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Medco Reports Record Second-Quarter 2008 GAAP Diluted EPS; Reflects Growth of 34.2 Percent; Raises and Narrows 2008 Guidance
Second-Quarter Year-Over-Year Highlights:
- Record GAAP diluted EPS increased 34.2 percent to $0.51 from $0.38 in second-quarter 2007
- Record diluted EPS increased 30.2 percent to $0.56 from $0.43 in second-quarter 2007, excluding $0.05 in amortization of intangible assets from the 2003 spin-off
- Net revenues increased 15.6 percent to nearly $12.8 billion
- Specialty revenues increased 32.6 percent to a record of nearly $2.0 billion
- Mail-order prescription volume of 26.3 million increased 2.8 million, or 11.9 percent, from 23.5 million in second-quarter 2007
- Record generic dispensing rate of 63.7 percent increased 4.8 percentage points from second-quarter 2007
Raised and Narrowed 2008 Guidance:
- Full-year GAAP diluted EPS guidance is raised to $2.10 to $2.13, reflecting growth of 29 to 31 percent over 2007, up from previous guidance of $2.07 to $2.11 per share
- Full-year diluted EPS guidance, excluding amortization of intangible assets, is raised to $2.30 to $2.33, reflecting growth of 26 to 28 percent over 2007, up from previous guidance of $2.27 to $2.31 per share (Please see Table 9 for a reconciliation of

FRANKLIN LAKES, N.J., July 24 /PRNewswire-FirstCall/ -- Driven by record 2008 sales performance across the company, including Accredo Health Group, and strong fundamentals, Medco Health Solutions, Inc. (NYSE: MHS) today reported a 34.2 percent increase in second-quarter 2008 GAAP diluted earnings per share to $0.51, compared to $0.38 for the second quarter of 2007. Excluding $0.05 per share in amortization of intangible assets that existed when Medco became a publicly traded company, second-quarter 2008 diluted earnings per share increased 30.2 percent to $0.56 from $0.43 in second-quarter 2007.

"This quarter, Medco demonstrated that strong execution around the fundamentals of our business on behalf of our customers continues to drive outstanding earnings performance for our shareholders," said David B. Snow Jr., Medco chairman and chief executive officer.

"Beyond the quarter, our business strategy fueled extremely strong sales results and industry-leading customer retention rates. Our 2008 annualized new-named sales rose to $6.5 billion, and we achieved a retention rate of 98 percent, reflecting continued success in our 2008 sales season. Additionally, our 2009 annualized new-named sales to date are currently at $4.6 billion, with a retention rate of more than 97 percent. These strong 2009 sales results are particularly impressive this early in the 2009 sales season, and are a testament to the strength of our integrated service and clinical models," said Snow.

Richard J. Rubino, chief financial officer, added: "The second quarter results exceeded our expectations with strong performance across-the-board. We experienced record revenue and operating income in our Accredo business, a high level of operational efficiencies with the absorption of our significant 2008 new client wins, and continued contribution from generics at mail -- all adding up to record EBITDA per adjusted prescription of $3.05. We are very confident in our business model and pleased to both raise and narrow the range of our guidance, elevating our projected 2008 GAAP EPS growth to 29 to 31 percent."

Second-Quarter Financial and Operational Results

Medco reported net revenues of nearly $12.8 billion, a 15.6 percent increase from second-quarter 2007. Net revenues increased primarily as a result of contributions from significant new client wins and price inflation on brand-name drugs, partially offset by higher volumes of lower-cost generic drugs. Medco's generic dispensing rate increased 4.8 percentage points to a record 63.7 percent from the second quarter of 2007. The mail-order generic dispensing rate increased 5.0 percentage points to 54.9 percent and the retail generic dispensing rate increased 4.8 percentage points to 65.6 percent.

While higher volumes of lower-cost generic drugs reduced net revenues by approximately $710 million, these savings benefit clients and members, and contribute to higher gross margins. Year-to-date, the higher volumes of generic drugs reduced net revenues by approximately $1.5 billion.

Total prescription volume, adjusting for the difference in days supply between mail order and retail, increased 6.4 percent from the second quarter of 2007 to 198.1 million. Mail-order prescription volume increased 11.9 percent to 26.3 million. Retail prescription volume increased 3.2 percent to 119.6 million. Adjusted mail-order prescriptions as a percentage of total adjusted prescriptions increased 2.0 percentage points, reaching 39.7 percent. Total gross margin increased 90 basis points to 7.3 percent from 6.4 percent in the second quarter of 2007, reflecting higher mail volumes and penetration, and higher generic dispensing rates. (Please see Table 5 for the calculation of adjusted prescription volume and generic dispensing rate information).

