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2002 Merrill Lynch
Healthcare Services Conference

        December 3, 2002
John Hammergren

    Chairman and
Chief Executive Officer
Safe Harbor Clause

Some of the information in this presentation
may constitute forward-looking statements
which are subject to various uncertainties
and could cause actual results to differ
materially from those projected or implied.
These uncertainties are described in the
Company’s reports and exhibits filed with
the Securities and Exchange Commission.
Agenda For Today’s Presentation
  Market and Strategy Overview

  Business Unit Review

  Summary
McKesson Investment Highlights

  Positive momentum in Pharmaceutical Solutions
  and Information Solutions: revenue growth and
  margin expansion
  Turnaround underway in Medical-Surgical
  Solutions
  Seven quarters of EPS momentum and
  improving return on committed capital
  Demographics, economics and public policy
  drive demand for McKesson products and
  services
Largest Healthcare Services Company

                         Medical-
                          Medical-
     Pharmaceutical                      Information
     Pharmaceutical                      Information
                         Surgical
                          Surgical
       Solutions                          Solutions
       Solutions                           Solutions
                         Solutions
                         Solutions


      $46 billion in   $2.7 billion in   $1 billion in
      revenues         revenues          revenues
      US and           Hospitals         Most comprehensive
      Canadian                           HIT product line:
                       Physician
      pharma                             software, services,
                       offices
      distribution                       outsourcing
                       Nursing homes
      Hospital and                       New clinical offering
      retail           Long-term care    includes decision
      automation       facilities        support, order entry
                                         and digital medical
      Pharmacy
                                         imaging
      outsourcing
      Health
      Solutions
McKesson Solutions Improve
Quality and Reduce Cost
                Pharmaceutical and medical-                     Clinical, financial and
               surgical distribution to all sites              resource management
                                                              systems for hospital and
    Automated drug
                                                                         IDNs
dispensing for retail and
  hospital pharmacies
                                                                Physician portal



  Pharmacy outsourcing
                                                                   Solution for
                                                                 Medication Safety

Specialty pharmaceutical
      distribution


                                                    HIT outsourcing
            Services for payors, patients
                and manufacturers

            Unique Conversations with Customers At Higher Levels
Favorable Market Factors Drive
McKesson Growth

 Aging population consumes more drugs, supplies
 More sophisticated population demands higher quality
 Employer and government focus on higher quality
 Costs and incentives drive increased use of generics
 Pharmacist and nurse shortage widens
 Costs and quality concerns lead to increased disease
 management
 Expanding pipeline of higher-tech drugs
Strong Q2 FY03 Results
                                                                    2nd Quarter
               ($ in millions, except EPS)

                                                             FY03          FY02
     Revenues                                                $10,282       $8,915      +15%

     Operating Profit

            Pharmaceutical Solutions                         $   227       $ 179       +27%
            Medical-Surgical Solutions                            2               24   - 92%

            Information Solutions                                 24              14   +79%


     Net Income                                              $   124       $      96   +29%

     Diluted Earnings per Share                              $ 0.42        $ 0.32      +31%
   Note: Before special items and discontinued operations,

     not including sales to customers’ warehouses
Seven Quarters of Momentum

                              FY01                                 FY02                     FY03
                                                                                           Q1
                               Q4                Q1              Q2   Q3            Q4          Q2

Revenue                      17%               16%              19%              20% 16%   19% 15%
Y-O-Y

                             41%               41%              45%              58% 55%
EPS                                                                                        35% 31%
Y-O-Y

                             18.0% 18.7% 19.4% 20.4% 22.0% 22.4% 22.9%
ROCC


All results exclude warehouse sales, special items and discontinued operations
                                                       discontinued
and include impact of FAS 142 in FY02
Agenda For Today’s Presentation

  Market and Strategy Overview

  Business Unit Review

  Summary
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
Supply Businesses Across All Sites

                                                         McKesson
                                                         McKesson
  McKesson            McKesson        McKesson Health                    McKesson
  McKesson             McKesson       McKesson Health                    McKesson
                                                         Medication
                                                         Medication
Pharmaceutical        Automation         Solutions                     Medical Surgical
Pharmaceutical        Automation         Solutions                     Medical Surgical
                                                        Management
                                                        Management



Distribution        Retail Pharmacy   Medical           Pharmacy and   Primary Care
                                      Management        Medication
Repackaging         Hospital /                                         Extended Care
                                      Software and      Management
                    Institutional
Informatics                                                            Acute Care
                                      Services          Services
International
                                      Specialty
                                      Pharmaceutical
                                      Services




