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Express Scripts Sends Letter to Caremark Stockholders

ST. LOUIS, Jan. 4 /PRNewswire-FirstCall/ -- Express Scripts, Inc. (Nasdaq: ESRX) today sent the following letter to Caremark Rx, Inc. (NYSE: CMX) stockholders:

    January 4, 2007

                       PROTECT YOUR CAREMARK INVESTMENT
                     VOTE AGAINST THE PROPOSED CVS MERGER

    Dear Caremark Stockholder:

On November 1, 2006, Caremark Rx, Inc. and CVS Corporation announced a transaction whereby CVS would acquire all of the outstanding shares of Caremark with little to no premium for Caremark stockholders. The transaction has been negatively received by both Caremark and CVS investors.

Our company, Express Scripts, Inc., has made a superior proposal to acquire all of the outstanding shares of Caremark for $29.25 in cash and 0.426 shares of Express Scripts stock for each share of Caremark stock. Based on the Express Scripts 2006 year-end closing stock price, our offer of $59.75 per share, or $26.1 billion in the aggregate, represents a 16% premium to the value of the CVS offer. Furthermore, the Express Scripts offer represents a 25% premium over the average closing stock price of Caremark between November 1st, the day its proposed acquisition by CVS was announced, and December 15th, the last day of trading before Express Scripts' proposed transaction with Caremark was announced.

Express Scripts believes that the proposed acquisition of Caremark by CVS will have a lasting negative impact on your investment in Caremark. In the face of our superior offer, we expect Caremark's Board of Directors to negotiate a transaction with Express Scripts. Before voting your shares, carefully consider whether a combination of CVS and Caremark is really in your best near- and long-term financial interests as a Caremark stockholder.


       ISN'T THE CAREMARK-CVS "MERGER OF EQUALS" REALLY JUST A TAKEOVER
                          WITH LITTLE TO NO PREMIUM?

As a Caremark stockholder, you are being asked to surrender your ownership of Caremark, but in return you are getting:

      -- Little to no premium for your shares in a transaction packaged as a
         "Merger of Equals" in order to deflect scrutiny.  In fact, Caremark
         is being sold and Caremark stockholders are not being appropriately
         compensated.

      -- High integration and execution risk, because CVS possesses limited
         experience in acquiring and integrating a large pharmacy benefit
         manager.

      -- A highly uncertain prospect of realizing cost savings and other
         benefits that any stockholder would demand when being asked to accept
         only stock in a sale to CVS.

      -- Uncertainty of value in the CVS offer that contains no cash.

    Contrast this with the Express Scripts offer, which delivers:

      -- A significant premium and a significantly higher absolute value for
         each Caremark share than the CVS transaction.

      -- Greater certainty of value through a significant cash payment for
         your Caremark shares.

      -- Substantial upside potential through an increase in the value of the
         combined company's stock price resulting from EPS growth driven by
         estimated annualized cost synergies of $500 million.

      -- A proven track record of creating additional value for stockholders
         by integrating and optimizing the performance of our acquired
         businesses, including PBMs.

      -- A combination that we expect will be neutral to GAAP earnings per
         share in the first full year following closing, and significantly
         accretive thereafter.  Excluding transaction-related amortization,
         beginning the first full year following closing, the Express Scripts
         transaction is significantly accretive to earnings per share.


           THE EXPRESS SCRIPTS TRANSACTION IS EXPECTED TO GENERATE
                    SIGNIFICANT AND DELIVERABLE SYNERGIES

We are confident that a combination of Express Scripts and Caremark will generate significant and deliverable cost synergies of approximately $500 million -- 25% more than the announced synergies claimed by CVS and Caremark. Express Scripts has completed five successful acquisitions since 1998, and has a proven track record of integrating and optimizing the performance of acquired businesses, thereby creating additional value for stockholders. We believe that the approximately $500 million in cost savings we have identified are highly achievable, and we are confident that we can successfully integrate Express Scripts and Caremark in a way that would quickly maximize the benefits for our respective stockholders.

      -- Approximately 70-80% of the anticipated cost savings are expected to
         come from increased purchasing power resulting from lower retail and
         home delivery drug costs, lower specialty pharmacy drug costs and
         increased manufacturer discounts.

      -- The remaining 20-30% are expected to come from operating efficiencies
         including lower SG&A and lower direct processing costs.

Express Scripts expects the combined company will generate substantial free cash flow, which will enable it to consistently and rapidly reduce acquisition-related debt and return to historical leverage levels.

                         SIGNIFICANT UPSIDE POTENTIAL
 THE GROWTH STORIES OF EXPRESS SCRIPTS AND CVS CAN BE CONTRASTED IN TWO LINES

As you weigh the uncertainty and future potential of the proposed CVS- Caremark transaction, we urge you to consider this fact: The total return for stockholders of Express Scripts has considerably outperformed the total return for stockholders of CVS over the past 10 years.