Total selling, general and administrative expense of $368.4 million increased 34.5 percent or $94.4 million over second-quarter 2007. Over $61 million of this increase is attributable to operating expenses from PolyMedica and Critical Care Systems, which were acquired in fourth-quarter 2007, and Europa Apotheek Venlo, a first-quarter 2008 majority-stake acquisition. The remaining increase primarily reflects employee-related costs to support the growing client base and strategic clinical initiatives. Earnings Before Interest Income/Expense, Taxes, Depreciation and Amortization (EBITDA) for the quarter increased $129.6 million, or 27.3 percent, to $604.1 million compared to the same period last year. EBITDA per adjusted prescription increased 19.6 percent to $3.05 from $2.55 in the second quarter of 2007. (Please refer to Table 6 for a reconciliation of EBITDA to reported net income).

Interest and other (income) expense, net, of $57.5 million in second- quarter 2008 increased from $21.9 million in second-quarter 2007, largely attributable to higher debt levels including the senior notes issuance in March 2008 to fund recent acquisitions.

The effective tax rate for the second quarter of 2008 was 39.9 percent, compared to 39.3 percent in the second-quarter 2007. Net income of $262.7 million increased 22.2 percent from the same quarter last year.

Medco generated year-to-date cash flows from operations of $200.2 million, compared to $676.7 million for the same period in 2007, reflecting increases in receivables and inventory, driven by overall business growth. The company closed the second quarter of 2008 with $371.7 million of cash on its balance sheet.

Share Repurchase Program

In conjunction with its $5.5 billion share repurchase program, Medco repurchased 12.4 million shares for $562.4 million during the second quarter of 2008 with an average per-share cost of $45.22. From the inception of the program in 2005 through the end of second-quarter 2008, Medco repurchased 144.9 million shares at a total cost of $5.1 billion and average per-share cost of $35.05. At the close of the second quarter, $400 million remained under the current authorization.

Specialty Pharmacy Segment

Revenues for Medco's specialty pharmacy segment, Accredo Health Group, reached record levels with growth of 32.6 percent to nearly $2.0 billion, compared to $1.5 billion in the second quarter of 2007. This is primarily the result of the contribution from significant new clients in January 2008 and the acquisition of Critical Care Systems in fourth-quarter 2007.

The gross margin of 8.0 percent was in line with the second-quarter of 2007. Operating income rose 24.6 percent to $67.8 million from $54.4 million in the second quarter of 2007, driven by increased volume from new business.

Use of Non-GAAP Measures

Medco calculates and uses EBITDA and EBITDA per adjusted prescription as indicators of its ability to generate cash from its reported operating results. These measurements are used in concert with net income and cash flows from operations, which measure actual cash generated in the period. In addition, Medco believes that EBITDA and EBITDA per adjusted prescription are supplemental measurement tools used by analysts and investors to help evaluate overall operating performance and the ability to incur and service debt and make capital expenditures. EBITDA does not represent funds available for Medco's discretionary use and is not intended to represent or to be used as a substitute for net income or cash flows from operations data as measured under U.S. Generally Accepted Accounting Principles (GAAP). The items excluded from EBITDA, but included in the calculation of reported net income, are significant components of the consolidated statements of income and must be considered in performing a comprehensive assessment of overall financial performance. EBITDA, and the associated year-to-year trends, should not be considered in isolation. Medco's calculation of EBITDA may not be consistent with calculations of EBITDA used by other companies.

EBITDA per adjusted prescription is calculated by dividing EBITDA by the adjusted prescription volume for the period. This measure is used as an indicator of EBITDA performance on a per-unit basis, providing insight into the cash-generating potential of each prescription. EBITDA, and as a result, EBITDA per adjusted prescription, is affected by the changes in prescription volumes between retail and mail order, the relative representation of brand- name, generic and specialty drugs, as well as the level of efficiency in the business. Adjusted prescription volume equals the majority of mail-order prescriptions multiplied by 3, plus retail prescriptions. These mail-order prescriptions are multiplied by 3 to adjust for the fact that they include approximately 3 times the amount of product days supplied compared with retail prescriptions.

Medco uses diluted earnings per share excluding intangible asset amortization expense that existed when Medco became a public company in 2003 as a supplemental measure of operating performance. The excluded amortization is associated with intangible assets that substantially arose in connection with the acquisition of Medco by Merck & Co., Inc. in 1993 and were pushed down to Medco's balance sheet. The company believes that diluted earnings per share, excluding the amortization of these intangibles, is a useful measure because of the significance of this non-cash item and enhances comparability with its peers. The intangible asset amortization resulting from Medco's acquisitions, such as the acquisitions of Accredo Health, Incorporated in August 2005, and PolyMedica Corporation in October 2007, are not part of the excluded amortization in this calculation because they results from Medco investment decisions.

Conference Call

Management will hold a conference call to review Medco's financial results and operating outlook on July 24, 2008 at 8:30 a.m. ET.

To access the live conference call via telephone: Dial in: (800) 949-5383 from inside the U.S., or (706) 679-3440 from outside the U.S.

To access the live webcast:

Visit the Investor Relations section at http://www.medco.com/ or go directly to http://www.medco.com/investor.

For a replay of the call:

A replay of the call will be available after the event on July 24, 2008 through August 7, 2008. Dial in: (800) 642-1687 from inside the U.S., or (706) 645-9291 from outside the U.S. Please use passcode 55170474.

