EX-99.1 2 exhibit99-1.htm EXHIBIT 99-1 SLIDES exhibit99-1.htm
1
 
 

 
Forward-Looking Statements
Forward-looking Statements
Certain of the statements made today and listed within the following presentation slides are forward-looking statements within the meaning of the Private Securities Litigation
Reform Act of 1995. These forward-looking statements include, but are not limited to, all statements regarding the intent, belief or current expectations regarding the matters
discussed in this presentation. Such forward-looking statements are based on management’s current expectations and involve known and unknown risks, uncertainties,
contingencies and other factors that could cause results, performance or achievements to differ materially from those stated. The most significant of these risks and uncertainties
are described in the Company’s Form 10-K, Form 10-Q and Form 8-K reports filed with the Securities and Exchange Commission. Investors are cautioned that such statements
are only predictions and that actual events or results may differ materially.
These forward-looking statements speak only as of the date this presentation was originally given. We undertake no obligation to publicly release the results of any revisions to the
forward-looking statements made today, to reflect events or circumstances after today or to reflect the occurrence of unanticipated events.
Reconciliation to GAAP
To facilitate comparisons and enhance understanding of core operating performance, certain financial measures have been adjusted from the comparable amount under Generally
Accepted Accounting Principles (GAAP). A detailed reconciliation of adjusted numbers to GAAP is posted in the Investor Relations section of our Web site at
http://ir.omnicare.com. Additionally, all amounts are presented on a continuing operations basis, unless otherwise stated.
Important Additional Information
On September 7, 2011, Philadelphia Acquisition Sub, Inc. ("Purchaser"), a wholly owned subsidiary of Omnicare, Inc. ("Omnicare"), commenced a tender offer to purchase all
issued and outstanding shares of common stock, par value $0.01 per share (together with the associated preferred share purchase rights, the "Shares") of PharMerica Corporation
("PharMerica") at a price of $15.00 per Share, net to the seller in cash, without interest and subject to any required withholding of taxes, upon the terms and subject to the
conditions set forth in the Offer to Purchase and in the related Letter of Transmittal (which, together with any amendments or supplements thereto, constitute the "Offer").  The
Offer is scheduled to expire at 5:00 p.m., New York City time, on January 20, 2012, unless extended.  If the Offer is extended, Omnicare will issue a press release announcing the
extension no later than 9:00 a.m., New York City time, on the next business day following the date the Offer was scheduled to expire.  The Offer is conditioned on, among other
things, there being validly tendered and not withdrawn at least a majority of the total number of Shares outstanding on a fully diluted basis, the board of directors of PharMerica
redeeming or invalidating its "poison pill" stockholder rights plan, receipt of regulatory approvals and other customary closing conditions as described in the Offer to Purchase. The
Offer is not subject to any financing contingencies.
This communication does not constitute an offer to buy or solicitation of an offer to sell any securities. The Offer is being made pursuant to a tender offer statement on Schedule
TO (including the Offer to Purchase, Letter of Transmittal and other related tender offer materials) that was filed on September 7, 2011 by Omnicare and Purchaser with the SEC. 
These materials, as they may be amended from time to time, contain important information, including the terms and conditions of the Offer, that should be read carefully before any
decision is made with respect to the Offer.  Investors and security holders of PharMerica are able to obtain free copies of these documents and other documents filed with the SEC
by Omnicare through the web site maintained by the SEC at http://www.sec.gov or by directing a request to the Corporate Secretary of Omnicare, Inc., 100 East RiverCenter
Boulevard, Suite 1600, Covington, Kentucky 41011.  Free copies of any such documents can also be obtained by directing a request to Omnicare's information agent, D.F. King &
Co., Inc., by phone at (212) 269-5550 or toll-free at (800) 769-7666 or by email at info@dfking.com.
2
 
 

 
John Figueroa
Chief Executive Officer
 
 

 
Management Presenters
4
John Workman
Jeff Stamps
Nitin Sahney
President and Chief Financial
Officer
Executive Vice President and
President LTC Operations
Executive Vice President and
President Specialty Care Group
John Figueroa
Chief Executive Officer
 
 

 
Today’s Objectives
5
 
 

 
Today’s Objectives
 Strategic overview
 Financial review
 Greater visibility
  Long-Term Care
  Specialty Care Group
 Additional metrics for greater transparency
 Future growth opportunities
 Question & Answer session
6
 
 

 
Creating Value
7
 
 

 
Cash Flow
Generation
Specialty Care
Group
Omnicare’s Fundamental Objective
Focused on Growth and Creating Value
Value
Creation
 
 

 
30-Year Evolution
9
 
 

 
Omnicare’s 30-Year Evolution
A Different Company Today
10
Omnicare today is a company that spans the healthcare continuum, providing
services designed to improve outcomes at the lowest possible cost.
Acute Care
Facilities/Hospitals
 
