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Welcome to
Investor Day
  December 11, 2008
                      1
Dave Yost
President & Chief Executive Officer

                                      2
Comment Regarding Forward Looking Statements
 This presentation contains forward-looking statements about AmerisourceBergen’s future business and
 financial performance, estimates and prospects. These statements are based on our current expectations
 and are subject to uncertainty and change in circumstances. Among the factors that could cause actual
 results to differ materially from those projected, anticipated or implied are the following: changes in
 pharmaceutical market growth rates; the loss of one or more key customer or supplier relationships;
 changes in customer mix; customer or supplier defaults or insolvencies; changes in pharmaceutical
 manufacturers' pricing and distribution policies or practices; adverse resolution of any contract or other
 dispute with customers or suppliers; federal and state government enforcement initiatives to detect and
 prevent suspicious orders of controlled substances and the diversion of controlled substances; changes in
 U.S. legislation or regulatory action affecting pharmaceutical product pricing or reimbursement policies,
 including under Medicaid and Medicare; changes in regulatory or clinical medical guidelines and/or
 labeling for the pharmaceuticals we distribute, including erythropoiesis-stimulating agents (ESAs) used to
 treat anemia patients; price inflation in branded pharmaceuticals and price deflation in generics; significant
 breakdown or interruption of our information technology systems; success of integration, restructuring or
 systems initiatives; interest rate and foreign currency exchange rate fluctuations; economic, business,
 competitive and/or regulatory developments in Canada, the United Kingdom and elsewhere outside of the
 United States; the impact of divestitures or the acquisition of businesses that do not perform as we expect
 or that are difficult for us to integrate or control; our inability to successfully complete any other transaction
 that we may wish to pursue from time to time; changes in tax legislation or adverse resolution of
 challenges to our tax positions; our ability to maintain adequate liquidity and financing sources; continued
 volatility and further deterioration of the capital markets; and other economic, business, competitive, legal,
 tax, regulatory and/or operational factors affecting our business generally. Our most recent annual report
 on Form 10-K, quarterly reports on Forms 10-Q and current reports 8-K (which we may revise or
 supplement in future reports filed to the SEC) provide additional information about these risks,
 uncertainties and other matters. We do not undertake to update our forward-looking statements.

                                                                                                                      3
Today’s Agenda
   ABC Today & Tomorrow
   Distribution & Related Services
   Generics & Fee for Service
   Specialty Dist. & Related Services
   Health Policy Environment
   Packaging & Business Transformation
   Financial Review
   Questions and Answers
                                         4
Today’s Speakers
Dave Yost        President & Chief Executive Officer

Tony Pera        Senior Vice President,
                 Supply Chain Management

Steve Collis     Executive Vice President of ABC
                 President ABSG

Peyton Howell    ABSG President Consulting
                 Services & Health Policy

Mike DiCandilo   Executive Vice President and
                 Chief Financial Officer of ABC, Chief
                 Operating Officer of ABDC
                                                         5
Today’s Theme …


 Resilient



                  6
Resilient

  EPS from Continuing Ops Since Merger
                                                           2.89
 $3.00
                                                    2.53
 $2.50
                                             2.09
                               1.90
                        1.95
 $2.00
                 1.42
 $1.50                                1.19
          1.04
 $1.00

 $0.50

 $0.00
         2001    2002   2003   2004   2005   2006   2007   2008
 GAAP Basis                                                       7
Resilient

                 ABC Channel Position
 Manufacturers Products               Dispensers
      Branded                            Retail
      Pharma
                                        Hospitals
      Generic
                                         Clinics
      Pharma
                                        PBM/Mail
       Biotech
                                      Physicians
                           Prime
                                        LT Care
                          Vendor
      HBA/OTC

                      Data/Services
                                                    8
Resilient

                         ABC Today
        What we ARE                   What we are NOT
   Drug Dist. & Services               Heavily customer
   Largest, broadest                   concentrated
   Specialty Dist. & Services          Heavily exposed to
   Servicing “right” customers         hospital cap-ex
        Generics                       Subject to foreign
    –

        Value-added services
    –
                                       exchange fluctuations
   Investing in our future
                                       Distracted by
        ERP/Business Transformation
    –
                                       business challenges
   Focused!

         Best House in a Great Neighborhood!               9
Resilient

                  ABC Tomorrow
      The Changes               ABC Opportunity
  100% Fee For Service           More predictability
  BT/ ERP completed              Customer efficiency
  Universal health coverage      More drug utilization
  Generics & Biosimilars         Value-added services
  Compliance Packaging           Packaging leadership
  Manufacturer concentration     More efficiency

            ABC: Continually Well Positioned
                                                         10
Resilient

             Primary Growth Drivers
              Today & Tomorrow
                             Generics
     Specialty Drugs
     Growing faster than      Growing Market
     market                   Customer mix
     Physician administered   advantage
     Strong Distribution      Differentiated offer
          Oncology            Services
      –

     Services                      Manufacturers
                               –

          Manufacturers            Dispensers
      –                        –

          Physicians          Global Sourcing
      –

                                                     11
Resilient

                   FY 2008 Results
     Financial Performance
          EPS from Continuing Operations up 19%*
      –

          Revenue up 7%
      –

          Operating Margin up 7 bps
      –

            FY07 +6 bps, FY06 +7 bps
          $680 million in cash generation
      –


     Environment
          Market growth of 1% to 2%
      –

          Specialty challenges with anemia drugs
      –


      *ex: special items, LTC, & vaccine write-down
                                                      12
Resilient

  Environment: Growing (but slower)
       Pharmaceutical Market Growth
                1% to 2% in CY 2008
            –

                3 % to 6% CAGR 2008 to 2012
            –

                1% to 2% in CY 2009
            –

       Current Environment
                Increase in generic drug utilization
            –

                Fewer FDA approvals of new drugs
            –

                Selected drug issues
            –

                Challenges of the economy
            –
                                                       13
Resilient because…


Distribution and Related Services
 deliver value up and down the
              channel



                                    14
Resilient


        Prime Vendor Distribution’s
          Value to Manufacturers
     Product Delivery
      –Reach over 27,000 pharmacies/physicians
       daily
     Data Delivery
     Credit Management
     Inventory Management
                                                 15
Resilient

          Prime Vendor Distribution’s
             Value to Dispensers
     Product Delivery
     Decreased administration costs
     Financing Source
     Just-In-Time Inventory
          For more than 30,000 SKUs
      –


     Services to Enhance Business
                                        16
ABC Revenue


                     Specialty
                      Group
       Retail

                             PBM

        Alt Site    Health
                   Systems


                                   17
Resilient


                Retail Customers
     Retail Healthcare Providers
          Regional drugstore chains
      –

          Food/Drug combination
      –

          National chain niches
      –

          Community independent pharmacies
      –

          Apothecary shops
      –




                                             18
Resilient

       Retail Value-Added Services
        Good Neighbor Pharmacy®: 3,000 stores
        GNP Provider Network™: 5,000 stores – 3rd Largest
        Diabetes Shoppe®: 1,000 stores
        Private Label Products: 700 SKUs
        PRxO® Generics & PRxO ® Generics Plus
        Patient management programs
        Business coaching
        Promotional programs
                                                            19
Resilient


            Alternate Site Customers
       Nursing Home Providers

       Managed Care

       Mail Order Facilities

       Dialysis Clinics



                                       20
Resilient

     Alt. Site Value-Added Services
            Contract management
            Pharmacy efficiency improvement
            Pharmacy automation
            Unit-of-use packaging
            Generics


                                              21
RESULT …


Lowest Costs and
Improved Patient
   Outcomes

                   22
Resilient


      The Power of cE2 Philosophy
     Customer Efficiency – Cost Effectiveness
          Does the customer need the service
      –

          How can we provide it at best value
      –


     Flat (to down) Expenses in FY2009
          Streamlined organization
      –

          Consolidated services
      –



     Continuous Improvement
                                                23
Resilient

       Acquisition Strategy               FY 06 to FY 08
                                           Acquisitions

                                           Trent
   ABC will be the leading wholesale
                                           Asenda
   distributor of branded and generic
                                           Rep-Pharm
   pharmaceuticals and related services
                                           Bellco Health


                                           NMCR
   ABC will be the leading distributor
                                           IgG America
   of specialty pharmaceutical
                                           AMD
   products and related services
                                           Xcenda