About Medco

Medco Health Solutions, Inc., (NYSE: MHS) is the nation's leading pharmacy benefit manager based on its 2007 total net revenues of more than $44 billion. Medco's prescription drug benefit programs, covering approximately one in five Americans, are designed to drive down the cost of pharmacy health care for private and public employers, health plans, labor unions and government agencies of all sizes, and for individuals served by the Medicare Part D Prescription Drug Program and those served by its specialty pharmacy segment, Accredo Health Group. Medco, the world's most advanced pharmacy®, is positioned to serve the unique needs of patients with chronic and complex conditions through its Medco Therapeutic Resource Centers®, including its enhanced diabetes pharmacy care practice through the Liberty acquisition. Medco is the highest-ranked independent pharmacy benefit manager on the 2008 Fortune 100 list. On the Net: http://www.medco.com/.

This press release contains "forward-looking statements" as that term is defined in the Private Securities Litigation Reform Act of 1995. These statements involve risks and uncertainties that may cause results to differ materially from those set forth in the statements. No forward-looking statement can be guaranteed, and actual results may differ materially from those projected. We undertake no obligation to publicly update any forward- looking statement, whether as a result of new information, future events or otherwise. Forward-looking statements are not historical facts, but rather are based on current expectations, estimates, assumptions and projections about the business and future financial results of the pharmacy benefit management ("PBM") and specialty pharmacy industries, and other legal, regulatory and economic developments. We use words such as "anticipates," "believes," "plans," "expects," "projects," "future," "intends," "may," "will," "should," "could," "estimates," "predicts," "potential," "continue," "guidance" and similar expressions to identify these forward-looking statements. Medco's actual results could differ materially from the results contemplated by these forward-looking statements due to a number of factors, including those set forth below.

-- Competition in the PBM, specialty pharmacy and the broader healthcare industry is intense and could impair our ability to attract and retain clients;

-- Failure to retain key clients and their members could result in significantly decreased revenues and could harm our profitability;

-- If we do not continue to earn and retain purchase discounts and rebates from manufacturers at current levels, our gross margins may decline;

-- Our acquisition activity has increased recently and if we are unable to effectively integrate acquired businesses into ours, our operating results may be adversely affected. Even if we are successful, the integration of these businesses has required, and will likely continue to require, significant resources and management attention;

-- If we fail to comply with complex and rapidly evolving laws and regulations, we could suffer penalties, or be required to pay substantial damages or make significant changes to our operations;

-- Government efforts to reduce healthcare costs and alter healthcare financing practices could lead to a decreased demand for our services or to reduced profitability;

-- Failure to execute our Medicare Part D prescription drug benefits strategy could adversely impact our business and financial results;

-- PBMs could be subject to claims under ERISA if they are found to be a fiduciary of a health benefit plan governed by ERISA;

-- Pending litigation could adversely impact our business practices and have a material adverse effect on our business, financial condition, liquidity and operating results;

-- We are subject to corporate integrity agreements and noncompliance may impede our ability to conduct business with the federal government;

-- Legislative or regulatory initiatives that restrict or prohibit the PBM industry's ability to use patient identifiable medical information could limit our ability to use information that is critical to the operation of our business;

-- Our specialty pharmacy business is highly dependent on our relationships with a limited number of biopharmaceutical suppliers and the loss of any of these relationships could significantly impact our ability to sustain or increase our revenues;

-- Our ability to grow our specialty pharmacy business could be limited if we do not expand our existing base of drugs or if we lose patients;

-- Our specialty pharmacy business, certain revenues from diabetes testing supplies and our Medicare Part D offerings expose us to increased credit risk;

-- Changes in industry pricing benchmarks could adversely affect our financial performance;

-- The terms and covenants relating to our existing indebtedness could adversely impact our financial performance;

-- Prescription volumes may decline, and our net revenues and profitability may be negatively impacted, if products are withdrawn from the market, if prescription drugs transition to over-the-counter products, or if increased safety risk profiles of specific drugs result in utilization decreases;

-- We may be subject to liability claims for damages and other expenses that are not covered by insurance;

-- The success of our business depends on maintaining a well-secured pharmacy operation and technology infrastructure and failure to execute could adversely impact our business;

-- We could be required to record a material non-cash charge to income if our recorded intangible assets or goodwill are impaired, or if we shorten intangible asset useful lives;

-- Changes in reimbursement rates, including competitive bidding for durable medical equipment suppliers, could negatively affect our PolyMedica diabetes testing supplies revenues and profits under our Liberty brand; and

-- Anti-takeover provisions of the Delaware General Corporation Law ("DGCL"), our certificate of incorporation and our bylaws could delay or deter a change in control and make it more difficult to remove incumbent officers and directors.

The foregoing list of factors is not exhaustive. You should carefully consider the foregoing factors and the other risks and uncertainties that affect our business described in our Annual Report on Form 10-K, Quarterly Reports on Form 10-Q and other documents filed from time to time with the Securities and Exchange Commission.