 

 
Omnicare’s 30-Year Evolution
A Different Company Today
11
Omnicare today is a company that spans the healthcare continuum, providing
services designed to improve outcomes at the lowest possible cost.
Skilled Nursing
Facilities
Patients
Other Institutional
Settings
Caregivers
Physicians
Nurses
Manufacturers
 
 

 
Omnicare’s 30-Year Evolution
Timeline of Events
12
1988
First investment in
Long Term Care
Omnicare sells CRO
business, announces
tender offer for
PharMerica
2005
Omnicare introduces
Geriatric Pharmaceutical
Care Guidelines
®
1989
Omnicare sells
Hospital business
2010
Omnicare begins cultural
and strategic repositioning
2003
Omnicare named to the
FORTUNE 500®
2000
Implementation of PPS
requires Omnicare to
consolidate operations
1992
Omnicare sells Veratex
Group to focus on LTC
1981
Omnicare goes public
as Hospital Pharmacy
Management Business
2012-2015
Focus on LTC organic
growth and efficiency,
SCG growth
 
 

 
Omnicare’s 30-Year Evolution
Sizing Up the Business
13
More transparency into Specialty Care Group to be provided in 4Q11
 
 

 
Omnicare’s 30-Year Evolution
Our Employees are Foundational to Our Success
 Clinical expertise provides for differentiated offering
 Localized services require customer-focused teams
 Investments made to better align employee interests
 Launch of core values to continue cultural transformation
  Excellence
  Integrity
  Service
  Compassion
14
 
 

 
Industry Growth Dynamics
15
 
 

 
Demographic Trends
Aging Population Shaping US Healthcare System
16
Source: U.S. Census Bureau
Seniors generally have higher pharmaceutical utilization rates, and
adherence to medication is essential to lowering overall healthcare costs
 
 

 
Pharmaceutical Market Dynamics
Continued Rise of Generics, Specialty Drugs
17
1. Source: IMS - Total US Pharma Prescriptions
Omnicare positioned well to capitalize on both
growing markets; generics and specialty.
Forecasted Pharmaceutical Developments(1) by Drug Type
 
 

 
Pharmaceutical Market Dynamics
Continued Rise in New Generic Introductions
18
2. Omnicare Source: Assumptions based on Omnicare data and OCR projected inflation rates
Omnicare’s speed to generic conversion benefits customers, and will
be increasingly critical as new generics become available.
 
 

 
Pharmaceutical Market Dynamics
Typical Life Cycle of Nonexclusive Generic Drug
19
NOTE: Graph is for illustrative purposes only. Not representative of every generic drug, as each generic drug has unique characteristics.
Lowers sales but stronger gross
profit margin and dollars over time.
 
 

 
Transitioning to an Operations-Driven Company
Focus on Three Core Operating Objectives
 Establish
  consistent organic growth in our Long-Term Care Group
 Reposition
  Specialty Care Group for an elevated level of growth
 Create
  more standardization across the company
20
 
 

 
Transitioning to an Operations-Driven Company
Establishing Consistent Organic Growth in LTC
 Focus on customer retention
  Revamp corporate culture, increase employee engagement
  Align incentive programs with customer service to improve retention
  Reshape the organization to bring it closer to the customer
  Organization-wide focus on the customer
  Objective is sustainable 95% customer retention rate
 Investments being made to accelerate sales results
  Reorganization of sales force - improve coordination of selling process
  Investments in sales tools, training programs
  Deploy resources in attractive markets
  Refine go-to-market message
  Customer-facing technology enhancements
21
Omnicare is further along with efforts to improve service delivery,
with sales and marketing investments now underway.
 
 

 
Transitioning to an Operations-Driven Company
Creating More Standardization
 Operating efficiencies
  Benchmarking
  Insourcing
  Six Sigma-Focused Culture
 Technological improvements
  ONE System
  Automation
  Customer-facing technology
  Medication availability
22
Standardization opportunities expected
to be a longer-term growth driver
 
 

 
3Q11 YTD net organic bed loss is
49.5% lower than 3Q10 YTD
Transitioning to an Operations-Driven Company
Establishing Consistent Organic Growth in LTC
23
43.2% better
than 2010
 
 

 
Transitioning to an Operations-Driven Company
Repositioning Specialty Care Group for Elevated Growth
24
 
 

 
Transitioning to an Operations-Driven Company
Repositioning Specialty Care Group for Elevated Growth
Omnicare specialty care growth has been robust…and opportunities
exist to further accelerate growth through:
Continued improvements to the organizational structure
  Investments made in manufacturer-focused sales organization
  Platform-specific experts added to expand breadth of knowledge
Expanding into other specialty-focused platforms
Penetrating additional disease states in specialty pharmacy platform
  Primary disease states currently multiple sclerosis and oncology
Leveraging long-term care business to create new opportunities
25
Annual growth rate for Omnicare’s specialty care businesses exceeds 20%(1)
1. Based on third-quarter 2011 results
 
