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Merrill Lynch Healthcare
 Services Conference
      December 2, 2003
John Hammergren

    Chairman and
Chief Executive Officer
Safe Harbor Clause
Some of the information in this presentation
may constitute forward-looking statements
that are subject to various uncertainties.
These uncertainties could cause actual
results to differ materially from those
projected or implied. The risk factors
associated with those uncertainties are
described in the Company’s reports and
exhibits filed with the Securities and
Exchange Commission.
McKesson Corporation Mission

   To use the power of One McKesson to
     advance the health of the healthcare
   system by advancing the success of our
                  partners



     Improve productivity/reduce labor
     Lower administrative and supply costs
     Improve clinical outcomes
     Reduce errors and inappropriate care
One McKesson: Comprehensive
Offering of Products and Services



                           McKesson                                   McKesson              McKesson
   McKesson                                     McKesson
                      Information Solutions                         Health Solutions      Medical-Surgical
 Pharmaceutical                                 Automation
                        63% of health                                #1 in medical       #1 in primary care
#1 in retail chains                           #1 in robotic
                       systems                                     management            and extended care
and independents                              hospital pharmacy
                                                                   software and
                                              dispensing
                       51% of hospitals                                                  Repositioning in
 Rapid growth in
                                                                   services for payors
                       with 200+ beds                                                    acute care
specialty                                      #2 in new
                                                                     Disease
                                              hospital unit-dose
distribution            Comprehensive                                                    Rapidly growing
                                                                   management
                                              cabinets
                       product offering:                                                 eSupply component
#1 in Canada
                                                                     Patient
                       clinical, revenue       Leading bedside
 Large Rx
                                                                   relationship
                       cycle and              administration
repackaging
                                                                   services for
                       resource               scanning
Hospital                                                           manufacturers
                       management
                                              #1 in retail
pharmacy
                                                                     #1 in hospital-
                        Extensive service     pharmacy
outsourcing
                                                                   based call center
                       offering:              automation
business
                                                                   solutions
                       consulting,
                                               Med supply
Leading generics       technology and
                                              scanning
provider               outsourcing
                                              and cabinets
One McKesson Strategy

 Internal: Leverage company size and scope
 External: Leverage customer base
   Create long-term customer relationships based on
   ROI and quality improvements
   Sell McKesson’s comprehensive solutions
   Innovate with offerings that address emerging
   healthcare challenges
One McKesson Solutions Improve
Quality and Reduce Cost
                Pharmaceutical and medical-                     Clinical, financial and
               surgical distribution to all sites              resource management
                                                              systems for hospital and
Automation for retail and                                                IDNs
 hospital pharmacies
                                                                Physician portal



  Pharmacy outsourcing
                                                                   Solution for
                                                                 Medication Safety

Specialty pharmaceutical
      distribution


                                                    Together Rx card
            Services for payors, patients
                and manufacturers

            Unique Conversations with Customers At Higher Levels
One McKesson Strategy to
Reduce Medication Errors




     PRESCRIBING   TRANSCRIBING   DISPENSING   ADMINISTERING   MONITORING




                      Solutions at Every                          CONSULTING
  DISTRIBUTION

                         Point of Care
One McKesson Supply Chain
Management




    PRODUCT        ORDER                  DECISION
                              LOGISTICS                PAYMENT
   SELECTION/    MANAGEMENT               SUPPORT
   UTILIZATION




                                                 CONSULTING
         DISTRIBUTION
One McKesson Patient Care
Anytime, Anywhere Physician Access
McKesson Solutions Performance
   Corporate Solutions since 2000: 382 agreements
   for total contract value of $9.4 billion

   All 17 hospitals named to 2003 “Honor Roll of
   Best Hospitals” are McKesson customers1

   88 of 100 hospitals on “Most Wired” list are
   McKesson customers2

   Wal-Mart 2003 Supplier of the Year
 Sources: 1 - US News & World Report,
          2 – Hospitals and Health Networks
Business Metrics Drive Results
                             Financial Success
                             To achieve the best financial
                             performance in the industry




                                                             Employee Satisfaction
Customer Satisfaction                  Metric-Driven
                                        Execution            To provide an environment
To have the most satisfied
                                                             that attracts and retains
customers in the industry
                                                             outstanding talent




