Federal Trade Commission Allows Merger of Express Scripts and Medco








It was announced on April 2, 2012, that the FTC commissioners, in a 3-to-1 vote, allowed the merger of Express Scripts, Inc. (ESI) and Medco Health Solutions, Inc. (Medco), and its Family of Companies, to proceed without restriction. Following the April 2 announcement, both ESI and Medco became wholly owned subsidiaries of the newly formed Express Scripts Holding Company.Here is the transition plan for Carolina Care members… we expect them to be failry standard carrier-to-carrier:

Members can continue to purchase prescription drugs at a Medco retail network pharmacy, includingWalgreen’s, and/or through the Medco mail-order pharmacy.

Q: How long will the merger take to complete?

A: Express Scripts Holding Company did not provide a timeline for the integration of the two companies.

Q: How are members affected?

A: At this time, members will see no change in how they access their prescription drug benefits. Members will have

access to the same prescription drugs, the same coverage management rules, the same retail pharmacies (including

Walgreen’s), and the same mail-order and specialty drug processes. Members with “drug card” plans should

continue to call the same toll-free number for Medco Member Services if they have questions about prescription

drug benefits (or our Customer Service if they have major medical benefits).

Q: Can our members get their prescriptions filled at Walgreen’s?

A: Yes, for now, our members with prescription drug benefits with Medco will still be able to fill prescriptions at


Q: Will the list of preferred drugs change?



Q: Do providers still contact the same people and departments at Medco?



Yes, our contracted providers should continue to use the same phone/fax numbers and pharmacies they currentlyuse.

Express Scripts indicated the combined company will likely have an integrated formulary, or list of preferred drugs, in2013; members should refer to their current formulary at this time.