 

 
Acquisition Program
Opportunities to Leverage Infrastructure
 Omnicare’s scalable platform makes LTC acquisitions attractive
  Leverage synergies through direct purchasing of generics
  Utilize hub-and-spoke network and automation/technology platforms
  Improvements in customer retention efforts lowers customer attrition
 risk
 Disciplined approach to acquisitions with early involvement of
 operators
 PharMerica offer
  Believe PharMerica to be an excellent fit
  Complementary business would enable combined company to benefit
 from enhanced scale, provide a broader array of service offerings
  Consistent with the country’s ongoing efforts to lower healthcare costs
26
Disciplined approach to acquisitions requires at least 15% after-tax returns,
with acquisitions compared to other capital allocation alternatives.
 
 

 
Cash Flow
Generation
Specialty Care
Group
Omnicare’s Fundamental Objective
Focused on Growth and Creating Value
Value
Creation
 
 

 
 
 

 
John L. Workman
President & Chief Financial Officer
 
 

 
Financial Overview
30
 
 

 
Operating Performance
Sequential Progression Five Quarter Trend(1) (in millions, except percentage
data)
31
1. Excludes discontinued operations.
 
 

 
Financial Performance
Sequential Progression Five Quarter Trend(1)(2) (in $ millions, except per
share data)
32
2. Excludes special items. A reconciliation of certain non-GAAP information is available on Omnicare’s Web site under ‘Supplemental Financial Information’ from the ‘Investors’ page.
 
 

 
Financial and Operational Highlights
Third Quarter 2011 Highlights
 Gross profit increased 2.9% sequentially to $346.1M on 0.7% decrease in sales
  Gross margin sequentially higher by 79 bps to 22.4%, reflecting higher generic
 dispensing rates
 Cash flows from continuing operations of $167.1M increased 22.1% sequentially
 and 43.7% over 3Q10
 Adjusted EBITDA(1) increased 7.5% sequentially to $157.2 million
 Adjusted EPS(1) of $0.54 as compared to 2Q11 of $0.50 and 3Q10 of $0.53
 Scripts flat versus 3Q10; 0.7% lower than 2Q11
  Utilization weaker, consistent with industry
  Generic dispensing rate increased 60 basis points sequentially
 Qtr. ending number of beds/patient assistance program (PAP) patients up 2,000
 sequentially
  Beds 10,000 higher; PAP patients down 8,000
  Net organic bed loss of 8,000 decreased 27.3% from 2Q11 organic net bed loss of
 11,000, and decreased 46.7% from 3Q10 organic net bed loss of 15,000
 $54.6 million returned to shareholders through share repurchases and dividends
33
1. Excludes special items. A reconciliation of non-GAAP information has been attached to our earnings press release of October 25, 2011 and is also available on our Web site under
 ‘Supplemental Financial Information’ from the ‘Investors’ page
.
 
 

 
Focus on Cash Flow
Year-to-Date 2011 Performance
34
1. Excludes discontinued operations.
3Q11 YTD cash flow from continuing
operations 66.4% higher than 3Q10 YTD
 
 

 
Focus on Cash Flow
High Quality of Earnings
35
A significant amount of Omnicare’s
earnings is converted into cash flow
1. Free cash flow = cash flow from continuing operations less capital expenditures and dividends paid. Free cash flow does not fully reflect the ability to freely deploy cash as it does
 not reflect required payments on indebtedness and other obligations. A reconciliation of free cash flow to net cash flows from operating activities is available on Omnicare’s
 website under ‘Supplemental Financial Information’ from the ‘Investors’ page.
 
 

 
Focus on Cash Flow
Cash Flow Drives Substantial Value
 Highly compelling financial attribute is cash flow generation
 capability
  High quality of earnings
  Creates flexibility for capital allocation initiatives
 Substantial value exists below the EBITDA line
  Significant amount of ongoing intangible asset amortization
  Lower cash tax rate vs. effective tax rate
  Capital expenditure requirements relatively modest
36
1. As of the close of trading on 12/2/2011. Free cash flow = cash flow from continuing operations less capital expenditures and dividends paid. Free cash flow does not fully reflect the ability to freely deploy cash
 as it does not reflect required payments on indebtedness and other obligations. A reconciliation of free cash flow to net cash flows from operating activities is available on Omnicare’s website under
 ‘Supplemental Financial Information’ from the ‘Investors’ page.
14% free cash flow yield based on current
 market capitalization(1)
 
 

 
Focus on Cash Flow
Substantial Long Term Value Exists Below the EBITDA Line
37
These items carry a weighted average life of over 9 years if the
 company were to make no additional acquisitions
 
 

