         _____________.



                         Commission File Number: 0-20199


                              EXPRESS SCRIPTS, INC.
             (Exact name of registrant as specified in its charter)


      DELAWARE                                         43-1420563
   (State of Incorporation)               (I.R.S. employer identification no.)

14000 RIVERPORT DR., MARYLAND HEIGHTS, MISSOURI                  63043
  (Address of principal executive offices)                    (Zip Code)


       Registrant's telephone number, including area code: (314) 770-1666


     Indicate  by check mark  whether the  registrant  (1) has filed all reports
required to be filed by Section 13 or 15(d) of the  Securities  Exchange  Act of
1934  during  the  preceding  12 months  (or for such  shorter  period  that the
registrant was required to file such reports),  and (2) has been subject to such
filing requirements for the past 90 days. Yes X No ___


Common stock outstanding as of April 30, 1998:       9,270,820  Shares Class A
                                                     7,510,000  Shares Class B

<PAGE>


                              EXPRESS SCRIPTS, INC.

                                      INDEX

                                                                   Page Number

Part I            Financial Information                                      3

                  Item 1.  Financial Statements (unaudited)

                           a)  Consolidated Balance Sheet                    3

                           b)  Consolidated Statement of Operations          4

                           c)  Consolidated Statement of Changes
                               in Stockholders' Equity                       5

                           d)  Consolidated Statement of Cash Flows          6

                           e)  Notes to Consolidated Financial Statements    7

                  Item 2. Management's Discussion and Analysis of Financial
                           Condition and Results of Operations               9

                  Item 3.  Quantitative and Qualitative Disclosures About
                           Market Risks - (Not Applicable)

Part II           Other Information

                  Item 1. Legal Proceedings - (Not Applicable)

                  Item 2. Changes in Securities                             16

                  Item 3. Defaults Upon Senior Securities - 
                          (Not Applicable)

                  Item 4. Submission of Matters to a Vote of 
                          Security Holders (Not Applicable)

                  Item 5. Other Materially Important Events
                          - (Not Applicable)

                  Item 6. Exhibits and Reports on Form 8-K                  17

Signatures                                                                  18

Index to Exhibits                                                           19

<PAGE>
                          PART I. FINANCIAL INFORMATION

ITEM 1.  FINANCIAL STATEMENTS

<TABLE>
                              EXPRESS SCRIPTS, INC.
                           CONSOLIDATED BALANCE SHEET
                                   (UNAUDITED)

<CAPTION>

                                                                                 MARCH 31        DECEMBER 31
(IN THOUSANDS, EXCEPT SHARE DATA)                                                  1998             1997
<S>                                                                               <C>                 <C>    
- ---------------------------------                                          ----------------   ----------------
Assets
Current assets:
    Cash and cash equivalents                                                     $84,556             $64,155
    Short term investments                                                         59,272              57,938
    Receivables, less allowance for doubtful
       accounts of $5,460 and $4,802 respectively
           Unrelated parties                                                      180,100             194,061
           Related parties                                                         19,859              16,230
    Inventories                                                                    26,721              28,935
    Deferred taxes and prepaid expenses                                             3,848               2,649
                                                                           ---------------    ----------------
       Total current assets                                                       374,356             363,968
Property and equipment, less accumulated depreciation and amortization             27,850              26,821
Other assets                                                                       12,538              11,719
                                                                           ---------------    ----------------

       Total assets                                                              $414,744            $402,508
                                                                           ===============    ================


Liabilities and Stockholders' Equity
Current liabilities:
    Claims payable                                                               $139,948            $153,051
    Accounts payable                                                               23,849              17,979
    Accrued expenses                                                               35,327              26,876
                                                                           ---------------    ----------------
       Total current liabilities                                                  199,124             197,906
                                                                           ---------------    ----------------
Deferred rents and taxes                                                              690                 901
                                                                           ---------------    ----------------


Stockholders' equity:
    Preferred stock, $.01 par value, 5,000,000 shares authorized, and
      no shares issued and outstanding
    Class A Common Stock, $.01 par value, 30,000,000 shares authorized,
       9,269,000 and 9,238,000 shares issued and outstanding, respectively             93                  93
    Class B Common Stock, $.01 par value, 22,000,000 shares authorized,
       7,510,000 shares issued and outstanding                                         75                  75
   Additional paid-in capital                                                     108,246             106,901
   Foreign currency translation adjustments                                          (21)                (27)
   Retained earnings                                                              113,526             103,648
                                                                           ---------------    ----------------
                                                                                  221,919             210,690
   Class A Common Stock in treasury at cost,
       237,500 shares                                                             (6,989)             (6,989)
                                                                           ---------------    ----------------
       Total stockholders' equity                                                 214,930             203,701
                                                                           ---------------    ----------------
       Total liabilities and stockholders' equity                                $414,744            $402,508
                                                                           ===============    ================
</TABLE>

See accompanying notes to consolidated financial statements.

<PAGE>

<TABLE>

                                           EXPRESS SCRIPTS, INC.
                                    CONSOLIDATED STATEMENT OF OPERATIONS
                                                (UNAUDITED)

<CAPTION>

                                                                               THREE MONTHS ENDED
                                                                                    MARCH 31
(IN THOUSANDS, EXCEPT PER SHARE DATA)                                       1998                1997
<S>                                                                         <C>                 <C>     
- -------------------------------------                               -----------------     ---------------