   ABC will be the packager of choice
   for pharmaceutical manufacturers        Brecon

                                                           24
Resilient …


The ABC Leaders that
Continue the Growth

                       25
Tony Pera
  Senior Vice President,
Supply Chain Management

                           26
Resilient

                   Tony Pera
    25 years in Generics Manufacturing
    Co-founder Bedford Laboratories
    Former head of US generics business of APP,
    now part of Fresenius
    Joined ABC as President American Health
    Packaging in 2006
    SVP Supply Chain Management early 2008


                                                  27
Generic
Pharmaceuticals

                  28
Resilient

            Generics Growth Drivers
    Continued Branded patent expirations

    Increased awareness and acceptance

    Government and payers promoting use of
    generics to reduce Healthcare costs

    Generic dispensing rates continue to rise


                                                29
Resilient

                            Patent Expirations
                    $25

                    $20
     $in Billions




                    $15

                    $10

                    $5

                    $0
                                                                    Source: IMS Health
                             CY 2009     CY 2010       CY 2011
                                  Top 3 Products Per Year
                                        •Effexor XR®   •Lipitor®
                          •Prevacid®
                                        •Aricept®      •Actos®
                          •Topamax®
                                        •Flomax®       •Levaquin®
                          •Valtrex®
                                                                                         30
Resilient


     The Generics Market Dynamics
     One player in 6-month exclusivity period

     Two players in 6-month exclusivity period

     Limited players with hard-to-make drug

     Multiple players in easy-to-make drug


                                                 31
Resilient


               Generics Philosophy
    Procure products from reliable sources
    Monitor and react to industry trends
    Manage PRxO® Generics program
          Provide manufacturers market access
      –

          Deliver optimal value to customers
      –

          Customer compliance
      –


                                                32
Resilient

         Generics Profitability Example
                          Brand Name   Generic
   Selling Price              $100       $20
   Gross Margin                3%        15%+
   Gross Profit Dollars       $3.00     $3.00+
   Handling Costs             Same       Same
   Accounts Payable          30 days   60 days+
   Receivable                 $100       $20
   Working Capital           Higher     Lower
   Returns on Capital         Lower     Higher

                                                  33
Resilient

               Generics Manufacturers
    Increasing transparency with Manufacturers
         Provide Inventory and Sales Data
     –

         Improved Inventory Management
     –

    Building stronger relationships
         Transition from transactional to collaborative
     –

         Executed agreements through 2011
     –

    Global Scope
         Competitive landscape is always evolving
     –

         Conduct numerous international site visits
     –

          – Attention to quality

    Deliver manufacturers significant market share
                                                          34
Resilient

              The Right Customer Mix
    Retail Healthcare Providers
         Regional drugstore chains
     –

         Food/Drug combination
     –

         Independent pharmacies
     –


    Institutional Healthcare Providers
         Hospital
     –

         Long Term Care / Alternate Site
     –




                                           35
Resilient

                 PRxO® Generics
    Formulary that consists of over 6,500 SKUs
         Value Pricing
     –

         Portfolio Management
     –

    Tailored programs address specific
    customer needs
    Focused on customer profitability
    Dynamic market response
    100 manufacturers in PRxO® Generics
                                                 36
Resilient

            Competitive Edge




                               37
Resilient

    PRxO® Generics Customer Value


                                Price
                      Competitive and Responsive




             Quality                    Availability
            Secure and Direct           Consistent and Timely




                                                                38
Branded
Pharmaceuticals
                  39
Resilient

         Branded Product Environment
     FDA approvals slow and pipelines weak
     Patent Expirations
          $85 billion over next 5 years
     –

     Increased government pressure and
     scrutiny
     Fee-For-Service is the norm


                                             40
Resilient

                Fee-For-Service Process
    AmerisourceBergen
         Maintains target inventory levels
     –

         Provides high customer service levels
     –

         Credit Management
     –

         Other Services
     –

              Data           - New Product Launches
          –

              Manage Returns
          –


    Manufacturer
         Pays fee based on ABCs metric performance
     –

         Calculated against purchases
     –
                                                      41
Fee-For-Service Results
FFS has produced market changes
Lower inventory levels
    Increased cash flow
–


More efficient supply chain
    Less returns
–

    Better forecasting
–




                                  42
Resilient

               Fee for Service Results
         FFS has produced market changes
    More Predictable Revenue
         Less dependence on price appreciation
     –

              ABC prefers to get paid for what we do
          –

         Fees more accurately coincide with services
     –

    Improved Manufacturer Relations
         Increased or established communications
     –

         Increased transparency
     –

         Standardized operating procedures
     –

                                                       43
Resilient

              Manufacturer Benefits
     Inventory Control
         Smooth and predictable demand
     –

         Supply chain safety
     –

     Delivery of Products
         Deliveries to 27,000 ship-to-points per day
     –

             99+% customer service levels
         –

         Pick / Pack / Ship approximately 6,600 SKUs
     –
         Branded products


                                                       44
Resilient
             Manufacturer Benefits
     Credit Management
         Assume down channel credit risk and cash
     –

         collections for customer base
         Prime vendor model facilitates collections
     –


     Data
         Inventory data
     –

             Available daily
         –

             Days on hand
         –

         Invoice level sales data
     –

             Available daily
         –

             End customer information
         –

             Marketing and promotion effectiveness
         –                                            45
Resilient

               The Future of FFS
    Intend to move remaining price appreciation
    agreements to FFS

    FFS renewals continue to pay us for what
    we do
         95+% of major branded manufacturers on FFS
     –

         99+% of FFS metrics achieved
     –




                                                  46
Resilient

            Branded Summary
     FFS continues to be mutually successful

     Rewards ABC for value delivered

     Dramatically improves relationship with
     manufacturer

     FFS takes costs out of channel


                                               47
Steve Collis
  Executive Vice President &
President, AmerisourceBergen
       Specialty Group
                               48
Resilient

                  Specialty Group
     Distribution & related services primarily to
     physicians and biotech manufacturers
     Specialty Product Distribution & Services
     Biotech Commercialization Services

                   Market Leadership
    • Oncology                     • Biotech Distribution
    • Infusion services            • Nursing support
    • Outsourced logistics         • Reimbursement mgt
                                   • Dialysis/Nephrology
    • Plasma-derivative products
                                                            49
Resilient

     Integrated, Knowledge-Driven Offerings
                          Reimbursement
                                                I
                                              Se nfu
                           Management
                    nges                         rv sio
                   i
                 rs ic                             ic n
                         Distribution                es
                u rv
               Ne
               S Oncology          GPOs




                                                      Informatics
       Pharmacy
       Specialty




                   Vaccines         3PLogistics
                     Plasma-derivative products
                         Ophthalmology
             C
            Se ana      Dialysis/Nephrology




                                                  ss t
                                                ce en
              rv di
                ic an

                                              Ac ti
                        Specialty Pharmacy
                                               Pa
                  es
                              Health
                           Economics                                50
Resilient


     Specialty Group Key Business Units
  The nation’s largest pharmaceutical services company
  focused on the specialty industry
  Key business units are customer-focused:

   – ASD Healthcare – Blood            – Lash Group – Reimbursement
     plasma, dialysis/nephrology         services, patient assistance
     products, flu vaccine               programs
   – Besse Medical – Biologicals,      – NMCR Analytics – Peer-to-peer
     injectables                         market research in oncology,
                                         hematology
   – ICS – 3PL, direct distribution,
                                       – Oncology Supply – Oncology
     clinical services
                                         products, practice management
   – IgG America – Immune
                                       – US Bioservices – Nationwide
     globulin-specific specialty
     pharmacy                            specialty pharmacy
   – ION – Oncology-specific           – Xcenda – Reimbursement
     physician services                  strategy, outcomes research,
     organization                        strategic consulting            51
Resilient

    $14.6 Billion in FY 2008 Revenue

                    ICS
   Services

                          Oncology
            Besse

                    ASD




                                       52
Resilient

     Performance Milestones in FY2008
  Oncology business posted gains in record
  revenue and profit, despite anemia market impact
  3PL/direct business topped $2 billion revenue for
  2nd consecutive year
  Successful integration of Bellco’s dialysis
  business into ASD Healthcare
  Signed multi-year contract extension with DaVita
  Record revenue in patient adherence and
  reimbursement services
                                                      53
Resilient

