Medco received a nationally recognized communications award, the SABRE, for the number one communications program in the "Healthcare Providers" category for "Navigating the New Health Economy," the theme of Medco's 2004 Drug Trend Symposium.

The Joint Commission on Accreditation of Healthcare Organizations awarded Medco the prestigious Ernest A. Codman Award for re-engineering pharmacy processes to dramatically reduce medication dispensing errors and improve patient safety. Medco is the first pharmacy benefit management (PBM) company to ever win the Codman Award.

For a fourth year in a row (2001-2004), Medco was rated #1 PBM, #1 Mail Order Pharmacy and #1 for Website Services for overall customer satisfaction by the WilsonRx^® survey.

eHealthcare Strategy and Trends awarded Medco six eHealthcare Leadership Awards, including two that recognize Medco Chairman, President and CEO David B. Snow Jr. for his commitment to improving healthcare through technology and the Internet. Medco is the first and only pharmacy benefit manager (PBM) to receive a CEO eHealthcare Commitment Award. medco.com was recognized with a Gold Award for Best Interactive Site and an Award of Distinction for Best Overall Internet Site. The Medco Client Website was recognized with two Gold Awards for Best Overall Internet Site and Best Interactive Site under the Business/Process Improvement Applications category.

2004 Medicine on the Net Web Excellence Awards honored medco.com^® with four awards in the Pharmaceutical Site category for Best Overall Site, Outstanding Content, Best Design, and Best User Interface.

medco.com won three Bronze Awards in the Spring 2004 World Wide Web Health Awards in the HMO/Managed Care System, Insurance Company, and Pharmacy/Drug Store divisions.

Spring 2004 World Wide Web Mature Media Awards named medco.com the best interactive site and best eCommerce site. medco.com was also awarded two Silver Awards in the Healthcare and Insurance categories.

medco.com was ranked fifth in online customer respect and service according to a 2004 study by The Customer Respect Group rating Fortune 100 companies' websites and first among the universe of healthcare-related web properties. Medco scored an 8.1 out of a possible 10 in the study.

Medco received a Gold Quill from the International Association of Business Communicators (IABC), and a Pyramid Award in the financial/ investor relations category from New Jersey Chapter of the Public Relations Society of America (PRSA) for media relations activities surrounding Medco's spin-off.

Medco's network of mail order pharmacies received a perfect accreditation score of 100 from the Joint Commission on Accreditation of Healthcare Organizations (JCAHO). Medco is one of only five percent of organizations in this category to receive such a score.

medco.com^® and The Medco Client Website were honored by Health Care Communications, publishers of eHealthcare Strategies and Trends, with five 2003 eHealthcare Leadership Awards: two Gold Awards in Best eBusiness and Best Site Design; a Silver Award for Best Overall Internet Site in the Consumer Healthcare Product Sales Site category; and two Silver Awards for Best eBusiness and Best Interactive Site in the Business/Process Improvement Applications or Products category.

Web Marketing Association recognized medco.com and the Client Website at the WebAward Competition with Outstanding Website Award and Standard of Excellence recognition, respectively.

The Fall 2003 World Wide Web Health Awards awarded medco.com with four Merit Awards: two in the HMO/Managed Care System division and two in the Insurance Company division.

Fall 2003 World Wide Web Mature Media Awards honored medco.com with two Merit Awards in the Insurance and Healthcare divisions.

Medco received five awards for communication merit and excellence from the International Association of Business Communicators (IABC).

Medco won several communications awards for media relations activities surrounding Medco's spin-off, including a 2003 Gold Sabre in the investor relations/ IPO category and an IRIS Award from the NJ International Association of Business Communicators (NJ/IABC).

Medco was recognized for its media relations activities surrounding the release of Medco's 2002 Drug Trend report with an ACE Award from the New York International Association of Business Communicators (IABC), a Jasper Award from the Jersey Shore Public Relations and Advertising Association, and a Bulldog Award from the Bulldog Reporter.

The New Jersey Chapter of the Public Relations Society of America recognized Medco with the 2003 Pyramid Award Honorable Mention for media relations activities surrounding Medco's Stop and Think Sam poison prevention education program.