EXPRESS SCRIPTS INC
10-Q, 1999-05-14
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, 1999.

          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, 1999:       18,232,160  Shares Class A
                                                     15,020,000  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     11

          Item 3.  Quantitative and Qualitative Disclosures About
                   Market Risks -                                     19

Part II   Other Information

          Item 1.   Legal Proceedings                                 20

          Item 2.   Changes in Securities and Use of Proceeds - 
                    (Not Applicable)

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

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

          Item 5.   Other Information - (Not Applicable)

          Item 6.   Exhibits and Reports on Form 8-K                  20

Signatures                                                            22

Index to Exhibits                                                     23

<PAGE>
                          PART I. FINANCIAL INFORMATION

Item 1.           Financial Statements

<TABLE>
<CAPTION>

                              EXPRESS SCRIPTS, INC.
                      Unaudited Consolidated Balance Sheet


                                                                              March 31,        December 31,
(in thousands, except share data)                                               1999               1998
- --------------------------------                                          --------------    ----------------
<S>                                                                             <C>                 <C>      
Assets
Current assets:
    Cash and cash equivalents                                                   $ 115,838           $ 122,589
    Receivables, less allowance for doubtful
       accounts of $14,883 and $17,806, respectively                              446,453             433,006
    Inventories                                                                    55,234              55,634
    Deferred taxes                                                                 41,841              41,011
    Prepaid expenses                                                                3,761               4,667
                                                                            --------------    ----------------
       Total current assets                                                       663,127             656,907
Property and equipment, less accumulated depreciation and amortization             73,346              77,499
Goodwill, less accumulated amortization                                           268,081             282,163
Other assets                                                                       92,396              78,892
                                                                            --------------    ----------------

       Total assets                                                           $ 1,096,950         $ 1,095,461
                                                                            ==============    ================


Liabilities and Stockholders' Equity
Current liabilities:
    Current maturities of long-term debt                                        $  54,000           $  54,000
    Claims and rebates payable                                                    331,525             338,251
    Accounts payable                                                               65,715              60,247
    Accrued expenses                                                               71,666              86,798
                                                                            --------------    ----------------
       Total current liabilities                                                  522,906             539,296

Long-term debt                                                                    306,000             306,000
Other liabilities                                                                     502                 471
                                                                            --------------    ----------------
    Total liabilities                                                             829,408             845,767
                                                                            --------------    ----------------


Stockholders' equity:
    Preferred stock, $.01 par value, 5,000,000 shares authorized, and
      no shares issued
    Class A Common Stock, $.01 par value, 75,000,000 shares authorized,
       18,707,000 and 18,610,000 shares issued, respectively                          187                 186
    Class B Common Stock, $.01 par value, 22,000,000 shares authorized,
       15,020,000 shares issued                                                       150                 150
   Additional paid-in capital                                                     114,391             110,099
   Accumulated other comprehensive income                                            (62)                (74)
   Retained earnings                                                              159,865             146,322
                                                                            --------------    ----------------
                                                                                  274,531             256,683
   Class A Common Stock in treasury at cost, 475,000 shares                       (6,989)             (6,989)
                                                                            --------------    ----------------
       Total stockholders' equity                                                 267,542             249,694
                                                                            --------------    ----------------
       Total liabilities and stockholders' equity                             $ 1,096,950         $ 1,095,461
                                                                            ==============    ================
</TABLE>

See accompanying notes to consolidated financial statements.

<PAGE>

<TABLE>
<CAPTION>

                              EXPRESS SCRIPTS, INC.
                 Unaudited Consolidated Statement of Operations


                                                                              Three Months Ended
                                                                                   March 31,
(in thousands, except per share data)                                     1999                 1998
- -------------------------------------                               -----------------    -----------------
<S>                                                                         <C>                  <C>     
Net revenues                                                                $899,087             $371,362
                                                                    -----------------    -----------------
Cost and expenses:
  Cost of revenues                                                           823,647              338,492
  Selling, general & administrative                                           46,440               18,826
                                                                    -----------------    -----------------
                                                                             870,087              357,318
                                                                    -----------------    -----------------
Operating income                                                              29,000               14,044
                                                                    -----------------    -----------------
Interest income (expense):
  Interest income                                                              1,393                2,138
  Interest expense                                                           (6,222)                 (14)
                                                                    -----------------    -----------------
                                                                             (4,829)                2,124
                                                                    -----------------    -----------------
Income before income taxes                                                    24,171               16,168
Provision for income taxes                                                    10,628                6,290
                                                                    -----------------    -----------------
Net income                                                                  $ 13,543              $ 9,878
                                                                    =================    =================

Basic earnings per share                                                      $ 0.41              $  0.30
                                                                    =================    =================

Weighted average number of common shares out-
  standing during the period - Basic EPS                                      33,211               33,053
                                                                    =================    =================

Diluted earnings per share                                                    $ 0.40              $  0.29
                                                                    =================    =================

Weighted average number of common shares out-
  standing during the period - Diluted EPS                                    34,154               33,579
                                                                    =================    =================
</TABLE>

See accompanying notes to consolidated financial statements.

<PAGE>

<TABLE>
<CAPTION>

                              EXPRESS SCRIPTS, INC.
       Unaudited Consolidated Statement of Changes in Stockholders' Equity

                                    Number of Shares                                     Amount
                                   --------- ----------    ---------------------------------------------------------------------
                                                                                     Accumulated
                              Class A   Class B  Class A    Class B    Additional      Other
                              Common    Common   Common    Common      Paid-in     Comprehensive  Retained    Treasury
(in thousands)                 Stock     Stock    Stock      Stock      Capital       Income       Earnings     Stock     Total
- ---------------------------- ------------------- ----------------------------------------------------------------------------------
<S>                          <C>        <C>     <C>       <C>        <C>           <C>           <C>        <C>        <C>     
Balance at December 31, 1998  18,610     15,020  $  186    $  150     $  110,099     $    (74)     $146,322   $(6,989)   $249,694
                             ------------------- ----------------------------------------------------------------------------------
   Comprehensive income:
     Net income                                                                                      13,543                13,543
     Other comprehensive
         income,
        Foreign currency
         translation
           adjustment           -          -         -         -          -                12          -          -            12
                             ------------------- ----------------------------------------------------------------------------------
   Comprehensive income                    -         -         -          -                12        13,543       -        13,555
   Exercise of stock options      97                   1                   2,721                                            2,722
   Tax benefit relating to
     employee stock options     -          -         -         -           1,571           -          -           -         1,571
                             =================== ==================================================================================
Balance at March 31, 1999     18,707     15,020   $  187    $  150    $  114,391      $   (62)     $159,865   $(6,989)   $267,542
                             =================== ==================================================================================
</TABLE>

See accompanying notes to consolidated financial statements.

<PAGE>

<TABLE>
<CAPTION>

                              EXPRESS SCRIPTS, INC.
                 Unaudited Consolidated Statement of Cash Flows

                                                                     Three Months Ended
                                                                           March 31,
(in thousands)                                                     1999                 1998
- --------------                                               -----------------    -----------------
<S>                                                                   <C>                  <C>    
Cash flows from operating activities:
     Net income                                                       $13,543              $ 9,878

     Adjustments  to  reconcile  net income to net cash  
     provided  by  operating activities:
        Depreciation and amortization                                   8,685                2,396
        Deferred income taxes                                           1,545                (362)
        Bad debt expense                                                1,592                  942
        Tax benefit relating to employee stock options                  1,571                  662
        Net changes in operating assets and liabilities              (30,744)               10,706
                                                             -----------------    -----------------
Net cash (used in) provided by operating activities                   (3,809)               24,222
                                                             -----------------    -----------------
Net cash (used in) provided by operating activities                   (3,808)               24,222
                                                             -----------------    -----------------

Cash flows from investing activities:
     Purchases of property and equipment                              (5,677)              (3,176)
     Short-term investments                                                 -              (1,334)
                                                             -----------------    -----------------
Net cash (used in) investing activities                               (5,677)              (4,510)
                                                             -----------------    -----------------

Cash flows from financing activities:
     Other, net                                                         2,722                  683
                                                             -----------------    -----------------
Net cash provided by financing activities                               2,722                  683
                                                             -----------------    -----------------

Effect of foreign currency translation adjustment                          12                    6
                                                             -----------------    -----------------

Net (decrease) increase in cash and cash equivalents                  (6,751)               20,401

Cash and cash equivalents at beginning of period                      122,589               64,155
                                                             -----------------    -----------------

Cash and cash equivalents at end of period                           $115,838              $84,556
                                                             =================    =================

</TABLE>

See accompanying notes to consolidated financial statements.

<PAGE>

EXPRESS SCRIPTS, INC.

NOTES TO UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS

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,  1998,  as filed with the  Securities  and Exchange
Commission on March 29, 1999.

     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 Unaudited  Consolidated
Balance  Sheet at March  31,  1999,  the  Unaudited  Consolidated  Statement  of
Operations  for the three months ended March 31, 1999,  and 1998,  the Unaudited
Consolidated  Statement of Changes in Stockholders'  Equity for the three months
ended March 31, 1999, and the Unaudited Consolidated Statement of Cash Flows for
the three months ended March 31, 1999, and 1998. Operating results for the three
months ended March 31, 1999 are not  necessarily  indicative of the results that
may be expected for the year ended December 31, 1999.

Note 2 - Earnings Per Share

     Basic earnings per share is computed  using the weighted  average number of
common  shares  outstanding  during the period.  Diluted  earnings  per share is
computed in the same manner as basic  earnings  per share but adds 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
for all years is stock options and stock  warrants  granted by the Company using
the "treasury stock" method.

Note 3 - Acquisition

     On April 1, 1998 the Company acquired all of the outstanding  capital stock
of Value Health, Inc. and Managed Prescriptions Network, Inc. (collectively, the
"Acquired Entities") from Columbia/HCA  Healthcare Corporation  ("Columbia") for
approximately  $460  million  in cash  (which  includes  transactions  costs and
executive   management   severance   costs  of   approximately   $15   million),
approximately $360 million of which was obtained through a five-year bank credit
facility  (see Note 4) and the remainder  from the  Company's  cash balances and
short-term  investments.   At  closing,  the  Acquired  Entities  owned  various
subsidiaries  that now or formerly  conducted a PBM business,  commonly known as
"ValueRx."

     The  acquisition  has been  accounted  for  using  the  purchase  method of
accounting  and the results of  operations  of the Acquired  Entities  have been
included in the consolidated financial statements and PBM segment since April 1,
1998. The purchase  price has been allocated  based on the estimated fair values
of net assets  acquired at the date of the  acquisition.  The excess of purchase
price over tangible net assets  acquired has been allocated to other  intangible
assets consisting of customer contracts and non-compete agreements in the amount
of $57,653,000 which are being amortized using the straight-line method over the
estimated  useful lives of 2 to 20 years and are included in other  assets,  and
goodwill  in the  amount  of  $278,113,000  which is being  amortized  using the
straight-line  method over the estimated useful life of 30 years. In conjunction
with the acquisition,  the Acquired Entities and their subsidiaries retained the
following liabilities:

<TABLE>
<CAPTION>

(in thousands)
- -----------------------------------------------------------------
<S>                                                  <C>         
Fair value of assets acquired                        $    659,166
Cash paid for the capital stock                         (460,137)
                                           =======================
          Liabilities retained                       $    199,029
                                           =======================
</TABLE>

     The  following  unaudited  pro forma  information  presents  a  summary  of
combined  results of operations  of the Company and the Acquired  Entities as if
the  acquisition  had occurred at the beginning of the period  presented,  along
with certain pro forma  adjustments to give effect to  amortization of goodwill,
other  intangible  assets,  interest  expense  on  acquisition  debt  and  other
adjustments.  The pro forma financial information is not necessarily  indicative
of the results of  operations as they would have been had the  transaction  been
effected  on the  assumed  dates.  Included  in the pro  forma  information  are
integration  costs  incurred  by the  Company  that are  being  reported  within
selling, general and administrative expenses in the statement of operations.

<TABLE>
<CAPTION>

                                                   Three Months Ended
                                                        March 31,
(in thousands, except per share data)                     1998
- ---------------------------------------------------------------------
<S>                                                         <C>     
Net revenues                                                $781,290
Net income                                                     9,900
Basic earnings per share                                        0.30
Diluted earnings per share                                      0.29

</TABLE>

Note 4 - Financing

     On April 1, 1998, the Company  executed a $440 million credit facility with
a bank syndicate led by Bankers Trust Company, consisting of a $360 million term
loan facility and an $80 million  revolving loan facility.  The credit  facility
expires  on  April  15,  2003  and  is  guaranteed  by  the  Company's  domestic
subsidiaries  other than Practice  Patterns  Science,  Inc.  ("PPS"),  and Great
Plains Reinsurance  Company ("Great Plains") and secured by pledges of 100% (or,
in the case of foreign subsidiaries,  65%) of the capital stock of the Company's
subsidiaries  other than PPS and Great Plains.  The provisions of this term loan
require quarterly  interest payments and,  beginning in April 1999,  semi-annual
principal  payments.  The  interest  rate is  based on a  spread  ("Credit  Rate
Spread") over several  London  Interbank  Offered  Rates  ("LIBOR") or base rate
options,  depending upon the Company's ratio of earnings before interest, taxes,
depreciation and amortization  ("EBITDA") to debt ("Leverage  Ratio").  At March
31, 1999,  the interest rate was 5.84375%,  representing a credit rate spread of
0.75% over the three-month  LIBOR rate. The credit facility  contains  covenants
that  limit the  indebtedness  the  Company  may incur and the  amount of annual
capital  expenditures.  The covenants also establish a minimum interest coverage
ratio, a maximum leverage ratio, and a minimum  consolidated net worth. At March
31, 1999,  the Company was in compliance  with all covenants.  In addition,  the
Company  is  required  to pay an annual fee  depending  on the  leverage  ratio,
payable in quarterly installments,  on the unused portion of the revolving loan.
The  commitment  fee was 22.5  basis  points at March 31,  1999.  There  were no
borrowings at March 31, 1999 under the  revolving  loan  facility.  The carrying
amount of the Company's term loan facility approximates fair value.