                             Business Process Success
                             To fulfill our commitments to
                             our customers and to
                             each other
Solid Q2 & First Half FY04 Results
($ in millions, except EPS)
                                   2nd Quarter                                           Six Months
                                  FY04        FY03                                FY04       FY03
Revenues                          $11,753     $10,282     +14%                    $23,112    $20,408    +13%
  Pharmaceutical Solutions        $10,766     $ 9,322     +15%                    $21,176    $18,511    +14%
  Medical-Surgical Solutions      $    690    $    684      +1%                   $ 1,374    $ 1,367    +1%
  Information Solutions           $    297    $    276      +8%                   $   562    $   530    +6%




Income                            $    157    $    128    +22%                    $   312    $   246    +27%

Diluted Earnings per Share        $    0.53   $    0.43   +23%                    $   1.05   $   0.83   +27%

Return on Committed Capital           24.7%       21.9%   +280bp

Net Debt/Net Capital Ratio            18.6%       24.3%   -570bp




 Note: Results from continuing operations, excluding sales to customers’ warehouses
                                                              customers’
Pharmaceutical Solutions Q2 Results

   U.S. revenues up 14%, warehouse sales up 48%

   Strong growth from independents and institutions plus new
   institutional business

   Canadian revenues up 31% … 15% excluding currency

   Decline of 40 bp in operating margin reflects $30 million bad
   debt provision in Q2 and fewer product sourcing
   opportunities



Note: Excluding sales to customers’ warehouses
Pharmaceutical Demand Factors
Remain Positive

 Aging population drives demand for drugs
 Market growth recovering
 Generic usage continues to grow
 Improving pace of FDA approvals and new drug
 pipeline
 Medicare bill expands market beginning in 2006
What’s Changed?

  Increased manufacturer visibility to supply
  channel
  Concern about counterfeit drugs




  Focus on managing inventory across supply
  chain
  Focus on improving safety
Inventory Management Agreements --
IMAs

  Collaborative, formal agreement that recognizes value
  and role of distributor

  Matches product flow to end-user demand and allows
  better manufacturing planning

  Streamlines working capital investment for distributors

  Fee-for-service or compensation tied to price increases
Improving Inventory Turns
      Days inventory outstanding
 50

 45

 40

 35

 30

 25

 20

 15

 10

  5

  0    Q1   Q2   Q3   Q4   Q1    Q2   Q3   Q4   Q1    Q2   Q3   Q4   Q1    Q2
            FY2001              FY2002               FY2003               FY2004
Operating Strategies to Drive U.S.
Pharmaceutical Efficiencies

Comprehensive IT system to manage U.S.
pharmaceutical business and reduce costs
Streamline and automate U.S. pharmaceutical
distribution center network
  Opened 2 new DCs since 2001
  Closed 5 older DCs since 1999
Continue to execute Six Sigma process
improvements
Distribution Center Productivity
Increases Continue . . .

                    1.40
                            ($Billions)
                    1.20
                                             CAGR 37%
Annual Revenue/DC




                    1.00

                    0.80

                    0.60

                    0.40

                    0.20

                    0.00
                           FY98       FY99     FY00     FY01   FY02   FY03


Note: Excludes Alaska and Hawaii and warehouse sales
. . . Providing Operating Leverage


                                   5.50%
Operating Expenses % of Revenues




                                              4.81%
                                   5.00%

                                   4.50%

                                                               3.77%
                                   4.00%
                                                                                3.52%
                                   3.50%
                                                                                        3.09%
                                                                                                 2.88%
                                   3.00%

                                   2.50%

                                   2.00%
                                              FY99            FY00              FY01    FY02    FY03

                                     Note: Excludes impact of warehouse sales
Pharmaceutical Solutions Summary

Strong growth expected in U.S. and Canada
No product deal opportunities in Q3 and Q4
Transition in customer pricing model to reflect
changed environment
October 1 change in Automation contracting
$30 million bad debt provision in Q2
Medical-Surgical Solutions Q2 Results

  Operating profit up 70% with operating
  margin of 313 bp

  DC network consolidation has been
  completed and ERP system implementation
  is on schedule

  Transitioning HCA acute care medical-
  surgical business
Medical-Surgical Solutions
Summary


 Continue to realize benefits from DC network
 consolidation and new ERP system
 Scale back expenses and restructure in response
 to loss of HCA volume
 Focus on growth in alternate site business
 Refine Closed Loop Supply strategy
Information Solutions Q2 Results
 Revenues up 8%, software revenues up 22%

