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2003 Merrill Lynch
Global Healthcare Conference

  “Innovation Still Counts”
        February 5, 2003
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

  Focus on Innovation

  Summary
McKesson Investment Highlights

  Positive momentum continues in
  Pharmaceutical Solutions and Information
  Solutions: revenue growth and margin
  expansion
  Turnaround underway in Medical-Surgical
  Solutions
  Demographics, economics and public policy
  drive demand for McKesson products and
  services
Largest Healthcare Services Company
in North America

                         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,
                                         digital medical
      Pharmacy
                                         imaging and nurse
      outsourcing
                                         documentation
      Health
      Solutions
Customers for Life

 Create long-term customer relationships based
 on ROI and quality improvements


 Penetrate relationship by selling additional
 products and services


 Innovate with new offerings that address
 emerging healthcare challenges faster than the
 competition
McKesson Solutions Improve
Quality and Reduce Cost
                Pharmaceutical and medical-                     Clinical, financial and
               surgical distribution to all sites              resource management
                                                              systems for hospital and
Automation for retail and                                                IDNs
 hospital pharmacies
                                                                Physician portal



  Pharmacy outsourcing
                                                                   Solution for
                                                                 Medication Safety

Specialty pharmaceutical
      distribution


                                                    Together Rx card
            Services for payors, patients
                and manufacturers

            Unique Conversations with Customers At Higher Levels
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 Q3 FY03 Results -- GAAP
                                                          3rd Quarter
              ($ in millions, except EPS)

                                                   FY03           FY02
     Revenues                                      $10,914        $9,627     +13%

     Operating Profit

            Pharmaceutical Solutions               $   241        $ 200      +20%
            Medical-Surgical Solutions                  18              26   - 32%

            Information Solutions                       15              15    ----


     Net Income                                    $   134        $ 109      +23%

     Diluted Earnings per Share                    $ 0.46         $ 0.37     +24%
   Note: Excludes sales to customers’ warehouses
Agenda For Today’s Presentation

  Market and Strategy Overview

  Business Unit Review

  Focus on Innovation

  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
                    Robots and
#1 in Canada
                                      Specialty
                    cabinets
#1 in Mexico                          Pharmaceutical
                    SupplyScan
                                      Services




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

  Q3 U.S. pharmaceutical revenues up 14%,
  warehouse sales up 12%

  Generic sales slow market growth but drive
  margin expansion

  Q3 operating margin up 13 bp

  McKesson Canada revenues up 17%
Pharmaceutical Solutions Operating Profit
Margin Momentum
            10 Consecutive Quarters of Y-O-Y Operating Margin Expansion
Operating Profit Margin % of Revenues




                                        3.50%
                                                   +33 bp in FY01 and +36 bp in FY02
                                        3.25%

                                                                                                                                +61 bp
                                        3.00%

                                        2.75%
                                                                                       +18 bp                 +13 bp
                                                              +15 bp
                                        2.50%                                                       +22 bp
                                                                           +24 bp                                      +40 bp
                                                   +33 bp
                                        2.25%                                                   +74 bp
                                                                       +23 bp
                                                -13 bp
                                        2.00%

                                        1.75%

                                        1.50%

                                        1.25%

                                        1.00%
                                                         Q1                     Q2                       Q3                     Q4

            Note: Excluding impact of warehouse sales                                            FY03
                                                                                         FY02
                                                                                FY01
Distribution Center Productivity
Increases Provide . . .

                    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 and warehouse sales
. . . Significant Operating Leverage


                               5.50%

                                          4.81%
Operating Expenses % of Revs




                               5.00%

                               4.50%

                                                           3.77%
                               4.00%
                                                                             3.52%
                               3.50%
                                                                                     3.09%
                                                                                                2.86%
                               3.00%

                               2.50%

                               2.00%
                                         FY99             FY00               FY01    FY02    FY03 YTD

                                  Note: Excludes impact of warehouse sales
Majority of Generics Opportunity
Remains Ahead
Branded pharmaceuticals going off patent

                                 $52B


                                                              Is driving generic growth and margin
                                                              expansion

                                                              • McKesson OneStop program
      <$10B
                                                              • 20,000 total 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
Pharmaceutical Solutions: Levers
to Expand Operating Margins

  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
Pharmaceutical Environment
Remains Positive

  Rapid penetration of generics dampens
  market growth to 11-14% but creates new
  profit opportunities
  Republican majority increases probability of
  Medicare drug benefit through private sector
  Drug price increases continue
  Relationships with manufacturers are
  cooperative and collaborative
Medical-Surgical Solutions
Turnaround Underway

New leadership has stabilized the business
Near-term focus on completing DC network
consolidation and ERP system implementation
Longer term: realize benefits of consolidation and
ERP system, improve processes and increase
McKesson brand sales