     In conjunction  with the Company's policy to manage interest rate risk, the
Company  entered into an interest  rate swap  agreement  ("swap") with The First
National  Bank of Chicago,  a subsidiary  of Bank One  Corporation,  on April 3,
1998.  At March  31,  1999,  the swap had a  notional  principal  amount of $360
million.  Under the terms of the swap,  the Company agrees 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% per
annum. The notional principal amount of the swap amortizes in equal amounts with
the principal balance of the term loan facility.  As a result,  the Company has,
in effect, converted its variable rate term debt to fixed rate debt at 5.88% per
annum  for the  entire  term of the term loan  facility,  plus the  Credit  Rate
Spread.

Note 5 - Restructuring

     During  the  second  quarter  of  1998,  the  Company  recorded  a  pre-tax
restructuring  charge of $1,651,000  ($1,002,000  after taxes or $0.03 per basic
and diluted earnings per share)  associated with the Company closing the non-PBM
service   operations  of  its  wholly-owned   subsidiary,   PhyNet,   Inc.,  and
transferring  certain  functions of its Express  Scripts  Vision  Corporation to
another vision care provider.

<TABLE>
<CAPTION>

                                                      Balance at                                           Balance at
                                                     December 31,                 Utilized                  March 31,
(in thousands)                                           1998              Cash            Noncash            1999
- ----------------------------------------------------------------------------------------------------------------------
<S>                                                        <C>               <C>            <C>                 <C> 
Write-down of long-lived assets                            $531              $      -       $(195)              $336
Employee transition costs for 61 employees                  232                     -           -                232
                                               =======================================================================
                                                           $763              $      -       $(195)              $568
                                               =======================================================================
</TABLE>

     The  restructuring  charge includes tangible assets to be disposed of being
written down to their net realizable  value,  less cost of disposal.  Management
expects  recovery to approximate its cost of disposal.  Considerable  management
judgment is necessary to estimate fair value; accordingly,  actual results could
vary from such estimates.  The Company  anticipates  completing the remainder of
the restructuring actions by the end of the third quarter of 1999.

Note 6 - Segment Reporting

     The  Company  is  organized  on the  basis  of  services  offered  and  has
determined  that  it has two  reportable  segments:  PBM  services  and  non-PBM
services.  The Company manages the pharmacy benefit within an operating  segment
which encompasses a fully-integrated  PBM service. The remaining three operating
service lines (IVTx,  Specialty  Distribution  and Vision) have been  aggregated
into a non-PBM reporting segment.

     The following table presents  information about the reportable segments for
the three months ended March 31:

<TABLE>
<CAPTION>

(in thousands)                          PBM                   Non-PBM                   Total
- -----------------------------------------------------------------------------------------------
<S>                                   <C>                      <C>                    <C>      
1999
Net revenues                          $ 884,435                $ 14,652               $ 899,087
Income before income taxes               22,660                   1,511                  24,171

1998
Net revenues                          $ 358,924                $ 12,438               $ 371,362
Income before income taxes               15,038                   1,130                  16,168

</TABLE>

Note 7 - Subsequent Events

     On April 1, 1999 the  Company  completed  its  acquisition  of  Diversified
Pharmaceutical  Services,  Inc. and Diversified  Pharmaceutical Services (Puerto
Rico) Inc.  (collectively,  "DPS"),  from  SmithKline  Beecham  Corporation  and
SmithKline  Beecham  InterCredit BV (collectively,  "SB") for approximately $700
million in cash,  such amount being subject to adjustment  based upon the amount
of working  capital of DPS at closing.  The  acquisition  will be accounted  for
under the  purchase  method of  accounting.  The  Company  will file an Internal
Revenue Code  ss.338(h)(10)  election,  making  amortization  expense of certain
intangible assets, including goodwill, tax deductible.

     The Company used approximately $48 million of its own cash and financed the
remainder of the purchase  price and related  acquisition  costs through a $1.05
billion credit  facility with a bank syndicate led by Credit Suisse First Boston
and Bankers Trust Company,  and a $150 million senior subordinated bridge credit
facility from Credit Suisse First Boston and Bankers Trust Company.  The Company
also used a portion of the proceeds  from the $1.05 billion  credit  facility to
retire the $360 million principal balance outstanding on its $440 million credit
facility (see Note 4). As a result of the retirement of the $360 million balance
outstanding on its $440 million credit facility,  the Company will write-off the
remaining  deferred  financing  fees  at  March  31,  1999  of  $3,250,000,   or
approximately  $1,950,000 net of tax, as an extraordinary item during the second
quarter of 1999.

     The $1.05  billion  credit  facility  consists of a $300 million  revolving
facility,  a $285  million  term  facility  ("Term A"),  and a $465 million term
facility  ("Term B"). The  revolving  facility and the Term A facility are for a
period of six years.  The Term B facility  is for a period of eight  years.  The
provisions of this loan require quarterly  interest  payments and,  beginning in
March 2000,  annual principal  payments.  The interest rate is based on a spread
(the "Base Rate Margin") over several LIBOR or base rate options, depending upon
the Company's ratio of debt to EBITDA.  However,  the initial margin is fixed at
275 basis  points for the  revolving  facility and Term A facility and 350 basis
points for the Term B facility for the first two quarters.  The credit  facility
contains  covenants  that limit the  indebtedness  the Company may incur and the
amount of annual  capital  expenditures.  The covenants also establish a minimum
interest  coverage ratio, a maximum  leverage ratio,  and a minimum fixed charge
coverage ratio. In addition,  the Company is required to pay an annual fee of 50
basis points,  payable in quarterly  installments,  on the unused portion of the
revolving facility.

     The following  represents the schedule of current maturities for the Term A
and Term B facilities (in thousands):


             Year Ended December 31,
                      1999                                     $    -
                      2000                                      4,650
                      2001                                     47,400
                      2002                                     61,650
                      2003                                     61,650
                   Thereafter                                 574,650
                                               -----------------------
                                                            $ 750,000
                                               =======================

     In March 1999,  the Company  filed a  registration  statement for an equity
offering of 4.5 million  shares of our Class A common  stock.  The proceeds from
the equity  offering will be used to repay the $150 million senior  subordinated
bridge credit facility and a portion of the Term B facility.  Upon the repayment
of a portion of the Term B  facility,  the  Company  will  write-off  a pro-rata
portion of the deferred financing fees as an extraordinary item.

<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 us with the  Securities  and Exchange
Commission  (the  "Commission")  and releases  issued or statements  made by us,
contain or may contain forward-looking statements,  including but not limited to
statements of our plans, objectives, expectations or intentions, including as to
Year 2000 issues. Such forward-looking  statements necessarily involve risks and
uncertainties.  Our 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:

     - risks  associated with the  consummation  and financing of  acquisitions,
       including the ability to  successfully  integrate the operations of the 
       acquired businesses with our existing  operations,  client  retention  
       issues,  and risks inherent in the acquired entities' operations

     - risks associated with obtaining financing and capital

     - risks associated with our ability to manage growth

     - competition, including price competition, competition in the bidding and
       proposal process and our ability to consummate
       contract negotiations with prospective clients

     - the possible  termination of contracts with certain key clients or
       providers; (vi) the possible termination of contracts with certain
       key pharmaceutical  manufacturers,  changes in pricing,  discount,
       rebate or other practices of pharmaceutical manufacturers

     - adverse results in litigation

     - adverse  results in  regulatory  matters,  the adoption of adverse
       legislation  or  regulations,   more  aggressive   enforcement  of
       existing   legislation  or   regulations,   or  a  change  in  the
       interpretation of existing legislation or regulations

     - developments in the healthcare industry, including the impact of
       increases in healthcare costs, changes in drug utilization
       patterns and introductions of new drugs

     - risks associated with the "Year 2000" issue

     - dependence on key members of management

     - our relationship with New York Life Insurance Company, which possesses 
       voting control of us

     - other risks described from time to time in our filings with the 
       Commission.

     We do 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.

Overview

     During  the first  quarter of 1999,  we  continued  to  execute  our growth
strategy of generating sales to new clients,  expanding the services provided to
existing  clients,  developing  new  products  and services for sale to existing
clients and  pharmaceutical  manufacturers  and selectively  pursuing  strategic
acquisitions  and alliances.  On April 1, 1998, we  consummated  our first major
acquisition by acquiring "ValueRx",  the prescription benefit management ("PBM")
operations   of   Columbia/HCA   Healthcare   Corporation   ("Columbia"),    for
approximately  $460  million  in cash,  which  includes  transaction  costs  and
executive  management  severance  costs of  approximately  $6.7 million and $8.3
million,  respectively.  Consequently,  our operating  results  include those of
ValueRx from April 1, 1998. The net assets  acquired have been recorded at their
estimated  fair value,  resulting  in  $278,113,000  of  goodwill  that is being
amortized   over  30  years.   On  April  1,  1999,   we  acquired   Diversified
Pharmaceutical  Services,  Inc. and Diversified  Pharmaceutical Services (Puerto
Rico) Inc. (collectively "DPS") from SmithKline Beecham Corporation ("SmithKline
Beecham") and SmithKline  Beecham  InterCredit BV for approximately $700 million
in cash, such amount being subject to adjustment  based upon the amount of DPS's
working capital at closing.  Both  acquisitions  will be accounted for under the
purchase method of accounting.

     The  acquisition  of  ValueRx   contributed   substantially  to  increasing
membership  to  approximately  23  million  lives  as of  March  31,  1999  from
approximately   12  million  lives  as  of  March  31,  1998.   Our   membership
approximately  doubled  based on the  acquisition  of DPS and we have one of the
largest managed care membership bases of any PBM. Although membership counts are
based on our  electronic  eligibility  data file,  they involve some  estimates,
extrapolations  and  approximations.  For example,  some plan designs  allow for
family coverage under one  identification  number, and we make assumptions about
the average  number of persons per family in calculating  our total  membership.
Because these  assumptions may vary between PBMs,  membership  counts may not be
comparable  between us and our competitors.  However,  we believe our membership
count provides a reasonable  estimation of the  population we serve,  and can be
used as one measure of our growth.  The acquisitions also increased the scale of
our business, expanded our client base, increased our penetration of PBM markets
and expanded our product and service offerings.

     We  primarily  derive our  revenues  from the sale of PBM  services  in the
United States and Canada. Our PBM net revenues generally include  administrative
fees,  dispensing fees and ingredient  costs of  pharmaceuticals  dispensed from
retail  pharmacies  included  in one of our  networks  or from  one of our  mail
pharmacies.  We then record the associated  costs in cost of revenues.  Where we
only  administer  the  contracts  between our clients  and the  clients'  retail
pharmacy  networks,  we record as net revenues only the  administrative  fees we
receive from our  activities.  We also derive PBM net revenues  from the sale of
informed decision counseling services through our Express Health LineSM division
and the sale of medical information management services,  which include provider
profiling,  formulary  management  support  services and  outcomes  assessments,
through our Practice Patterns Science, Inc. subsidiary. Non-PBM net revenues are
derived from: (1) the sale of pharmaceuticals  for and the provision of infusion
therapy  services through our IVTx, Inc.  subsidiary,  (2)  administrative  fees
received for members  using our vision  program  through our alliance  with Cole
Managed  Vision  ("Cole"),  a subsidiary of Cole National  Corporation,  and (3)
administrative  fees  received  from drug  manufacturers  for the  dispensing or
distribution of pharmaceuticals through our Specialty Distribution division.

<TABLE>
<CAPTION>

Results Of Operations

Net Revenues
                                   Three Months Ended March 31,
(in thousands)                   1999      % Increase       1998
- -----------------------------------------------------------------------
<S>                               <C>           <C>           <C>     
PBM                               $884,435      146.4%        $358,924
Non-PBM                             14,652       17.8%          12,438
                            ===========================================
Net revenues                      $899,087      142.1%        $371,362
                            ===========================================
</TABLE>

     Total net revenues for the first quarter of 1999 increased $527,725,000, or
142.1%,  compared to the first quarter of 1998. The increase is primarily due to
the acquisition of ValueRx and also due to our continuing ability to attract new
clients as well as additional members from existing clients.