Net revenues                                                                $371,362            $261,990
                                                                    -----------------   -----------------
Cost and expenses:
  Cost of revenues                                                           338,492             237,298
  Selling, general & administrative                                           18,826              13,298
                                                                    -----------------   -----------------
                                                                             357,318             250,596
                                                                    -----------------   -----------------
Operating income                                                              14,044              11,394
                                                                    -----------------   -----------------
Other income (expense):
  Interest income                                                              2,138               1,259
  Interest expense                                                              (14)                (18)
                                                                    -----------------   -----------------
                                                                               2,124               1,241
                                                                    -----------------   -----------------
Income before income taxes                                                    16,168              12,635
Provision for income taxes                                                     6,290               4,994
                                                                    -----------------   -----------------
Net income                                                                    $9,878              $7,641
                                                                    =================   =================

Basic earnings per share                                                       $0.60               $0.47
                                                                    =================   =================

Weighted average number of common shares out-
  standing during the period - Basic EPS                                      16,527              16,267
                                                                    =================   =================

Diluted earnings per share                                                     $0.59               $0.46
                                                                    =================   =================

Weighted average number of common shares out-
  standing during the period - Diluted EPS                                    16,790              16,436
                                                                    =================   =================

See accompanying notes to consolidated financial statements.

</TABLE>

<PAGE>

<TABLE>

                              EXPRESS SCRIPTS, INC.
            CONSOLIDATED STATEMENT OF CHANGES IN STOCKHOLDERS' EQUITY
                                   (UNAUDITED)
<CAPTION>

                                        Number of Shares                                    Amount
                                       -------------------- -----------------------------------------------------------------------
                                                                                                Foreign
                                        Class A   Class B    Class A    Class B   Additional    currency
                                        Common     Common     Common     Common    paid-in     translation   Retained   Treasury
(IN THOUSANDS)                          Stock      Stock      Stock      Stock     capital     adjustments   Earnings    Stock
<S>                                       <C>        <C>          <C>        <C>    <C>              <C>      <C>       <C>     
- --------------                         --------- ---------- ---------- ---------- ----------- -------------------------------------

Balance at December 31, 1997              9,238      7,510        $93        $75    $106,901         ($27)    $103,648  ($6,989)

Net income for three months ended
  March 31, 1998                                                                                                 9,878

Foreign currency translation
adjustments                                                                                              6

Tax benefit relating to employee stock
options                                                                                  662

Exercise of stock options                    31                                          683
                                       ---------  --------- ---------- ---------- ----------- ------------- ----------- -----------

Balance at March 31, 1998                 9,269      7,510        $93        $75    $108,246         ($21)    $113,526  ($6,989)
                                       =========  ========= ========== ========== =========== ============= =========== ===========

</TABLE>

See accompanying notes to consolidated financial statements.

<PAGE>

<TABLE>

                              EXPRESS SCRIPTS, INC.
                      CONSOLIDATED STATEMENT OF CASH FLOWS
                                   (UNAUDITED)
<CAPTION>

                                                                      THREE MONTHS ENDED
                                                                           MARCH 31
(IN THOUSANDS)                                                     1998                1997
<S>                                                                    <C>                 <C>   
- --------------                                               -----------------   -----------------
Cash flows from operating activities:
     Net income                                                        $9,878              $7,641

     Adjustments to reconcile net income to net 
     cash provided by (used in)
     operating activities:
        Depreciation and amortization                                   2,396               2,087
        Tax benefit relating to employee stock options                    662                  22
        Changes in operating assets and liabilities:
         Receivables                                                   10,332            (24,087)
         Inventories                                                    2,214            (10,167)
         Prepaids expenses and other assets                           (2,267)               1,840
         Claims payable                                              (13,103)              15,399
         Accounts payable and accrued expenses                         14,110               1,293
                                                             -----------------   -----------------
Net cash provided by (used in) operating
activities                                                             24,222             (5,972)
                                                             -----------------   -----------------

Cash flows from investing activities:
     Purchases of property and equipment                              (3,176)             (6,083)
     Short term investment                                            (1,334)               (450)
                                                             -----------------   -----------------
Net cash (used in) investing activities                               (4,510)             (6,533)
                                                             -----------------   -----------------
Cash flows from financing activities:
     Acquisition of treasury stock                                  -                     (1,739)
     Exercise of stock options                                            683                  74
                                                             -----------------   -----------------
Net cash provided by (used in) financing activities                       683             (1,665)
                                                             -----------------   -----------------

Effect of foreign currency translation adjustments                          6                 (7)
                                                             -----------------   -----------------

Net increase (decrease) in cash and cash equivalents                   20,401            (14,177)

Cash and cash equivalents at beginning of period                       64,155              25,211
                                                             -----------------   -----------------

Cash and cash equivalents at end of period                            $84,556             $11,034
                                                             =================   =================

</TABLE>

See accompanying notes to consolidated financial statements.

<PAGE>

EXPRESS SCRIPTS, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (UNAUDITED)

NOTE 1 - SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES

     Financial  statement  note  disclosures,  normally  included  in  financial
statements prepared in conformity with generally accepted accounting principles,
have been omitted in this Form 10-Q pursuant to the Rules and Regulations of the
Securities and Exchange Commission.  However, in the opinion of the Company, the
disclosures  contained  in this Form 10-Q are  adequate to make the  information
presented not misleading when read in conjunction with the notes to consolidated
financial  statements  included in the Company's  Annual Report on Form 10-K for
the Year Ended  December 31,  1997,  as filed with the  Securities  and Exchange
Commission on March 26, 1998.

     In the opinion of the  Company,  the  accompanying  unaudited  consolidated
financial  statements  reflect  all  adjustments   (consisting  of  only  normal
recurring  adjustments)  necessary to present  fairly the  Consolidated  Balance
Sheet at March 31, 1998, the Consolidated  Statement of Operations for the three
months ended March 31, 1998, and 1997, the Consolidated  Statement of Changes in
Stockholders'  Equity  for the  three  months  ended  March  31,  1998,  and the
Consolidated  Statement of Cash Flows for the three months ended March 31, 1998,
and 1997.