               Undisputed Leader in
            Specialty Product Distribution
  Largest oncology products distributor and
  physician services organization in U.S.
       More than half of all community-based oncologists in
   –

       the country (4,600+)

  Largest nephrology/dialysis products distributor

  Largest blood plasma products distributor

  High market share in ophthalmology
                                                              54
Resilient

            Specialty Distribution’s
            Value to Manufacturers
     Product Delivery
      –Reach physicians daily
      –Scale efficiencies
      –Physician groups
     Data Delivery
     Credit Management
     Inventory Management
                                       55
Resilient

                 Specialty Services
               Value to Manufacturers
    Patient access & support programs
         Support products with patient assistance,
     –

         reimbursement mgt., and patient follow-up
    Health outcomes & reimbursement strategy
         Integration of patient/provider education, product
     –

         distribution/dispensing, data collection and reporting
    Customer Insights & Market Research
         Healthcare economics & market research
     –



                                                                  56
Resilient

            Specialty Distribution’s
             Value to Customers
     Product Delivery
      –Daily on orders placed the night before
      –All products in one order
      –Large-Practice Programs
     Financing Source
     Just-In-Time Inventory
      –Special handling requirements
     GPO Services
                                                 57
Resilient

                Specialty Services
                Value to Customers
  Physician Efficiency tools
       GPO services including training and education
   –

       Remittance management
   –


  Practice Management
       Webinars / ongoing training
   –

       Sharing best practices
   –

       Informatics
   –

                                                       58
Resilient

               Oncology Growth
  Oncology pipeline strongest among all
  pharmaceutical products
  750 medicines in development for cancer,
  compared to 388 for infectious disease the next
  closest




                                                    59
Resilient

                   Oncology Growth
  Total oncology market sales:
       2012: $80 billion
   –


  ESA impact
       Oncology 2% of total revenue, down 20% in FY2009
   –


  Reimbursement environment
       FDA, black box, other restrictive activities
   –

       Pressure on AWP and ASP
   –


  New FDA requirements (REMS) provide
  opportunities for new services and added new
  drug approvals

                                                          60
Resilient


                 The Power of cE2
     Significant impact on FY 2008 Performance
          Increased shared services
      –

          Increased cost effectiveness to lower expense
      –


     Flat (to down) Expenses in FY2009
          Continue to drive integration of business units
      –

          Continue to look for efficiencies and cost
      –
          effectiveness

     Continuous Improvement
                                                            61
Resilient

            Delivering Growth in FY2009
  Revenue growth of 5% to 7%
  Leading position and scale in specialty distribution
       Leverage scale to drive growth
   –

       Use customer service focus to expand
   –

       Increase shared services using CE2
   –


  Leader and innovative service provider
       Respond to manufacturer needs to reach patients and
   –
       increase compliance
       Further integrate service capability to deliver innovative
   –
       programs
       Use distribution data access to increase customer
   –
       efficiency and deliver manufacturer programs
                                                                    62
Peyton Howell, MHA
 AmerisourceBergen Specialty Group
President, Consulting Services & Health
                Policy
                                          63
Overview

  Key health policy trends and breadth of
        specialty services offering
    Market leading position
    Emerging health policy trends driving growth
         Patient Access Services
     –

         Risk Mitigation and REMS
     –

         Patient Education & Compliance Programs
     –

         Health Outcomes & Values-Based Messaging
     –

    Health Reform and the new Administration
         Unique breadth of services positioned to support
     –

         changing health care environment

                                                            64
Positioned for changing environment

       Unparalleled services experience
 Marketing leading position in supporting specialty biotech & pharma
    products to meet the needs of patients, providers and payers.



                              Patient
                             Access &
                              Support
                             Programs


                     Health             Customer
                  Outcomes &            Insights &
                 Reimbursement            Market
                    Strategy             Research


                     Breadth of Service Offering
                                                                   65
Market leading position

           Snapshot of FY08 Services
   Over 8 million unique patient contacts across 80 unique
   manufacturer programs
   Over 1500 seat call center capability (Charlotte, Dallas and San
   Francisco) including reimbursement and nursing professionals
   Over 130+ consulting professionals (PhD, PharmD, MPH) with
   over 50 new published health outcomes research peer-reviewed
   articles in 2008
   Leading provider of hub-model (or clearinghouse programs) to
   coordinate patient access services for specialty product launches
   Advisory boards and case-based market research including live
   meetings with over 6,000 physicians and 400 private
   payer/manager care leaders in 2008
   Over 800 days of live presentations to physicians and health
   care providers and nearly 300 webcast or teleconferences
                                                                      66
Emerging health policy trends driving growth

  Payer policies expand need for patient access services

     Market Needs            Our Services          Outcomes
  • Benefit            • Benefit
                                              • Facilitate patient
    Coordination         Verification
                                                access
  • Payer              • Prior Auth &
                                              • Reduce provider
    Restrictions         Denial Support
                                                anxiety and
  • AOB                • Electronic test
                                                administrative
    Coordination         claims & tracking
                                                hassle
  • Physician office   • Billing guides and
                                              • Increase speed to
    questions            coding support
                                                therapy
  • Uninsured and      • Patient assistance
                                              • Support access to
    increased            & alternate
                                                therapy regardless
    coinsurance          coverage research
                                                of ability to pay
  • Patient            • Services such as
                                              • Improve patient
    adherence            outbound
                                                compliance
                         reminder calls
                                                                     67
Emerging health policy trends driving growth

  New Risk Management and REMS requirements need
  our unique breadth of services
 • PDUFA (Oct 2007) codified the FDA’s
   authority to require further studies of
   medical products once they have
   reached the market.
 • Federal Register Notice (March, 2008)
   implemented first phases of REMS
   (some proposed REMS were due
   September 21, 2008)
 • ABSG is uniquely positioned with
   breadth of offering to effectively manage
   a wide range of REMS programs

      RiskMap = Risk Minimization Action Plan

  REMS = Risk Evaluation and Management Strategy

                                                   68
Emerging health policy trends driving growth

                 Three Categories of REMS Tools
                   Healthcare provider letters
    Targeted       Training programs and CE for providers
   Education &     Patient labeling such as Medication guides and patient
                  package inserts
    Outreach
                   Patient training or education systems

                   Patient education including acknowledgement forms
                   Provider training including testing or documentation
    Reminder       Provider/pt enrollment in special data collection
    Systems        Specialized packaging, limited refills or dosing
                   Attestations related to safety measure
                   Use of compulsory reminder systems
  Performance
                   Rx only by specially certified providers
     Linked
                   Limited dispensing/distribution based on requirements
    Access
                   Dispensing only to patients with documentation
    Systems
                                                                            69
Emerging health policy trends driving growth

       Patient Education & Compliance
        Services Expand Dramatically
   Significant new focus on keeping patients using treatments
   appropriately
   ABSG manages a wide range of such programs including
   clinical nurse programs as well as non-clinical patient
   advocates
   Can be integrated as part of REMS to provide a patient-
   focused means to streamline resources
   Often integrated with web-based resources for patients and
   providers

                                                                70
Emerging health policy trends driving growth

  Growing Focus on Comparative Effectiveness Research
             and Post-Marketing Analytics

       Burden of illness                  Economic and resource
                                          utilization analyses
       Comparative safety
                                          Meta-analyses
       Compliance and
       adherence assessments              Productivity studies
       Analysis of treatment and          Multi-site chart reviews
       population trends



                       Over 175 peer-reviewed publications
                   AJMC, Medical Care, Value in Health, Epidemiology,
                     Lancet, JAMA, Archives of IM, Pediatrics, JAGS


                                                                        71
Health Reform and
the New Administration



                         72
Health Reform and the New Administration

  Key Priorities of the New Administration
 Obama Healthcare Plan             Priorities for Change
   Three Key Approaches to           Uninsured
   Improve Healthcare                   SCHIP & Medicaid
   coverage                             Opportunity to buy-into
                                        FEHBP
      Improve healthcare quality
      and drive down costs by           Employer contributions
      reducing inefficiency and
                                     Changes in Medicare
      waste
                                     Advantage
      Provide affordable health
                                     Direct negotiations for drug
      insurance options for all
                                     prices
      Promote prevention and
                                     Comparative Effectiveness
      strengthen public health
                                     Generics and other cost-
                                     saving opportunities