 
Focus on Cash Flow
Moving to Cash-Based EPS Reporting
38
Beginning in 2012, Omnicare will report adjusted earnings
excluding intangible asset amortization
While adding back:
Goodwill amortization tax deduction, and
Contingent convertible debenture interest tax deduction
 
 

 
Focus on Cash Flow
Reasons Behind Moving to Cash-Based EPS Reporting
 Increased transparency
  Clarifies some of the drivers behind Omnicare’s strong cash flows
  Narrows the gap between Omnicare’s adjusted earnings and cash flows
 Sustainable benefit over the long-term
  Weighted average life of the existing benefits extend approximately 9
 years
  Additional acquisitions generally continue to extend these benefits
 further
 Consistent with management’s view of the business
39
 
 

 
Financial Performance
Focus on Cash Flow - Pro Forma Results (in $ millions, except per share
data)
40
 
3Q11 YTD
     
     
     
 (4)
Contingent Convertible Debenture Interest - after tax
2,125
 (6)
Total Additional Special Items - after tax
$ 58,192
 (7)
Diluted Adjusted EPS(2)
$ 1.55
 (8)
Cash EPS Adjustments
$ 0.51
 (9)
Diluted Adjusted Cash EPS(2)
$ 2.06
 (10)
Effective Tax Rate
37.5%
 (11)
Dil. Avg. Shares Outstanding
 114,930
The after-tax benefit in 3Q11 YTD was
$58.2 million or $0.51 per diluted share
1. Excludes special items. A reconciliation of certain non-GAAP information has been attached to our earnings press release of October 25, 2011 and is available on Omnicare’s Web site under ‘Supplemental
 Financial Information’ from the ‘Investors’ page
2. Excludes discontinued operations
 
 

 
Capital Allocation
Putting the Robust Cash Flows to Work
41
 
 

 
Capital Allocation
Putting the Robust Cash Flows to Work(1)(2)
42
1. Excluding potential acquisition of PharMerica
2. Cumulative % Returned = (Dividends Paid + Share Repurchases) / 12/31/10 Market Capitalization of $2,961.0 million
Third quarter year-to-date capital returned to shareholders increased 44.5% over 2010
 
 

 
1. Assumes convertible debentures due 2035 are put to the company in 2015 with related tax recapture included and debt amounts shown are exclusive of unamortized debt discount.
Capital Structure
43
Goal is to spread out maturities to limit refinancing risk
 
 

 
Financial Performance
Longer-Term Targets(1)
 
Target
 Adjusted Diluted EPS
Double digit three-year CAGR
for the year ending 2013
 Cash Flow from Operations
$400 - $500 million annually
 Capital Returned to Shareholders
Approximately 25% per year (2)
 Capital Structure
Focus on continued debt reduction,
management of maturity schedules
44
1. Not intended to represent expectations for any given year.
2. Board approval required for share repurchases and/or dividends. The number could vary by year based on available acquisitions and capital expenditure plans.
We believe investments made in 2011 are consistent with the targets
 
 

 
Financial Performance
Forward-Looking Major Drivers(1)
Major Drivers
2012
2013
2014
 Brand-to-generic
Positive
Neutral
Neutral
 Organic Growth - Long-Term Care
Neutral
Positive
Positive
 Reimbursement
Negative
Negative
Negative
 Specialty Care(2)
Positive
Positive
Positive
 ONE System
Neutral
Positive
Positive
 Standardization Initiatives
Neutral
Positive
Positive
 Automation
Neutral
Positive
Positive
 Omnicare-at-home
Neutral
Positive
Positive
45
1. Information on this slide is not intended to represent the company’s financial guidance for 2012, 2013 or 2014
2. Includes an assumption for acquisitions
Omnicare continues to invest in elements to drive future growth
 
 

 
ONE System
46
 
 

 
Efficiency-Driving Infrastructure Enhancement
 Implementing plans to modernize our Pharmacy and Billing System
  Currently utilizing multiple dispensing systems running technology that
 is not state of the art
  Not fully integrated with LTC product lines and financial systems
  Specialty Care Group systems not integrated
 Oracle solution will update pharmacy systems with an integrated
 ERP solution across all business units
  A combination of commercial software and custom development will be
 required to improve technology platforms
 Projected timeline to develop and fully implement is 48 months
 (started
 in 2Q11) but some benefits start in late 2012
47
ONE System expected to be significant driver of efficiency improvements
 
 

 
Anticipated Operational Benefits
 Improved customer service through customer-facing technology
  Integration from the facility to the pharmacy
 Improved technology foundation
  Pharmacy automation
  On-site facility automation
  Communication with payors
 Improved compliance performance
 Improved data accuracy and timeliness
  Across multiple lines of business
 Better foundation for growth and conversion of future acquisitions
  Easily scalable
  Fewer customer disruptions
 Improved company reporting
48
 
 