NOTE 2 - EARNINGS PER SHARE

     Statement of Financial  Accounting  Standards  No. 128 "Earnings Per Share"
("FAS 128")  requires a  presentation  of both  "Basic"  earnings  per share and
"Diluted"  earnings per share.  "Basic"  earnings  per share  computes per share
earnings using the weighted average number of common shares  outstanding  during
the period,  while  "Diluted"  earnings per share computes per share earnings in
the same  manner as "Basic"  earnings  per share  plus the number of  additional
common  shares that would have been  outstanding  for the period if the dilutive
potential common shares had been issued.  The only difference between the number
of weighted  average  shares used in the basic and diluted  calculation is stock
options granted by the Company using the "treasury stock" method.

NOTE 3 - SUBSEQUENT EVENTS

     On  April  1,  1998  the  Company  announced  that it had  consummated  the
acquisition of ValueRx, the PBM business of Columbia/HCA  Healthcare Corporation
("Columbia").  Under the terms of the agreement,  the Company acquired the stock
of Value Health, Inc. and Managed Prescription Network, Inc., the sole assets of
which at closing  were  various  subsidiaries  each now or  formerly  conducting
business as a PBM,  including ValueRx Pharmacy Program,  Inc., for approximately
$445 million in cash, subject to certain post-closing  adjustments.  The Company
used  approximately  $100 million of its own cash and financed the  remainder of
the purchase price and acquisition  related  expenses through a credit facility.
The acquisition will be accounted for as a purchase.

     On April 1, 1998, in connection with the acquisition,  the Company executed
a $440 million credit  facility with a bank  syndicate  agented by Bankers Trust
Company,  consisting  of a $360  million  term loan  facility and an $80 million
revolving  loan. The agreement is for a period of five years.  The provisions of
this loan require  quarterly  interest  payments  and,  beginning in April 1999,
semi-annual  principal  payments.  The  interest  rate is based on a spread (the
"Credit Rate Spread") over several  LIBOR or base rate options,  depending  upon
the Company's ratio of EBITDA to debt.  However,  the initial spread is fixed at
125 basis  points  for the first two  quarters.  The credit  agreement  contains
customary financial  covenants.  In addition,  the Company is required to pay an
annual fee of 30 basis points, payable in quarterly installments,  on the unused
portion of the  revolving  loan.  As a result of the new credit  agreement,  the
Company  canceled  its $25 million  line of credit with  Mercantile  Bank of St.
Louis on March 31, 1998.

     On April 3, 1998 the Company  entered  into an interest  rate swap with the
First  National Bank of Chicago  agreeing to receive a floating rate of interest
on the amount of the term loan  facility  based on a three  month  LIBOR rate in
exchange for payment of a fixed rate of interest of 5.88%.  The notional  amount
of the swap  amortizes in  conjunction  with the  principal  balance of the term
loan. As a result, the Company has, in effect,  converted its variable rate term
debt to fixed rate debt at 5.88% for the entire term of the term loan,  plus the
Credit Rate Spread.  On the date the Company entered into the interest rate swap
agreement, the three month LIBOR rate was 5.6875%.

NOTE 4 - SEGMENT REPORTING

     In June 1997 the FASB issued  Statement of Financial  Accounting  Standards
Statement  131  "Disclosures   about  Segments  of  an  Enterprise  and  Related
Information ("FAS 131")". The statement requires that the Company report certain
information if specific  requirements  are met about  operating  segments of the
Company including information about services,  geographic areas of operation and
major  customers.  FAS 131 is effective for years  beginning  after December 15,
1997.  Initially,  the Company believes that the majority of its operations will
be in one  reportable  segment and is continuing  the analysis of FAS 131 on its
annual 1998 and future disclosure requirements.

<PAGE>

ITEM 2.  MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND 
         RESULTS OF OPERATIONS

     INFORMATION INCLUDED IN THIS QUARTERLY REPORT ON FORM 10-Q, AND INFORMATION
THAT MAY BE CONTAINED IN OTHER  FILINGS BY THE COMPANY WITH THE  SECURITIES  AND
EXCHANGE COMMISSION (THE "COMMISSION") AND RELEASES ISSUED OR STATEMENTS MADE BY
THE COMPANY,  CONTAIN OR MAY CONTAIN FORWARD-LOOKING  STATEMENTS,  INCLUDING BUT
NOT LIMITED TO STATEMENTS OF THE COMPANY'S  PLANS,  OBJECTIVES,  EXPECTATIONS OR
INTENTIONS.  SUCH  FORWARD-LOOKING  STATEMENTS  NECESSARILY  INVOLVE  RISKS  AND
UNCERTAINTIES.  THE COMPANY'S ACTUAL RESULTS MAY DIFFER SIGNIFICANTLY FROM THOSE
PROJECTED  OR SUGGESTED IN ANY  FORWARD-LOOKING  STATEMENTS.  FACTORS THAT MIGHT
CAUSE SUCH A DIFFERENCE  TO OCCUR  INCLUDE,  BUT ARE NOT LIMITED TO:  HEIGHTENED
COMPETITION,  INCLUDING  INCREASED  PRICE  COMPETITION  IN THE PHARMACY  BENEFIT
MANAGEMENT  BUSINESS;  THE POSSIBLE  TERMINATION OF THE COMPANY'S CONTRACTS WITH
CERTAIN KEY CLIENTS;  CHANGES IN PRICING OR DISCOUNT PRACTICES OF PHARMACEUTICAL
MANUFACTURERS;  THE ABILITY OF THE COMPANY TO CONSUMMATE  CONTRACT  NEGOTIATIONS
WITH  PROSPECTIVE  CLIENTS;  COMPETITION  IN THE BIDDING AND  PROPOSAL  PROCESS;
ADVERSE RESULTS IN CERTAIN  LITIGATION AND REGULATORY  MATTERS;  THE ADOPTION OF
ADVERSE LEGISLATION OR REGULATIONS OR A CHANGE IN THE INTERPRETATION OF EXISTING
LEGISLATION  OR  REGULATIONS;  THE IMPACT OF  INCREASES IN HEALTH CARE COSTS AND
UTILIZATION  PATTERNS;  RISKS  ASSOCIATED  WITH THE DEVELOPMENT OF NEW PRODUCTS;
RISKS ASSOCIATED WITH THE CONSUMMATION OF ACQUISITIONS, INCLUDING THE ABILITY TO
SUCCESSFULLY  INTEGRATE THE OPERATIONS OF ACQUIRED  BUSINESSES WITH THE EXISTING
OPERATIONS  OF  THE  COMPANY  AND  RISKS  INHERENT  IN  THE  ACQUIRED   ENTITIES
OPERATIONS; AND OTHER RISKS DESCRIBED FROM TIME TO TIME IN THE COMPANY'S FILINGS
WITH THE  COMMISSION.  THE COMPANY DOES NOT UNDERTAKE ANY  OBLIGATION TO RELEASE
PUBLICLY ANY REVISIONS TO SUCH  FORWARD-LOOKING  STATEMENTS TO REFLECT EVENTS OR
CIRCUMSTANCES   AFTER  THE  DATE  HEREOF  OR  TO  REFLECT  THE   OCCURRENCE   OF
UNANTICIPATED EVENTS.