                    End-to-End Continuum of Services
                       Multiple Points of Leverage
                 Comprehensive North American Distribution
Pharmaceutical Solutions: Strong
Growth and Expanding Margins

  U.S. pharmaceutical distribution revenues up
  17%

  Generic sales slow market growth but drive
  margin expansion

  Operating margin up 20 bp driven by
  generics, strong pricing and increased sales
  of related products and services

  McKesson Canada revenues up 14% with
  margin expansion
Pharmaceutical Solutions Margin
Momentum
                                 9 Consecutive Quarters of Y-O-Y Operating Margin Expansion
                                 3.50%
                                            +55 bp in FY01 and FY02
                                 3.25%
Operating Margin % of Revenues




                                                                                                                    +36 bp
                                 3.00%

                                 2.75%                                                                     +70 bp
                                                       +22 bp                   +20 bp
                                 2.50%
                                                                                                  +20 bp
                                             +34 bp                  +29 bp
                                 2.25%                                                   +24 bp
                                                                +17 bp
                                         -13 bp
                                 2.00%

                                 1.75%

                                 1.50%

                                 1.25%

                                 1.00%
                                                  Q1                     Q2                       Q3                Q4

                                                                                          FY03
                                                                                  FY02
                                                                         FY01
Pharmaceutical Solutions DC
  Productivity

                      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 EST




Note: Excludes Alaska and Hawaii
Pharmaceutical Solutions Operating
                      Leverage

                               4.50%
                                       4.12%
Operating Expenses % of Revs




                               4.00%
                                               3.67%
                                                       3.42%
                               3.50%
                                                               3.08%
                                                                          2.91%
                               3.00%



                               2.50%


                               2.00%
                                       FY99    FY00    FY01    FY02    FY03 YTD
Balanced Profit Components in
Pharmaceutical Solutions
  Inventory Profit               Related products and services
                                    McKesson Canada
                                    Nadro
  Branded product sourcing
                                    Specialty Pharmaceuticals
      Price increases
                                    Automation
      Special programs
                                    Repackaging
      Collaborative agreements
                                    Disease Management
                                    Pharmacy Outsourcing
  Generic product sourcing
                                    Payor Services
                                    Zee Medical
Significant Generics Opportunity
Branded pharmaceuticals going off patent

                                 $52B


                                                              Should drive significant generic growth
                                                              and margin expansion

                                                              • McKesson OneStop program
      <$10B
                                                              • 20,000 pharmacy outlets

                                                              • Generic Rx GP$ and margin
                                                              higher than that of branded Rx




 1998-2000                 2001-2006
                                (proj.)

Source: IMS and analyst reports; internal McKesson analysis
Generics Gross Profit Drivers

 Better sell margin

 Margin expansion through buying leverage

 “Formulary” fees

 Portfolio opportunities with manufacturers

 Free goods/credits
Pharmaceutical Solutions: Levers to
Expand Operating Margins
   Product Sourcing
   Six Sigma
   Increased Generics Sales
   Grow Packaging Capabilities and Penetration
   Automation Market Expansion and Cross Selling
   Growth of Related Products and Services




     Significant Momentum in FY03
              and Beyond
Pharmaceutical Environment
Remains Positive
  Market growth of 11-14% driven partially by
  rapid penetration of generics, which creates
  profit opportunities
  Republican majority increases probability of
  Medicare drug benefit through private sector
  Drug price increases continue to be strong
  Relationships with manufacturers are
  cooperative and collaborative
Medical-Surgical Solutions Strategic
Value


  Strategic role delivering supply chain
  solutions

  Strategic presence in alternate site market

  Potential for shareholder value creation
McKesson Medical-Surgical:
 Not A Market Issue

                           FY00    FY01    FY02   Q1FY03 Q2FY03
Gross Profit Margin       19.63   19.18   19.46   19.26   18.72
      % Revenues




Operating Profit Margin    4.22    3.40    3.49    2.84    0.28
      % Revenues
McKesson Medical-Surgical:
What We’re Doing
 Install experienced leadership with track record for
 successful turnaround and augment with resources
 Improve financial and operating processes
 Execute DC network consolidation
 Complete ERP system implementation
 Increase private brand sales



   Stabilize this year with margin improvement
                 expected in FY04
Information Solutions Market
Leadership