                                                                    73
Health Reform and the New Administration

       Sen. Max Baucus “Call to Action:
          Healthcare Reform 2009”
   Chair of Senate Finance Committee, this 90-page report
   was released in mid-November.
   The plan is consistent overall with Obama plan, except it
   advocates specifically for an employer mandate to provide
   insurance coverage.
   4 Key Components:
    – Strengthen the role of primary care and chronic care

      management
    – Refocus payment incentives toward quality

    – Promoting provider collaboration and accountability

    – Improving the healthcare infrastructure
                                                               74
Health Reform and the New Administration


  Managed Care Experts Predict Modest
    Reforms Focused on Uninsured
                                                    Significant reforms to
                                                    include the bulk of the
                                                 5% Obama health plan or more
 Only minor changes to
 expand access given
 other market factors
                          47%

                                                          48%
                                                          Incremental reforms
                                                          focused on
                                                          expanding access
                                                          consistent with the
 Source: Survey of 60 Managed Care Medical Directors &
 Pharmacy Directors conducted by Xcenda at Managed Care
                                                          Obama health plan
 Network (MCN) Meeting on November 7, 2008.
                                                                                75
Health Reform and the New Administration

          Key Reforms and Potential Impact for ABC
                     Expands access, and like the implementation of
     Uninsured       Part D, should increase utilization.

                     Reductions in payment to MA plans will not impact
      Medicare
                     ABC
     Advantage
                     No impact for Part B drugs or related physician
   Medicare Part B
                     services is expected.
      Reforms
                     No direct impact expected.
   Gov negotiated
    drug pricing
                     Specialty Group well positioned to benefit due to
     Biosimilars     market share and support services.

                     No significant impact expected. Could increase
    Comparative
                     consulting and data services opportunities.
    Effectiveness
                                                                         76
Health Reform and the New Administration

        Making progress on the uninsured leads
                likely reforms for 2009
   SCHIP is renewed and an expansion of Medicaid is
   possible to address the uninsured (focused on children).
        Changes in Medicare Advantage will help to fund access issues.
    –


   Ban on pre-existing condition exclusions
   Potential buy-in option to FEHBP is developed
   Medicare Physician Fee Schedule cuts are averted
   although it could be another temporary fix.
   Concerns regarding patient out-of-pocket costs will grow
   Some form of resource to facilitate access to Comparative
   Effectiveness research will be created
                                                                         77
Concluding Thoughts


         Breadth of Specialty Services
            To Drive Future Growth
   Unique combination of services rather than
   the individual components
   Core services becoming more important to
   physicians, patients and manufacturers:
        Payer requirements
    –

        Focus on health outcomes and value
    –

        New REMS related programs and requirements
    –


                                                     78
Mike DiCandilo
  Executive Vice President,
Chief Financial Officer, & Chief
 Operating Officer of ABDC
                                   79
AmerisourceBergen
 Packaging Group


                    80
Resilient

        Packaging Group Overview
    Three operating companies: 2 U.S., 1 U.K.
    13 facilities totaling 1.4 Million sq ft
    1,400 employees
    Over 200 packaging lines
    Strong regulatory compliance profiles
    25+ product launches expected in FY09
    Preferred supplier to top global brand
    manufacturers and preferred relationships with
    large segment of generics manufacturers
                                                     81
Resilient

  Packaging Group Value Proposition
    Low cost, flexible operations
         New product launch capabilities
     –

         Adaptive work force
     –


    Operational Excellence
         Strong, experienced management team
     –

         Exemplary FDA compliance
     –

         Lean Six Sigma
     –

         Expanded controlled substance capabilities
     –


                                                      82
Resilient

  Packaging Group Value Proposition
    Special customized packaging capabilities
         Compliance in a bottle (CIAB)
     –

         Hospital unit dose, compliance packaging
     –

         Clinical trial packaging
     –


    Unique engineering expertise
         Innovative and highly automated packaging
     –
         processes
         Proprietary packaging formats
     –
                                                     83
Resilient
      Product Launch Capabilities




                VIDEO



                                    84
Resilient

       Packaging Group Summary
      Well-positioned for continued global
      pharmaceutical outsourcing
      Compliance packaging improves patient
      outcomes and increases pharma sales
      Customized Packaging (HUD) lowers cost for
      pharmacies
      Continued innovations in high value products
      will fuel growth
      Quality, performance, and reputation,
      increasing account penetration
                                                     85
Business Transformation




                      86
Business Transformation
                    Strategic Intent
   Execute an ERP-enabled Business Transformation Program
          to dramatically enhance AmerisourceBergen’s
               efficiency and ease of doing business




        Manufacturers        ABC          Dispensers




           Develop and deploy enhanced capabilities
        in all areas of ABC’s business and infrastructure


                                                            87
BT Program Plan

              We are here -



          Phase 1:                             Phase 2:                           Phase 3:                              Phase 4:
         Blueprint                 Detail Design, Build & Test                 Deployment                               Support


                                                                                                              Ongoing Maintenance
Mobili                            Detail Design
                                                                                                                   & Support
zation

                                                   Build
     Scope
    Confirm
     ation
                                                                    Test

               Design                                                             Deploy




                                                  Organizational Change Management
                                                  Program Management & Governance
                                                           Technical Architecture

                     *Multiple Detailed Design, Build, Test and Deploy phases will occur based on Deployment schedule



                                                                                                                                    88
Benefits of Business Transformation
Easier for customers to do business with ABC
Customer access to ordering, receiving,
inventory management and account
management tools
Integrated customer-facing ordering systems
with ABC’s ordering / supply management
systems
More accurate, credible, and valuable data
                                               89
BT Investment
$200 million to $250 million cumulative through
FY 2011
FY 2009 largest spend
    Approximately $100 million, 2/3 capitalized, 1/3
–

    expense

Included in our guidance
Value realization predominantly 2012 and
beyond

                                                       90
What You Need to Know Now
BT represents a continued investment by ABC to
drive the highest customer satisfaction and
efficiency with cost effective solutions & services
Strong experienced program management team
in charge
FY 09 Guidance includes BT cost and capital
Primarily a cost through FY 2011, Benefits in FY
2012
Will keep you updated
                                                      91
Financial Review



                   92
Resilient

            Long Term Financial Goals
     EPS growth of approximately 15%
     Revenue growth with market
     Operating margin expansion
     ROIC > WACC
     Free cash flow approximates net income
     Minimum 30% of free cash returned to
     shareholders


                                              93
Resilient

  EPS from Continuing Ops Since Merger

                                                           2.89
 $3.00
                                                    2.53
 $2.50
                                             2.09
                               1.90
                        1.95
 $2.00
                 1.42
 $1.50                                1.19
          1.04
 $1.00

 $0.50

 $0.00
         2001    2002   2003   2004   2005   2006   2007   2008
                                                                  94
 GAAP basis
Resilient

   Pharmaceutical Distribution Revenues

    $75.0
                                    $70.2
    $70.0
                            $65.3
    $65.0           $60.4
    $60.0   $53.9
    $55.0

    $50.0

    $45.0
    $40.0
            2005    2006    2007    2008

                                            95
Resilient

            Pharmaceutical Distribution
                Operating Ratios
Op exp %
                                                     Operating Expenses %                          GP %
Op Inc %
 1.95%
                                                                                                   2.75%
 1.75%

                                      Gross Profit




                                                              Gross Profit
             Gross Profit




                                                                                    Gross Profit
                                                                                                   2.25%
 1.55%

                                                                             +7
                            +7                         +6
 1.35%
                                                                                                   1.75%
                                                                             bps
                            bps                        bps
 1.15%
                                                                                                   1.25%
 0.95%
                                                                              Operating Income %
 0.75%                                                                                             0.75%
            2005                     2006                    2007                  2008

                                  Operating margin improvement
                                                                                                           96
Resilient

Cash Generationand Deployment
$ billions

$2.0
                                         Debt
                                         Repayment
                                          Share
$1.5                                      Repurchases
                                          Acquisitions

                                          Dividends
                                          Capital
$1.0                                      Expenditures
                                         Cash flow
                                         from
                                         operations
$0.5                                     Income
                                         from
                                         continuing
                                         operations