 Operating profit up 71%

 Clinical software up 57%

 Implementation revenues up strongly with slower
 demand for other services

 $20 million credit to reverse a portion of customer
 settlement reserves, $10 million severance charge
Information Solutions Summary

 Expand ramp-up of clinical software installations


 Continue to invest in new product innovations


 Further leverage McKesson position in hospital
 market


 Introduce Six Sigma to improve processes, reduce
 costs
Goals for Delivering Sustained
Financial Performance

Industry-leading solutions and profit growth in
Pharmaceutical Solutions

Clinical leadership, continued new product innovation and
profit growth in Information Solutions

Improving profit in Medical-Surgical Solutions



Drive One McKesson Strategy to Create Value for
         Customers and Shareholders
	 Merrill Lynch Healthcare Services Conference

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Merrill Lynch Healthcare Services Conference

  • 1. Merrill Lynch Healthcare Services Conference December 2, 2003
  • 2. John Hammergren Chairman and Chief Executive Officer
  • 3. Safe Harbor Clause Some of the information in this presentation may constitute forward-looking statements that are subject to various uncertainties. These uncertainties could cause actual results to differ materially from those projected or implied. The risk factors associated with those uncertainties are described in the Company’s reports and exhibits filed with the Securities and Exchange Commission.
  • 4. McKesson Corporation Mission To use the power of One McKesson to advance the health of the healthcare system by advancing the success of our partners Improve productivity/reduce labor Lower administrative and supply costs Improve clinical outcomes Reduce errors and inappropriate care
  • 5. One McKesson: Comprehensive Offering of Products and Services McKesson McKesson McKesson McKesson McKesson Information Solutions Health Solutions Medical-Surgical Pharmaceutical Automation 63% of health #1 in medical #1 in primary care #1 in retail chains #1 in robotic systems management and extended care and independents hospital pharmacy software and dispensing 51% of hospitals Repositioning in Rapid growth in services for payors with 200+ beds acute care specialty #2 in new Disease hospital unit-dose distribution Comprehensive Rapidly growing management cabinets product offering: eSupply component #1 in Canada Patient clinical, revenue Leading bedside Large Rx relationship cycle and administration repackaging services for resource scanning Hospital manufacturers management #1 in retail pharmacy #1 in hospital- Extensive service pharmacy outsourcing based call center offering: automation business solutions consulting, Med supply Leading generics technology and scanning provider outsourcing and cabinets
  • 6. One McKesson Strategy Internal: Leverage company size and scope External: Leverage customer base Create long-term customer relationships based on ROI and quality improvements Sell McKesson’s comprehensive solutions Innovate with offerings that address emerging healthcare challenges
  • 7. One McKesson Solutions Improve Quality and Reduce Cost Pharmaceutical and medical- Clinical, financial and surgical distribution to all sites resource management systems for hospital and Automation for retail and IDNs hospital pharmacies Physician portal Pharmacy outsourcing Solution for Medication Safety Specialty pharmaceutical distribution Together Rx card Services for payors, patients and manufacturers Unique Conversations with Customers At Higher Levels
  • 8. One McKesson Strategy to Reduce Medication Errors PRESCRIBING TRANSCRIBING DISPENSING ADMINISTERING MONITORING Solutions at Every CONSULTING DISTRIBUTION Point of Care
  • 9. One McKesson Supply Chain Management PRODUCT ORDER DECISION LOGISTICS PAYMENT SELECTION/ MANAGEMENT SUPPORT UTILIZATION CONSULTING DISTRIBUTION
  • 10. One McKesson Patient Care Anytime, Anywhere Physician Access
  • 11. McKesson Solutions Performance Corporate Solutions since 2000: 382 agreements for total contract value of $9.4 billion All 17 hospitals named to 2003 “Honor Roll of Best Hospitals” are McKesson customers1 88 of 100 hospitals on “Most Wired” list are McKesson customers2 Wal-Mart 2003 Supplier of the Year Sources: 1 - US News & World Report, 2 – Hospitals and Health Networks
  • 12. Business Metrics Drive Results Financial Success To achieve the best financial performance in the industry Employee Satisfaction Customer Satisfaction Metric-Driven Execution To provide an environment To have the most satisfied that attracts and retains customers in the industry outstanding talent Business Process Success To fulfill our commitments to our customers and to each other