                                                         Employee
   Financial                          Solution           Employee
   Financial                          Solution
                Market Share
                Market Share                             Expertise
   Strength                           Portfolio          Expertise
   Strength                           Portfolio


 $1 billion     60% of health       Most comprehensive   6,300
 revenues       systems                                  employees
                                    Best-of-class
 15% of         82% of covered                           1,250 R&D
                                      •Software
 revenue goes   lives                 • PACS
                                                         850 customer
 to R&D                               •Services
                Largest / most                           support
 investment                           •Outsourcing
                profitable
                                                         500 clinicians
                                      •Consulting
                International HIT
                                      •Content
                business
                                      •Connectivity
Customer Needs Drive Demand for IT
Solutions
                 Processes
IT Demand                                   Clinical Needs
Drivers                         Reduce variability
                Care Delivery
                                Improve MD connectivity
                                Reduce medical errors


                                         Revenue Cycle Needs
                                Improve cash flow
    Core
                  Billing &     Reduce rework
   Process
                   Claims
                                Analyze financial performance
 Improvements



                                     Resource Management Needs

                                Standardization of supplies
                Purchasing &
                                Improve order management
                   Supply
                                Improve product movement
Information Solutions: Expanding
Margin and Clinical Momentum

  Revenues up 16%, software up 20%

  Operating margin up 309 bp to 8.78%

  Software bookings up 43%

  Horizon Expert Orders GA on schedule by
  12/31/02
    20 Horizon Expert Orders sales to date
    10 in implementation by fiscal year end
Information Solutions Operating
Margin Momentum
                                                              +309 bp
  9.00%
          6 consecutive quarters of Y-O-Y
  8.50%
          Operating Margin expansion
  8.00%

                                                    +296 bp
  7.50%

  7.00%
                                        +855 bp
  6.50%                       +534 bp
  6.00%             +502 bp

  5.50%

  5.00%
          +290 bp
  4.50%

  4.00%
           Q1          Q2         Q3          Q4   Q1         Q2
                    FY02                                  FY03
Information Solutions Positive Outlook


  Growing Demand for Clinical Products

  McKesson Positioned for Clinical Leadership

  Margin Expansion Strategies

    Improving revenue mix

    Leveraging existing infrastructure
Agenda For Today’s Presentation

  Market and Strategy Overview

  Business Unit Review

  Summary
FY00 to FY03 Achievements

Highest revenue growth and largest operating
margin expansion in pharmaceutical distribution
industry over the past 2-1/2 years
Largest increase in customer satisfaction, more
new product introductions and largest operating
margin expansion in healthcare information
technology industry over past 3 years
EPS growth above 30% for seven consecutive
quarters despite erosion in medical-surgical
segment operating margin
McKesson Differentiated Solutions

  Presbyterian Healthcare

  Spartanburg Health Systems

  Solaris Health Systems

  OTN

  Wal-Mart

  Together Rx Card
Goals for Delivering Sustained
Financial Performance
  Industry-leading solutions and margin
  expansion in Pharmaceutical Solutions
  Clinical leadership, continued new product
  innovation and continued margin expansion
  in Information Solutions
  Financial turnaround and return to historical
  operating margins in Medical-Surgical
  Solutions



  Value Creation for Customers and Shareholders
	 2002 Merrill Lynch Healthcare Services Conference Presentation

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2002 Merrill Lynch Healthcare Services Conference Presentation