$0.0
             2005   2006   2007   2008                97
Resilient

              Fiscal Year 2008 Results

  Diluted EPS from Continuing Operations of $2.89, up 14% ,19% ex-items √

                                                                       √
  Record revenue of $70.2 billion, up 7 %

                                                                       √
  Pharmaceutical Dist. operating margin 1.19%, up 7 bps

                                                                       √
  ROIC > WACC

  Free cash flow: $600 Million, > 100% Income from continuing ops √

                                                                        √
  $680 million of share repurchase, > 100% of free cash flow



              √ Met or Exceeded FY 2008 Guidance
                                                                            98
Resilient

            Fiscal Year 2009 Targets
   Diluted EPS of $3.08-$3.25, up 7% to 12%
   Total revenue growth of 1% to 3%
   Operating Margin expansion – low to mid single digit basis
   points
    — Operating expense dollars flat to down
   ROIC > WACC
   Free cash flow of $460 to $535 Million
    – Includes CapEx of ≅ $140 Million
   Share Repurchases of approximately $350 Million
    – Average shares down about 5%

                                                                99
EPS Growth Estimate
                            FY08       FY 09           FY 09 Drivers



                                                       - Market growth 1-2%
Revenue Growth                                         - Walgreens -3%
                            7%          1-3%
                                                       - Back-ended


                                                        - Flat to down
Margin Expansion            4%          2-3%              expense dollars
                                                       - Generics
                                                       - Customer mix

Op Inc Growth               11%         3-6%
                                                       - Share repurchase
                                                         $350 million
Cash Deployment             8%          4-6%           - Net interest
                                                         expense up


EPS Growth                                              FY2009 EPS
                           19%*         7-12%
                                                        $3.08 to $3.25

 *Excluding special items, LTC, & vaccine write-down                        100
Resilient
             Fiscal Year 2009 Targets
  Revenue Growth and Operating Margin by Business Unit
                            Revenue      Operating*
               % of Total
  Business
                            Growth      Margin Range
               Revenue
    Unit

  ABDC       77% - 80%      0% - 2%    1.03% - 1.09%
                            5% - 7%    1.55% - 1.65%
  ABSG       20% - 22%
  ABPG         ≈ 1/2%       4% - 6%      10% - 12%
   Total        100%        1% - 3%    1.20% – 1.25%


  *Based on total revenue
                                                         101
Resilient
          Capital Structure Goals
   Adequate Liquidity
          Maintenance cash
      –

          $750 million revolving credit facility, expires 2011
      –

          $975 million A/R securitization facility expires June
      –

          and November 2009
          No long-term debt due until 2012, then 2015
      –


   Maintain Access To Capital
          Investment grade important
      –


   Maintain Flexibility
          Cash & borrowing capacity to make acquisitions
      –
                                                                  102
Resilient
     Fiscal 2009 Capital Deployment
 What’s Available?
     $878 million of cash and short-term investments
     @ 9/30/08 ($450 million available)
     Free Cash Flow of $460-$535 million expected for FY09
     Total available for investment abut $900 million -$1 billion,
     excluding additional borrowing capacity
 Where to deploy?
     $350 million of shares expected to be repurchased in FY09
     ($500 million authorized)
     $60 million for dividend (increased 33%)
     $500-$600 million available for further investment
              Significant Financial Flexibility                  103
Questions & Answers

                  104
Resilient


Focused on Growing Pharmaceutical Channel

Positioned in Channel for Growth

Right Investments for Future Growth



                                            105

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AmeriSourceBergen Analyst Meeting Slides

