SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
REY-GIRAUD AGNES

(Last) (First) (Middle)
EXPRESS SCRIPTS INC
13900 RIVERPORT DRIVE

(Street)
MARYLAND HEIGHTS MO 63043

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
EXPRESS SCRIPTS INC [ ESRX ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
SVP, Product Management
3. Date of Earliest Transaction (Month/Day/Year)
08/31/2004
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Common Stock(1) 08/31/2004 A 10,537 A $0(1) 26,885 D
Common Stock 2,300 I Owned by spouse.(2)
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction Code (Instr. 8) 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 6. Date Exercisable and Expiration Date (Month/Day/Year) 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Non-Qualified Stock Option (Right to Buy) $63.2 08/31/2004 A 8,777 (3) 08/31/2011 Express Scripts, Inc. Common Stock 8,777 (4) 8,777 D
Explanation of Responses:
1. Restricted Stock award granted pursuant to Express Scripts, Inc. 2000 Long-Term Incentive Plan under Executive Employment Agreement with Company. Restrictions lapse ten years from grant date; provided that the lapse of restrictions may be accelerated if certain performance targets are achieved for fiscal 2004, 2005 and 2006.
2. Owned by spouse.
3. Employee Stock Option granted pursuant to Express Scripts, Inc. Long-Term Incentive Plan under Executive Employment Agreement with Company. Options exercisable commencing on 12/31/2010; provided that the vesting may be accelerated if certain performance targets are achieved for fiscal 2004, 2005 and 2006.
4. Stock Option granted pursuant to Express Scripts, Inc. 2000 Long-Term Incentive Plan.
Agnes Rey-Giraud 09/02/2004
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.