COMPANY OVERVIEW

     The  Company  primarily  derives  its  revenues  from the sale of  pharmacy
benefit  management  ("PBM")  services  in the  United  States and  Canada.  The
Company's  net  revenues  include   administrative   and  dispensing  fees  plus
ingredient cost of pharmaceuticals  dispensed to members of health benefit plans
sponsored by the Company's  clients from pharmacies  participating in one of the
retail  pharmacy  networks  maintained by the Company or by one of the Company's
mail  service  pharmacies.  Where the Company  only  administers  the  contracts
between its clients and their own retail pharmacy networks, or where the Company
dispenses  pharmaceuticals from its mail service pharmacies that are supplied by
one of the  Company's  clients,  the  Company  records as net  revenue  only the
administrative or dispensing fees it receives from its activities. Additionally,
the  Company  provides a wide range of other  services to its  customers,  which
include  (i) the  sale of  pharmaceuticals  for and the  provision  of  infusion
therapy services through its IVTx division  ("IVTx"),  (ii) the sale of informed
decision counseling  services through its Express Health LineSM division,  (iii)
the sale of medical  information  management  services,  which include  provider
profiling, disease management support services and outcomes assessments, through
its Practice Patterns  Science,  Inc. ("PPS")  subsidiary,  and (iv) the sale of
eyeglasses  and  contact  lenses and  related  administrative  fees  through its
Express Scripts Vision Corporation subsidiary ("ESVC").

RESULTS OF OPERATIONS

     The following  table sets forth certain  financial  data of the Company for
the periods  presented as a percentage of net revenue and the percentage  change
in the dollar  amounts of such  financial  data for the three months ended March
31, 1998 compared to 1997.

<TABLE>
<CAPTION>
                                                 Percentage of Net Revenues             Percentage Increase
                                            ------------------------------------ ------------------------------------
                                                    Three Months Ended                   Three Months Ended
                                                         March 31                          March 31, 1998
                                            ------------------------------------
                                                   1998               1997                    Over 1997
<S>                                                 <C>               <C>                      <C>   
                                            -------------------------------------------------------------------------
Net revenues:
  Unrelated clients                                 82.4%             82.7%                    41.29%
  Related clients (1)                               17.6              17.3                     43.93
                                            -----------------------------------
  Total net revenues                               100.0             100.0                     41.75
                                            -----------------------------------

Cost and expenses:
  Cost of revenues                                  91.1               90.6                    42.64
  Selling, general & administrative                  5.1                5.1                    41.57
                                            -----------------------------------
                                                    96.2               95.7                    42.59
                                            -----------------------------------

Operating income                                     3.8                4.3                    23.26

Other income, net                                    0.6                0.5                    71.15
                                            -----------------------------------

Income before income taxes                           4.4                4.8                    27.96
Provision for income taxes                           1.7                1.9                    25.95
                                            -----------------------------------
Net income                                           2.7%              2.9%                    29.28%
                                            ===================================
<FN>
(1)  Related  clients  consist  of  NYLCare  Health  Plans,  Inc.,  and its
subsidiaries,  which are being sold to Aetna U.S. HealthCare, Inc. (an unrelated
party). See "Other Matters" below.
</FN>
</TABLE>