  • 1. Welcome to Investor Day December 11, 2008 1
  • 2. Dave Yost President & Chief Executive Officer 2
  • 3. Comment Regarding Forward Looking Statements This presentation contains forward-looking statements about AmerisourceBergen’s future business and financial performance, estimates and prospects. These statements are based on our current expectations and are subject to uncertainty and change in circumstances. Among the factors that could cause actual results to differ materially from those projected, anticipated or implied are the following: changes in pharmaceutical market growth rates; the loss of one or more key customer or supplier relationships; changes in customer mix; customer or supplier defaults or insolvencies; changes in pharmaceutical manufacturers' pricing and distribution policies or practices; adverse resolution of any contract or other dispute with customers or suppliers; federal and state government enforcement initiatives to detect and prevent suspicious orders of controlled substances and the diversion of controlled substances; changes in U.S. legislation or regulatory action affecting pharmaceutical product pricing or reimbursement policies, including under Medicaid and Medicare; changes in regulatory or clinical medical guidelines and/or labeling for the pharmaceuticals we distribute, including erythropoiesis-stimulating agents (ESAs) used to treat anemia patients; price inflation in branded pharmaceuticals and price deflation in generics; significant breakdown or interruption of our information technology systems; success of integration, restructuring or systems initiatives; interest rate and foreign currency exchange rate fluctuations; economic, business, competitive and/or regulatory developments in Canada, the United Kingdom and elsewhere outside of the United States; the impact of divestitures or the acquisition of businesses that do not perform as we expect or that are difficult for us to integrate or control; our inability to successfully complete any other transaction that we may wish to pursue from time to time; changes in tax legislation or adverse resolution of challenges to our tax positions; our ability to maintain adequate liquidity and financing sources; continued volatility and further deterioration of the capital markets; and other economic, business, competitive, legal, tax, regulatory and/or operational factors affecting our business generally. Our most recent annual report on Form 10-K, quarterly reports on Forms 10-Q and current reports 8-K (which we may revise or supplement in future reports filed to the SEC) provide additional information about these risks, uncertainties and other matters. We do not undertake to update our forward-looking statements. 3
  • 4. Today’s Agenda ABC Today & Tomorrow Distribution & Related Services Generics & Fee for Service Specialty Dist. & Related Services Health Policy Environment Packaging & Business Transformation Financial Review Questions and Answers 4
  • 5. Today’s Speakers Dave Yost President & Chief Executive Officer Tony Pera Senior Vice President, Supply Chain Management Steve Collis Executive Vice President of ABC President ABSG Peyton Howell ABSG President Consulting Services & Health Policy Mike DiCandilo Executive Vice President and Chief Financial Officer of ABC, Chief Operating Officer of ABDC 5
  • 6. Today’s Theme … Resilient 6
  • 7. Resilient EPS from Continuing Ops Since Merger 2.89 $3.00 2.53 $2.50 2.09 1.90 1.95 $2.00 1.42 $1.50 1.19 1.04 $1.00 $0.50 $0.00 2001 2002 2003 2004 2005 2006 2007 2008 GAAP Basis 7
  • 8. Resilient ABC Channel Position Manufacturers Products Dispensers Branded Retail Pharma Hospitals Generic Clinics Pharma PBM/Mail Biotech Physicians Prime LT Care Vendor HBA/OTC Data/Services 8
  • 9. Resilient ABC Today What we ARE What we are NOT Drug Dist. & Services Heavily customer Largest, broadest concentrated Specialty Dist. & Services Heavily exposed to Servicing “right” customers hospital cap-ex Generics Subject to foreign – Value-added services – exchange fluctuations Investing in our future Distracted by ERP/Business Transformation – business challenges Focused! Best House in a Great Neighborhood! 9
  • 10. Resilient ABC Tomorrow The Changes ABC Opportunity 100% Fee For Service More predictability BT/ ERP completed Customer efficiency Universal health coverage More drug utilization Generics & Biosimilars Value-added services Compliance Packaging Packaging leadership Manufacturer concentration More efficiency ABC: Continually Well Positioned 10
  • 11. Resilient Primary Growth Drivers Today & Tomorrow Generics Specialty Drugs Growing faster than Growing Market market Customer mix Physician administered advantage Strong Distribution Differentiated offer Oncology Services – Services Manufacturers – Manufacturers Dispensers – – Physicians Global Sourcing – 11
  • 12. Resilient FY 2008 Results Financial Performance EPS from Continuing Operations up 19%* – Revenue up 7% – Operating Margin up 7 bps – FY07 +6 bps, FY06 +7 bps $680 million in cash generation – Environment Market growth of 1% to 2% – Specialty challenges with anemia drugs – *ex: special items, LTC, & vaccine write-down 12
  • 13. Resilient Environment: Growing (but slower) Pharmaceutical Market Growth 1% to 2% in CY 2008 – 3 % to 6% CAGR 2008 to 2012 – 1% to 2% in CY 2009 – Current Environment Increase in generic drug utilization – Fewer FDA approvals of new drugs – Selected drug issues – Challenges of the economy – 13
  • 14. Resilient because… Distribution and Related Services deliver value up and down the channel 14
  • 15. Resilient Prime Vendor Distribution’s Value to Manufacturers Product Delivery –Reach over 27,000 pharmacies/physicians daily Data Delivery Credit Management Inventory Management 15
  • 16. Resilient Prime Vendor Distribution’s Value to Dispensers Product Delivery Decreased administration costs Financing Source Just-In-Time Inventory For more than 30,000 SKUs – Services to Enhance Business 16
  • 17. ABC Revenue Specialty Group Retail PBM Alt Site Health Systems 17
  • 18. Resilient Retail Customers Retail Healthcare Providers Regional drugstore chains – Food/Drug combination – National chain niches – Community independent pharmacies – Apothecary shops – 18
  • 19. Resilient Retail Value-Added Services Good Neighbor Pharmacy®: 3,000 stores GNP Provider Network™: 5,000 stores – 3rd Largest Diabetes Shoppe®: 1,000 stores Private Label Products: 700 SKUs PRxO® Generics & PRxO ® Generics Plus Patient management programs Business coaching Promotional programs 19
  • 20. Resilient Alternate Site Customers Nursing Home Providers Managed Care Mail Order Facilities Dialysis Clinics 20
  • 21. Resilient Alt. Site Value-Added Services Contract management Pharmacy efficiency improvement Pharmacy automation Unit-of-use packaging Generics 21
  • 22. RESULT … Lowest Costs and Improved Patient Outcomes 22
  • 23. Resilient The Power of cE2 Philosophy Customer Efficiency – Cost Effectiveness Does the customer need the service – How can we provide it at best value – Flat (to down) Expenses in FY2009 Streamlined organization – Consolidated services – Continuous Improvement 23
  • 24. Resilient Acquisition Strategy FY 06 to FY 08 Acquisitions Trent ABC will be the leading wholesale Asenda distributor of branded and generic Rep-Pharm pharmaceuticals and related services Bellco Health NMCR ABC will be the leading distributor IgG America of specialty pharmaceutical AMD products and related services Xcenda ABC will be the packager of choice for pharmaceutical manufacturers Brecon 24
  • 25. Resilient … The ABC Leaders that Continue the Growth 25
  • 26. Tony Pera Senior Vice President, Supply Chain Management 26
  • 27. Resilient Tony Pera 25 years in Generics Manufacturing Co-founder Bedford Laboratories Former head of US generics business of APP, now part of Fresenius Joined ABC as President American Health Packaging in 2006 SVP Supply Chain Management early 2008 27
  • 29. Resilient Generics Growth Drivers Continued Branded patent expirations Increased awareness and acceptance Government and payers promoting use of generics to reduce Healthcare costs Generic dispensing rates continue to rise 29
  • 30. Resilient Patent Expirations $25 $20 $in Billions $15 $10 $5 $0 Source: IMS Health CY 2009 CY 2010 CY 2011 Top 3 Products Per Year •Effexor XR® •Lipitor® •Prevacid® •Aricept® •Actos® •Topamax® •Flomax® •Levaquin® •Valtrex® 30
  • 31. Resilient The Generics Market Dynamics One player in 6-month exclusivity period Two players in 6-month exclusivity period Limited players with hard-to-make drug Multiple players in easy-to-make drug 31
  • 32. Resilient Generics Philosophy Procure products from reliable sources Monitor and react to industry trends Manage PRxO® Generics program Provide manufacturers market access – Deliver optimal value to customers – Customer compliance – 32
  • 33. Resilient Generics Profitability Example Brand Name Generic Selling Price $100 $20 Gross Margin 3% 15%+ Gross Profit Dollars $3.00 $3.00+ Handling Costs Same Same Accounts Payable 30 days 60 days+ Receivable $100 $20 Working Capital Higher Lower Returns on Capital Lower Higher 33
  • 34. Resilient Generics Manufacturers Increasing transparency with Manufacturers Provide Inventory and Sales Data – Improved Inventory Management – Building stronger relationships Transition from transactional to collaborative – Executed agreements through 2011 – Global Scope Competitive landscape is always evolving – Conduct numerous international site visits – – Attention to quality Deliver manufacturers significant market share 34
  • 35. Resilient The Right Customer Mix Retail Healthcare Providers Regional drugstore chains – Food/Drug combination – Independent pharmacies – Institutional Healthcare Providers Hospital – Long Term Care / Alternate Site – 35
  • 36. Resilient PRxO® Generics Formulary that consists of over 6,500 SKUs Value Pricing – Portfolio Management – Tailored programs address specific customer needs Focused on customer profitability Dynamic market response 100 manufacturers in PRxO® Generics 36
  • 37. Resilient Competitive Edge 37
  • 38. Resilient PRxO® Generics Customer Value Price Competitive and Responsive Quality Availability Secure and Direct Consistent and Timely 38
  • 40. Resilient Branded Product Environment FDA approvals slow and pipelines weak Patent Expirations $85 billion over next 5 years – Increased government pressure and scrutiny Fee-For-Service is the norm 40
  • 41. Resilient Fee-For-Service Process AmerisourceBergen Maintains target inventory levels – Provides high customer service levels – Credit Management – Other Services – Data - New Product Launches – Manage Returns – Manufacturer Pays fee based on ABCs metric performance – Calculated against purchases – 41