                       Medco Health Solutions, Inc.
               Condensed Consolidated Statements of Income
                               (Unaudited)
                 (In millions, except for per share data)

  Table 1.
                                    Quarters Ended       Six Months Ended
                               --------------------------------------------
                                 June 28,   June 30,   June 28,   June 30,
                                   2008       2007       2008       2007
                               ----------- ---------- ----------- ---------
      Product net revenues
       (Includes retail
        co-payments of $1,900
        and $1,887 in the
        second quarters
        of 2008 and 2007,
        and $4,002 and $3,874
        in the six months of
        2008 and 2007)           $12,607.1  $10,912.3  $25,414.0  $21,938.6
      Service revenues               167.5      137.3      323.6      270.6
                                 ---------  ---------  ---------  ---------
         Total net revenues       12,774.6   11,049.6   25,737.6   22,209.2
                                 ---------  ---------  ---------  ---------

      Cost of operations:
         Cost of product net
          revenues (Includes
          retail co-payments
          of $1,900 and $1,887
          in the second quarters
          of 2008 and 2007, and
          $4,002 and $3,874 in
          the six months of 2008
          and 2007)               11,794.0   10,311.9   23,810.8   20,661.8
         Cost of service revenues     47.1       33.1       93.0       69.1
                                 ---------  ---------  ---------  ---------
           Total cost of revenues 11,841.1   10,345.0   23,903.8   20,730.9
         Selling, general and
          administrative expenses    368.4      274.0      696.8      522.4
         Amortization of
          intangibles                 70.6       54.6      140.1      109.3
         Interest and other
          (income) expense, net       57.5       21.9      111.8       36.8
                                 ---------  ---------  ---------  ---------
           Total cost of
            operations            12,337.6   10,695.5   24,852.5   21,399.4
                                 ---------  ---------  ---------  ---------

      Income before provision
       for income taxes              437.0      354.1      885.1      809.8
      Provision for income taxes     174.3      139.2      352.2      320.1
                                 ---------  ---------  ---------  ---------

      Net income                    $262.7     $214.9     $532.9     $489.7
                                 =========  =========  =========  =========

      Basic earnings per share:
      -------------------------
      Weighted average shares
       outstanding                   507.7      554.4      517.3      564.0

      Earnings per share             $0.52      $0.39      $1.03      $0.87
                                 =========  =========  =========  =========

      Diluted earnings per share:
      ---------------------------
      Weighted average shares
       outstanding                   517.6      564.2      527.7      573.5

      Earnings per share             $0.51      $0.38      $1.01      $0.85
                                 =========  =========  =========  =========



                       Medco Health Solutions, Inc.
                  Condensed Consolidated Balance Sheets
                               (Unaudited)
                              (In millions)

  Table 2.

                                                      June 28,  December 29,
                                                        2008        2007
                                                  ------------  ------------
      ASSETS
      Current assets:
         Cash and cash equivalents                      $371.7      $774.1
         Short-term investments                           70.9        70.3
         Manufacturer accounts receivable, net         1,772.3     1,516.2
         Client accounts receivable, net               1,594.2     1,340.3
         Income taxes receivable                         210.0       216.0
         Inventories, net                              2,090.0     1,946.0
         Prepaid expenses and other current assets       330.7       285.4
         Deferred tax assets                             154.4       154.4
                                                  ------------  ------------
            Total current assets                       6,594.2     6,302.7
      Property and equipment, net                        734.6       725.5
      Goodwill                                         6,346.2     6,230.2
      Intangible assets, net                           2,809.0     2,905.0
      Other noncurrent assets                             61.6        54.5
                                                  ------------  ------------
            Total assets                             $16,545.6   $16,217.9
                                                  ============  ============

      LIABILITIES AND STOCKHOLDERS' EQUITY
      Current liabilities:
         Claims and other accounts payable            $2,812.0    $2,812.9
         Client rebates and guarantees payable         1,267.6     1,092.2
         Accrued expenses and other
          current liabilities                            561.1       624.1
         Short-term debt                                 600.0       600.0
                                                  ------------  ------------
            Total current liabilities                  5,240.7     5,129.2
      Long-term debt, net                              4,083.0     2,894.4
      Deferred tax liabilities                         1,103.2     1,167.0
      Other noncurrent liabilities                       173.8       152.0
                                                  ------------  ------------
            Total liabilities                         10,600.7     9,342.6

      Total stockholders' equity                       5,944.9     6,875.3
                                                  ------------  ------------
      Total liabilities and stockholders' equity     $16,545.6   $16,217.9
                                                  ============  ============


                                                      June 28,  December 29,
                                                        2008        2007
                                                  ------------  ------------
      Balance Sheet Debt:
      -------------------
      Accounts receivable financing facility            $600.0      $600.0
      Senior unsecured revolving credit facility       1,100.0     1,400.0
      Senior unsecured term loan                       1,000.0     1,000.0
      7.25% senior notes due 2013,
       net of unamortized discount                       497.6       497.4
      6.125% senior notes due 2013,
       net of unamortized discount                       298.4         -
      7.125% senior notes due 2018,
       net of unamortized discount                     1,187.7         -
      Fair value of interest rate swap agreements         (0.7)       (3.0)
                                                  ------------  ------------
      Total debt                                      $4,683.0    $3,494.4
                                                  ============  ============



                       Medco Health Solutions, Inc.
             Condensed Consolidated Statements of Cash Flows
                               (Unaudited)
                              (In millions)

  Table 3.