 
Implementation Releases and Schedules
49
 
 

 
Anticipated Financial Benefits and Return on Investment
 Cost Benefits
  No longer supporting 2 disparate systems
  Fewer resources (headcount) in collections, dispute resolution
  Executive information needs “main streamed”
 Integrated with CPOE efforts to create efficiencies for lost revenue
 and requiring fewer people in order entry
 Improved processing of rejected claims and more efficient claims
 processing
  Lower bad debt expense and days sales outstanding (DSOs)
 ONE system expected to increase capital expenditures by $15M -
 $20M each of the next few years (beginning in 2011)
 Significant returns on investment expected to begin in 2013
50
 
 

 
51
 
 

 
Jeff Stamps
Executive Vice President and
President LTC Operations
 
 

 
LTC Pharmacy
53
 
 

 
By the Numbers
54
 
 

 
Long-Term Care Pharmacy
By the Numbers
55
 
 

 
Long-Term Care Pharmacy
By the Numbers
Our customer base is very fragmented with our largest facility
customer representing only 2.6% of Long-Term Care revenue
56
1. Based on 3Q11 YTD results
 
 

 
Operating Model
57
 
 

 
Long-Term Care Pharmacy
Typical Prescription Dispensing Cycle
58
 
 

 
The Omnicare Advantage
59
 
 

 
Omnicare’s Offering Revolves Around Value Creation
COST Management Equates to Customer Success
 eRefill
 Managed care
 exclusions
 Discharge to
 home
 Returns
 Split billing
 Infusion
 Survey
 preparedness
 Customer
 defined
 Omniview
 admissions
 review
 Omniview
 paperless
 invoice
 Omniview
 management
 reports
 Electronic
 Medication
 Administration
 Record (eMAR)
 Census feed
 Industry standard
 
Geriatric
 Pharmaceutical
 Guidelines®
 Facility formulary
 initiatives
 Pharmacy
 clinical edits
 Generics first
 Utilization
 solutions
 Consultant
 recommendation
 s
 
 

 
 
 

 
Omnicare’s Clinical Organization
Robust Infrastructure in Place to Improve Patient Outcomes
62
 
 

 

Clinical Processes & Programs
Clinical Tools Designed to Create Value for Customers
63
 
 

 
Clinical Program Content and Design
 Geriatric Pharmaceutical Care Guidelines®
  Clinical ratings determined by Philadelphia College of Pharmacy
  Endorsed by American Geriatrics Society
 Health management programs are evidenced-based
  Chief Clinical Officer
 Established policies and procedures for therapeutic
 interchange programs
Omnicare’s clinical programs generate average annual
cost savings of 5%-15% for our customers(1)
64
1. Varies by customer, based on Omnicare internal data
 
 

 
Generic Drug Efficiencies
Speed-to-Generic Conversion Drives Value
65
Omnicare’s customers have realized over $200 million in
savings from generics launched for the trailing four quarters
1. Source: Omnicare and IMS data for Aricept, Levaquin, Xalatan, Zyprexa and Zyprexa Zydis
 
 

 
 
 

 
Operationally Driven Services
67
Pharmacy quality assurance audit
Service charges adhere with contract terms
Contract non-covered rules are followed
RxClaim Adherence
Non-covered charge control
Credit memo
Electronic invoicing and timeliness of bills to customer
Medical records review
New transition / start up support
Educational in-service
Participation in ‘mock survey’ process upon request
Focused area visits
 
 

 
Operationally Driven Services
Co-Marketing Opportunities
Programs Designed to Assist with Census Development
Marketing Brochures
Infusion Program
Discharge Programs
Health Fairs
Medical Screenings
Omnicare-at-Home
68
 
 

 
 
 

 
Specialty Programs
 Infusion
 Survey preparedness
 Customer defined
 Leveraging Specialty Care Group assets
70
Improving the quality of services
provided to enhance patient care
 
 

 
 
 

 
Pharmacy Automation Video
72
 
 

 
Technology Strategy
Deployment of Automation and Customer-Facing Technology
 Develop and implement new technology for Pharmacy and
 In-Facility solutions that provides the following benefits:
  Highest accuracy and quality with a validate-able process
  A streamlined process to improve service
  Reduced operational costs
  Improved customer retention
73
Omnicare’s technological capabilities create efficiencies
including lower costs for both Omnicare and its customers
 
 

 
Technology Tools
Leading Technology Initiatives
74
A proprietary robotic dispensing process for card and box products
18 ALV systems are currently in operation with plan to add systems in 2012
Combines the pick, label print & apply, verification and sorting steps into
one function
Currently in pilot with roll-out commencing in mid-2012
Most efficient pouch dispensing technology leveraging Hub and Spoke
model for ALF
Pilot to begin in early 2012 with roll-out commencing by year-end
In-facility solution that improves: “Lack of Medication” events; Security and
access control; Management of controlled substances; Administration
Currently in pilot with multi-year roll-out commencing in mid-2012
OmniviewTM, OmniviewDr, MyOmniview
 
 

 
Technology Tools
Leading Technology Initiatives
 As we expand our current base of validate-able technology with
 additional ALV units and planned ULV units, the percentage of scripts
 automated is expected to increase dramatically
75
Technology initiatives expected to be a driver of cost savings,
retention and growth opportunities in late 2012 and beyond.
 