FIRST QUARTER ENDED MARCH 31, 1998 COMPARED TO 1997

     NET REVENUES.  Total net revenues for the first  quarter of 1998  increased
$109,372,000,  or 41.8%,  compared to the first  quarter of 1997.  PBM  revenues
increased  $105,100,000,  or 41.6%,  for the period,  primarily as a result of a
41.1% increase in net revenues from the Company's claims processing services and
mail pharmacy  services  operations,  compared to the first quarter of 1997. The
primary  reason for this  increase  was a  $71,592,000,  or 40.1%,  increase  in
revenues from retail pharmacy claims  processed  reflecting an 11.8% increase in
the number of claims  processed  and a 25.2%  increase  in average  revenue  per
retail  pharmacy  claim,  compared to 1997. The increase in average  revenue per
retail  pharmacy claim  processed is due to two factors:  (1) a larger number of
customers using pharmacy networks established by the Company (for which the drug
ingredient  costs,  dispensing  fee and  administrative  fees  are  included  as
revenues),  rather than  networks  established  by its  customer  (for which the
Company records only its administrative fee as net revenue); and (2) higher drug
ingredient costs resulting from changes in therapeutic mix and dosage, increases
in product  acquisition  costs for existing drugs, and new drugs introduced into
the  marketplace.  Revenue from the Company's mail pharmacy  services  increased
$31,927,000,   or  43.6%,   reflecting  a  20.6%   increase  in  the  number  of
prescriptions  dispensed,  and a 19.1%  increase  in the  average  revenue  per
prescription  dispensed.  The  increase  in  average  revenue  per  prescription
dispensed by the Company's  mail service  pharmacies is primarily the result of:
(1) higher drug ingredient costs attributable to the foregoing factors;  and (2)
the  termination of "inventory  replacement  programs"  maintained for two large
clients.  Pursuant to these programs,  the customer would provide drug inventory
to replenish  drugs used by the Company to fill mail service  prescriptions  and
the  Company  included  only its  dispensing  fee as net  revenue.  In the first
quarter of 1998,  all mail  pharmacy  clients  utilized the  Company's  standard
program  in  which  the  Company  purchases  the  inventory  used  to  fill  the
prescriptions,  and  therefore  includes  the  ingredient  cost  as  well as the
dispensing fee in net revenue. This change had the effect of increasing both the
mail pharmacy  services revenue and cost of revenue in the first quarter of 1998
compared to 1997,  but there was no effect on the Company's  reported net income
for the first  quarter  of 1998 from the  conversion  to the  standard  program.
Increases in revenue  from the factors  cited  herein were  partially  offset by
lower  pricing  offered by the  Company in  response  to  continued  competitive
pressures.

     The  increase in the number of retail  pharmacy  claims  processed  and the
number of mail service pharmacy prescriptions dispensed reflects a 9.2% increase
in the number of members served to  approximately  11.9 million members at March
31,  1998  from  approximately  10.9  million  members  at March 31,  1997.  The
percentage  increase  in mail  service  revenue  for the  quarter  exceeded  the
percentage increase in claims processing revenues as had been expected. This was
the  result of the  discontinuation  of the  product  replenishment  program  as
mentioned in the previous  paragraph,  and the mail service  benefit  being used
more  frequently by a larger number of members.  Management  believes this trend
will  continue in 1998. Of the Company's net revenues from PBM services in 1998,
16.6% was attributable to services  provided to members of HMOs owned or managed
by NYLCare Health Plans, Inc. ("NYLCare") or insurance policies  administered by
NYLCare.

     Net revenues from the Company's  non-PBM  business units  increased  46.1%,
compared  to 1997,  as a result of the growth in the  number of  members  and/or
clients who receive  these  services.  Of the Company's net revenues for non-PBM
services, 46.9% was for services provided to members of HMOs owned or managed by
NYLCare or insurance policies administered by NYLCare.

     COST OF REVENUES.  Cost of revenues for the first quarter of 1998 increased
$101,194,000,  or 42.6%,  compared to the first quarter of 1997.  The percentage
increase in cost of revenues  was 0.8%  greater  than the  increase in revenues,
thus gross profit  margins  decreased.  For retail  pharmacy  claims  processing
services,  the product  ingredient  cost  component  of cost of  revenues,  as a
percentage of net revenues,  increased by 1.6%  primarily due to the increase in
utilization  of the  Company's  retail  pharmacy  networks,  as opposed to those
arranged by its clients,  and to lower prices offered in response to competitive
pressures in the marketplace. For mail pharmacy services, the product ingredient
costs, as a percentage of net revenues,  increased by 2.6%, primarily due to the
discontinuation  of  the  product   replenishment   program.  The  Company  also
experienced an overall  increase,  as a percentage of net revenues,  in the fees
received  from  drug   manufacturers  in  connection  with  the  Company's  drug
purchasing  and  formulary  management  programs.  The cost of  revenue  for the
non-PBM  services  increased  57.0%,  principally  due to costs  related  to the
continued expansion of these operations.

     SELLING,  GENERAL AND ADMINISTRATIVE.  Selling,  general and administrative
expenses increased $5,528,000,  or 41.6%, for the first quarter of 1998 compared
to 1997, but, as a percentage of net revenues, remained constant at 5.1% for the
first  quarter of 1998,  as it was for the first  quarter of 1997.  The  primary
reason for the increase was the additional  expenditures  incurred to expand the
Company's  marketing  capabilities,  together  with  added  costs  for  site and
administrative  support functions to enhance management of the pharmacy benefit.
The Company is continuing its commitment to expand its capability to provide for
future growth and enhance the level of service for its members.

     OTHER INCOME,  NET. Other income,  net was $2,124,000 for the first quarter
of 1998  compared  to  $1,241,000  for  1997,  primarily  as a result  of higher
interest earned on larger  invested cash balances as compared to the first
quarter of 1997.

     PROVISION FOR INCOME TAXES.  The provision for income taxes for the quarter
ended March 31, 1998, was  $6,290,000  compared to $4,994,000 in the prior year.
The effective tax rate was 38.9% in 1998 compared to 39.5% for 1997.

     NET INCOME. As a result of the foregoing,  net income for the quarter ended
March 31, 1998, increased $2,237,000, or 29.3%, compared to 1997.

     EARNINGS PER SHARE ("EPS").  The Company reported basic EPS of $0.60 in the
first quarter of 1998 compared to $0.47 in 1997, a 27.7% increase.  The weighted
average  number of shares used in the  calculation  was  16,527,000  in 1998 and
16,267,000 in 1997.  Diluted EPS was $0.59 in the first quarter of 1998 compared
to $0.46 for 1997, a 28.3% increase.  The weighted average number of shares used
in the diluted EPS calculation was 16,790,000 in 1998 and 16,436,000 in 1997.

LIQUIDITY AND CAPITAL RESOURCES.