     The  majority of the  increase  in net  revenues  was derived  from our PBM
services. Network pharmacy claims processed increased 89.3% in the first quarter
of 1999 over  1998 and the  average  net  revenue  per  network  pharmacy  claim
increased 36.0% in the first quarter of 1999 over 1998. The significant increase
in network  pharmacy  claims  processed  of 89.3% and  average  net  revenue per
network  pharmacy  claim of 36.0% in the first  quarter of 1999 over 1998 caused
net revenues for our network pharmacy claims services to increase  $393,914,000,
or 157.4%. The increase in average net revenue per network pharmacy claim is due
to two factors:  (1) a larger number of clients using retail  pharmacy  networks
established  by us,  rather than retail  pharmacy  networks  established  by our
clients,  which results in us recording  dispensing fees and ingredient costs in
net revenues and cost of revenues,  respectively, and (2) higher drug ingredient
costs resulting from price increases for existing  drugs,  new drugs  introduced
into the marketplace and changes in therapeutic mix and dosage.  These increases
were  partially  offset by lower pricing  offered by us in response to continued
competitive pressures.

     The number of clients  using retail  pharmacy  networks  established  by us
increased  significantly  beginning  in the  second  quarter  of 1998 due to the
acquisition  of  ValueRx,  as  substantially  all  ValueRx  clients  used retail
pharmacy  networks  established  by ValueRx.  As a result of this  shift,  gross
margin  percentages are reduced but the dollar amount of the gross profit is not
significantly affected.

     Mail pharmacy  claims  processed  increased  113.2% in the first quarter of
1999 over 1998 and the average net revenue  per mail  pharmacy  claim  increased
3.8% in the first quarter of 1999 over 1998.  The  significant  increase in mail
pharmacy claims processed, primarily due to the ValueRx acquisition, resulted in
net revenues for our mail pharmacy services increasing $127,480,000, or 121.2%.

     Net revenues from our non-PBM services increased 17.8% in the first quarter
of 1999 over 1998.  The  increase was  primarily  due to a change in product mix
sold,  which  resulted  in higher  drug  ingredient  costs.  This  increase  was
partially  offset by the  reduction  in net  revenues  from our  managed  vision
business.

<TABLE>
<CAPTION>

Cost and Expenses
                                                                Three Months Ended March 31,
(in thousands)                                                 1999      % Increase       1998
- -----------------------------------------------------------------------------------------------------
<S>                                                             <C>           <C>           <C>     
    PBM                                                         $812,093      146.8%        $329,017
        Percentage of PBM net revenues                             91.8%                       91.7%
    Non-PBM                                                       11,554       21.9%           9,475
        Percentage of non-PBM net revenues                         78.9%                       76.2%
                                                          -------------------------------------------
Cost of revenues                                                 823,647      143.3%         338,492
    Percentage of net revenues                                     91.6%                       91.1%

Selling, general and administrative                               40,218      125.4%          17,843
    Percentage of net revenues                                      4.5%                        4.8%

Depreciation and amortization (1)                                  6,222      533.0%             983
    Percentage of net revenues                                      0.7%                        0.3%
                                                          ===========================================
Total cost and expenses                                         $870,087      143.5%        $357,318
                                                          ===========================================
    Percentage of net revenues                                     96.8%                       96.2%

<FN>

(1)  Represents  depreciation  and  amortization  expense  included  in selling,
general and  administrative  expenses on our  Statement of  Operations.  Cost of
revenues,  above,  includes  depreciation and amortization  expense on property,
plant and equipment.

</FN>
</TABLE>

     Our cost of revenues for PBM  services as a percentage  of PBM net revenues
slightly  increased during the first quarter of 1999 over 1998. Cost of revenues
for our pharmacy  network claims and mail pharmacy claims  increased  158.8% and
120.5%,  respectively.  The  decrease in gross margin  percentage  for the first
quarter of 1999 over 1998 is primarily due to the shift toward pharmacy networks
established by us, as opposed to those established by our clients.  The pharmacy
network  shift  continued  due to the  acquisition  of  ValueRx,  as the ValueRx
clients  primarily used retail pharmacy  networks  established by ValueRx.  This
decrease was  partially  offset by operating  efficiencies  achieved in our mail
pharmacies  during  the  first  quarter  of 1999  and  revenues  generated  from
integrated PBM services,  such as medical and drug data  analysis,  that provide
higher gross margins.

     Cost of revenues for non-PBM services  increased as a percentage of non-PBM
net  revenues  from the first  quarter of 1998  primarily  due to the  continued
change in the product mix sold  resulting in additional  costs of  approximately
$720,000.  This  change  was  offset by our  development  of new  business  that
generated  higher gross margins of  approximately  $120,000 and the reduction of
overhead  costs,  as a percentage of non-PBM net revenues,  due to the change in
product mix sold.

     Selling,  general and administrative  expenses,  excluding depreciation and
amortization,  increased  $22,375,000,  or 125.4%, for the first quarter of 1999
compared to 1998.  The increase is primarily due to our  acquisition of ValueRx,
costs  incurred  during the  integration of ValueRx and costs required to expand
the operational and  administrative  support functions to enhance  management of
the pharmacy  benefit.  As a percentage  of net revenues,  selling,  general and
administrative expenses, excluding depreciation and amortization,  for the first
quarter  of 1999  decreased  to 4.5%  from  4.8% in 1998.  The  decrease  in the
percentage  of net revenues is primarily  attributed  to our recording of higher
net revenues due to the shift towards  pharmacy  networks  established by us, as
opposed to those established by our clients, as discussed in "--Net Revenues."

     As  part  of our  overall  plan  to  achieve  operating  economies,  we are
integrating ValueRx into our historical business. To date, we have substantially
met our  integration  goals by  combining  existing  contracts  and  contracting
procedures  related  to both  suppliers  and  providers,  integrating  financial
reporting   systems,   reducing   the  number  of  ValueRx   computer   systems,
consolidating financial operations,  consolidating  organizational structure and
employee  benefits  and  implementing  a new sales  and  marketing  program  for
enhanced PBM services.  Except for some new systems  development  costs,  we are
expensing  integration  costs as incurred.  During the first quarter of 1999, we
capitalized  $1,080,678  in  new  systems  development  costs  and  we  expensed
$1,587,000 in incremental integration costs.

     Depreciation  and  amortization  substantially  increased  during the first
quarter of 1999 over 1998 due to the  acquisition  of ValueRx.  During the first
quarter  of 1999,  we  recorded  amortization  expense  for  goodwill  and other
intangible assets of $3,860,000. The remaining increase during the first quarter
of 1999 is primarily  due to the  inclusion  of  depreciation  and  amortization
expense associated with the property and equipment acquired with ValueRx and due
to expansion of our operations and  enhancement  of our  information  systems to
better manage the pharmacy benefit.

<TABLE>
<CAPTION>

Interest Income (Expense), Net
                                                  Three Months Ended March 31,
(in thousands)                                  1999        %             1998
                                                          Increase/
                                                         (decrease)
- ------------------------------------------------------------------------------
<S>                                        <C>        <C>             <C>    
Interest income                            $ 1,393    (34.8)%         $ 2,138
    Percentage of net revenues                0.2%                       0.6%
Interest expense                           (6,222)         nm            (14)
    Percentage of net revenues              (0.7)%                         nm
                                     =========================================
Interest income (expense), net            $(4,829)     327.4%         $ 2,124
                                     =========================================
    Percentage of net revenues              (0.5)%                       0.6%

</TABLE>

nm = not meaningful.

     The significant increase in interest expense is due to our financing of the
ValueRx acquisition with $360 million in borrowings;  see "Liquidity and Capital
Resources." Interest income decreased during the first quarter of 1999 over 1998
due to our  investment of cash  balances and  short-term  investments  at higher
interest rates in 1998 than those received in 1999.

<TABLE>
<CAPTION>

Provision for Income Taxes
                                                  Three Months Ended March 31,
(in thousands)                                  1999       % Increase      1998
- --------------------------------------------------------------------------------
<S>                                          <C>            <C>          <C>   
Provision for income taxes                   $ 10,628       69.0%        $6,290
  Effective tax rate                            44.0%                      38.9%

</TABLE>

     Our effective tax rate increased in the first quarter of 1999 over 1998 due
to the  non-deductible  goodwill and  customer  contracts  amortization  expense
resulting  from the ValueRx  acquisition.  We expect that our effective tax rate
will  gradually  decline  toward  the  statutory  rate as our  operating  growth
continues.

<TABLE>
<CAPTION>

Net Income and Earnings Per Share
                                              Three Months Ended March 31,
(in thousands)                               1999       % Increase      1998
- --------------------------------------------------------------------------------
<S>                                          <C>          <C>           <C>    
Net income                                   $13,543      37.1%         $ 9,878
    Percentage of net renue                     1.5%                       2.7%

Basic earnings per share                     $  0.41      36.7%         $  0.30
Weighted average shares outstanding           33,211                     33,053

Diluted earnings per share                   $  0.40      37.9%         $  0.29
Weighted average shares outstanding           34,154                     33,579

</TABLE>

     Our net income increased $3,665,000, or 37.1%, in the first quarter of 1999
over 1998. On October 12, 1998,  we announced a  two-for-one  stock split of our
Class A and Class B common stock for stockholders of record on October 20, 1998,
effective  October 30, 1998. The split was effected in the form of a dividend by
issuance of one additional share of Class A common stock for each share of Class
A common stock  outstanding and one additional share of Class B common stock for
each share of Class B common stock  outstanding.  The earnings per share and the
weighted average number of shares outstanding for basic and diluted earnings per
share have been adjusted for the stock split.

<TABLE>
<CAPTION>

Liquidity and Capital Resources.

                                              Three Months Ended March 31,
(in thousands)                               1999       % Decrease      1998
- --------------------------------------------------------------------------------
<S>                                         <C>           <C>          <C>    
Net cash (used in) provided by
operations                                  $(3,809)      (115.7%)     $24,222

</TABLE>

     During the first  quarter of 1999,  we used  $3,809,000 in net cash for our
operations.  The decrease over the first quarter of 1998 is primarily due to the
payment of certain  accruals  from  December  31,  1998.  Management  expects to
primarily  fund our future debt  service,  integration  costs,  Year 2000 costs,
internet  business  development  costs and other  normal  operating  cash  needs
primarily  with operating  cash flow or, to the extent  necessary,  with working
capital borrowings under our $1.05 billion credit facility.

     Our capital expenditures in the first quarter of 1999 increased $2,501,000,
or 78.7% over the first quarter of 1998 primarily due to our concerted effort to
invest in  information  technology  to  enhance  the  services  provided  to our
clients.  We  expect to  continue  investing  in  technology  that will  provide
efficiencies in operations,  manage growth and enhance the services  provided to
our clients. We expect to fund future anticipated capital expenditures primarily
with  operating  cash flow or, to the extent  necessary,  from  working  capital
borrowings under our $1.05 billion credit facility.

     On April 1, 1999,  we entered into a $1.05 billion  credit  facility with a
bank  syndicate  led by Credit  Suisse  First Boston and Bankers  Trust  Company
consisting of $750 million in term loans, including $285 million of Term A loans
and $465 million of Term B loans, and a $300 million  revolving credit facility.
The  agreement  became  effective  on April 1,  1999.  The Term A loans  and the
revolving  credit  facility  will  mature on March 31, 2005 and the Term B loans
will mature on March 31, 2007.  Approximately  $940 million in  borrowings  from
this new facility were used to  consummate  the DPS  acquisition,  refinance our
$440 million credit facility,  of which $360 million was outstanding,  and other
indebtedness  and pay related fees and expenses.  The credit facility is secured
by the capital stock of each of our existing and subsequently  acquired domestic
subsidiaries,  excluding  Practice Patterns Science,  Great Plains  Reinsurance,
ValueRx of Michigan,  Diversified NY IPA and Diversified Pharmaceutical Services
(Puerto Rico), and 65% of the stock of our foreign subsidiaries.

     The credit  facility  requires us to pay interest  quarterly on an interest
rate spread based on several LIBOR or base rate  options.  Using a LIBOR spread,
the Term A loans and the revolving loan require a spread of 2.75%,  resulting in
an interest rate,  including the spread,  at May 1, 1999, of 7.625%.  The Term B
loans require a LIBOR spread of 3.5%,  resulting in an interest rate,  including
the spread, at May 1, 1999, of 8.375%.  Beginning in March 2001, we are required
to make annual  principal  payments on the Term A loans of  $42,750,000 in 2001,
$57,000,000 in 2002 and 2003,  $62,700,000 in 2004 and  $65,550,000 in 2005. The
Term B loans require annual principal payments of $4,650,000  beginning in March
2000 until  2005,  $111,600,000  in 2006 and  $325,500,000  in 2007.  The credit
facility  contains  covenants that limit the  indebtedness  we may incur and the
amount of annual  capital  expenditures.  The covenants also establish a minimum
interest  coverage ratio, a maximum  leverage ratio,  and a minimum fixed charge
coverage  ratio.  In  addition,  we are  required  to pay an annual fee of 0.5%,
payable in quarterly installments,  on the unused portion of the revolving loan.
At  March  31,  1999 and  December  31,  1998,  we were in  compliance  with all
covenants  associated  with the $440  million  credit  facility.  As a result of
refinancing  our $440 million credit  facility,  we will write-off the remaining
deferred  financing  fees at March  31,  1999 of  $3,250,000,  or  approximately
$1,950,000  net of tax, as an  extraordinary  item during the second  quarter of
1999.