 

 
Classic Omniview
Omniview
Omnicare’s secure web-based worksite for
customer
facilities, prescribers and patients
OmniviewDr
MyOmniview
 
 

 
Customer-Facing Technologies
Classic Omniview™
77
Billing, Claims Management, Census
Drug Info, Geriatric Pharmaceutical Care Guidelines®,
P&Ps, Medicare Part D
Drug Spend, Utilization, Formulary
Consultant Pharmacist Reviews, Health Management,
IV Therapy Protocols
Barcode scan processing refills, Returns (where permissible),
Drug destruction (where permissible)
 
 

 
Customer-Facing Technologies
Omniview™ Usage Increasing Among Customer Base
78
 
 

 
Customer-Facing Technologies
OmniviewDr
Profile
Allows you to update information related to your profile.
Medication Regimen Review
Allows you to review and respond to patient-specific comments posted by the Omnicare consultant pharmacist
Health Record
Allows you or your staff to view your SNF, ALF and ILF patients’ health records as prepared by Omnicare and allows prescribers to perform
e-prescribing (Add, Change, and Discontinue Medication Orders).
Prescription Order Center
Allows you or your staff to approve refill requests for ALF and ILF patients.
Admissions Review
Allows you or your staff to request an estimated price quote for a specific drug.
Reference Library
Allows you or your staff to view the document library for reference on a number of topics.
Media Center
Allows you or your staff to pick up messages related to your activity on OmniviewDr.
79
 
 

 
OmniviewTM Video
80
 
 

 
Customer-Facing Technologies Enhance Connectivity
MyOmniview
81
 
 

 
Establish Consistent Organic Growth
82
 
 

 
Establish Consistent Organic Growth
Focus on Customer Retention
 Initiatives designed to improve the customer experience
  Revamp corporate culture, increase employee engagement
  Align incentive programs with customer service to improve retention
  Reshape the organization to bring it closer to the customer
  Organization-wide focus on the customer
  Objective is to achieve a 95% customer retention rate
  Constant touch, communication and feedback programs
83
 
 

 
Establish Consistent Organic Growth
Focus on Customer Retention
84
Customer response to service enhancement
initiatives has been favorable.
 
 

 
Establish Consistent Organic Growth
Sales and Marketing Developments
 Initiatives designed to accelerate sales results
  Revamped commission programs
  Reorganization of sales force - improve coordination of selling process
  Size of sales force doubled since the start of 2011
  Investments in sales tools, training programs
  Expanded technology offerings
  Convey the Omnicare value story
85
 
 

 
3Q11 YTD net organic bed loss is
49.5% lower than 3Q10 YTD
Establish Consistent Organic Growth
Sales and Service Initiatives Gaining Traction in 2011
86
43.2% better
than 2010
 
 

 
Establish Consistent Organic Growth
Growth Opportunities Beyond Skilled Nursing Facilities(1)
87
1. Based on market analyses performed by the company
 
 

 
Using the Omnicare Advantage to Drive Growth
Value
Creation
Through The Omnicare Advantage,
we believe we will establish consistent organic
growth in Long-Term Care Pharmacy.
 
 

 
 
 

 
Nitin Sahney
Executive Vice President and
President Specialty Care Group
 
 

 
Specialty Care Group
 
 

 
By the Numbers
92
 
 

 
Specialty Care Group
By the Numbers
93
 
 

 
Solution Driven
Manufacturer
Centric
Using the Omnicare Advantage to Create Value
Value
Creation
 
 

 
Specialty Market
95
 
 

 
What is Specialty?
 Specialty product
 characteristics
  Annual cost of therapy ($25,000
 to $150,000 per year)
  Patient population (ranging from
 hundreds to 250,000)
  Route of administration
 (frequently injected or infused)
  Chronic disease states
  All branded products, typically
 injectable
 Rapidly growing market sector
  22% market share increase
 from 2008 to 2010(1)
  15.4% growth rate in 2010 (2)
96
 
 

 
Specialty Therapeutic Categories
 Rheumatoid Arthritis
  Enbrel
  Humira
 Multiple Sclerosis
  Avonex
  Copaxone
  Betaseron
 Onocology
  Revlimid
  Gleevec
 Growth Hormones
  Norditripin
  Nutropin
97
1. Medco data
 
 