     The Company's growth resulted in a continued  increase in the level of cash
flow from  operations.  Cash flow from  operations  totaled $24.2 million in the
first  quarter of 1998  compared to a negative $6.0 million in the first quarter
of 1997.  This is a direct result of greater  emphasis on collection of accounts
receivable  balances and management of  inventories  and payables to vendors and
retail  pharmacy  providers.  Management  expects to  primarily  fund its future
anticipated  capital  expenditures  and other normal  operating  cash needs with
operating  cash flow.  Excess  funds are  currently  invested  in  overnight  or
short-term  investments and are available for general corporate purposes and for
strategic acquisitions or affiliations as discussed below.

     During the quarter,  the Company  negotiated a $440 million credit facility
with a bank syndicate agented by Bankers Trust Company.  The five-year agreement
became  effective  April 1, 1998, and includes a $360 million term loan facility
and an $80 million revolving loan facility; the term loan proceeds were utilized
to consummate  the  acquisition of Value Health,  Inc. and Managed  Prescription
Network, Inc. (collectively, "ValueRx") from Columbia/HCA Healthcare Corporation
("Columbia";  see Other Matters  below) on April 1, 1998. The provisions of this
credit facility  require  quarterly  interest  payments and,  beginning in April
1999,  semi-annual  principal  payments.  The interest rate is based on a spread
(the "Credit Rate Spread")  over several  LIBOR or base rate options,  depending
upon the Company's ratio of EBITDA to debt. However, the initial spread is fixed
at 125 basis  points  for the first two  quarters.  The  credit  agreement  also
contains customary financial covenants.  In addition, the Company is required to
pay an annual fee of 30 basis points, payable in quarterly installments,  on the
unused portion of the revolving  loan. As a result of the new credit  agreement,
the Company  canceled its $25 million line of credit with Mercantile Bank of St.
Louis on March 31, 1998.

     To   alleviate   interest   rate   volatility   in   connection   with  the
above-described  credit facility, the Company entered into an interest rate swap
arrangement,  effective  April 3, 1998,  with the First National Bank of Chicago
agreeing  to receive a floating  rate of interest on the amount of the term loan
facility  based on a three month  LIBOR rate in exchange  for payment of a fixed
rate of  interest  of  5.88%.  The  notional  amount  of the swap  amortizes  in
conjunction  with the  principal  balance  of the term  loan.  As a result,  the
Company has, in effect, converted its variable rate term debt to fixed rate debt
at 5.88% for the entire term of the term loan, plus the Credit Rate Spread.

     As of March 31, 1998, the Company had repurchased a total of 237,500 shares
of its Class A Common  Stock  under the  open-market  stock  repurchase  program
announced by the Company on October 25, 1996,  although no repurchases  occurred
during the first quarter of 1998. The Company's Board of Directors  approved the
repurchase of up to 850,000  shares,  and placed no limit on the duration of the
program.  Future purchases, if any, will be in such amounts and at such times as
the  Company  deems  appropriate  based  upon  prevailing  market  and  business
conditions,  subject to certain  restrictions in the credit agreement  described
above.

     The  Company  has  reviewed  and  currently  intends to  continue to review
potential  acquisitions and affiliation  opportunities (see Other Matters).  The
Company believes that available cash resources,  bank financings or the issuance
of  additional  common  stock  could be used to  finance  such  acquisitions  or
affiliations.  The Company  consummated  the  acquisition of ValueRx on April 1,
1998;  however,   there  can  be  no  assurance  the  Company  will  make  other
acquisitions or affiliations in 1998.

OTHER MATTERS

     PacifiCare Health Systems, Inc. ("PacifiCare") completed its acquisition of
FHP,  Inc.  during 1997.  The  Company's  contract to provide  pharmacy  benefit
services to FHP's members expired  December 31, 1997, but the Company  continued
processing  retail  pharmacy  claims for FHP on a  month-to-month  basis through
April 1, 1998 as PacifiCare  transitioned the business to its wholly-owned  PBM.
As  of  January  1,  1998,  approximately  900,000  lives  were  transferred  to
PacifiCare's PBM. Another 900,000 lives were transferred by April 1, 1998. While
FHP was the  Company's  largest  single  client  in  terms  of  membership,  its
contribution  to the 1997 net revenues was less than 2.25% (due to the fact that
the Company  only  recorded  the fees  related to  administering  FHP's  network
prescriptions   and,   prior  to  May  1,   1997,   dispensing   mail   pharmacy
prescriptions), and its contribution to the Company's earnings was substantially
less than the relationship of FHP membership to total membership. As of April 1,
1998 the Company  reported  membership of 12.1 million  members,  a reduction of
approximately  200,000 members from the 12.3 million members reported on January
1, 1998. The net reduction takes into account the loss of the FHP lives,  offset
in part by new members from clients whose service began after January 1, 1998.

     The Company  previously  announced  that ESI Canada,  Inc.,  the  Company's
Canadian  subsidiary,  will  provide  PBM  services  to  First  Canadian  Health
Management  Corporation,  Inc., a subsidiary of Aetna Life Insurance  Company of
Canada, for 640,000  registered Indians and Inuit in Canada.  These services are
now expected to commence on October 1, 1998 and run through September 30, 2003.

     In June 1997 the FASB issued  Statement of Financial  Accounting  Standards
Statement  131  "Disclosures   about  Segments  of  an  Enterprise  and  Related
Information" ("FAS 131"). The statement requires that the Company report certain
information if specific  requirements  are met about  operating  segments of the
Company including information about services,  geographic areas of operation and
major  customers.  FAS 131 is effective for years  beginning  after December 15,
1997.  Initially,  the Company believes that the majority of its operations will
be in one reportable  segment and is continuing to analyze the impact of FAS 131
on its annual 1998 and future disclosure requirements.

