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Merck & Medco

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You Decide – Week 3 - Merck & Medco
Answer Key

(Week 3 – FI-561 – Mergers and Acquisitions)

C5.1.1
The large growth of managed care has changed the face of the health care industry and impacted drug companies. The prescription decision making authority has shifted away from doctors to managed care and prescription benefits management company (PBM) administrators. With the expectation of managed care providers relying on only one major drug supplier, the benefits of a vertical integration are greatly increased and guaranteed one of the increasingly few distribution channels available.

C5.1.2
The role of PBMs is to manage insurance claims, negotiate volume discounts with drug manufacturers and encourage use of certain drugs. They basically have the power, contracted to them by a managed care organization, to recommend a certain drug over others and thereby convince doctors to prescribe it. Further, through their monitoring role they analyze physician prescribing patterns and patient usage. PBMs can take action in trying to monitor costs which can influence the future drug use.

C5.1.3
Medco's large database would allow Merck to (a) identify prescriptions which can be switched from a competitor's drug to a Merck drug and promote such a switch with managed care doctors thereby increasing the potential for sales; (b) identify and seek out patients who fail to refill prescriptions once again increasing sales; (c) utilize the database to determine which drugs are worth a premium and which are not, using patient records as a real life laboratory.

C5.1.4
Merck's move was quickly imitated by other large pharmaceutical companies such as SmithKline Beecham, Roche, and Eli Lilly. Merck's move proved to be a catalyst for an industry change that was deemed inevitable.

Some of the other firms subsequently sold off their PBM units. Merck appears to have been able to successfully use the PBM segment. In its 1999 annual report (p. 26) Merck states that its Web site, merckmedco.com, is central to its "Pharmacy of the Future" strategy. Merck-Medco is dispensing more than 50,000 prescriptions a week through its web site.

C5.2.1
Strengths:

a. Ability to manage and integrate large computer systems.
b. Global sales force which could be used to interact with customers on all computer applications.
c. Leader in the mainframe market.
d. Financial muscle.
e. Strong maintenance and repair organization.

Weaknesses:

a. Inexperience in small networks.
b. Limited success in the PC market.
c. Lack of critical mass for OS/2.
d. Lack of organizational flexibility.
e. Declining market share.

FTC Settlement: The Students should also discuss the Merck’s settlement with the Federal Trade Commission in 1998 re the Medco Acquisition.

Spin-Off in 2003: Students should also discuss Merck’s spin off of Medco in August 2003, and how this impacted the marketing strategy of Merck, the price of Merck stock, and the price and the future of the new spun off Medco. What has happened to Medco since 2003?

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