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Medco Reports Strong First-Quarter Results; Record EPS, Mail-Order Volume, Generic Dispensing Rates

," "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. These factors include:

-- Competition in the PBM, specialty pharmacy and the broader healthcare

industry is intense and could impair our ability to attract and retain


-- Failure to retain key clients 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


-- Our acquisition activity 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

SOURCE Medco Health Solutions, Inc.
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