  • 13. Solid Q2 & First Half FY04 Results ($ in millions, except EPS) 2nd Quarter Six Months FY04 FY03 FY04 FY03 Revenues $11,753 $10,282 +14% $23,112 $20,408 +13% Pharmaceutical Solutions $10,766 $ 9,322 +15% $21,176 $18,511 +14% Medical-Surgical Solutions $ 690 $ 684 +1% $ 1,374 $ 1,367 +1% Information Solutions $ 297 $ 276 +8% $ 562 $ 530 +6% Income $ 157 $ 128 +22% $ 312 $ 246 +27% Diluted Earnings per Share $ 0.53 $ 0.43 +23% $ 1.05 $ 0.83 +27% Return on Committed Capital 24.7% 21.9% +280bp Net Debt/Net Capital Ratio 18.6% 24.3% -570bp Note: Results from continuing operations, excluding sales to customers’ warehouses customers’
  • 14. Pharmaceutical Solutions Q2 Results U.S. revenues up 14%, warehouse sales up 48% Strong growth from independents and institutions plus new institutional business Canadian revenues up 31% … 15% excluding currency Decline of 40 bp in operating margin reflects $30 million bad debt provision in Q2 and fewer product sourcing opportunities Note: Excluding sales to customers’ warehouses
  • 15. Pharmaceutical Demand Factors Remain Positive Aging population drives demand for drugs Market growth recovering Generic usage continues to grow Improving pace of FDA approvals and new drug pipeline Medicare bill expands market beginning in 2006
  • 16. What’s Changed? Increased manufacturer visibility to supply channel Concern about counterfeit drugs Focus on managing inventory across supply chain Focus on improving safety
  • 17. Inventory Management Agreements -- IMAs Collaborative, formal agreement that recognizes value and role of distributor Matches product flow to end-user demand and allows better manufacturing planning Streamlines working capital investment for distributors Fee-for-service or compensation tied to price increases
  • 18. Improving Inventory Turns Days inventory outstanding 50 45 40 35 30 25 20 15 10 5 0 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 FY2001 FY2002 FY2003 FY2004
  • 19. Operating Strategies to Drive U.S. Pharmaceutical Efficiencies Comprehensive IT system to manage U.S. pharmaceutical business and reduce costs Streamline and automate U.S. pharmaceutical distribution center network Opened 2 new DCs since 2001 Closed 5 older DCs since 1999 Continue to execute Six Sigma process improvements
  • 20. Distribution Center Productivity Increases Continue . . . 1.40 ($Billions) 1.20 CAGR 37% Annual Revenue/DC 1.00 0.80 0.60 0.40 0.20 0.00 FY98 FY99 FY00 FY01 FY02 FY03 Note: Excludes Alaska and Hawaii and warehouse sales
  • 21. . . . Providing Operating Leverage 5.50% Operating Expenses % of Revenues 4.81% 5.00% 4.50% 3.77% 4.00% 3.52% 3.50% 3.09% 2.88% 3.00% 2.50% 2.00% FY99 FY00 FY01 FY02 FY03 Note: Excludes impact of warehouse sales
  • 22. Pharmaceutical Solutions Summary Strong growth expected in U.S. and Canada No product deal opportunities in Q3 and Q4 Transition in customer pricing model to reflect changed environment October 1 change in Automation contracting $30 million bad debt provision in Q2
  • 23. Medical-Surgical Solutions Q2 Results Operating profit up 70% with operating margin of 313 bp DC network consolidation has been completed and ERP system implementation is on schedule Transitioning HCA acute care medical- surgical business
  • 24. Medical-Surgical Solutions Summary Continue to realize benefits from DC network consolidation and new ERP system Scale back expenses and restructure in response to loss of HCA volume Focus on growth in alternate site business Refine Closed Loop Supply strategy
  • 25. Information Solutions Q2 Results Revenues up 8%, software revenues up 22% Operating profit up 71% Clinical software up 57% Implementation revenues up strongly with slower demand for other services $20 million credit to reverse a portion of customer settlement reserves, $10 million severance charge
  • 26. Information Solutions Summary Expand ramp-up of clinical software installations Continue to invest in new product innovations Further leverage McKesson position in hospital market Introduce Six Sigma to improve processes, reduce costs
  • 27. Goals for Delivering Sustained Financial Performance Industry-leading solutions and profit growth in Pharmaceutical Solutions Clinical leadership, continued new product innovation and profit growth in Information Solutions Improving profit in Medical-Surgical Solutions Drive One McKesson Strategy to Create Value for Customers and Shareholders