  • 1. 2002 Merrill Lynch Healthcare Services Conference December 3, 2002
  • 2. John Hammergren Chairman and Chief Executive Officer
  • 3. Safe Harbor Clause Some of the information in this presentation may constitute forward-looking statements which are subject to various uncertainties and could cause actual results to differ materially from those projected or implied. These uncertainties are described in the Company’s reports and exhibits filed with the Securities and Exchange Commission.
  • 4. Agenda For Today’s Presentation Market and Strategy Overview Business Unit Review Summary
  • 5. McKesson Investment Highlights Positive momentum in Pharmaceutical Solutions and Information Solutions: revenue growth and margin expansion Turnaround underway in Medical-Surgical Solutions Seven quarters of EPS momentum and improving return on committed capital Demographics, economics and public policy drive demand for McKesson products and services
  • 6. Largest Healthcare Services Company Medical- Medical- Pharmaceutical Information Pharmaceutical Information Surgical Surgical Solutions Solutions Solutions Solutions Solutions Solutions $46 billion in $2.7 billion in $1 billion in revenues revenues revenues US and Hospitals Most comprehensive Canadian HIT product line: Physician pharma software, services, offices distribution outsourcing Nursing homes Hospital and New clinical offering retail Long-term care includes decision automation facilities support, order entry and digital medical Pharmacy imaging outsourcing Health Solutions
  • 7. McKesson Solutions Improve Quality and Reduce Cost Pharmaceutical and medical- Clinical, financial and surgical distribution to all sites resource management systems for hospital and Automated drug IDNs dispensing for retail and hospital pharmacies Physician portal Pharmacy outsourcing Solution for Medication Safety Specialty pharmaceutical distribution HIT outsourcing Services for payors, patients and manufacturers Unique Conversations with Customers At Higher Levels
  • 8. Favorable Market Factors Drive McKesson Growth Aging population consumes more drugs, supplies More sophisticated population demands higher quality Employer and government focus on higher quality Costs and incentives drive increased use of generics Pharmacist and nurse shortage widens Costs and quality concerns lead to increased disease management Expanding pipeline of higher-tech drugs
  • 9. Strong Q2 FY03 Results 2nd Quarter ($ in millions, except EPS) FY03 FY02 Revenues $10,282 $8,915 +15% Operating Profit Pharmaceutical Solutions $ 227 $ 179 +27% Medical-Surgical Solutions 2 24 - 92% Information Solutions 24 14 +79% Net Income $ 124 $ 96 +29% Diluted Earnings per Share $ 0.42 $ 0.32 +31% Note: Before special items and discontinued operations, not including sales to customers’ warehouses
  • 10. Seven Quarters of Momentum FY01 FY02 FY03 Q1 Q4 Q1 Q2 Q3 Q4 Q2 Revenue 17% 16% 19% 20% 16% 19% 15% Y-O-Y 41% 41% 45% 58% 55% EPS 35% 31% Y-O-Y 18.0% 18.7% 19.4% 20.4% 22.0% 22.4% 22.9% ROCC All results exclude warehouse sales, special items and discontinued operations discontinued and include impact of FAS 142 in FY02
  • 11. Agenda For Today’s Presentation Market and Strategy Overview Business Unit Review Summary
  • 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. Supply Businesses Across All Sites McKesson McKesson McKesson McKesson McKesson Health McKesson McKesson McKesson McKesson Health McKesson Medication Medication Pharmaceutical Automation Solutions Medical Surgical Pharmaceutical Automation Solutions Medical Surgical Management Management Distribution Retail Pharmacy Medical Pharmacy and Primary Care Management Medication Repackaging Hospital / Extended Care Software and Management Institutional Informatics Acute Care Services Services International Specialty Pharmaceutical Services End-to-End Continuum of Services Multiple Points of Leverage Comprehensive North American Distribution
  • 14. Pharmaceutical Solutions: Strong Growth and Expanding Margins U.S. pharmaceutical distribution revenues up 17% Generic sales slow market growth but drive margin expansion Operating margin up 20 bp driven by generics, strong pricing and increased sales of related products and services McKesson Canada revenues up 14% with margin expansion
  • 15. Pharmaceutical Solutions Margin Momentum 9 Consecutive Quarters of Y-O-Y Operating Margin Expansion 3.50% +55 bp in FY01 and FY02 3.25% Operating Margin % of Revenues +36 bp 3.00% 2.75% +70 bp +22 bp +20 bp 2.50% +20 bp +34 bp +29 bp 2.25% +24 bp +17 bp -13 bp 2.00% 1.75% 1.50% 1.25% 1.00% Q1 Q2 Q3 Q4 FY03 FY02 FY01
  • 16. Pharmaceutical Solutions DC Productivity 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 EST Note: Excludes Alaska and Hawaii
  • 17. Pharmaceutical Solutions Operating Leverage 4.50% 4.12% Operating Expenses % of Revs 4.00% 3.67% 3.42% 3.50% 3.08% 2.91% 3.00% 2.50% 2.00% FY99 FY00 FY01 FY02 FY03 YTD