    Graph:  http://www.newscom.com/cgi-bin/prnh/20070104/NYTH086

    * Data through December 15, 2006, the last day of trading before the
      Express Scripts offer was announced.

As the above chart illustrates, if you had invested $100 in Express Scripts in 1997, you would have had $1,531 as of December 15, 2006. Contrast this with an investment in CVS. If you had invested the same amount of money in CVS, you would only have had $315.

If you consider what your return on an investment in Express Scripts versus CVS would have been over the last five and ten years, Express Scripts has outperformed CVS by 80% and 1,166%, respectively.


         THERE IS A STRONG AND COMPELLING STRATEGIC RATIONALE FOR AN
                     EXPRESS SCRIPTS-CAREMARK COMBINATION

We believe that an Express Scripts-Caremark combination is compelling -- both strategically and financially -- for both Caremark and Express Scripts stockholders. It would:

      -- Create the world's preeminent PBM, uniquely positioned to generate
         substantial stockholder value.

      -- Continue to offer the high-quality service that plan sponsors and
         patients have come to expect over the years.

      -- Extend our position as the recognized leader in generic utilization
         and other drug cost management programs.

Advantages in these areas allow us to deliver greater savings to plan sponsors and patients. An Express Scripts-Caremark combination will benefit from the unique growth opportunities in the industry, as well as from broader and more comprehensive specialty management capabilities.

On January 3, 2007, we filed the premerger notification and report form pursuant to the Hart-Scott-Rodino Antitrust Improvements Act in connection with the acquisition of shares of Caremark and anticipate obtaining regulatory clearance in a timely manner.

             SEND A MESSAGE TO THE CAREMARK BOARD AND MANAGEMENT

CVS is offering Caremark stockholders little to no premium for their shares and is trying to convince Caremark stockholders to accept shares from a company with a long history of underperformance when compared to Express Scripts.

We urge you -- the owners of Caremark -- to reject the CVS proposal as inadequate and allow your Board to engage in a discussion with Express Scripts about our clearly superior proposal.

    We strongly recommend that you reject the CVS proposal.

    Sincerely,

    /s/ George Paz
    George Paz
    President, Chief Executive Officer and Chairman of the Board


     If you have any questions or need assistance in voting your shares,
                               please contact:

                           MacKenzie Partners, Inc.

                              105 Madison Avenue
                           New York, New York 10016
                        (212) 929-5500 (Call Collect)
                                      or
                        Call Toll-Free (800) 322-2885
                 Email: 

Skadden, Arps, Slate, Meagher & Flom LLP is acting as legal counsel to Express Scripts, and Citigroup Corporate and Investment Banking and Credit Suisse are acting as financial advisors. MacKenzie Partners, Inc. is acting as proxy advisor to Express Scripts.

About Express Scripts

Express Scripts, Inc. is one of the largest PBM companies in North America, providing PBM services to over 50 million members. Express Scripts serves thousands of client groups, including managed-care organizations, insurance carriers, employers, third-party administrators, public sector, and union-sponsored benefit plans.

Express Scripts provides integrated PBM services, including network- pharmacy claims processing, home delivery services, benefit-design consultation, drug-utilization review, formulary management, disease management, and medical- and drug-data analysis services. The Company also distributes a full range of injectable and infusion biopharmaceutical products directly to patients or their physicians, and provides extensive cost- management and patient-care services.

Express Scripts is headquartered in St. Louis, Missouri. More information can be found at www.express-scripts.com, which includes expanded investor information and resources.

Safe Harbor Statement

This press release contains forward-looking statements, including, but not limited to, statements related to the Company's plans, objectives, expectations (financial and otherwise) or intentions. Actual results may differ significantly from those projected or suggested in any forward-looking statements. Factors that may impact these forward-looking statements include but are not limited to:

      -- uncertainties associated with our acquisitions, which include
         integration risks and costs, uncertainties associated with client
         retention and repricing of client contracts, and uncertainties
         associated with the operations of acquired businesses

      -- costs and uncertainties of adverse results in litigation, including
         a number of pending class action cases that challenge certain of our
         business practices

      -- investigations of certain PBM practices and pharmaceutical pricing,
         marketing and distribution practices currently being conducted by the
         U.S. Attorney offices in Philadelphia and Boston, and by other
         regulatory agencies including the Department of Labor, and various
         state attorneys general

      -- changes in average wholesale prices ("AWP"), which could reduce
         prices and margins, including the impact of a proposed settlement in
         a class action case involving First DataBank, an AWP reporting
         service

      -- uncertainties regarding the implementation of the Medicare Part D
         prescription drug benefit, including the financial impact  to us to
         the extent that we participate in the program on a risk-bearing
         basis, uncertainties of client or member losses to other providers
         under Medicare Part D, and increased regulatory risk