      Gradual improvement expected
            throughout FY04
Information Solutions Market
Leadership Strategy

                                                      Employee
   Financial     Customer            Solution         Employee
   Financial     Customer            Solution
                                                      Expertise
   Strength       Reach              Portfolio        Expertise
   Strength       Reach              Portfolio


 $1 billion     60% of U.S.        Broadest product   6,300
 revenues       health systems     line               employees
 15% of         82% of covered     Best-of-class      1,250 R&D
 revenue goes   lives in America     •Software
                                                      850 customer
 to R&D                              • PACS
                Large European                        support
 investment                          •Services
                HIT business
                                                      500 clinicians
                                     •Outsourcing
                                     •Consulting
                                     •Content
                                     •Connectivity
Information Solutions Market
Momentum Continues

  Q3 revenues up 19%, software up 63%


  Q3 operating profit flat due to international
  loss provision, offset in part by positive
  adjustment to customer settlement reserve


  Horizon Expert Orders GA 12/9/02
    4 customers in implementation currently
    12 in implementation by fiscal year end
Information Solutions Positive Outlook


  Growing demand for clinical products

  McKesson positioned for clinical leadership

  Margin expansion drivers

    Increasing software backlog and revenues

    Leveraging existing infrastructure
Agenda For Today’s Presentation

  Market and Strategy Overview

  Business Unit Review

  Focus on Innovation

  Summary
Closed Loop Medication
Management




 PRESCRIBING        TRANSCRIBING       DISPENSING      ADMINISTERING        MONITORING
  39% of errors      12% of errors     11% of errors     38% of errors




                                 Integrated Solution

     DISTRIBUTION                                                        CONSULTING
SupplyScan: Closed Loop Supply
Management

Bar code scanner automates
tracking, billing and re-stocking
of medical-surgical supplies by
nurses
Developed for HCA in 2001,
launched into broader market in
2002
Live in more than 180 hospitals
in less than 2 years
Large under-penetrated market
Integrated with medical-surgical
and information solutions
Closed Loop Patient Care Management


                           Discrete Data
                           •Lab
                           •Vitals - I&Os




                                  Medical
                                  Images
Documents
•History & Physical
•Discharge Summary
Agenda For Today’s Presentation

  Market and Strategy Overview

  Business Unit Review

  Focus on Innovation

  Summary
FY00 to FY03 Achievements

Highest revenue growth and largest operating
profit margin expansion in industry for
Pharmaceutical Solutions
Major improvement in customer satisfaction
and more new product introductions
combined with solid operating margin
expansion for Information Solutions
Solid EPS growth despite erosion in Medical-
Surgical Solutions operating profit
Goals for Delivering Sustained
Financial Performance
  Industry-leading solutions and margin
  expansion in Pharmaceutical Solutions
  Clinical leadership, continued new product
  innovation and margin expansion in
  Information Solutions
  Return to historical operating margins in
  Medical-Surgical Solutions


Value Creation for Customers and Shareholders
	 2003 Merrill Lynch Global Healthcare Conference

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2003 Merrill Lynch Global Healthcare Conference