     To alleviate  interest  rate  volatility,  we entered into an interest rate
swap  arrangement  for a notional  principal  amount of $360 million,  effective
April 3, 1998, with the First National Bank of Chicago, a subsidiary of Bank One
Corporation.  Under the terms of the swap,  we agreed to receive a floating rate
of interest on a portion of our term loans based on a three-month  LIBOR rate in
exchange  for  payment  of a fixed  rate of  interest  of 5.88% per  annum.  The
notional amount of the swap  amortizes,  beginning in April 1999, in semi-annual
installments  of $27 million,  increasing  to $36 million in April 2000,  to $45
million in April 2001 and to $48 million in April 2002. As a result, we have, in
effect, converted $360 million of our variable rate term debt to fixed rate debt
at 5.88% for the entire term of the term loans plus the credit rate spread.

     In order to assist our funding of the DPS  acquisition,  we obtained a $150
million  senior  subordinated  bridge  credit  facility from Credit Suisse First
Boston  Corporation and Bankers Trust Company.  The facility became effective on
April 1, 1999 and matures on March 31, 2000 unless  converted  into a term loan.
The facility  requires us to make quarterly  interest  payments on a spread over
several LIBOR or base rate options.  The facility  requires us to pay an initial
spread of 5%,  resulting in an interest  rate,  including the spread,  at May 1,
1999, of 9.97%,  and increasing  0.5% every  quarter.  In March 1999, we filed a
registration statement,  which has not yet become effective, to sell 4.5 million
shares of our Class A common stock. The proceeds from this offering will be used
to repay the $150  million  senior  subordinated  bridge  credit  facility and a
portion of the Term B loans under the $1.05 billion credit facility. As a result
of the partial  repayment of the Term B loans,  we will write-off  approximately
$3,200,000,  $1,900,000 net of tax, of the Term B deferred  financing fees as an
extraordinary item.

     As of March 31, 1999, we had  repurchased a total of 475,000  shares of our
Class A Common Stock under the open-market stock repurchase program announced by
us on October  25,  1996,  although  no  repurchases  occurred  during the first
quarter  of 1999.  Our  Board of  Directors  approved  the  repurchase  of up to
1,700,000  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 we deem
appropriate  based upon prevailing  market and business  conditions,  subject to
restrictions  on  stock  repurchases  contained  in  our  $1.05  billion  credit
facility.

     We have  reviewed  and  currently  intend to continue  reviewing  potential
acquisitions  and  affiliation  opportunities.  We believe that  available  cash
resources,  bank  financing or the issuance of additional  common stock could be
used to finance such  acquisitions  or  affiliations.  However,  there can be no
assurance we will make other acquisitions or affiliations in 1999 or thereafter.

Other Matters

     On March 29,  1999,  we announced  our plans to launch two Internet  sites,
YourPharmacy.com  and DrugDigest.org.  YourPharmacy.com  will serve as an online
drug  store  and  offer  both  prescription  and  over-the-counter  medications,
vitamins,  herbs  and  health  and  beauty  aids.  DrugDigest.org  will  provide
fact-based  information on a variety of  medications,  vitamins and herbs.  Both
sites are  expected  to be  operational  during the second  quarter of 1999.  By
allowing us to communicate  more  effectively and efficiently  with our existing
members,  we  believe  that we will be able to  reduce  our  operating  costs by
utilizing  on-line  communication  as  opposed  to more  expensive  call  center
operations  and  paper-based  correspondence.  We  also  plan  to  increase  the
utilization of our existing mail  pharmacies,  which  processed over 7.4 million
prescriptions in 1998 and 2.2 million  prescriptions during the first quarter of
1999,  to  distribute  prescription  medications  ordered  through our  Internet
e-commerce site. In addition,  we believe that sales of both  pharmaceutical and
non-pharmaceutical  products  to the  non-member  general  public  will  help us
attract  new  clients.   Furthermore,   based  on  our  clinical   capabilities,
information  databasing and established  expertise in managing prescription drug
usage, we believe  DrugDigest.org will be a comprehensive and credible source of
information on prescription and  non-prescription  medications.  To date we have
funded the  development of the Internet  sites through  operating cash flows and
have  expensed  these  amounts as  incurred.  We expect to continue  funding the
development  and  operation  of these  sites with  operating  cash flows or with
working capital borrowings under our $1.05 billion credit facility.

     Under the  purchase  agreement  with  SmithKline  Beecham  relating  to our
acquisition of DPS,  SmithKline Beecham is obligated to dissolve a joint venture
relationship in a company known as Diversified  Prescription  Delivery  ("DPD"),
which provides mail pharmacy  services,  including  services for some clients of
DPS.  SmithKline  Beecham  has  executed a letter of intent to  acquire  the 50%
interest in DPD that it does not currently  own.  Following the  acquisition  of
this 50% interest, SmithKline Beecham will transfer ownership of DPD to us or to
another  company  that we  control.  We  will  not pay  SmithKline  Beecham  any
additional amounts beyond what we have already paid to acquire DPS. Consummation
of this  transaction is subject to conditions,  including  preparation of formal
contract documents and the approval of regulatory authorities.

     In June 1998,  Statement of Financial  Accounting  Standards Statement 133,
Accounting for Derivative  Instruments  and Hedging  Activities  ("FAS 133") was
issued.  FAS 133 requires all  derivatives  to be recognized as either assets or
liabilities  in the statement of financial  position and measured at fair value.
In addition, FAS 133 specifies the accounting for changes in the fair value of a
derivative  based  on the  intended  use of the  derivative  and  the  resulting
designation.  FAS 133 is  effective  for all  fiscal  quarters  of fiscal  years
beginning  after June 15, 1999,  and will be  applicable to our first quarter of
fiscal year 2000. Our present  interest rate swap (see  "--Liquidity and Capital
Resources")  would be considered a cash flow hedge.  Accordingly,  the change in
the fair value of the swap would be reported on the balance sheet as an asset or
liability.  The corresponding unrealized gain or loss representing the effective
portion of the hedge will be initially  recognized in  stockholders'  equity and
other  comprehensive  income and  subsequently any changes in unrealized gain or
loss from the initial measurement date will be recognized in earnings concurrent
with the  interest  expense on our  underlying  variable  rate  debt.  If we had
adopted FAS 133 as of March 31,  1999,  we would record the  unrealized  loss of
$4,086,000  as a  liability  and  reduction  in  stockholders'  equity and other
comprehensive income.

Year 2000

     Our  operations  rely heavily on computers  and other  information  systems
technologies.  In 1995, we began addressing the "Year 2000" issue,  which 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 year "00" as "1900" rather than as "2000",  which may
cause  system   failures  or  produce   incorrect   results  when  dealing  with
date-sensitive information beyond 1999.

     We formed a Year 2000 task force to address this issue.  The task force has
performed a self-assessment and 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,  (vii) non-information technology devices that are material to our
business, and (viii) adherence to applicable industry standards. Our plan covers
both the traditional Express Scripts and ValueRx systems.  Progress in each area
is monitored and management reports are given periodically.

     We have various  applications  and  operating  systems that are  considered
critical  to our  operations.  Approximately  90% of  these  systems  have  been
successfully tested by us in an integrated environment for Year 2000 compliance.
The  remaining  systems will be modified to be compliant by the end of the third
quarter of 1999, or information residing on such systems will be integrated into
a  Year  2000  compliant  operating  system.  Testing  of the  applications  and
operating systems includes the adjudication  process,  the eligibility  process,
the billing and remittance process, the communication  process and the reporting
process,  including  financial  reporting.  In  addition,  since  1995,  all new
internally  developed  software has been developed to be Year 2000 compliant and
will be fully tested during the remainder of 1999.

     We are  participating  in a joint effort with other PBMs,  retail  pharmacy
chains,  transaction routing companies and adjudication software vendors to test
Year  2000  compliance  in the  industry.  The joint  effort is called  the "Y2K
Provider & Vendor Testing  Coalition"  and is being  facilitated by The National
Health Information  Network.  The coalition has the support of major U.S. retail
pharmacies,  including  American  Stores,  CVS, Eckerd,  Rite-Aid,  Wal-Mart and
Walgreens.  The inclusion of transaction  routing vendors and software companies
could permit up to 95% of our pharmacy  network to be tested (although there can
be no assurance  that all parties who are invited to  participate  will actually
participate).  The program will allocate the retail pharmacy chains and software
vendors  among the various  PBMs who will be required to test the  vendors'  and
pharmacy chains' Year 2000  compliance.  The testing is expected to be completed
early in the third quarter of 1999.

     We have sent out  approximately  1,500  letters to critical  vendor/trading
partners  requesting a status report  regarding their Year 2000  compliance.  We
have received responses from approximately 30% of these third parties,  with the
majority  of the  vendor/trading  partners  responding  that they are  currently
addressing the Year 2000 issue and expect to be compliant.  We are formulating a
list of vendor/trading  partners that have not responded in order to send second
requests.

     We have  also  contacted  several  hundred  clients  and  several  thousand
pharmacies  whose computer systems appear to us not to be Year 2000 compliant in
an effort to increase  awareness of the problem and  minimize or  eliminate  any
disruption  in data  transfer  activity  between any of these parties and us. We
have  developed  date  windowing  logic,  which forces an entry into the century
field of a computer  application  if one is not  provided by the user,  which we
believe will address many issues  concerning  retail pharmacies and clients with
noncompliant  systems.  Due to our contracts  typically  extending  over several
years and our  receipt  of member  eligibility  information  from  clients  that
reflect  dates beyond the Year 2000,  we have been  receiving  information  that
would identify  certain Year 2000 issues for several years. Any problems we have
encountered  to date have been  rectified by the client or, if necessary,  by us
using our windowing logic. There can be no assurance, however, that all of these
problems  that  may be  encountered  in the  future  can be  rectified  with the
windowing logic.

     In  addressing  the Year 2000  issue,  we have and will  continue  to incur
internal staff costs as well as external  consulting and other expenses  related
to  infrastructure  enhancements.   To  date,  we  have  incurred  approximately
$3,700,000  addressing the Year 2000 issue. We anticipate spending an additional
$500,000 to  $750,000  during the  remainder  of 1999  addressing  the Year 2000
issue.  All  expenditures  are being expensed as incurred.  To date, these costs
have not had a material adverse effect on our results of operations or financial
condition,  and are not expected to have a material adverse effect on our future
results of operations or financial condition.

     In connection with our  acquisition of DPS, we performed  certain Year 2000
due diligence and received  representations that DPS had implemented a Year 2000
plan  for   upgrading   its   computer   systems  and   communicated   with  its
vendors/trading partners regarding their respective Year 2000 compliance.  Based
on our due  diligence  and the  representations  we received,  we believe  DPS's
critical  applications and operating systems have been  successfully  tested for
Year 2000 compliance. We plan to continue to review DPS's state of readiness and
assess whether additional steps are necessary.

     We believe  that,  with  appropriate  modifications  to  existing  computer
systems,  updates by vendors and trading partners and conversion to new software
in the  ordinary  course of our  business,  the Year 2000 issue is not likely to
pose significant  operational  problems for us. However,  if the above-described
conversions  are not  completed  in a proper and timely  manner by all  affected
parties,  or if  our  logic  for  communicating  with  noncompliant  systems  is
ineffective,  the Year 2000 issue could result in material  adverse  operational
and financial  consequences  to us. There can be no assurance  that our efforts,
including  those  relating  to the DPS's  systems,  or those of our  vendors and
trading partners,  who are beyond our control,  will be successful in addressing
the Year 2000 issue.

     We are in the process of formalizing our contingency  plans,  which include
DPS,  to  address  potential  Year  2000-related   risks,   including  risks  of
vendor/trading  partner  noncompliance,  as well as  noncompliance of any of our
critical operations,  and are expected to be substantially  completed by the end
of the second quarter of 1999.  However,  the  formalization  of the contingency
plans is an ongoing  process as we complete our testing and receive updates from
vendor/trading  partners.  In  addition,  there  can be no  assurance  that  our
contingency  plans will  successfully  address all  potential  circumstances  or
consequences.

Impact of Inflation

     Changes  in  prices   charged  by   manufacturers   and   wholesalers   for
pharmaceuticals  affect our net revenues  and cost of revenues.  To date we have
been able to recover  price  increases  from our clients  under the terms of our
agreements,  although under selected  arrangements in which we have  performance
measurements on drug costs with our clients,  we could be adversely  affected by
inflation in drug costs if the result is an overall  increase in the cost of the
drug plan to the client. To date, changes in pharmaceutical  prices have not had
a significant adverse affect on us.

Market Risk

     To alleviate  interest  rate  volatility,  we entered into an interest rate
swap arrangement for a notional principal amount of $360 million effective April
3,  1998,  with  First  National  Bank of  Chicago,  a  subsidiary  of Bank  One
Corporation. Under the swap arrangement, we agreed to receive a floating rate of
interest on an amount equal to a portion of the outstanding principal balance of
our term loans based on a  three-month  LIBOR rate in exchange  for payment of a
fixed rate of interest of 5.88% per annum on such amount.  The weighted  average
variable rate  received by us for the period  January 1, 1999 to March 31, 1999,
was 5.08%.  The notional amount of the swap amortizes,  beginning in April 1999,
in semi-annual  installments of $27 million,  increasing to $36 million in April
2000,  to $45 million in April 2001 and to $48  million in April 2002.  The swap
expires  on April 3,  2003.  At March 31,  1999,  the fair value of the swap was
($4,086,000).