 
Framing the Specialty Market
98
1. Source: EvaluatePharma; World Preview 2016
Specialty drug market growing four times as fast as the traditional
drug market with annual growth rates ranging from 15-20%
Pharmaceutical Market Share(1) by Drug
Type
 
 

 
Small Patient
Populations
Complex Supply
Chain
Clinical Support
Insurance
Cost
Regulatory
Monitoring
Framing the Specialty Market
Specialty Products Face Unique
Challenges
 
 

 
Omnicare’s Specialty Opportunity
100
 
 

 
Seizing the Opportunity
101
 
 

 
Value Creation through Unique Solutions
102
Undifferentiated
Differentiated
Commoditized
Premium
Patient
Co-Pay
Services
Specialty
Pharmacy
Support
HUB Services
 
 

 
Our Solutions Create Value
The SCG Support Products from Phase III through
Commercialization
The Physicians
Smooth Initiation of therapy
Build brand loyalty
Reduce staff time
The Manufacturer
Retain and increase market share
Deliver brand promise
Differentiation from competition
The Patient
Remove barriers to access
Increased speed to therapy
Focus on health
 
 

 
End of Life
Care
Operational Platforms
104
Brand
Support
Services
Third
Party
Logistics
PAP &
Consigned
Pharmacy
Manufacturer
Fee for Service Model
Manufacturer owns the product
Specialty
Pharmacy
Third Party
Payers
Buy/Sell
Model
Hospices
Per Diem
Model
SCG owns the product
Customer
Revenue
Product
 
 

 
Proven Success
105
 
 

 
A Case Study
Consolidation of Services
Growth Hormone
 Seven (7) products in the market
 before our launch
 Brand differentiation created
 through:
  Product’s injection device
  Manufacturer’s patient/physician
 support center
 
 

 
A Case Study
Consolidation of Services
 Client’s product was trailing in
 market share
 Support services were disjointed
 and offered through separate
 organizations
 
 

 
A Case Study
Consolidation of Services
 Consolidation of services into a
 single organization - control of
 messaging
 Partner with company solely
 focused on the success of the
 program/product
 
 

 
A Case Study
Consolidation of Services
 Contributes to successful product
 launch
 Support program was rated number
 one
in blinded study in 2010 by 26%
 over competitive programs
 Improved adherence and patient care
 
 

 
Service
business
is not
focus.
Omnicare Specialty Care Group
ACS
 
Brand Support
 
 
SP Rx Fulfillment
excelleRx
 
 
 
 
Hospice
PBM Plus
 
Brand Support
 
 
 
RxCrossroads
 
Brand Support
Third Party Logistics
PAP/Consigned Rx
 
Service Providers
Covance
Public
Brand Support
 
 
 
Parexel
Public
Brand Support
 
 
 
Amerisource Bergen (ICS, Lash, Theracom)
Public
Brand Support
Third Party Logistics
 
 
Cardinal Health
Public
Brand Support
Third Party Logistics
 
 
DDN Logistics
Private
 
Third Party Logistics
 
 
UPS Logistics
Public
 
Third Party Logistics
 
 
ExpressScripts, Curascript , Healthbridge
Public
Brand Support
 
 
SP Rx Fulfillment
McKesson
Public
Brand Support
 
 
SP Rx Fulfillment
Product Dispensing
Axium Healthcare
Private
 
 
 
SP Rx Fulfillment
Biologics
Private
 
 
 
SP Rx Fulfillment
BioScrip
Public
 
 
 
SP Rx Fulfillment
CVS/Caremark
Public
 
 
 
SP Rx Fulfillment
Diplomat
Private
 
 
 
SP Rx Fulfillment
Medco/Accredo
Public
 
 
 
SP Rx Fulfillment
The Competitive Landscape
SCG Has Most Competitive Offering
110
 
 

 
Repositioning for Elevated Growth
111
 
 

 
The First Year
Laying the Foundation for Growth
11/1
Group Formed
EVP/President
Hired
11/8
SVP - Operations
SCG
11/1/2011-1/28/11
Evaluation of Existing
SP Operations
Nov
2010
Dec
2010
Jan
2011
Feb
2011
Mar
2011
Apr
2011
May
2011
Jun
2011
Jul
2011
Aug
2011
Sept
2011
Oct
2011
Nov
2011
2/5/11
VP Finance
for ACS
2/17/11
Relocation
of ACS
3/1/11
SVP/GM
of ACS
4/19/11
Open New
Logistics
Center
5/5/2011
Relocate
Plasma
Logistics
Operations
6/1/11
VP Business
Development
6/6-6/30/11
Sales Strategy
Development
7/13-9/22/11
Sales Team
Deployment
9/16/11
VP of
Operations
for Group
10/1/2011
Consolidation
of Satellite
Pharmacy
11/1/11
VP,Access
Solutions
for Group
11/15/11
Open New
Brand Support
Service Center
 
 