     On March 16, 1998 the Company  announced  that, in connection with the sale
by New York Life Insurance Company ("NYL") of NYLCare to Aetna U.S.  HealthCare,
Inc.  ("Aetna"),  Aetna and the  Company  reached  an  agreement  to extend  the
Company's HMO PBM and infusion therapy agreements through December 31, 2003. The
existing contract pricing is effective through December 31, 1999, and thereafter
certain pricing  adjustments  (which the Company believes reflect an appropriate
market price) will be instituted for the year 2000 and subsequent  periods.  The
Company will  continue  providing  PBM services to 1.4 million HMO members after
the  acquisition  is  consummated,  which  is  comparable  to  the  NYLCare  HMO
membership base currently served by the Company. The infusion therapy agreements
are extended  under their current terms until  December 31, 2000, and thereafter
limited  price  adjustments  may take effect under  certain  circumstances.  The
existing  agreements  for managed vision care and informed  decision  counseling
will  continue  through  December  31, 1999.  The Company will also  continue to
provide PBM  services to members of the NYLCare  indemnity  programs  until such
members are converted to new health insurance  policies.  In connection with the
Aetna  arrangement,  the Company and NYL have  reached an agreement in principle
whereby  NYL may make  certain  transition-related  payments  to the Company in
1999.  This  agreement is subject to the approval of the Audit  Committee of the
Company's Board of Directors. The overall impact of this arrangement on earnings
per share is not expected to be material in 1998 or 1999.

     On April  1,  1998,  the  Company  announced  that it had  consummated  the
acquisition of ValueRx from Columbia,  in accordance with the terms of the Stock
Purchase  Agreement by and among Columbia,  VH Holdings,  Inc.,  Galen Holdings,
Inc.  and the  Company,  dated as of February  19, 1998 (see Exhibit 2.1 and 2.2
hereto).  Specifically, the Company acquired the stock of Value Health, Inc. and
Managed  Prescription  Network,  Inc.,  the sole assets of which at closing were
various  subsidiaries  each  now  or  formerly  conducting  business  as a  PBM,
including  ValueRx Pharmacy  Program,  Inc., for  approximately  $445 million in
cash,   subject  to  certain   post-closing   adjustments.   The  Company   used
approximately  $100 million of its own cash and  financed  the  remainder of the
purchase price and certain  acquisition  related  expenses through the five year
credit facility  discussed above. In 1997, the unaudited combined revenue of the
two companies was in excess of $2.7 billion.  The acquisition  will be accounted
for as a purchase.

YEAR 2000 INFORMATION SYSTEMS ISSUES

     The Company's operations rely heavily on information systems technology. In
1995, the Company began addressing the "Year 2000" issue which, in short, refers
to the  inability of certain  computer  systems to properly  recognize  calendar
dates beyond  December 31, 1999.  This arises as a result of systems having been
programmed with two-digits rather than four-digits to define the applicable year
in  order  to  conserve  computer  storage  space,   reduce  the  complexity  of
calculations  and produce  better  performance.  The two-digit  system may cause
computers to interpret the years "00" as "1900" rather than as "2000", which may
cause  system   failures  or  produce   incorrect   results  when  dealing  with
date-sensitive information beyond the year 1999.

     The Company has performed a self-assessment  and has developed a compliance
plan that addresses (i) internally developed application  software,  (ii) vendor
developed  application software,  (iii) operating system software,  (iv) utility
software,  (v) vendor/trading  partner-supplied  files, (vi) externally provided
data or  transactions,  and (vii)  adherence to applicable  industry  standards.
Progress  in  each  area  is  monitored   and   management   reports  are  given
periodically.  In  addition,  all new  internally  developed  software  is being
created to be Year 2000 compliant.  Management expects all critical "Express
Scripts" systems to be Year 2000 compliant by mid-1999, and is still evaluating
the "ValueRx" systems which the Company recently acquired.

     In addressing  the Year 2000 issue,  the Company will incur  internal staff
costs  as  well  as  external   consulting   and  other   expenses   related  to
infrastructure  enhancements  necessary  to  prepare  its  systems  for  the new
century.  Although the Company is still  evaluating the overall costs associated
with the Year 2000 issue, which are being expensed as incurred, the Company does
not  believe  the costs  associated  therewith  are or will be  material  to the
Company's results of operations or financial condition. In addition, the Company
believes that, with  appropriate  modifications  to existing  computer  systems,
updates by vendors and trading  partners,  and conversion to new software in the
ordinary course of its business, the Year 2000 problem will not pose significant
operational  problems  for the Company.  However,  if such  conversions  are not
completed in a proper and timely manner by all affected  parties,  the Year 2000
issue could result in material adverse operational and financial consequences to
the Company,  and there can be no assurance that the Company's efforts, or those
of  vendors  and  trading  partners,  to  address  the Year 2000  issue  will be
successful.

IMPACT OF INFLATION

     Changes  in  prices   charged  by   manufacturers   and   wholesalers   for
pharmaceuticals  affect the Company's net revenues and cost of revenues. To date
the Company has been able to recover price  increases from its clients under the
terms of its agreements.  As a result, changes in pharmaceutical prices have not
had a significant adverse affect on the Company.

<PAGE>

                           PART II. OTHER INFORMATION


Item 2. CHANGES IN SECURITIES.