     Interest  rate risk is  monitored on the basis of changes in the fair value
and a sensitivity analysis is used to determine the impact interest rate changes
will have on the fair value of the interest  rate swap,  measuring the change in
the net present  value  arising from the change in the interest  rate.  The fair
value of the swap is then  determined  by  calculating  the present value of all
cash-flows  expected  to arise  thereunder,  with  future  interest  rate levels
implied from prevailing mid-market yields for money-market instruments, interest
rate futures and/or prevailing mid-market swap rates. Anticipated cash-flows are
then  discounted on the  assumption of a  continuously  compounding  zero-coupon
yield curve. A 10 basis point decline in interest rates at March 31, 1998, would
have caused the fair value of the swap to decrease  by an  additional  $674,000,
resulting in a fair value of ($4,760,000).

Item 3.       Quantitative and Qualitative Disclosures About Market Risk

     Response to this item is included in Item 2  "Management's  Discussion  and
Analysis of Financial Condition and Results of Operations--Market Risk" above.

<PAGE>

                           PART II. OTHER INFORMATION

Item 1.       Legal Proceedings

     As  discussed  in detail in our  Annual  Report on Form 10-K for the period
ended December 31, 1998,  filed with the  Securities and Exchange  Commission on
March 29, 1999 ("1998 10-K"),  we acquired all of the outstanding  capital stock
of Value Health,  Inc., a Delaware corporation ("VHI"), and Managed Prescription
Network,  Inc.,  a Delaware  corporation  ("MPN") from  Columbia  HCA/HealthCare
Corporation   ("Columbia")   and  its   affiliates   on  April  1,   1998   (the
"Acquisition").  VHI, MPN and/or their subsidiaries (collectively, the "Acquired
Entities"), were party to various legal proceedings, investigations or claims at
the time of the Acquisition. The effect of these actions on our future financial
results is not subject to reasonable estimation because considerable uncertainty
exists  about the  outcomes.  Nevertheless,  in the our  opinion,  the  ultimate
liabilities  resulting from any of these lawsuits,  investigations or claims now
pending will not materially affect our consolidated financial position,  results
of  operations  or cash  flows.  A  brief  update  of the  most  notable  of the
proceedings follows:

     As  discussed  in  detail  in  our  1998  10-K,  VHI  and  several  of  its
subsidiaries  are party to two securities  litigation  matters,  Bash, et al. v.
Value Health, Inc., et al., No. 3:97cv2711 (JCH) (D.Conn.), and Freedman, et al.
v.  Value  Health,  Inc.,  et al.,  No.  3:95 CV 2038  (JCH)  (D.Conn).  The two
lawsuits, filed in 1995, allege that VHI and certain other defendants made false
or misleading  statements to the public in connection with VHI's  acquisition of
Diagnostek,  Inc. in 1995, and in connection  with one of VHI's  contracts.  The
Bash lawsuit also alleges  false or  misleading  statements  by  Diagnostek  and
certain of its former officers and directors  concerning its financial condition
prior to the merger with VHI. Neither complaint  specifies the amount of damages
sought. On April 24, 1998, the two lawsuits were consolidated.

     On February  18,  1999,  the court  granted  plaintiffs'  motions for class
certification  and certified a class consisting of (i) all persons who purchased
or  otherwise  acquired  shares of VHI  during  the  period  from April 3, 1995,
through and  including  November 7, 1995,  including  those who acquired  shares
issued in  connection  with the  Diagnostek  merger;  and (ii) all  persons  who
purchased  or otherwise  acquired  shares of  Diagnostek  during the period from
March 27,  1995,  through and  including  July 28, 1995.  Fact  discovery in the
consolidated  lawsuit is  complete.  The parties are  awaiting an order from the
court regarding the scheduling of expert discovery and dispositive motions.

     In connection with the Acquisition,  Columbia has agreed to defend and hold
us and our  affiliates  (including  VHI) harmless from and against any liability
that  may  arise  in  connection  with  either  of  the  foregoing  proceedings.
Consequently,  we do not  believe  we  will  incur  any  material  liability  in
connection with the foregoing matters.

     In August 1997, the U.S. Department of Labor requested information from DPS
concerning  its  contractual  relationships  with  employer  group  health plans
governed by ERISA. DPS provided the requested information to the U.S. Department
of Labor, and exchanged correspondence with the U.S. Department of Labor on this
matter until August 1998. Since that time, no additional information requests or
other  correspondence has been received.  However,  the U.S. Department of Labor
has given no  indication  as to its  disposition  of this matter,  and we cannot
provide any assurance as to the ultimate  outcome of this matter or what effect,
if any, it will have on our business as a result of our acquisition of DPS.

Item 6.       Exhibits and Reports on Form 8-K

         (a)      Exhibits.  See Index to Exhibits on page 22.

         (b)      Reports on Form 8-K.

                          (i)       On February  18, 1999,  the Company  filed a
                                    Current Report on Form 8-K regarding a press
                                    release  issued  on  behalf  of the  Company
                                    announcing that the Company had entered into
                                    a Stock Purchase  Agreement with  SmithKline
                                    Beecham   Corporation   and   one   of   its
                                    affiliates    for   the    acquisition    of
                                    Diversified  Pharmaceutical  Services,  Inc.
                                    and  Diversified   Pharmaceutical   Services
                                    (Puerto Rico), Inc.

                        (ii)        On February  24, 1999,  the Company  filed a
                                    Current Report on Form 8-K regarding a press
                                    release  issued  on  behalf  of the  Company
                                    concerning   its  year-end  1998   financial
                                    performance.

                       (iii)        On  March  25,  1999,  the  Company  filed a
                                    Current Report on Form 8-K regarding a press
                                    release  issued  on  behalf  of the  Company
                                    announcing  that it had filed a registration
                                    statement  with the  Securities and Exchange
                                    Commission for an offering of  approximately
                                    4,500,000  primary shares,  or $350 million,
                                    of its Class A Common Stock.

<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 13, 1999            By:/s/ Barrett A. Toan  
                                    ---------------------------------------
                                    Barrett A. Toan, President and
                                    Chief Executive Officer

Date:    May 13, 1999            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  SmithKline  Beecham
                Corporation,  SmithKline  Beecham  InterCredit  BV  and  Express
                Scripts, Inc., dated as of February 9, 1999, and certain related
                Schedules,  incorporated  by reference to Exhibit No. 2.1 to the
                Company's Current Report on Form 8-K filed February 18, 1999.

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             Certificate of Amendment of the Certificate of Incorporation of 
                the Company, incorporated by reference to Exhibit No. 3.3 to the
                Company's Annual Report on Form 10-K for the year ending 
                December 31, 1998.

3.4             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, 1998.

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

10.1*           Employment Agreement effective as of April 1, 1999, between 
                Barrett A. Toan and the Company

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

*   Filed herein.



                                  EXHIBIT 10.1


                              EMPLOYMENT AGREEMENT

                                     between

                                 BARRETT A. TOAN

                                       and

                              EXPRESS SCRIPTS, INC.


<PAGE>
                              EMPLOYMENT AGREEMENT


This employment  agreement (the  "Agreement")  between Barrett A. Toan ("You" or
"Your") and Express  Scripts,  Inc. (the  "Company")  replaces  Your  employment
agreement dated April 30, 1992 (as amended  January 1, 1996).  This Agreement is
intended to create mutual obligations, and Your voluntary acceptance affirms the
Company's and Your  commitment to carry out its  obligations in accordance  with
the following terms and conditions.

     1. Employment and Assignment;  Diligent and Faithful Performance of Duties.
The Company agrees to employ You as President,  Chief Executive  Officer,  and a
member of the Board of Directors of the Company (the "Board").  In consideration
of employment by the Company, You agree to discharge faithfully, diligently, and
to the best of Your  ability,  the  responsibilities  of the  position  You hold
during Your employment.

     All of the duties and  services to be performed by You will be at all times
subject to the authority of the Board and the Executive  Committee of the Board.
During the term of Your employment excluding any periods of vacation, sick leave
or disability  to which You are entitled,  You agree to devote Your full working
time, attention, and energy to the business and affairs of the Company; provided
that it shall  not be a  violation  of this  Agreement  for You to (a)  serve on
corporate,  civic or  charitable  boards or  committees,  (b) deliver  lectures,
fulfill speaking engagements or teach at educational  institutions or (c) manage
personal  investments,  so long as  such  activities  are  consistent  with  the
policies of the Company as of the date hereof and do not significantly interfere
with the performance of Your duties in accordance with this Agreement.

     2. Term of Agreement.  The term of this Agreement will commence on April 1,
1999 and will  continue  through  March  31,  2002.  On April  1st of each  year
(hereinafter the "Anniversary Date"),  commencing with April 1, 2001 and on each
subsequent  April 1st thereafter,  this Agreement will be renewed for a new term
of one (1) year  unless  You will  attain  age 65  prior  to  completion  of the
additional  year, in which case the Agreement shall terminate on the last day of
the month in which You attain age 65. The term of renewal shall commence on such
Anniversary  Date unless  either the Company or You  notifies the other party in
writing no less than thirty (30) days prior to such Anniversary Date that (a) it
does not  intend to renew  this  Agreement  or (b) that the  Agreement  is to be
terminated  pursuant to paragraph 7F.  Accordingly,  unless such notification is
received  prior to the  Anniversary  Date,  renewal  of this  Agreement  will be
automatic.

     3. Compensation and Benefits.

     A. Base Salary.  During Your employment  under this Agreement,  You will be
paid a base salary  ("Annual  Base Salary") at the rate of $650,000 per year and
You will be  eligible  for  periodic  review by the  Board for merit  increases,
provided  that any such  increase  shall not serve to limit or reduce  any other
obligation to You under this Agreement. The term "Annual Base Salary" as used in
this  Agreement  shall  refer to the Annual Base  Salary as  increased  and Your
Annual Base Salary  shall not be reduced  after any such  increase  without Your
express written consent.

     B. Annual  Incentive  Compensation.  You will be eligible to participate in
the Company's annual bonus plan  established for senior  executives by the Board
(the "Annual Bonus Plan").  The size of Your bonus  opportunity and the terms of
Your participation  shall be determined based on the terms and conditions of the
Annual  Bonus  Plan.  Your award (the  "Annual  Bonus")  will be based upon Your
performance in relation to the financial and non-financial  objectives to be set
by the Board at its sole  discretion  pursuant to the terms of any Annual  Bonus
Plan.  The Annual  Bonus Plan  currently  establishes  a minimum of one  hundred
percent (100%) of Annual Base Salary for the bonus award if targeted performance
measures are satisfied (the "Target  Bonus").  The Company  retains the right to
modify or replace the Annual Bonus Plan and the performance measures thereunder,
provided that the amended and successor  plans will provide the  opportunity  to
earn a payout of a minimum of one hundred  percent  (100%) of Annual Base Salary
upon achieving targeted performance measures.

     C. Stock and Stock Options.

     (i)  Eligibility  and Grants  Under  Option  Plan.  You will be eligible to
participate  in the Company's  employee stock option plan (the "Option Plan") as
previously  adopted by the Board and as it may be  amended  from time to time or
any  replacement  or successor of such plan.  Under the Option Plan, at the sole
discretion of the Board,  You will receive annual grants of options to buy Class
A shares  of the  Company's  common  stock,  based on Your  performance  and the
performance of the Company,  as determined by the Compensation  Committee of the
Board.

     (ii) Initial  Grant of Option.  You will also  receive a one-time  grant of
options (the "Initial Grant") to purchase 70,000 Class A shares of the Company's
common stock at the Fair Market Value (as defined in the Company's option plans)
per share on or about May 26,  1999 which shall vest 20% per year  beginning  on
the first anniversary of the date of grant.

     (iii) Vesting.  Notwithstanding any provision to the contrary in the Option
Plan, any options  granted under the Option Plan  (including any and all options
granted  prior to the date  hereof  or  pursuant  to the  Initial  Grant in this
Agreement)  and any and all  Restricted  Shares  acquired by you pursuant to any
exercise of such options, shall fully vest not later than upon Change of Control
(as that term is defined in subparagraph vi of this paragraph 3(C)); termination
by the Company  without  Cause (as defined in  subparagraph  A of paragraph  7);
termination  by You for Good Reason (as defined in  subparagraph  C of paragraph
7); Your death or Disability (as defined in subparagraph E of paragraph 7).

     (iv) Stock Options Upon  Termination.  If Your  employment is terminated by
the Company  for Cause or by You  without  Good  Reason,  You shall  forfeit any
options  that have not yet been  exercised  not less than thirty (30) days after
such  termination.  Notwithstanding  any provision to the contrary in the Option
Plan, if the Company terminates You without Cause, You terminate  employment for
Good Reason,  You die or Your employment is terminated by the Company because of
a Disability,  or in the event of a Change of Control, all of Your options shall
become  fully   exercisable   immediately  upon  such  event  and  shall  remain
exercisable  until the earlier of (i) eighteen (18) months from the date of Your
termination of employment or (ii) the expiration date of the option  (determined
without  regard to Your  termination of  employment)  and all restricted  shares
previously acquired by you upon the exercise of any options shall vest upon such
event.