  • 18. Balanced Profit Components in Pharmaceutical Solutions Inventory Profit Related products and services McKesson Canada Nadro Branded product sourcing Specialty Pharmaceuticals Price increases Automation Special programs Repackaging Collaborative agreements Disease Management Pharmacy Outsourcing Generic product sourcing Payor Services Zee Medical
  • 19. Significant Generics Opportunity Branded pharmaceuticals going off patent $52B Should drive significant generic growth and margin expansion • McKesson OneStop program <$10B • 20,000 pharmacy outlets • Generic Rx GP$ and margin higher than that of branded Rx 1998-2000 2001-2006 (proj.) Source: IMS and analyst reports; internal McKesson analysis
  • 20. Generics Gross Profit Drivers Better sell margin Margin expansion through buying leverage “Formulary” fees Portfolio opportunities with manufacturers Free goods/credits
  • 21. Pharmaceutical Solutions: Levers to Expand Operating Margins Product Sourcing Six Sigma Increased Generics Sales Grow Packaging Capabilities and Penetration Automation Market Expansion and Cross Selling Growth of Related Products and Services Significant Momentum in FY03 and Beyond
  • 22. Pharmaceutical Environment Remains Positive Market growth of 11-14% driven partially by rapid penetration of generics, which creates profit opportunities Republican majority increases probability of Medicare drug benefit through private sector Drug price increases continue to be strong Relationships with manufacturers are cooperative and collaborative
  • 23. Medical-Surgical Solutions Strategic Value Strategic role delivering supply chain solutions Strategic presence in alternate site market Potential for shareholder value creation
  • 24. McKesson Medical-Surgical: Not A Market Issue FY00 FY01 FY02 Q1FY03 Q2FY03 Gross Profit Margin 19.63 19.18 19.46 19.26 18.72 % Revenues Operating Profit Margin 4.22 3.40 3.49 2.84 0.28 % Revenues
  • 25. McKesson Medical-Surgical: What We’re Doing Install experienced leadership with track record for successful turnaround and augment with resources Improve financial and operating processes Execute DC network consolidation Complete ERP system implementation Increase private brand sales Stabilize this year with margin improvement expected in FY04
  • 26. Information Solutions Market Leadership Employee Financial Solution Employee Financial Solution Market Share Market Share Expertise Strength Portfolio Expertise Strength Portfolio $1 billion 60% of health Most comprehensive 6,300 revenues systems employees Best-of-class 15% of 82% of covered 1,250 R&D •Software revenue goes lives • PACS 850 customer to R&D •Services Largest / most support investment •Outsourcing profitable 500 clinicians •Consulting International HIT •Content business •Connectivity
  • 27. Customer Needs Drive Demand for IT Solutions Processes IT Demand Clinical Needs Drivers Reduce variability Care Delivery Improve MD connectivity Reduce medical errors Revenue Cycle Needs Improve cash flow Core Billing & Reduce rework Process Claims Analyze financial performance Improvements Resource Management Needs Standardization of supplies Purchasing & Improve order management Supply Improve product movement
  • 28. Information Solutions: Expanding Margin and Clinical Momentum Revenues up 16%, software up 20% Operating margin up 309 bp to 8.78% Software bookings up 43% Horizon Expert Orders GA on schedule by 12/31/02 20 Horizon Expert Orders sales to date 10 in implementation by fiscal year end
  • 29. Information Solutions Operating Margin Momentum +309 bp 9.00% 6 consecutive quarters of Y-O-Y 8.50% Operating Margin expansion 8.00% +296 bp 7.50% 7.00% +855 bp 6.50% +534 bp 6.00% +502 bp 5.50% 5.00% +290 bp 4.50% 4.00% Q1 Q2 Q3 Q4 Q1 Q2 FY02 FY03
  • 30. Information Solutions Positive Outlook Growing Demand for Clinical Products McKesson Positioned for Clinical Leadership Margin Expansion Strategies Improving revenue mix Leveraging existing infrastructure
  • 31. Agenda For Today’s Presentation Market and Strategy Overview Business Unit Review Summary
  • 32. FY00 to FY03 Achievements Highest revenue growth and largest operating margin expansion in pharmaceutical distribution industry over the past 2-1/2 years Largest increase in customer satisfaction, more new product introductions and largest operating margin expansion in healthcare information technology industry over past 3 years EPS growth above 30% for seven consecutive quarters despite erosion in medical-surgical segment operating margin
  • 33. McKesson Differentiated Solutions Presbyterian Healthcare Spartanburg Health Systems Solaris Health Systems OTN Wal-Mart Together Rx Card
  • 34. Goals for Delivering Sustained Financial Performance Industry-leading solutions and margin expansion in Pharmaceutical Solutions Clinical leadership, continued new product innovation and continued margin expansion in Information Solutions Financial turnaround and return to historical operating margins in Medical-Surgical Solutions Value Creation for Customers and Shareholders