 
The First Year
 Supporting manufacturers
  Managed over $1B in commercial inventory annually
  99.97% inventory accuracy
  Shipped over 19 million units in the past year
  99.97% shipment accuracy
  Stored and managed over 1 million liters of plasma on a weekly basis
  Market leader in plasma supply chain
 Supporting patients
  Solved 3,000 reimbursement challenges weekly
  Supported 350,000 active patients with specialty needs in the past year
  Answered over 4.8 million calls
  Fulfilled over 6 million prescriptions
  Serviced 2 million hospice patients
 Planning for growth
  Additional Pharma grade logistics center in Louisville (100,000 sq. ft.)
  New Plasma logistics center in Erlanger, KY (25,000 sq. ft.)
  Expansion of Brand Support service center footprint in Louisville, KY
  Increase of over 100 new FTEs in Brand Support Services
113
 
 

 
The First Year
Group poised for solid organic
growth
Industry experiencing top-line
growth of 15%-20%
Focus on client retention
  No manufacturer client losses
 in the past year
  Achieved organic growth with
 current partners
Winning new business
  Awarded and transitioned
 business from direct
 competitors in the past 2
 quarters
  Won business from new
 customer leveraging assets
 of group
114
The First Year
 
 

 
The First Year
115
Implementing program leveraging
multiple platforms of the group
Used to support 2011 growth from
transition of business from competitors
Currently at 25%
capacity for
growth
Industry expertise
for solution
development
 
 

 
The First Year
Financial Accomplishments Since Reorganization
116
1. Pro-Forma, subject to change
2. Excludes any corporate allocation, therefore not reflective of pure stand-alone business
 
 

 
SCG Revenue
YTD 9/30/11
117
Payor Mix
Revenue by Service
 
 

 
Looking Ahead
118
 
 

 
Looking Ahead
 Leverage expertise for organic
 growth in key therapeutic
 categories
  Oncology
  Auto-Immune
  Infectious Disease
  Endocrinology
  Blood Disorders
 Integrated solutions create growth
 across platforms
  Brand support
  HUB programs
  Reimbursement
  Co-pay assistance
  Third party logistics
  PAP & consigned pharmacy
119
 
 

 
Solution Driven
Manufacturer
Centric
Using the Omnicare Advantage to Create Value
Value
Creation
 
 

 
121
 
 

 
John Figueroa
Chief Executive Officer
 
 

 
Looking Ahead
123
 
 

 
New Disclosures for Greater Transparency
124
1. Initial guidance for 2012 will be presented both ways.
 
 

 
Compelling Avenues for Growth
125
 
 

 
Efficient Capital Deployment to Augment Growth
Initiatives
126
Robust cash flow generation is expected
to be redeployed toward growth drivers
 
 

 
Goal to Generate Consistent Double-Digit Adjusted EPS
Growth
127
1. Not intended to represent expectations for any given year.
 
 

 
PharMerica Offer
 PharMerica offer
  Believe PharMerica to be an excellent fit
  Complementary business would enable combined company to benefit
 from enhanced scale, provide a broader array of service offerings
  Consistent with the country’s ongoing efforts to lower healthcare costs
  The time for combining Omnicare and PharMerica is now
 Status update
128
 
 

 
129
Efficiency
Improvements
Greater
Adherence
Patient Assistance
Programs
Efficiency
Improvements
Technological
Investments
Efficiency
Improvements
Third Party
Logistics
Lower Drug
Costs
Disease
Management
Greater
Adherence
Brand
Support
Omnicare’s Efforts to Solve the Healthcare Cost
Dilemma
Where Omnicare benefits, so do its customers, payors and patients…
Efficiency
Improvements
Omniview
Lower Drug
Costs
Generic
Drugs
Lower Drug
Costs
Clinical
Programs
Reduced Medical
Errors
Automation
Initiatives
Greater
Adherence
Omnicare at
Home
Greater
Adherence
Focused on improving quality of patient care at the lowest possible cost
 
 

 
Cash Flow
Generation
Specialty Care
Group
Omnicare’s Fundamental Objective
Focused on Growth and Creating Value
Value
Creation
 
 

 
Senior Management
131
 
 

 
Management Team
132
Rocky Kraft
SVP, Finance
Bob Dries
SVP, Operations Finance Group
Beth Kinerk
SVP, Sales and Customer Development
Tracy Finn
EVP, Strategic Planning and Development
Aly Kayne
SVP, General Counsel
Gary Erwin
SVP, Professional Services
Tim Hopkins
SVP, Trade Relations
Tim Canning
SVP, Marketing
Dan Maloney
SVP, Purchasing
Patrick Lee
VP, Investor Relations
EVP, Human Resources
Priscilla Stewart-Jones
Randy Carpenter
SVP, Chief Information Officer
Mike Szesko
VP, Automation
 
 

 
133