     (v) Put Right.  Notwithstanding  any  provision  in the Option  Plan to the
contrary,  you shall have the right,  from time to time,  within the twelve (12)
month period  following Your  termination  by the Company  without Cause or Your
termination  for Good Reason or Your  termination  upon death or Disability,  to
tender to the  Company  shares of common  stock  equal to the greater of (a) the
number of  shares  subject  to  options  granted  to You by the  Company  in the
calendar year  preceding such  termination  (adjusted to reflect any stock split
occurring after such grant) or (b) 70,000 shares  (adjusted to reflect any stock
split occurring after the effective date hereof), and the Company hereby agrees,
to the extent not  prohibited by  applicable  law, to pay You an amount equal to
the Fair  Market  Value of such  shares as of the date the  Employee  makes such
tender to the Company. For purposes of this Agreement, "Fair Market Value" means
the closing price,  regular way, of the security as reported on the consolidated
transaction reporting system applicable to such security, or if no such reported
sale of the security  occurred on such date,  the next  preceding  date on which
there  was a  reported  sale or if the  security  is not  listed  on a  national
securities exchange, or the NASDAQ National Market, the fair market value of the
security  determined in good faith by the Board of the Company.  Notwithstanding
any other  provision of this  Agreement,  this  subsection  (v) shall not become
effective until such time as the Company's  accountants shall advise the Company
that  this  provision  will  not  require  the  Company  to use  "variable  plan
accounting" or similar  "mark-to-market"  accounting to reflect its  obligations
under this subsection.

     (vi) Change of Control. For purposes of this Agreement, "Change of Control"
means:

     (a) except as  provided in  subsection  (d) below a "person" or "group" (as
that term is used in Sections 13(d) and 14(d)(2) of the Securities  Exchange Act
of 1934, as amended (the  "Exchange  Act"))  (excluding,  for this purpose,  the
Company or any subsidiary or any employee benefit plan of the Company,  New York
Life Insurance Company, any affiliate or subsidiary) becomes (effective upon the
closing of the transaction) the beneficial owner (as defined in Rule 13d-3 under
the Exchange Act),  directly or  indirectly,  of securities  representing  fifty
percent  (50%)  (provided  that if  NYLIFE  Healthcare  Management  Inc.  or any
affiliate  thereof  sells  all or  substantially  all of the  securities  of the
Company that it holds either  directly or indirectly  as of the  effective  date
hereof to a nonaffiliate,  thereafter such percentage shall be reduced to twenty
percent (20%)) or more of the combined voting power in the election of directors
of the  then-outstanding  securities  of the  Company  or any  successor  of the
Company.

     (b) when individuals who, as of the date hereof,  constitute the Board (the
"Incumbent Board") cease for any reason to constitute at least a majority of the
Board,  provided  that any person who becomes a director  subsequent to the date
hereof whose election or nomination  for election by the Company's  stockholders
was approved by a vote of at least a majority of the directors  then  comprising
the Incumbent Board (other than an individual whose initial assumption of office
is in connection with an actual or threatened  election  contest relating to the
election of the directors of the Company, as such terms are used in Rules 14a-11
of  Regulation  14A under the  Exchange  Act)  shall be,  for  purposes  of this
definition,  considered  as though such  person  were a member of the  Incumbent
Board;

     (c) approval by the  stockholders of the Company,  and consummation of, the
liquidation  of the  Company  or any sale or  disposition,  or series of related
sales or  dispositions,  of all or  substantially  all of the  assets or earning
power of the Company; or

     (d) approval by the  stockholders  of the Company and  consummation  of any
merger or  consolidation  or statutory  share exchange to which the Company is a
party and as a result of which the persons who were  stockholders of the Company
immediately  prior to the  effective  date of the  merger  or  consolidation  or
statutory  share  exchange  shall have  beneficial  ownership of less than fifty
percent (50%) (provided that, if NYLIFE Healthcare Management, Inc. sells all or
substantially  all of the Company's  securities that it holds either directly or
indirectly as of the effective date hereof to a  nonaffiliate,  thereafter  such
percentage shall be increased to eighty percent (80%);  provided that if You, in
Your  capacity  as  a  director,  do  not  vote  against  the  proposed  merger,
consolidation  or share exchange  transaction,  such  percentage  shall be fifty
percent (50%)) of the combined  voting power in the election of directors of the
surviving   corporation   following  the  effective   date  of  such  merger  or
consolidation or statutory share exchange.

     Notwithstanding the foregoing,  a "Change of Control" shall not include the
sale or other  transfer of  beneficial  ownership of Class B Common Stock of the
Company by NYLIFE  Healthcare  Management,  Inc. to (or any  acquisition of such
beneficial  ownership by) an affiliate thereof,  including,  without limitation,
New York  Life  Insurance  Company  or any  holding  company  formed by any such
affiliate

     D. Other Benefits. You will be eligible to participate in and shall receive
all benefits under welfare and other employee benefit plans, practices, policies
and  programs  as  well as any  fringe  benefits  provided  by the  Company  and
applicable to other Company executives generally.

     E. Vacation.  As President & Chief Executive Officer, You shall be entitled
to receive vacation time of five (5) weeks per year.

     4.  Non-Solicitation.  You  agree  that,  for a  period  of two  (2)  years
following  the  cessation of Your  employment  with the  Company,  You will not,
directly or  indirectly,  (a)  solicit,  divert or take any client,  customer or
supplies from the Company;  (b) employ,  hire,  engage or be affiliated with any
employee  or  other  person  connected  with  the  Company  at the  time of such
termination  or  during  any  part of the  twelve  (12)  months  preceding  said
termination;  (c) induce any person connected with or employed by the Company to
leave the employ of the Company or (d) solicit the employment of any such person
on Your own behalf or on behalf of any other business enterprise.

     5.  Non-Competition.  You agree that, during the term of this Agreement and
for a period of two (2) years  following the cessation of Your  employment  with
the Company, You will not, directly or indirectly,  own, manage,  operate, join,
control  or  participate  in or be  connected  with  as  an  officer,  employee,
consultant,  partner,  shareholder  (except  stock  interests  of less than five
percent  (5%)) or  otherwise,  any business,  individual,  partnership,  form or
corporation,  which,  directly is or will be engaged  wholly or primarily in the
business of manufacturing,  purchasing,  selling, supplying or otherwise dealing
in the United States in any product or service  manufactured,  purchased,  sold,
supplied,  provided  or  dealt  with by the  Company,  or  which  is or will be,
directly in competition with the business of the Company in the United States.

     6.  Non-Disclosure  of Information and  Non-Disparagement.  You acknowledge
that the identity of the clients and customers of the Company, the prices, terms
and  conditions  at or upon which the Company sells its products or provides its
services and other confidential information relating to the business,  financial
and other  affairs of the  Company  (including,  without  limitation,  any idea,
product,  creative or conceptual  business or marketing plan,  strategy or other
material  developed for the Company by You) are valuable,  special unique assets
of the Company and that such information,  if disclosed to others, may result in
loss of business or other irreparable and  consequential  damage to the Company.
You will  hold in  fiduciary  capacity,  for the  benefit  of the  Company,  all
information,  knowledge  and data  relating to or concerned  with the  Company's
operations,  sales,  business  and affairs and shall not, at any time during the
term of this Agreement or thereafter,  disclose or divulge any such information,
knowledge or data to any person, firm, corporation, association or other entity,
for any reason whatsoever. Notwithstanding the foregoing, the provisions of this
paragraph 6 shall not apply to information  generally known to the public or the
trade, information available in trade or other publications,  nor to the release
of  information  deemed by the Board to be in the best interests of the Company.
The Company  agrees that it will not disparage You in any way and You also agree
that You will not disparage the Company, its parent companies, its subsidiaries,
or its or their current or former officers, directors, and employees in any way;
further,  neither  You nor  the  Company  will  make or  solicit  any  comments,
statements,  or the  like to the  media  or to  others  that  may be  considered
derogatory or detrimental to the good name or business  reputation of any of the
aforementioned entities or individuals.

     7. Termination of Employment.

     A.  Termination  for Cause.  If Your  employment  under this  Agreement  is
terminated for Cause (as defined herein) by the Company, the Company's liability
for Annual  Base  Salary,  Annual  Bonus,  and all other  benefits  pursuant  to
paragraph  3,  shall  cease  upon the date of such  notice;  provided,  that the
Company  shall pay You no later  than the next  payroll  cycle all  Annual  Base
Salary  earned and unpaid as of such date and Your Annual Bonus that has accrued
pursuant  to the terms of the Annual  Bonus  Plan or such other  plans as may be
applicable, but remains unpaid as of the date of such termination.  For purposes
of this Agreement,  "Cause" shall mean: (i) Your indictment (or equivalent legal
proceeding under applicable law) or conviction for committing any felony or Your
commission of any other crime involving fraud,  misappropriation,  dishonesty or
moral turpitude, (ii) material breach of Your duties and responsibilities (other
than on account of  Disability)  under this  Agreement;  provided  that material
breach shall not be considered to occur unless it continues to the expiration of
the ten (10) day period  following the date You receive written warning from the
Board setting forth the reasons for its  determination of material  breach;  and
provided  further that for purposes of clause (ii),  Cause shall not include any
one or more of the following:

     (a) bad judgment,

     (b) negligence (unless You fail to cure such negligence after receiving the
written  notice and  opportunity  to cure described in this paragraph 7(A) above
and such negligence has a material and adverse effect on the Company),

     (c) any act or omission  that You believed in good faith to have been in or
not  opposed  to the  interest  of the  Company  (without  Your  intent  to gain
therefrom,  directly  or  indirectly,  a profit  to which  You were not  legally
entitled)  (unless You fail to cure such act or omission after receiving written
notice and the  opportunity  to cure  described in this paragraph 7(A) above and
such act or omission has a material and adverse effect on the Company), or

     (d) any act or omission  with  respect to which  notice of  termination  of
employment  is given more than  twelve (12) months  after the  earliest  date on
which the Board (excluding members who were party to the act or omission),  knew
or should have known of such act or omission.

     No termination of employment for Cause shall be valid unless, no fewer than
seven (7) days prior to the date of such  termination,  the Company provides You
with written notice of its intent to consider termination for Cause, including a
detailed  description  of the  specific  reasons  which  form the basis for such
consideration.  Thereafter, for a period of not less than 14 days after the date
notice of  termination  is provided,  You shall have the  opportunity  to appear
before  the  Board to  present  arguments  on Your own  behalf.  Following  such
presentation  to the  Board,  You  shall be  terminated  for  Cause  only if (a)
seventy-five  percent (75%) of the members of the Board  (excepting  You and any
other member of the Board  involved in the events leading the Board to terminate
You for  Cause)  determine  that Your  actions  constituted  Cause and that Your
employment  should  accordingly  be  terminated  for  Cause;  and (b) the  Board
provides  You with a  written  determination  setting  forth  the  basis of such
termination of employment.

     B. Termination  without Cause.  Your employment under this Agreement may be
terminated by the Company for any reason not included in  subparagraph A of this
paragraph 7, or for no reason,  by giving You written notice. In such event Your
termination  of  employment  will be effective as of the date  specified in such
notice, and the Company shall, as liquidated damages, or severance pay, or both,
(i) pay You an amount equal to three (3) times the Annual Base Salary being paid
to You immediately  prior to the termination  date, (ii) pay You an amount equal
to three (3) times the  greater of (a) the Annual  Bonus for the  calendar  year
immediately  preceding  the  termination  date or (b) the  Target  Bonus for the
calendar year of  termination,  (iii) pay You any and all amounts  accrued,  but
unpaid  as of the  date of  such  termination,  (iv)  continue  all of the  Your
employee life and health  benefits  covered by  subparagraph D of paragraph 3 on
the same terms and  conditions as if You remained  employed by the Company (with
the  exception of long-term  disability  insurance  coverage,  which shall cease
immediately  upon  termination)  until the earlier of three (3) years  following
Your termination,  the date You become covered under another employer's life and
health  benefit(s)  plan(s)  or the last day of the month in which You reach age
sixty-five  (65),  and (v) pay You an amount equal to three (3) times the amount
or amounts the Company  credited to Your account or  contributed  on Your behalf
(exclusive of that portion of base salary or bonus voluntarily  deferred by You)
in the calendar year preceding  termination  (excluding  the "catch-up"  amounts
credited or  contributed  in calendar  year 1999) to the Express  Scripts,  Inc.
Executive  Deferred  Compensation Plan, as adopted effective January 1, 1999, as
it may  thereafter be amended and any  successor,  replacement or other deferred
compensation plan which may be subsequently adopted by the Company.

     C. Termination for Good Reason.

     (i) In the event You  terminate for Good Reason (as defined in (ii) below),
the Company shall (a) pay You an amount equal to three (3) times the Annual Base
Salary being paid to You immediately  prior to the termination date, (b) pay You
an amount  equal to three (3) times the greater of (I) the Annual  Bonus for the
calendar year  immediately  preceding such  termination or (II) the Target Bonus
for  the  calendar  year of such  termination,  (c) pay You any and all  amounts
accrued, but unpaid as of the date of such termination,  (d) continue all of the
employee life and health  benefits  covered by  subparagraph D of paragraph 3 on
the same terms and  conditions as if You remained  employed by the Company (with
the  exception of long-term  disability  insurance  coverage,  which shall cease
immediately  upon  termination)  until the earlier of three (3) years  following
Your termination,  the date You become covered under another employer's life and
health  benefit(s)  plan(s)  or the last day of the month in which You reach age
sixty-five  (65),  and (e) pay You an amount equal to three (3) times the amount
or amounts the Company  credited to Your account or  contributed  on Your behalf
(exclusive of that portion of base salary or bonus voluntarily  deferred by You)
in the calendar year preceding  termination  (excluding  the "catch-up"  amounts
credited or  contributed  in calendar  year 1999) to the Express  Scripts,  Inc.
Executive  Deferred  Compensation Plan, as adopted effective January 1, 1999, as
it may  thereafter be amended and any  successor,  replacement or other deferred
compensation plan which may be subsequently adopted by the Company.