                                                    Six Months Ended
                                            --------------------------------
                                              June 28,             June 30,
                                                2008                 2007
                                            --------------- ----------------
      Cash flows from operating activities:
         Net income                            $532.9                $489.7
         Adjustments to reconcile net
          income to net cash provided by
          operating activities:
            Depreciation                         79.0                  85.4
            Amortization of intangibles         140.1                 109.3
            Deferred income taxes               (80.6)                (69.8)
            Stock-based compensation on
             employee stock plans                63.7                  46.5
            Tax benefit on employee
             stock plans                         51.7                  59.1
            Excess tax benefits from
             stock-based compensation
             arrangements                       (31.4)                (38.7)
            Other                                57.1                  25.3
         Net changes in assets and
          liabilities (net of
          acquisition effects, 2008 only)
            Manufacturer accounts receivable,
             net                               (254.8)                (89.1)
            Client accounts receivable, net    (279.9)                 51.6
            Inventories, net                   (140.1)                102.5
            Prepaid expenses and other
             current assets                     (43.7)                 (1.3)
            Income taxes receivable               6.0                  (5.9)
            Other noncurrent assets               3.2                  10.0
            Claims and other accounts payable   (15.8)               (305.5)
            Client rebates and guarantees
             payable                            175.4                 183.7
            Accrued expenses and other
             current and noncurrent
             liabilities                        (62.6)                 23.9
                                            --------------- ----------------
      Net cash provided by operating
       activities                               200.2                 676.7
                                            --------------- ----------------
      Cash flows from investing
       activities:
         Cash paid for Europa Apotheek
          Venlo B.V., net of cash
          acquired                             (126.2)                  -
         Capital expenditures                   (87.6)                (59.4)
         Purchases of securities and
          other investments                     (42.9)                (75.1)
         Proceeds from sale of
          securities and other
          investments                            35.9                  80.3
                                            --------------- ----------------
      Net cash used by investing
       activities                              (220.8)                (54.2)
                                            --------------- ----------------
      Cash flows from financing
       activities:
         Proceeds from long-term debt         2,865.7               1,000.0
         Repayments on long-term debt        (1,680.0)               (456.5)
         Proceeds under accounts
          receivable financing facility           -                   275.0
         Debt issuance costs                    (11.3)                 (1.6)
         Settlement of cash flow hedge          (45.4)                  -
         Purchase of treasury stock          (1,563.3)             (1,447.2)
         Excess tax benefits from
          stock-based compensation
          arrangements                           31.4                  38.7
         Proceeds from employee stock
          plans                                  21.1                 134.3
                                            --------------- ----------------
      Net cash used by financing
       activities                              (381.8)               (457.3)
                                            --------------- ----------------
      Net (decrease) increase in cash
       and cash equivalents                    (402.4)                165.2
      Cash and cash equivalents at
       beginning of period                      774.1                 818.5
                                            --------------- ----------------
      Cash and cash equivalents at end
       of period                               $371.7                $983.7
                                            =============== ================



                       Medco Health Solutions, Inc.
                  Consolidated Income Statement Results
                               (Unaudited)
                              (In millions)

  Table 4.
                                       Quarter                      Quarter
                                        Ended                        Ended
                                       June 28,                     June 30,
                                       2008 (1)  Increase (Decrease)  2007
                                       --------  ------------------- -------
  Consolidated income statement results
  -------------------------------------

     Retail product revenues (2)       $7,156.8   $553.5     8.4%   $6,603.3
     Mail-order product revenues        5,450.3  1,141.3    26.5%    4,309.0
                                     ---------- ---------  -------  --------
        Total product net revenues (2) 12,607.1  1,694.8    15.5%   10,912.3
                                     ---------- ---------  -------  --------

     Client and other service revenues    118.4     17.6    17.5%      100.8
     Manufacturer service revenues         49.1     12.6    34.5%       36.5
                                     ---------- ---------  -------  --------
        Total service revenues            167.5     30.2    22.0%      137.3
                                     ---------- ---------  -------  --------
           Total net revenues (2)      12,774.6  1,725.0    15.6%   11,049.6
                                     ---------- ---------  -------  --------
        Cost of product net
         revenues (2)                  11,794.0  1,482.1    14.4%   10,311.9
        Cost of service revenues           47.1     14.0    42.3%       33.1
                                     ---------- ---------  -------  --------
           Total cost of revenues (2)  11,841.1  1,496.1    14.5%   10,345.0