      -- uncertainties associated with U.S. Centers for Medicare & Medicaid's
         ("CMS") implementation of the Medicare Part B Competitive Acquisition
         Program ("CAP"), including the potential loss of clients/revenues to
         providers choosing to participate in the CAP

      -- our ability to maintain growth rates, or to control operating or
         capital costs

      -- continued pressure on margins resulting from client demands for lower
         prices, enhanced service offerings and/or higher service levels, and
         the possible termination of, or unfavorable modification to,
         contracts with key clients or providers

      -- competition in the PBM and specialty pharmacy industries, and our
         ability to consummate contract negotiations with prospective clients,
         as well as competition from new competitors offering services that
         may in whole or in part replace services that we now provide to our
         customers

      -- results in regulatory matters, the adoption of new legislation or
         regulations (including increased costs associated with compliance
         with new laws and regulations), more aggressive enforcement of
         existing legislation or regulations, or a change in the
         interpretation of existing legislation or regulations

      -- increased compliance relating to our contracts with the DoD TRICARE
         Management Activity and various state governments and agencies
         the possible loss, or adverse modification of the terms, of
         relationships with pharmaceutical manufacturers, or changes in
         pricing, discount or other practices of pharmaceutical manufacturers
         or interruption of the supply of any pharmaceutical products

      -- the possible loss, or adverse modification of the terms, of contracts
         with pharmacies in our retail pharmacy network

      -- the use and protection of the intellectual property we use in our
         business

      -- our leverage and debt service obligations, including the effect of
         certain covenants in our borrowing agreements

      -- our ability to continue to develop new products, services and
         delivery channels

      -- general developments in the health care industry, including the
         impact of increases in health care costs, changes in drug utilization
         and cost patterns and introductions of new drugs

      -- increase in credit risk relative to our clients due to adverse
         economic trends

      -- our ability to attract and retain qualified personnel

      -- other risks described from time to time in our filings with the SEC

Risks and uncertainties relating to the proposed transaction that may impact forward-looking statements include but are not limited to:

      -- Express Scripts and Caremark may not enter into any definitive
         agreement with respect to the proposed transaction

      -- required regulatory approvals may not be obtained in a timely manner,
         if at all

      -- the proposed transaction may not be consummated

      -- the anticipated benefits of the proposed transaction may not be
         realized

      -- the integration of Caremark's operations with Express Scripts may be
         materially delayed or may be more costly or difficult than expected

      -- the proposed transaction would materially increase leverage and debt
         service obligations, including the effect of certain covenants in any
         new borrowing agreements.

We do not undertake any obligation to release publicly any revisions to such forward-looking statements to reflect events or circumstances after the date hereof or to reflect the occurrence of unanticipated events.

Important Information

Express Scripts intends to file a proxy statement in connection with Caremark's special meeting of stockholders at which the Caremark stockholders will consider the CVS Merger Agreement and matters in connection therewith. Express Scripts stockholders are strongly advised to read that proxy statement and the accompanying GOLD proxy card when they become available, as they will contain important information. Stockholders will be able to obtain that proxy statement, any amendments or supplements to that proxy statement and other documents filed by Express Scripts with the Securities and Exchange Commission ("SEC") free of charge at the SEC's website (www.sec.gov) or by directing a request to MacKenzie Partners, Inc., at or by email at .

In addition, this material is not a substitute for the prospectus/proxy statement Express Scripts and Caremark would file with the SEC if an agreement between Express Scripts and Caremark is reached or any other documents which Express Scripts may send to shareholders in connection with the proposed transaction. Investors are urged to read any such documents, when available, because they will contain important information. Such documents would be available free of charge at the SEC's website (www.sec.gov) or by directing a request to MacKenzie Partners, Inc., at or by email at .

Express Scripts and its directors, executive officers and other employees may be deemed to be participants in any solicitation of Express Scripts or Caremark shareholders in connection with the proposed transaction. Information about Express Scripts' directors and executive officers is available in Express Scripts' proxy statement, dated April 18, 2006, for its 2006 annual meeting of stockholders. Additional information about the interests of potential participants will be included in any proxy statement filed in connection with the proposed transaction.

This material relates to a business combination transaction with Caremark proposed by Express Scripts which may become the subject of a registration statement filed with the SEC. Investors and security holders are advised to read this document and all other applicable documents if and when they become available because they will include important information. Investors and security holders may obtain a free copy of any documents filed by Express Scripts with the SEC at the SEC's website (www.sec.gov) or by directing a request to MacKenzie Partners, Inc. at the telephone number and email address set forth above.

    Investor Contacts:
    Edward Stiften, Chief Financial Officer
    David Myers, Vice President, Investor Relations
    (314) 702-7173

    Media Contacts:
    Steve Littlejohn, Vice President, Public Affairs
    (314) 702-7556

    Joele Frank / Steve Frankel
    Joele Frank, Wilkinson Brimmer Katcher
    (212) 355-4449

SOURCE Express Scripts, Inc.