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US Oncology Reports Third Quarter 2008 Results
Date:11/6/2008

equired for the FDA to approve the REMS and for the manufacturers to implement the new program is uncertain, however we believe it may take at least 6-12 months. Once implemented, the REMS will outline additional, if any, procedural steps that will be required for qualified physicians to order and prescribe ESAs for their patients.

The label was effective as of August 14, 2008, and primarily changed the labeled use of ESAs in the following areas:

-- ESAs are "not indicated" for patients receiving chemotherapy

when the anticipated outcome is cure.

-- ESA therapy should not be initiated when hemoglobin levels are >/= 10

grams per deciliter ("g/dL").

-- References in the labeling to an upper limit of 12 g/dL have been

removed.

The FDA did not adopt an Oncology Drug Advisory Committee recommendation to limit ESA in head/neck and breast cancers, or any other tumor type which significantly reduced the impact of a possible decrease in utilization.

Based on preliminary analyses, we estimate the potential impact on the Company's EBITDA to be approximately $3.5 million annually. It is not possible to estimate the impact of the REMS (on EBITDA) as it relates to prescribing patterns, until the REMS is in effect (expected to be sometime in 2009). We believe a possible impact of the REMS could be further reductions in ESA utilization.

During the third quarter of 2008, $6.9 million of the Company's Adjusted EBITDA was attributable to utilization of ESAs by our network physicians. For the third quarter of 2007 and second quarter of 2008, EBITDA from ESA utilization by our network physicians was $12.4 million and $8.9 million, respectively.

As previously disclosed, during the fourth quarter of 2005, we received a subpoena from the United States Department of Justice's Civil Litigation Division ("DOJ") requesting a broad range of information about us and our business, generally in relation to
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SOURCE US Oncology, Inc.
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