        Selling, general and
         administrative expenses          368.4     94.4    34.5%      274.0
        Amortization of intangibles        70.6     16.0    29.3%       54.6
        Interest and other (income)
         expense, net                      57.5     35.6   162.6%       21.9
                                     ---------- ---------  -------  --------
        Income before provision for
         income taxes                     437.0     82.9    23.4%      354.1
        Provision for income taxes        174.3     35.1    25.2%      139.2
                                     ---------- ---------  -------  --------
        Net Income                       $262.7    $47.8    22.2%     $214.9
                                     ========== =========  =======  ========
     Diluted earnings per share:
     ---------------------------
     Weighted average shares
      outstanding                         517.6    (46.6)   -8.3%      564.2

     Earnings per share                   $0.51    $0.13    34.2%      $0.38
                                     ========== =========  =======  ========
     Earnings per share, excluding
        intangible amortization (3)       $0.56    $0.13    30.2%      $0.43
                                     ========== =========  =======  ========


     Gross margin (4)
     ----------------
     Product                             $813.1   $212.7    35.4%     $600.4
        Product gross margin percentage    6.4%     0.9%                5.5%
     Service                             $120.4    $16.2    15.5%     $104.2
        Service gross margin
         percentage                       71.9%    -4.0%               75.9%
     Total                               $933.5   $228.9    32.5%     $704.6
        Total gross margin percentage      7.3%     0.9%                6.4%


                                       Six                           Six
                                      Months                        Months
                                      Ended                         Ended
                                     June 28,                      June 30,
                                     2008 (1)  Increase (Decrease)   2007
                                   ----------  ------------------ ----------

  Consolidated income statement results
  -------------------------------------

     Retail product revenues (2)     $14,572.3  $1,256.7    9.4%  $13,315.6
     Mail-order product revenues      10,841.7   2,218.7   25.7%    8,623.0
                                     ---------  --------  ------  ---------
        Total product net revenues(2) 25,414.0   3,475.4   15.8%   21,938.6
                                     ---------  --------  ------  ---------
     Client and other service
      revenues                           233.3      35.7   18.1%      197.6
     Manufacturer service revenues        90.3      17.3   23.7%       73.0
                                     ---------  --------  ------  ---------
        Total service revenues           323.6      53.0   19.6%      270.6
                                     ---------  --------  ------  ---------

           Total net revenues (2)     25,737.6   3,528.4   15.9%   22,209.2
                                     ---------  --------  ------  ---------
        Cost of product net
         revenues (2)                 23,810.8   3,149.0   15.2%   20,661.8
        Cost of service revenues          93.0      23.9   34.6%       69.1
                                     ---------  --------  ------  ---------
           Total cost of
            revenues (2)              23,903.8   3,172.9   15.3%   20,730.9

        Selling, general and
         administrative expenses         696.8     174.4   33.4%      522.4
        Amortization of intangibles      140.1      30.8   28.2%      109.3
        Interest and other (income)
         expense, net                    111.8      75.0  203.8%       36.8
                                     ---------  --------  ------  ---------
        Income before provision for
         income taxes                    885.1      75.3    9.3%      809.8
        Provision for income taxes       352.2      32.1   10.0%      320.1
                                     ---------  --------  ------  ---------
        Net Income                      $532.9     $43.2    8.8%     $489.7
                                     =========  ========  ======  =========
     Diluted earnings per share:
     ---------------------------
     Weighted average shares
      outstanding                        527.7     (45.8)  -8.0%      573.5

     Earnings per share                  $1.01     $0.16   18.8%      $0.85
                                     =========  ========  ======  =========
     Earnings per share, excluding
        intangible amortization (3)      $1.11     $0.16   16.8%      $0.95
                                     =========  ========  ======  =========
     Gross margin (4)
     ----------------
     Product                          $1,603.2    $326.4   25.6%   $1,276.8
        Product gross margin
         percentage                       6.3%      0.5%               5.8%
     Service                            $230.6     $29.1   14.4%     $201.5
        Service gross margin
         percentage                      71.3%     -3.2%              74.5%
     Total                            $1,833.8    $355.5   24.0%   $1,478.3
        Total gross margin
         percentage                       7.1%      0.4%               6.7%


    (1) Includes PolyMedica's, Critical Care's, and Europa Apotheek's
        operating results commencing on the October 31, 2007, November 14,
        2007, and April 28, 2008 acquisition dates, respectively.
    (2) Includes retail co-payments of $1,900 million and $1,887 million for
        the second quarters of 2008 and 2007, and $4,002 million and
        $3,874 million for the six months of 2008 and 2007.
    (3) Please refer to Table 8 for reconciliation of the earnings per share
        excluding intangible amortization.
    (4) Defined as net revenues minus cost of revenues.