     (ii) For purposes of this Agreement,  "Good Reason" means the occurrence of
any one of the following:

     (a)  assignment of any duties  materially and adversely  inconsistent  with
Your   position   as   specified   herein,   including   status,   offices,   or
responsibilities  as contemplated  under  paragraph 1 of this Agreement,  or any
other action by the Company  which  results in a material and adverse  change in
such position, status, offices, titles or responsibilities,  or any material and
adverse change in Your reporting responsibilities,

     (b)  failure of the  shareholders  to elect and to continue to elect You to
the Board of Directors of the Company.

     (c) the failure of the Company to assign this  Agreement to and require the
assumption of this agreement by any successor to the Company,

     (d) the Company's requiring,  without Your written consent, You to be based
at any office or location  more than 50 miles from the  Company's  location from
which You perform Your job duties as of the date hereof, or

     (e) the  Company's  failure  to  substantially  comply  with  the  material
provisions of this Agreement.

     Termination of employment for Good Reason pursuant to subparagraph  (a) and
(e) above,  shall not be considered to occur unless the Company fails to correct
the acts or omissions forming the basis thereof before the expiration of the ten
(10) day period following Your written notice to the Board of Your determination
of Good Reason pursuant to such subparagraphs.

     D.  Termination  upon Death.  In the event of Your death during the term of
this Agreement, Your employment will cease immediately and the obligation to pay
Annual Base Salary shall cease as of the date of death  provided that as soon as
reasonably  practicable  thereafter the Company shall pay Your estate all Annual
Bonus and Annual Base Salary amounts  accrued,  but unpaid at the time of death.
Annual Bonus awards, if any are awarded,  will be payable on a pro-rata basis to
Your  beneficiary,  such pro-rata  amount shall be determined by multiplying the
Target Bonus  amount under the Annual Bonus Plan for the calendar  year of death
by a  fraction,  the  numerator  of which  shall be the number of full months of
employment prior to Your death in the calendar year and the denominator of which
shall be twelve (12).

     E.  Termination  for  Disability.  In the event of the  Board's  good faith
determination of Your inability (despite  reasonable  accommodations) to perform
the  essential  functions  of  Your  position  due  to  physical  and/or  mental
disability for a period of at least three (3) consecutive months or for a period
of more than six (6) months in any twelve  (12) month  period,  it will give You
written notice of non-renewal of this Agreement.  As of the date of such notice,
Your duties  under this  Agreement  shall  cease and Your  Annual  Bonus will be
payable on a pro-rata basis  determined by multiplying  the Target Bonus for the
calendar year of such  termination by a fraction,  the numerator of which is the
full number of months of employment  prior to the date the Board notifies You of
Your  termination  and the denominator of which is twelve (12). Your Annual Base
Salary shall continue until the term of this Agreement expires.

     F.  Termination  by the  Expiration  of this  Agreement.  In the event this
Agreement expires following the expiration of its term as set forth in paragraph
2, except for amounts accrued but unpaid as of the date of termination which the
Company shall pay You no later than the next regular  payroll cycle,  no further
Annual Base Salary or bonus awards  provided for in paragraph 3 shall be payable
for any period following such termination.

     G. Release.  Notwithstanding anything else contained in this Agreement, the
Company's  obligations  to make  payments  and to  provide  benefits  under this
paragraph  7, other than the  obligation  to pay Annual  Base  Salary and Annual
bonus that is accrued,  but unpaid as of the date of  termination as well as any
other vested benefits,  are expressly conditioned upon the execution of a mutual
release and waiver,  substantially in the form attached hereto as Exhibit A (the
"Release")  of any claims  arising from the  termination  of, or arising out of,
Your employment with the Company or any of its parent  companies or subsidiaries
except those claims  arising under this Agreement with respect to the rights and
obligations  described in paragraph 9I hereof and any claims of  indemnification
for acts or omissions  during Your  employment.  The Company shall indemnify You
and hold You harmless during Your employment and after Your termination from the
Company for any claims or liabilities  arising out of Your  employment  with the
Company to the full extent  permitted under Section 145 of the Delaware  General
Corporation Law.  Notwithstanding the foregoing,  if the Company shall refuse to
execute such mutual release, this paragraph shall not relieve the Company of its
obligation to make payments and provide benefits hereunder.

     H. Payments in Single  Lump-Sum.  The Company shall pay the cash  benefits,
less  legally  mandated  and/or  authorized  deductions,   required  under  this
paragraph 7, without  interest  thereon,  in a single  lump-sum  payment payable
within the thirty (30) day period following the date of termination and the date
You comply with subparagraph G of this paragraph 7.

     I. Tax Indemnification.

     (1) If for any taxable year, You shall  determine,  based on the reasonable
advice of a nationally  recognized  accounting firm such as one of the "Big Five
Accounting  Firms"  that You are liable  for the  payment of an excise tax under
Section  4999 (or any  similar  tax payable on account of a Change of Control or
other change in ownership  or control of the Company  under any federal,  state,
local or other law) of the Internal  Revenue Code of 1986 as may be amended from
time to  time  (the  "Code")  with  respect  to any  payment  in the  nature  of
compensation made by the Company or any direct or indirect subsidiary, affiliate
or successor  of the Company to (or for the benefit of) You,  the Company  shall
pay to You an amount equal to X determined under the following formula:


                                         X =            E x P              
                                                 1 -[(FIx(1-SLI))+SLI+E+M]

                    E=   the rate at which  the  excise  tax is  assessed  under
                         Section 4999 (or other similar provision) of the Code;

                    P=   the amount  with  respect  to which such  excise tax is
                         assessed,  determined  without regard to this paragraph
                         7(I);

                    FI=  the highest  marginal rate of income tax  applicable to
                         You under the Code for the taxable year in question;

                    SLI= the sum of the  highest  marginal  rates of income  tax
                         applicable to You under all applicable  state and local
                         laws for the taxable year in question; and

                    M=   the highest marginal rate of Medicare tax applicable to
                         You under the Code for the taxable year in question.

With  respect to any payment in the nature of  compensation  that is made to (or
for the benefit of) You under the terms of this Agreement, or otherwise,  and on
which an excise tax under Section 4999 (or any similar tax payable on account of
a Change of Control or other change in ownership or control of the Company under
any  federal,  state,  local or other  law) of the Code  will be  assessed,  the
payment  determined  under this  paragraph  7(I)(1)  shall be made to You on the
earlier  of (I) the date the  Company or any direct or  indirect  subsidiary  or
affiliate of the Company is required to withhold  such tax, or (II) the date the
tax is paid by You.

     (2) Notwithstanding anything in this paragraph 7(I) to the contrary, in the
event that Your  liability for the excise tax under Section 4999 of the Code (or
any  similar  tax  payable on account of a Change of Control or other  change in
ownership  or control of the Company  under any federal,  state,  local or other
law) for a taxable year is  subsequently  determined  to be  different  than the
amount  determined  by the formula (X+P) x E, where X, P and E have the meanings
provided in paragraph 7(I)(1), You or the Company, as the case may be, shall pay
to the other  party at the time that the  amount of such  excise  tax is finally
determined,  an appropriate  amount,  plus interest,  such that the payment made
under paragraph  7(I)(1) when increased by the amount of the payment made to You
under this  paragraph  7(I)(2) by the Company,  or when reduced by the amount of
the payment made to the Company under this  paragraph  7(I)(2) by You equals the
amount that should have properly been paid to You under paragraph  7(I)(1).  The
interest  paid under this  paragraph  7(I)(2)  shall be  determined  at the rate
provided  under  Section  1274(b)(2)(B)  of the Code. To confirm that the proper
amount,  if any, was paid to You under this  paragraph  7(I), a copy of each tax
return which shall contain the signature of the "Big Five" or similar accounting
firm as the  preparer  and shall  reflect a liability  for an excise tax payment
shall be furnished to the Company at least 20 days before the date on which such
return is required to be filed with the Internal Revenue Service.

     8. Merger.  If the Company should  consolidate,  merge with, or sell all or
substantially all of its assets to another entity,  the Company shall assign and
the other entity shall assume all  obligations  and duties under this Agreement;
and thereafter,  the term "Company" as used herein,  shall mean both the Company
and such assignee and this Agreement shall continue in full force and effect.

     9. General Provisions.

     A. Subject to the provisions of paragraph 8, neither this Agreement nor any
right or interest  hereunder  shall be  assignable  by either party  without the
prior written consent of the other party.

     B. Legal Fees and Expenses.

     (i) If You  incur  and pay  legal or other  fees,  costs  and  expenses  in
negotiating and drafting this Agreement the Company shall reimburse You for such
fees, costs and expenses;

     (ii) If You incur and pay legal or other  fees,  costs and  expenses  in an
effort to establish  entitlement to fees and benefits under this Agreement,  the
Company shall reimburse You for such fees, costs and expenses as follows;

     (a) You shall be initially responsible for the first fifty thousand dollars
($50,000) of such legal or other fees, costs and expenses You incur.

     (b) The Company shall reimburse fifty percent (50%) of the next two hundred
thousand dollars  ($200,000) of fees, costs and expenses that You incur and pay.
Such  reimbursement  shall  be made to You on a  monthly  basis  within  30 days
following Your written  submission of a request for reimbursement  together with
proof that the fees,  costs and  expenses  were  incurred and that You paid such
fees, costs and expenses and the $50,000  referred to in paragraph  9(B)(ii)(a),
above.

     (c) If the Company reimburses you within 30 days following Your requests as
provided  in  paragraph  (b),  above,   You  shall  be  entitled  to  additional
reimbursement  (including initial $50,000 and $100,000) if and only if You shall
prevail  (as defined  herein) in the effort to  establish  entitlement  benefits
under this Agreement.  For purposes of this  subparagraph (c) the term "prevail"
shall mean recovery of fees and benefit amounts  (excluding any amounts received
under this  Section  9(B)  exceeding  the amount of legal fees  incurred  by You
through the date of recovery.

     (d) If the Company  fails to  reimburse  You as provided in  paragraph  (b)
above,  then the Company  shall  reimburse all legal and other fees and expenses
(including the initial fifty  thousand  ($50,000) and the  two-hundred  thousand
($200,000)  amounts paid by You pursuant to paragraphs (a) and (b) above unless,
You do not prevail (after exhaustion of all available judicial remedies),  and a
court of competent  jurisdiction  decides that You had no  reasonable  basis for
bringing an action  hereunder or there was an absence of good faith for bringing
an action  hereunder,  in which event no further  reimbursement  for legal fees,
costs and expenses  shall be due to You, and You shall repay the Company for any
amounts previously paid by the Company pursuant to this Section 9.B(ii).

     C. This Agreement  supersedes all prior and contemporaneous  agreements and
constitutes the entire agreement between us regarding the subject matter hereof.

     D. If any  provisions of this  Agreement  shall be held or deemed to be, or
shall in fact be,  invalid,  inoperative  or  unenforceable  as  applied  to any
particular case in any jurisdiction or jurisdictions, or in all jurisdictions or
in all cases, because of the conflicting of any provision with any constitution,
statute,  rule of public policy or for any other reason, such circumstance shall
not have the  effect of  rendering  the  provision  or  provisions  in  question
invalid, inoperative, or unenforceable in any other jurisdiction or in any other
case or circumstance  or of rendering any other  provision or provisions  herein
contained  invalid,  inoperative or  unenforceable to the extent that such other
provision  or  provisions  are not  themselves  actually in  conflict  with such
constitution,  statute or rule of public  policy,  but this  Agreement  shall be
reformed and  construed  in any such  jurisdiction  or case as if such  invalid,
inoperative or unenforceable  provision had never been contained herein and such
provisions reformed so that it would be valid,  operative and enforceable to the
maximum extent permitted in such jurisdiction or in such case.

     E. This  Agreement  shall be governed by the laws of the state of Missouri.
Should such laws be amended as to modify this Agreement, such amendment shall be
incorporated herein and be immediately effective between the parties.

     F. The  Company's  obligation  to make the  payments  provided  for in this
Agreement  and  otherwise  to perform  its  obligations  hereunder  shall not be
affected  by  any   circumstances,   including  without   limitation,   set-off,
counterclaim,  recoupment,  defense or other  claim,  right or action  which the
Company may have against You or others. If the Company fails to make any payment
payable  hereunder within  forty-five (45) days after such amounts are due, then
You shall be entitled to receive  interest,  compounded  monthly,  on the unpaid
amount,  at a rate  equal  to the  interest  rate  paid  by the  Company  in its
revolving credit agreements or if no such revolving credit agreements exist, the
prime  interest  rate as provided in the Wall Street  Journal plus three percent
(3%).  In no event shall You be obligated to seek other  employment  or take any
other action by way of mitigation of the amounts payable to You under any of the
provisions of this Agreement,  nor shall the amount of any payment  hereunder be
reduced,  except as otherwise  specifically provided herein, by any compensation
earned by You as result of employment by another employer.