  • 42. Fee-For-Service Results FFS has produced market changes Lower inventory levels Increased cash flow – More efficient supply chain Less returns – Better forecasting – 42
  • 43. Resilient Fee for Service Results FFS has produced market changes More Predictable Revenue Less dependence on price appreciation – ABC prefers to get paid for what we do – Fees more accurately coincide with services – Improved Manufacturer Relations Increased or established communications – Increased transparency – Standardized operating procedures – 43
  • 44. Resilient Manufacturer Benefits Inventory Control Smooth and predictable demand – Supply chain safety – Delivery of Products Deliveries to 27,000 ship-to-points per day – 99+% customer service levels – Pick / Pack / Ship approximately 6,600 SKUs – Branded products 44
  • 45. Resilient Manufacturer Benefits Credit Management Assume down channel credit risk and cash – collections for customer base Prime vendor model facilitates collections – Data Inventory data – Available daily – Days on hand – Invoice level sales data – Available daily – End customer information – Marketing and promotion effectiveness – 45
  • 46. Resilient The Future of FFS Intend to move remaining price appreciation agreements to FFS FFS renewals continue to pay us for what we do 95+% of major branded manufacturers on FFS – 99+% of FFS metrics achieved – 46
  • 47. Resilient Branded Summary FFS continues to be mutually successful Rewards ABC for value delivered Dramatically improves relationship with manufacturer FFS takes costs out of channel 47
  • 48. Steve Collis Executive Vice President & President, AmerisourceBergen Specialty Group 48
  • 49. Resilient Specialty Group Distribution & related services primarily to physicians and biotech manufacturers Specialty Product Distribution & Services Biotech Commercialization Services Market Leadership • Oncology • Biotech Distribution • Infusion services • Nursing support • Outsourced logistics • Reimbursement mgt • Dialysis/Nephrology • Plasma-derivative products 49
  • 50. Resilient Integrated, Knowledge-Driven Offerings Reimbursement I Se nfu Management nges rv sio i rs ic ic n Distribution es u rv Ne S Oncology GPOs Informatics Pharmacy Specialty Vaccines 3PLogistics Plasma-derivative products Ophthalmology C Se ana Dialysis/Nephrology ss t ce en rv di ic an Ac ti Specialty Pharmacy Pa es Health Economics 50
  • 51. Resilient Specialty Group Key Business Units The nation’s largest pharmaceutical services company focused on the specialty industry Key business units are customer-focused: – ASD Healthcare – Blood – Lash Group – Reimbursement plasma, dialysis/nephrology services, patient assistance products, flu vaccine programs – Besse Medical – Biologicals, – NMCR Analytics – Peer-to-peer injectables market research in oncology, hematology – ICS – 3PL, direct distribution, – Oncology Supply – Oncology clinical services products, practice management – IgG America – Immune – US Bioservices – Nationwide globulin-specific specialty pharmacy specialty pharmacy – ION – Oncology-specific – Xcenda – Reimbursement physician services strategy, outcomes research, organization strategic consulting 51
  • 52. Resilient $14.6 Billion in FY 2008 Revenue ICS Services Oncology Besse ASD 52
  • 53. Resilient Performance Milestones in FY2008 Oncology business posted gains in record revenue and profit, despite anemia market impact 3PL/direct business topped $2 billion revenue for 2nd consecutive year Successful integration of Bellco’s dialysis business into ASD Healthcare Signed multi-year contract extension with DaVita Record revenue in patient adherence and reimbursement services 53
  • 54. Resilient Undisputed Leader in Specialty Product Distribution Largest oncology products distributor and physician services organization in U.S. More than half of all community-based oncologists in – the country (4,600+) Largest nephrology/dialysis products distributor Largest blood plasma products distributor High market share in ophthalmology 54
  • 55. Resilient Specialty Distribution’s Value to Manufacturers Product Delivery –Reach physicians daily –Scale efficiencies –Physician groups Data Delivery Credit Management Inventory Management 55
  • 56. Resilient Specialty Services Value to Manufacturers Patient access & support programs Support products with patient assistance, – reimbursement mgt., and patient follow-up Health outcomes & reimbursement strategy Integration of patient/provider education, product – distribution/dispensing, data collection and reporting Customer Insights & Market Research Healthcare economics & market research – 56
  • 57. Resilient Specialty Distribution’s Value to Customers Product Delivery –Daily on orders placed the night before –All products in one order –Large-Practice Programs Financing Source Just-In-Time Inventory –Special handling requirements GPO Services 57
  • 58. Resilient Specialty Services Value to Customers Physician Efficiency tools GPO services including training and education – Remittance management – Practice Management Webinars / ongoing training – Sharing best practices – Informatics – 58
  • 59. Resilient Oncology Growth Oncology pipeline strongest among all pharmaceutical products 750 medicines in development for cancer, compared to 388 for infectious disease the next closest 59
  • 60. Resilient Oncology Growth Total oncology market sales: 2012: $80 billion – ESA impact Oncology 2% of total revenue, down 20% in FY2009 – Reimbursement environment FDA, black box, other restrictive activities – Pressure on AWP and ASP – New FDA requirements (REMS) provide opportunities for new services and added new drug approvals 60
  • 61. Resilient The Power of cE2 Significant impact on FY 2008 Performance Increased shared services – Increased cost effectiveness to lower expense – Flat (to down) Expenses in FY2009 Continue to drive integration of business units – Continue to look for efficiencies and cost – effectiveness Continuous Improvement 61
  • 62. Resilient Delivering Growth in FY2009 Revenue growth of 5% to 7% Leading position and scale in specialty distribution Leverage scale to drive growth – Use customer service focus to expand – Increase shared services using CE2 – Leader and innovative service provider Respond to manufacturer needs to reach patients and – increase compliance Further integrate service capability to deliver innovative – programs Use distribution data access to increase customer – efficiency and deliver manufacturer programs 62
  • 63. Peyton Howell, MHA AmerisourceBergen Specialty Group President, Consulting Services & Health Policy 63
  • 64. Overview Key health policy trends and breadth of specialty services offering Market leading position Emerging health policy trends driving growth Patient Access Services – Risk Mitigation and REMS – Patient Education & Compliance Programs – Health Outcomes & Values-Based Messaging – Health Reform and the new Administration Unique breadth of services positioned to support – changing health care environment 64
  • 65. Positioned for changing environment Unparalleled services experience Marketing leading position in supporting specialty biotech & pharma products to meet the needs of patients, providers and payers. Patient Access & Support Programs Health Customer Outcomes & Insights & Reimbursement Market Strategy Research Breadth of Service Offering 65
  • 66. Market leading position Snapshot of FY08 Services Over 8 million unique patient contacts across 80 unique manufacturer programs Over 1500 seat call center capability (Charlotte, Dallas and San Francisco) including reimbursement and nursing professionals Over 130+ consulting professionals (PhD, PharmD, MPH) with over 50 new published health outcomes research peer-reviewed articles in 2008 Leading provider of hub-model (or clearinghouse programs) to coordinate patient access services for specialty product launches Advisory boards and case-based market research including live meetings with over 6,000 physicians and 400 private payer/manager care leaders in 2008 Over 800 days of live presentations to physicians and health care providers and nearly 300 webcast or teleconferences 66
  • 67. Emerging health policy trends driving growth Payer policies expand need for patient access services Market Needs Our Services Outcomes • Benefit • Benefit • Facilitate patient Coordination Verification access • Payer • Prior Auth & • Reduce provider Restrictions Denial Support anxiety and • AOB • Electronic test administrative Coordination claims & tracking hassle • Physician office • Billing guides and • Increase speed to questions coding support therapy • Uninsured and • Patient assistance • Support access to increased & alternate therapy regardless coinsurance coverage research of ability to pay • Patient • Services such as • Improve patient adherence outbound compliance reminder calls 67
  • 68. Emerging health policy trends driving growth New Risk Management and REMS requirements need our unique breadth of services • PDUFA (Oct 2007) codified the FDA’s authority to require further studies of medical products once they have reached the market. • Federal Register Notice (March, 2008) implemented first phases of REMS (some proposed REMS were due September 21, 2008) • ABSG is uniquely positioned with breadth of offering to effectively manage a wide range of REMS programs RiskMap = Risk Minimization Action Plan REMS = Risk Evaluation and Management Strategy 68
  • 69. Emerging health policy trends driving growth Three Categories of REMS Tools Healthcare provider letters Targeted Training programs and CE for providers Education & Patient labeling such as Medication guides and patient package inserts Outreach Patient training or education systems Patient education including acknowledgement forms Provider training including testing or documentation Reminder Provider/pt enrollment in special data collection Systems Specialized packaging, limited refills or dosing Attestations related to safety measure Use of compulsory reminder systems Performance Rx only by specially certified providers Linked Limited dispensing/distribution based on requirements Access Dispensing only to patients with documentation Systems 69
  • 70. Emerging health policy trends driving growth Patient Education & Compliance Services Expand Dramatically Significant new focus on keeping patients using treatments appropriately ABSG manages a wide range of such programs including clinical nurse programs as well as non-clinical patient advocates Can be integrated as part of REMS to provide a patient- focused means to streamline resources Often integrated with web-based resources for patients and providers 70