                        Medco Health Solutions, Inc.
                      Consolidated Selected Information
                                 (Unaudited)
                                (In millions)

  Table 5.
                                       Quarter                      Quarter
                                        Ended                        Ended
                                       June 28,                     June 30,
                                       2008 (1)  Increase (Decrease)  2007
                                      --------- ------------------- -------
      Volume Information
      ------------------
      Retail prescriptions                 119.6     3.7     3.2%    115.9
      Mail-order prescriptions              26.3     2.8    11.9%     23.5
                                       --------- -------- -------- --------
          Total prescriptions              145.9     6.5     4.7%    139.4
                                      ========== ======== ======== ========
      Adjusted prescriptions (2)           198.1    11.9     6.4%    186.2
      Adjusted mail-order penetration
       (3)                                 39.7%    2.0%             37.7%

      Other volume (4)                       1.5     1.5      N/M*     -

      Generic Dispensing Rate Information
      -----------------------------------
      Retail generic dispensing rate       65.6%    4.8%             60.8%
      Mail-order generic dispensing rate   54.9%    5.0%             49.9%
      Overall generic dispensing rate      63.7%    4.8%             58.9%


      Manufacturer Rebate Information
      -------------------------------
      Rebates earned                      $1,062    $144    15.7%     $918
      Percent of rebates retained          18.7%    3.1%             15.6%


      Depreciation Information
      ------------------------
      Cost of revenues depreciation        $10.9   $(3.9)  -26.4%    $14.8
      SG&A expenses depreciation            28.1    (1.0)   -3.4%     29.1
                                       --------- -------- -------- --------
      Total depreciation                   $39.0   $(4.9)  -11.2%    $43.9
                                      ========== ======== ======== ========


                                        Six                           Six
                                       Months                        Months
                                       Ended                         Ended
                                      June 28,                      June 30,
                                      2008 (1)  Increase (Decrease)   2007
                                     ---------  ------------------ ---------
      Volume Information
      ------------------
      Retail prescriptions              246.8     11.4     4.8%      235.4
      Mail-order prescriptions           52.9      5.9    12.6%       47.0
                                       --------  -------- -------- ---------
          Total prescriptions           299.7     17.3     6.1%      282.4
                                      =========  ======== ======== =========

      Adjusted prescriptions (2)        404.8     29.1     7.7%      375.7
      Adjusted mail-order
       penetration (3)                   39.0%     1.7%               37.3%

      Other volume (4)                    2.7      2.7      N/M*       -

      Generic Dispensing Rate Information
      -----------------------------------
      Retail generic dispensing rate     65.4%     4.9%               60.5%
      Mail-order generic
       dispensing rate                   54.2%     5.1%               49.1%
      Overall generic dispensing rate    63.5%     4.9%               58.6%


      Manufacturer Rebate Information
      -------------------------------
      Rebates earned                   $2,115     $278    15.1%     $1,837
      Percent of rebates retained        19.4%     2.5%               16.9%


      Depreciation Information
      ------------------------
      Cost of revenues depreciation     $21.6    $(3.7)  -14.6%      $25.3
      SG&A expenses depreciation         57.4     (2.7)   -4.5%       60.1
                                      ---------  ------- --------  ---------
      Total depreciation                $79.0    $(6.4)   -7.5%      $85.4
                                      =========  ======= ========  =========



     (1) Includes PolyMedica's, Critical Care's, and Europa Apotheek's
         operating results commencing on the October 31, 2007, November 14,
         2007, and April 28, 2008 acquisition dates, respectively.
     (2) Adjusted prescription volume equals the majority of mail-order
         prescriptions multiplied by 3, plus retail prescriptions.  These
         mail-order prescriptions are multiplied by 3 to adjust for the fact
         that they include approximately 3 times the amount of product days
         supplied compared with retail prescriptions.
     (3) The percentage of adjusted mail-order prescriptions to total
         adjusted prescriptions.
     (4) Represents over-the-counter drugs, as well as diabetic supplies
         primarily dispensed by PolyMedica.

    *Not meaningful



                           Medco Health Solutions, Inc.
                               Consolidated EBITDA
                                   (Unaudited)
         (In millions, except for EBITDA per adjusted prescription data)

  Table 6.
                                       Quarters Ended     Six Months Ended
                                     ------------------- -------------------
                                     June 28,  June 30,   June 28,  June 30,
                                     2008 (1)    2007     2008 (1)    2007
                                     --------  --------  --------  --------
      EBITDA Reconciliation:
      ----------------------
      Net income                        $262.7  $214.9      $532.9    $489.7
      Add:
          Interest and other (income)
           expense, net                   57.5    21.9      111.8(2)    36.8
          Provision for income taxes     174.3   139.2      352.2      320.1
          Depreciation expense            39.0    43.9       79.0       85.4
          Amortization expense            70.6    54.6      140.1      109.3
                                      -------- -------- ----------  --------
      EBITDA                            $604.1  $474.5   $1,216.0   $1,041.3
                                      ======== ======== ==========  ========
      Adjusted prescriptions (3)         198.1   186.2      404.8      375.7
                                      -------- -------- ---------   --------
      EBITDA per adjusted
       prescription                      $3.05   $2.55      $3.00      $2.77
                                      ======== ======== ==========  ========


      (1) Includes PolyMedica's, Critical Care's, and Europa Apotheek's
          operating results commencing on the October 31, 2007, November 14,
          2007, and April 28,
          2008 acquisition dates, respectively.
      (2) Includes a $9.8 million charge for the ineffective portion of the
          forward-starting interest rate swap agreements associated with the
          March 2008
          issuance of senior notes.
      (3) Adjusted prescription volume equals the majority of mail-order
          prescriptions multiplied by 3, plus retail prescriptions. These
          mail-order
          prescriptions are multiplied by 3 to adjust for the fact that they
          include approximately 3 times the amount of product days supplied
          compared with
          retail prescriptions.