     G. All  notices  and other  communications  required or desired to be given
hereunder  shall  be  deemed  given if in  writing  and  sent by  registered  or
certified  mail,  postage  prepaid,  or  overnight  delivery,  to the  following
addresses:

                  Executive:                Barrett A. Toan
                                            42 Portland Place
                                            St. Louis, MO 63108

                  with a copy to:           Leslie A. Klein
                  (which copy shall)        Sonnenschein Nath & Rosenthal
                  not constitute            8000 Sears Tower
                  notice)                   Chicago, IL 60606

                  The Company:              Express Scripts, Inc.
                                            14000 Riverport Drive
                                            Maryland Heights, MO 63403
                                            Attention: General Counsel &
                                            Corporate Secretary

                  with a copy to:           New York Life Insurance Company
                                            51 Madison Avenue
                                            New York, New York 10010
                                            Attention: General Counsel

     H. The Company hereby  represents and warrants that this Agreement has been
duly authorized in accordance with all applicable laws and the Company's charter
and bylaws,  and that Howard  Waltman,  Chairman of the  Company,  has been duly
authorized  by the Board of Directors  to execute and deliver this  Agreement on
behalf of the Company.

     I. Survival of Rights and Obligations.  The rights and obligations provided
in paragraphs  3(C)(iv),  3(C)(v),  4, 5, 6, 7(B)(iv),  7(C)(i)(d),  7(E), 7(G),
7(I), 8, 9(A),  9(B),  9(F), 9(G) and 9(I) shall survive the termination of Your
employment and/or the termination of this Agreement.

     J. This  Agreement  shall be  effective  as of April 1,  1999.  In order to
insure the enforceability by You of Sections  3(C)(iii),  3(C)(iv),  3(C)(v) and
7(I)  hereof,  which  affect  your  rights in respect of certain  stock  options
granted under the Company's employee stock option plans, the Company will submit
a proposal  at the next  annual  meeting  of the  shareholders  of the  Company,
scheduled   for  May  26,  1999,  to  amend  the  option  plans  to  insure  the
effectiveness of such provisions.  If it shall subsequently be determined by the
final  judgment of a court of  competent  jurisdiction  that such  approval  was
required  under the terms of the Company's  employee stock option plans in order
for such  provisions  to be  given  effect,  such  provisions  shall  be  deemed
severable  and the  remainder of this  Agreement  shall remain in full force and
effect.

     IN WITNESS  HEREOF,  the parties to this  Agreement have  subscribed  their
names hereto.


Date:  April 28, 1999                   EXPRESS SCRIPTS, INC.



                                         By:  /s/ Howard L. Waltman




Date: April 16, 1999                         /s/ Barrett A. Toan              
                                          Barrett A. Toan



<PAGE>



                                    EXHIBIT A
                          AGREEMENT AND MUTUAL RELEASE

     CONSULT WITH A LAWYER BEFORE SIGNING THIS AGREEMENT AND RELEASE. BY SIGNING
THIS AGREEMENT YOU GIVE UP AND WAIVE IMPORTANT LEGAL RIGHTS.

     I, BARRETT A. TOAN,  understand  and, of my own free will,  enter into this
AGREEMENT AND MUTUAL RELEASE (the "AGREEMENT")  with Express Scripts,  Inc. (the
"COMPANY")  and, in  consideration  of the payment  described in this AGREEMENT,
agree as follows:

     1. (a) I  understand  that my  employment  with the COMPANY was  terminated
effective [Date of termination].

     (b) As referred to in this AGREEMENT, the COMPANY includes (i) its parents,
subsidiaries,  affiliates  and divisions  and their  respective  successors  and
assigns  and (ii)  their  directors,  officers,  representatives,  shareholders,
agents,  past and present  employees  and their  respective  heirs and  personal
representatives.

     2. The  COMPANY  will pay me  [Dollar  amount and timing to be filled in at
termination],  pursuant to my [Date of Agreement] 1999 Employment Agreement,  if
and only if, I sign this AGREEMENT and abide by its terms.  This payment will be
subject to withholding for taxes. The COMPANY will begin to pay this money to me
after the expiration of the seven (7) days referred to in paragraph 13.

     3. Prior to signing this  AGREEMENT,  I had the opportunity to consult with
counsel.

     4. I understand that this AGREEMENT does not constitute an admission by the
COMPANY or me of any:  (a)  violation  of any statute,  law or  regulation;  (b)
breach of contract, actual or implied; or (c) commission of any tort.

     5. I realize  there are many laws and  regulations  prohibiting  employment
discrimination  or  otherwise   regulating   employment  or  claims  related  to
employment  pursuant to which I may have rights or claims.  These  include Title
VII of the Civil  Rights Act of 1964,  as  amended;  the Age  Discrimination  in
Employment Act of 1967, as amended (the "ADEA"); the Americans with Disabilities
Act of 1990; the National Labor Relations Act, as amended;  42 U.S.C.  ss. 1981;
the Employee  Retirement Income Security Act of 1974, as amended ("ERISA");  the
Civil Rights Act of 1991; the Worker Adjustment and Retraining Notification Act,
as amended and Federal, State and local human rights, fair employment, and other
laws. I also  understand  there are other statutes and laws of contract and tort
otherwise  relating to my  employment.  I intend to waive and release any rights
and claims I may have under these and other  laws,  but I do not intend to waive
or  release  any rights or claims  that may arise  under the ADEA after the date
that I sign this AGREEMENT, nor any claims I may have for benefits to which I am
entitled  under  the  COMPANY's  benefit  plans,  nor any  claims I may have for
indemnification for any acts or omissions during my employment with the Company.
I do not  intend  to  waive  or  relinquish  any  rights  that I have  under  my
Employment  Agreement  that survive my termination as provided in paragraph 9(I)
of that agreement.

     6.  (a) In  consideration  of the  severance  benefits  provided  under  my
Employment  Agreement,  I, and any person acting,  through,  or under me, hereby
release,  waive,  and forever  discharge  the  COMPANY,  and any,  subsidiaries,
affiliates, employees, officers, shareholders,  successors, and assigns (if any)
from  any and all  liability,  actions,  charges,  causes  of  action,  demands,
damages,  or claims for relief or remuneration of any kind  whatsoever,  whether
known or  unknown  at this  time,  arising  out of, or in  connection  with,  my
employment  with  the  COMPANY  (other  than  indemnification  to which I may be
entitled under the COMPANY's  bylaws,  policies or agreements  (now or hereafter
maintained)  with regard to the  indemnification  of its  executive  officers or
directors),  any benefits to which I may be entitled under any Company sponsored
benefit  plans and any  rights  that  survive  my  termination  as  provided  in
paragraph 9.I. of my Employment Agreement). I have not filed any charges, claims
or actions against the COMPANY and will immediately  withdraw with prejudice any
such charges,  claims and actions  before signing this  AGREEMENT,  and will not
bring any such  charges,  claims or actions in the future,  except (i) a charge,
claim or action  based upon rights or claims that may arise under the ADEA after
the date that I sign this  AGREEMENT,  (ii) a claim for breach of this AGREEMENT
or breach of a provision in my Employment Agreement that survives my termination
as provided in paragraph 9.I. of that agreement,  or (iii) a claim for indemnity
to which I may be entitled under the COMPANY's  bylaws,  policies or agreements,
or (iv) a claim for  benefits  to which I may be  entitled  under the  COMPANY's
benefit plans.

     (b) In consideration of my promises under this AGREEMENT,  the COMPANY, and
any  of  its  subsidiaries,   affiliates,   employees,  officers,  shareholders,
successors,   and  assigns  (if  any),  hereby  releases,  waives,  and  forever
discharges  me, and any  person  acting,  through,  or under me from any and all
liability,  actions,  charges, causes of action, demands, damages, or claims for
relief or remuneration of any kind whatsoever,  whether known or unknown at this
time,  arising out of, or in connection  with,  my  employment  with the COMPANY
(except  that the  COMPANY  does not  release me from any claims of  intentional
wrongdoing,  including  but not  limited  to,  claims  of fraud,  theft,  and/or
embezzlement, or claims that survive pursuant to paragraph 9.I. of my Employment
Agreement  which claims survive this  AGREEMENT).  The COMPANY has not filed any
charges,  claims  or  actions  against  me and will  immediately  withdraw  with
prejudice any such charges,  claims and actions before  signing this  AGREEMENT,
and will not bring any such charges, claims or actions in the future, except (i)
a claim of intentional  wrongdoing such as fraud,  theft,  and/or  embezzlement,
(ii) a claim  for  breach of this  AGREEMENT  or  breach  of a  provision  in my
Employment  Agreement that survives my termination as provided in paragraph 9.I.
of that agreement.

     7. This  AGREEMENT  shall be deemed to have been made  within  the State of
Missouri, and shall be interpreted and construed and enforced in accordance with
the laws of the State of  Missouri,  except to the extent  preempted  by federal
law.

     8. I  understand  that  this  AGREEMENT  may  not  affect  the  rights  and
responsibilities of the Equal Employment Opportunity  Commission  ("Commission")
to enforce the ADEA or used to justify  interfering  with the protected right of
an employee to file a charge under the ADEA or participate  in an  investigation
or proceeding conducted by the Commission under the ADEA.

     9.  (a)  The  terms  and  provisions  (collectively  "provisions")  of this
AGREEMENT are severable.

     (b) In the event that one or more of the provisions of this AGREEMENT shall
be ruled  unenforceable  or void, the  provision(s)  so affected shall be deemed
amended and shall be  construed so as to enable the  provision(s)  to be applied
and enforced to the maximum lawful extent.

     (c) In addition to the rights of the Company pursuant to (a) and (b) above,
in the event that the  general  release  provision  of this  AGREEMENT  shall be
determined  by a court of  competent  jurisdiction  in an action that I initiate
(provided  that I shall be free to  assert  any and all  claims,  counterclaims,
set-offs or other  affirmative  rights or causes of action that I may have in an
action initiated by the Company to determine that the general release is void or
otherwise  unenforceable and this paragraph shall not apply) to be unenforceable
or void,  the COMPANY may elect to enforce the  remainder  of this  AGREEMENT or
cancel  this  AGREEMENT,  and get back  from me, my  successors  or  assigns  or
otherwise the money described in paragraph 2

     10. Unless and to the extent required by law, the COMPANY and I will not at
any time talk about,  write about or otherwise  publicize the terms or existence
of  this  AGREEMENT  or  any  fact  concerning  its  negotiation,  execution  or
implementation  except  that we are  allowed  to  consult  with a lawyer  and/or
representatives  of the  Commission.  The COMPANY and I will not testify or give
evidence in any forum  concerning my affiliation or employment  with the COMPANY
unless otherwise  permitted by law,  required by law, or requested in writing by
me or an authorized official of the COMPANY.  Notwithstanding the foregoing,  if
the COMPANY and I were requested in writing to do so by the other party, we will
fully and completely  cooperate with the other party in any  investigation  they
may conduct in connection with any events which occurred while I was an employee
of the COMPANY;

     11. (a) The parties  understand that if either breaches this AGREEMENT,  in
whole or in part, the other party will suffer  irreparable harm for which it may
have no adequate remedy at law. The parties therefore consent,  without limiting
any  other  rights  that each may  have,  to  enforcement  of any  provision  or
provisions of this AGREEMENT by means of injunctive relief.

     (b) This  AGREEMENT  shall be deemed to have been made within the County of
St.  Louis,  State of  Missouri,  and shall be  interpreted  and  construed  and
enforced  in  accordance  with the laws of the State of  Missouri  except to the
extent  preempted by federal law and before the Courts of the State of Missouri,
County of St. Louis.

     12.  (a) I was  given  a copy  of  this  AGREEMENT  on or  about  [Date  of
delivery].

     (b) I have had the  opportunity  to consult  with an  attorney or any other
advisor  of my  choice  before  signing  it and was  given a period  of at least
twenty-one  (21)  calendar days (that is until  [Delivery  date in 12(a) plus 21
days]) to consider this AGREEMENT.

     (d) I acknowledge that in signing this AGREEMENT, I have relied only on the
promises  written in this  AGREEMENT  and not on any other  promise  made by the
COMPANY or any other entity or person.

     13. I have seven (7) calendar  days to revoke this  AGREEMENT  after I sign
it. This  AGREEMENT  will not become  effective or  enforceable  until seven (7)
calendar days after the COMPANY has received my signed copy of this AGREEMENT.

     14. This AGREEMENT may not be modified or changed orally.


By:                                                                            
     COMPANY's Representative               BARRETT A. TOAN



STATE OF          )
                  )        :ss:
COUNTY OF         )


                  On this day of , , before me personally  came BARRETT A. TOAN,
and ,  the  COMPANY's  representative  to me  known  and  known  to me to be the
individuals  described in, and who executed the  foregoing  AGREEMENT AND MUTUAL
RELEASE, and duly acknowledged to me that they executed the same.





                                  Notary Public

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<NAME>                        Express Scripts, Inc.
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