  • 71. Emerging health policy trends driving growth Growing Focus on Comparative Effectiveness Research and Post-Marketing Analytics Burden of illness Economic and resource utilization analyses Comparative safety Meta-analyses Compliance and adherence assessments Productivity studies Analysis of treatment and Multi-site chart reviews population trends Over 175 peer-reviewed publications AJMC, Medical Care, Value in Health, Epidemiology, Lancet, JAMA, Archives of IM, Pediatrics, JAGS 71
  • 72. Health Reform and the New Administration 72
  • 73. Health Reform and the New Administration Key Priorities of the New Administration Obama Healthcare Plan Priorities for Change Three Key Approaches to Uninsured Improve Healthcare SCHIP & Medicaid coverage Opportunity to buy-into FEHBP Improve healthcare quality and drive down costs by Employer contributions reducing inefficiency and Changes in Medicare waste Advantage Provide affordable health Direct negotiations for drug insurance options for all prices Promote prevention and Comparative Effectiveness strengthen public health Generics and other cost- saving opportunities 73
  • 74. Health Reform and the New Administration Sen. Max Baucus “Call to Action: Healthcare Reform 2009” Chair of Senate Finance Committee, this 90-page report was released in mid-November. The plan is consistent overall with Obama plan, except it advocates specifically for an employer mandate to provide insurance coverage. 4 Key Components: – Strengthen the role of primary care and chronic care management – Refocus payment incentives toward quality – Promoting provider collaboration and accountability – Improving the healthcare infrastructure 74
  • 75. Health Reform and the New Administration Managed Care Experts Predict Modest Reforms Focused on Uninsured Significant reforms to include the bulk of the 5% Obama health plan or more Only minor changes to expand access given other market factors 47% 48% Incremental reforms focused on expanding access consistent with the Source: Survey of 60 Managed Care Medical Directors & Pharmacy Directors conducted by Xcenda at Managed Care Obama health plan Network (MCN) Meeting on November 7, 2008. 75
  • 76. Health Reform and the New Administration Key Reforms and Potential Impact for ABC Expands access, and like the implementation of Uninsured Part D, should increase utilization. Reductions in payment to MA plans will not impact Medicare ABC Advantage No impact for Part B drugs or related physician Medicare Part B services is expected. Reforms No direct impact expected. Gov negotiated drug pricing Specialty Group well positioned to benefit due to Biosimilars market share and support services. No significant impact expected. Could increase Comparative consulting and data services opportunities. Effectiveness 76
  • 77. Health Reform and the New Administration Making progress on the uninsured leads likely reforms for 2009 SCHIP is renewed and an expansion of Medicaid is possible to address the uninsured (focused on children). Changes in Medicare Advantage will help to fund access issues. – Ban on pre-existing condition exclusions Potential buy-in option to FEHBP is developed Medicare Physician Fee Schedule cuts are averted although it could be another temporary fix. Concerns regarding patient out-of-pocket costs will grow Some form of resource to facilitate access to Comparative Effectiveness research will be created 77
  • 78. Concluding Thoughts Breadth of Specialty Services To Drive Future Growth Unique combination of services rather than the individual components Core services becoming more important to physicians, patients and manufacturers: Payer requirements – Focus on health outcomes and value – New REMS related programs and requirements – 78
  • 79. Mike DiCandilo Executive Vice President, Chief Financial Officer, & Chief Operating Officer of ABDC 79
  • 81. Resilient Packaging Group Overview Three operating companies: 2 U.S., 1 U.K. 13 facilities totaling 1.4 Million sq ft 1,400 employees Over 200 packaging lines Strong regulatory compliance profiles 25+ product launches expected in FY09 Preferred supplier to top global brand manufacturers and preferred relationships with large segment of generics manufacturers 81
  • 82. Resilient Packaging Group Value Proposition Low cost, flexible operations New product launch capabilities – Adaptive work force – Operational Excellence Strong, experienced management team – Exemplary FDA compliance – Lean Six Sigma – Expanded controlled substance capabilities – 82
  • 83. Resilient Packaging Group Value Proposition Special customized packaging capabilities Compliance in a bottle (CIAB) – Hospital unit dose, compliance packaging – Clinical trial packaging – Unique engineering expertise Innovative and highly automated packaging – processes Proprietary packaging formats – 83
  • 84. Resilient Product Launch Capabilities VIDEO 84
  • 85. Resilient Packaging Group Summary Well-positioned for continued global pharmaceutical outsourcing Compliance packaging improves patient outcomes and increases pharma sales Customized Packaging (HUD) lowers cost for pharmacies Continued innovations in high value products will fuel growth Quality, performance, and reputation, increasing account penetration 85
  • 87. Business Transformation Strategic Intent Execute an ERP-enabled Business Transformation Program to dramatically enhance AmerisourceBergen’s efficiency and ease of doing business Manufacturers ABC Dispensers Develop and deploy enhanced capabilities in all areas of ABC’s business and infrastructure 87
  • 88. BT Program Plan We are here - Phase 1: Phase 2: Phase 3: Phase 4: Blueprint Detail Design, Build & Test Deployment Support Ongoing Maintenance Mobili Detail Design & Support zation Build Scope Confirm ation Test Design Deploy Organizational Change Management Program Management & Governance Technical Architecture *Multiple Detailed Design, Build, Test and Deploy phases will occur based on Deployment schedule 88
  • 89. Benefits of Business Transformation Easier for customers to do business with ABC Customer access to ordering, receiving, inventory management and account management tools Integrated customer-facing ordering systems with ABC’s ordering / supply management systems More accurate, credible, and valuable data 89
  • 90. BT Investment $200 million to $250 million cumulative through FY 2011 FY 2009 largest spend Approximately $100 million, 2/3 capitalized, 1/3 – expense Included in our guidance Value realization predominantly 2012 and beyond 90
  • 91. What You Need to Know Now BT represents a continued investment by ABC to drive the highest customer satisfaction and efficiency with cost effective solutions & services Strong experienced program management team in charge FY 09 Guidance includes BT cost and capital Primarily a cost through FY 2011, Benefits in FY 2012 Will keep you updated 91
  • 93. Resilient Long Term Financial Goals EPS growth of approximately 15% Revenue growth with market Operating margin expansion ROIC > WACC Free cash flow approximates net income Minimum 30% of free cash returned to shareholders 93
  • 94. Resilient EPS from Continuing Ops Since Merger 2.89 $3.00 2.53 $2.50 2.09 1.90 1.95 $2.00 1.42 $1.50 1.19 1.04 $1.00 $0.50 $0.00 2001 2002 2003 2004 2005 2006 2007 2008 94 GAAP basis
  • 95. Resilient Pharmaceutical Distribution Revenues $75.0 $70.2 $70.0 $65.3 $65.0 $60.4 $60.0 $53.9 $55.0 $50.0 $45.0 $40.0 2005 2006 2007 2008 95
  • 96. Resilient Pharmaceutical Distribution Operating Ratios Op exp % Operating Expenses % GP % Op Inc % 1.95% 2.75% 1.75% Gross Profit Gross Profit Gross Profit Gross Profit 2.25% 1.55% +7 +7 +6 1.35% 1.75% bps bps bps 1.15% 1.25% 0.95% Operating Income % 0.75% 0.75% 2005 2006 2007 2008 Operating margin improvement 96
  • 97. Resilient Cash Generationand Deployment $ billions $2.0 Debt Repayment Share $1.5 Repurchases Acquisitions Dividends Capital $1.0 Expenditures Cash flow from operations $0.5 Income from continuing operations $0.0 2005 2006 2007 2008 97
  • 98. Resilient Fiscal Year 2008 Results Diluted EPS from Continuing Operations of $2.89, up 14% ,19% ex-items √ √ Record revenue of $70.2 billion, up 7 % √ Pharmaceutical Dist. operating margin 1.19%, up 7 bps √ ROIC > WACC Free cash flow: $600 Million, > 100% Income from continuing ops √ √ $680 million of share repurchase, > 100% of free cash flow √ Met or Exceeded FY 2008 Guidance 98
  • 99. Resilient Fiscal Year 2009 Targets Diluted EPS of $3.08-$3.25, up 7% to 12% Total revenue growth of 1% to 3% Operating Margin expansion – low to mid single digit basis points — Operating expense dollars flat to down ROIC > WACC Free cash flow of $460 to $535 Million – Includes CapEx of ≅ $140 Million Share Repurchases of approximately $350 Million – Average shares down about 5% 99
  • 100. EPS Growth Estimate FY08 FY 09 FY 09 Drivers - Market growth 1-2% Revenue Growth - Walgreens -3% 7% 1-3% - Back-ended - Flat to down Margin Expansion 4% 2-3% expense dollars - Generics - Customer mix Op Inc Growth 11% 3-6% - Share repurchase $350 million Cash Deployment 8% 4-6% - Net interest expense up EPS Growth FY2009 EPS 19%* 7-12% $3.08 to $3.25 *Excluding special items, LTC, & vaccine write-down 100
  • 101. Resilient Fiscal Year 2009 Targets Revenue Growth and Operating Margin by Business Unit Revenue Operating* % of Total Business Growth Margin Range Revenue Unit ABDC 77% - 80% 0% - 2% 1.03% - 1.09% 5% - 7% 1.55% - 1.65% ABSG 20% - 22% ABPG ≈ 1/2% 4% - 6% 10% - 12% Total 100% 1% - 3% 1.20% – 1.25% *Based on total revenue 101
  • 102. Resilient Capital Structure Goals Adequate Liquidity Maintenance cash – $750 million revolving credit facility, expires 2011 – $975 million A/R securitization facility expires June – and November 2009 No long-term debt due until 2012, then 2015 – Maintain Access To Capital Investment grade important – Maintain Flexibility Cash & borrowing capacity to make acquisitions – 102
  • 103. Resilient Fiscal 2009 Capital Deployment What’s Available? $878 million of cash and short-term investments @ 9/30/08 ($450 million available) Free Cash Flow of $460-$535 million expected for FY09 Total available for investment abut $900 million -$1 billion, excluding additional borrowing capacity Where to deploy? $350 million of shares expected to be repurchased in FY09 ($500 million authorized) $60 million for dividend (increased 33%) $500-$600 million available for further investment Significant Financial Flexibility 103
  • 105. Resilient Focused on Growing Pharmaceutical Channel Positioned in Channel for Growth Right Investments for Future Growth 105