        RECENT SALES OF UNREGISTERED SECURITIES
 
     COVENTRY  CORPORATION.  On January 1, 1998, the Company issued a seven-year
Warrant to Coventry  for the  purchase  of an  additional  25,000  shares of the
Company's  Class A Common  Stock,  exercisable  at a price of $52.9088 per share
(90% of the fair market value of a share at the time the  extension  was entered
into by the parties),  as an advance  discount with respect to future charges to
be assessed  against  certain  health  benefit plans owned by Coventry under the
extension  of  the  pharmaceutical  benefit  management  agreement  between  the
parties.  The  aggregate  discount is $146,968.  The Warrant may be exercised in
whole or in part at any time prior to its  expiration  on  January  1, 2005.  No
underwriters  were  involved  in the  issuance.  The  issuance  was exempt  from
registration  under the  Securities Act of 1933 pursuant to Rule 506 and Section
4(2)  thereof,  based on,  among  other  factors,  the single  purchaser  of the
securities,   the  level  of  sophistication  and  financial  resources  of  the
purchaser, the type and amount of information available to the purchaser and the
market  generally,  and the lack of any general  solicitation  or advertising in
connection with the sale.

     EMPLOYEE  STOCK  OPTIONS.  During the  period  January 1, 1998 to March 31,
1998, the Company issued 91,000 options (the "Options") to acquire an equivalent
number of shares of its Class A Common Stock (the "Common  Stock") to certain of
its key  employees  pursuant to the  Company's  Amended and Restated  1992 Stock
Option Plan and its Amended and Restated  1994 Stock Option Plan  (collectively,
the "Plans";  these Options were included in the number disclosed by the Company
in its Annual Report of Form 10-K filed with the  Commission on March 27, 1998).
The Compensation Committee of the Company's Board of Directors (the "Committee")
administers the Plans.  As a condition to receipt of the Options,  the Committee
required that each recipient  execute and deliver an agreement  prohibiting  the
employee from  competing  with the company or soliciting  the  employment of the
Company's  employees  for  specified  periods  after  most  terminations  of the
employee's  employment with the Company. The exercise prices of the Options were
equal to the market values on their  respective  dates of grant, as described in
the Plans.  The Committee has  discretion to determine the vesting  schedule for
each  Option  grant.  Generally,  the  Committee  has made  grants  that  become
exercisable  in equal  amounts  over five years,  and in most cases the employee
must be  employed  by the  Company  at the time of  vesting  to  exercise  their
Options.  Reference  is made to the text of the Plans,  which are filed with the
Commission,  for detailed information on the terms thereof. The Option issuances
were exempt from  registration  under the  Securities  Act of 1933,  as amended,
pursuant to Section 4(2) thereof and Rule 506 of Regulation D thereunder,  based
on, among other factors,  the limited number of the Option  acquirers,  the type
and amount of information available to the Option acquirers,  and the absence of
any general solicitation or advertising in connection with the issuance.


Item 6.  EXHIBITS AND REPORTS ON FORM 8-K.

         (a)      EXHIBITS.  See Index to Exhibits on page 18.

         (b)      REPORTS ON FORM 8-K.

                  (i)      On February 24, 1998, the Company filed a
                           current Report on Form 8-K regarding a press
                           release issued on behalf of the Company.

                  (ii)     On March 2, 1998, the Company filed a
                           current Report on Form 8-K regarding its
                           execution of a Stock Purchase Agreement with
                           Columbia/HCA Healthcare Corporation
                           ("Columbia"), VH Holdings, Inc. and Galen
                           Holdings, Inc., pursuant to which the
                           Company would acquire ValueRx, the pharmacy
                           benefit management business of Columbia.

                  (iii)    On March 26, 1998, the Company filed a
                           current Report on Form 8-K regarding a press
                           release issued on behalf of the Company.

<PAGE>

SIGNATURES

     Pursuant to the  requirements  of the Securities  Exchange Act of 1934, the
Registrant  has duly  caused  this  report  to be  signed  on its  behalf by the
undersigned thereunto duly authorized.

                                            EXPRESS SCRIPTS, INC.
                                            (Registrant)


Date:    May 14, 1998                        By:  /s/ Barrett A. Toan
                                                 Barrett A. Toan, President and
                                                 Chief Executive Officer

Date:    May 14, 1998                         By: /s/ George Paz
                                                 George Paz, Senior Vice
                                                 President and Chief
                                                 Financial Officer

<PAGE>

                                INDEX TO EXHIBITS

            (Express Scripts, Inc. - Commission File Number 0-20199)

EXHIBIT
NUMBER   EXHIBIT

2.1      Stock Purchase Agreement by and among Columbia/HCA Healthcare 
         Corporation, VH Holdings, Inc., Galen Holdings, Inc. and Express 
         Scripts, Inc., dated as of February 19, 1998, and certain related 
         Schedules, incorporated by reference to Exhibit No. 2.1 to the 
         Company's Current Report on Form 8-K filed March 2, 1998.

2.2      First Amendment to Stock Purchase Agreement by and among Columbia/HCA 
         Healthcare Corporation, VH Holdings, Inc., Galen Holdings, Inc. and 
         Express Scripts, Inc., dated as of March 31, 1998, and related 
         Exhibits incorporated by reference to Exhibit No. 2.1 to the
         Company's Current Report on Form 8-K filed April 14, 1998.

3.1      Certificate of Incorporation, incorporated by reference to Exhibit 
         No. 3.1 to the Company's Registration Statement on Form S-1 filed 
         June 9, 1992 (No. 33-46974) (the "Registration
         Statement").

3.2      Certificate of Amendment of the Certificate of Incorporation of the 
         Company, incorporated by reference to Exhibit No.10.6 to the Company's
         Quarterly Report on Form 10-Q for the quarter ending June 30, 1994.

3.3      Second Amended and Restated Bylaws, incorporated by reference to 
         Exhibit No. 3.3 to the Company's Quarterly Report on Form 10-Q for the
         quarter ending September 30, 1997.

4.1      Form of Certificate for Class A Common Stock,incorporated by reference
         to Exhibit No. 4.1 to the Registration Statement.

27.1*    Financial Data Schedule (provided for the information of the U.S. 
         Securities and Exchange Commission only).

- ------------------------
*   Filed herein.



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