                        Medco Health Solutions, Inc.
          Accredo Health Group (Specialty Pharmacy) Segment Results
                                 (Unaudited)
                                (In millions)

  Table 7.
                                      Quarter                      Quarter
                                       Ended                        Ended
                                      June 28,                     June 30,
                                      2008 (1) Increase (Decrease)   2007
                                     --------- -------- ---------- --------
      Specialty Pharmacy:
      -------------------
      Product net revenues            $1,960.4  $479.6    32.4%    $1,480.8
      Service revenues                    21.5     7.5    53.6%        14.0
                                      -------- -------   ------   ---------
         Total net revenues            1,981.9   487.1    32.6%     1,494.8
      Total cost of revenues           1,824.0   448.1    32.6%     1,375.9
      Selling, general and
       administrative expenses            78.9    24.0    43.7%        54.9
      Amortization of intangibles         11.2     1.6    16.7%         9.6
                                      -------- -------   ------   ---------
      Operating Income                   $67.8   $13.4    24.6%       $54.4
                                      ======== =======   ======   =========
      Gross Margin (2)                  $157.9   $39.0    32.8%      $118.9
         Gross margin percentage          8.0%     -                    8.0%


                                        Six                           Six
                                       Months                        Months
                                       Ended                         Ended
                                      June 28,                      June 30,
                                      2008 (1)  Increase (Decrease)   2007
                                     ---------  ------------------ ---------
      Specialty Pharmacy:
      -------------------
      Product net revenues               $3,835.0  $919.2   31.5%  $2,915.8
      Service revenues                       36.6     7.9   27.5%      28.7
                                         --------  ------  ------  --------
         Total net revenues               3,871.6   927.1   31.5%   2,944.5
      Total cost of revenues              3,568.6   859.2   31.7%   2,709.4
      Selling, general and
       administrative expenses              149.3    41.4   38.4%     107.9
      Amortization of intangibles            22.2     2.9   15.0%      19.3
                                         --------  ------  ------  --------
      Operating Income                     $131.5   $23.6   21.9%    $107.9
                                         ========  ======  ======  ========

      Gross Margin (2)                     $303.0   $67.9   28.9%    $235.1
         Gross margin percentage             7.8%   -0.2%              8.0%

    (1) Includes Critical Care's operating results commencing on the
        November 14, 2007 acquisition date.

    (2) Defined as net revenues minus cost of revenues.



                       Medco Health Solutions, Inc.
                    Earnings Per Share Reconciliation
                               (Unaudited)


  Table 8.
                                         Quarters Ended   Six Months Ended
                                       ----------------- ------------------
                                       June 28, June 30, June 28, June 30,
                                         2008     2007     2008     2007
                                       -------- -------- -------- ---------
     Earnings Per Share Reconciliation:
     ----------------------------------
     GAAP diluted earnings per share      $0.51    $0.38    $1.01    $0.85

     Adjustment for the amortization of
      intangible assets (1)                0.05     0.05     0.10     0.10
                                       -------- -------- -------- ---------
     Diluted earnings per share,
      excluding intangible amortization   $0.56    $0.43    $1.11    $0.95
                                       ======== ======== ======== =========


     (1) This adjustment represents the per share effect of the intangible
         amortization from the 2003 spin-off, when Medco became a publicly
         traded company.



                         Medco Health Solutions, Inc.
                             Guidance Information
                                 (Unaudited)

  Table 9.
                                                              Estimated
                                        Full Year ended     Full Year Ended
                                         December 29,         December 27,
                                            2007                 2008
                                        ---------------  -------------------
                                           Actual        Low End    High End
                                        ---------------  -------------------

     Earnings Per Share Guidance Reconciliation:
     -------------------------------------------

     GAAP diluted earnings per share          $1.63       $2.10       $2.13

     Adjustment for the amortization of
      intangible assets (1)                    0.19        0.20        0.20
                                             ------      ------      ------

     Diluted earnings per share,
      excluding intangible amortization       $1.82       $2.30       $2.33
                                             ======      ======      ======

     Diluted earnings per share growth
      over prior year                                       29%         31%
     Diluted earnings per share growth
      over prior year, excluding
      intangible amortization                               26%         28%

     (1) This adjustment represents the per share effect of the intangible
         amortization from the 2003 spin-off, when Medco
         became a publicly traded company.

SOURCE: Medco Health Solutions, Inc.

CONTACT: Investors: Valerie Haertel, +1-201-269-5781,
valerie_haertel@medco.com, or Media: Lowell Weiner, +1-201-269-6986,
lowell_weiner@medco.com, both for Medco

Web site: http://www.medco.com/

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