  • 1. 2003 Merrill Lynch Global Healthcare Conference “Innovation Still Counts” February 5, 2003
  • 2. John Hammergren Chairman and Chief Executive Officer
  • 3. Safe Harbor Clause Some of the information in this presentation may constitute forward-looking statements 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 Focus on Innovation Summary
  • 5. McKesson Investment Highlights Positive momentum continues in Pharmaceutical Solutions and Information Solutions: revenue growth and margin expansion Turnaround underway in Medical-Surgical Solutions Demographics, economics and public policy drive demand for McKesson products and services
  • 6. Largest Healthcare Services Company in North America Medical- Medical- Pharmaceutical Information Pharmaceutical Information Surgical Surgical Solutions Solutions Solutions Solutions Solutions Solutions $46 billion in $2.7 billion in $1 billion in revenues revenues revenues US and Hospitals Most comprehensive Canadian HIT product line: Physician pharma software, services, offices distribution outsourcing Nursing homes Hospital and New clinical offering retail Long-term care includes decision automation facilities support, order entry, digital medical Pharmacy imaging and nurse outsourcing documentation Health Solutions
  • 7. Customers for Life Create long-term customer relationships based on ROI and quality improvements Penetrate relationship by selling additional products and services Innovate with new offerings that address emerging healthcare challenges faster than the competition
  • 8. McKesson Solutions Improve Quality and Reduce Cost Pharmaceutical and medical- Clinical, financial and surgical distribution to all sites resource management systems for hospital and Automation for retail and IDNs hospital pharmacies Physician portal Pharmacy outsourcing Solution for Medication Safety Specialty pharmaceutical distribution Together Rx card Services for payors, patients and manufacturers Unique Conversations with Customers At Higher Levels
  • 9. Favorable Market Factors Drive McKesson Growth Aging population consumes more drugs, supplies More sophisticated population demands higher quality Employer and government focus on higher quality Costs and incentives drive increased use of generics Pharmacist and nurse shortage widens Costs and quality concerns lead to increased disease management Expanding pipeline of higher-tech drugs
  • 10. Strong Q3 FY03 Results -- GAAP 3rd Quarter ($ in millions, except EPS) FY03 FY02 Revenues $10,914 $9,627 +13% Operating Profit Pharmaceutical Solutions $ 241 $ 200 +20% Medical-Surgical Solutions 18 26 - 32% Information Solutions 15 15 ---- Net Income $ 134 $ 109 +23% Diluted Earnings per Share $ 0.46 $ 0.37 +24% Note: Excludes sales to customers’ warehouses
  • 11. Agenda For Today’s Presentation Market and Strategy Overview Business Unit Review Focus on Innovation 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 Robots and #1 in Canada Specialty cabinets #1 in Mexico Pharmaceutical SupplyScan Services End-to-End Continuum of Services Multiple Points of Leverage Comprehensive North American Distribution
  • 14. Pharmaceutical Solutions: Solid Growth and Expanding Margins Q3 U.S. pharmaceutical revenues up 14%, warehouse sales up 12% Generic sales slow market growth but drive margin expansion Q3 operating margin up 13 bp McKesson Canada revenues up 17%
  • 15. Pharmaceutical Solutions Operating Profit Margin Momentum 10 Consecutive Quarters of Y-O-Y Operating Margin Expansion Operating Profit Margin % of Revenues 3.50% +33 bp in FY01 and +36 bp in FY02 3.25% +61 bp 3.00% 2.75% +18 bp +13 bp +15 bp 2.50% +22 bp +24 bp +40 bp +33 bp 2.25% +74 bp +23 bp -13 bp 2.00% 1.75% 1.50% 1.25% 1.00% Q1 Q2 Q3 Q4 Note: Excluding impact of warehouse sales FY03 FY02 FY01
  • 16. Distribution Center Productivity Increases Provide . . . 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 and warehouse sales
  • 17. . . . Significant Operating Leverage 5.50% 4.81% Operating Expenses % of Revs 5.00% 4.50% 3.77% 4.00% 3.52% 3.50% 3.09% 2.86% 3.00% 2.50% 2.00% FY99 FY00 FY01 FY02 FY03 YTD Note: Excludes impact of warehouse sales
  • 18. Majority of Generics Opportunity Remains Ahead Branded pharmaceuticals going off patent $52B Is driving generic growth and margin expansion • McKesson OneStop program <$10B • 20,000 total pharmacy outlets • Generic Rx GP$ and margin higher than that of branded Rx 1998-2000 2001-2006 (proj.) Source: IMS and analyst reports; internal McKesson analysis
  • 19. Pharmaceutical Solutions: Levers to Expand Operating Margins 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
  • 20. Pharmaceutical Environment Remains Positive Rapid penetration of generics dampens market growth to 11-14% but creates new profit opportunities Republican majority increases probability of Medicare drug benefit through private sector Drug price increases continue Relationships with manufacturers are cooperative and collaborative
  • 21. Medical-Surgical Solutions Turnaround Underway New leadership has stabilized the business Near-term focus on completing DC network consolidation and ERP system implementation Longer term: realize benefits of consolidation and ERP system, improve processes and increase McKesson brand sales Gradual improvement expected throughout FY04
  • 22. Information Solutions Market Leadership Strategy Employee Financial Customer Solution Employee Financial Customer Solution Expertise Strength Reach Portfolio Expertise Strength Reach Portfolio $1 billion 60% of U.S. Broadest product 6,300 revenues health systems line employees 15% of 82% of covered Best-of-class 1,250 R&D revenue goes lives in America •Software 850 customer to R&D • PACS Large European support investment •Services HIT business 500 clinicians •Outsourcing •Consulting •Content •Connectivity
  • 23. Information Solutions Market Momentum Continues Q3 revenues up 19%, software up 63% Q3 operating profit flat due to international loss provision, offset in part by positive adjustment to customer settlement reserve Horizon Expert Orders GA 12/9/02 4 customers in implementation currently 12 in implementation by fiscal year end
  • 24. Information Solutions Positive Outlook Growing demand for clinical products McKesson positioned for clinical leadership Margin expansion drivers Increasing software backlog and revenues Leveraging existing infrastructure
  • 25. Agenda For Today’s Presentation Market and Strategy Overview Business Unit Review Focus on Innovation Summary
  • 26. Closed Loop Medication Management PRESCRIBING TRANSCRIBING DISPENSING ADMINISTERING MONITORING 39% of errors 12% of errors 11% of errors 38% of errors Integrated Solution DISTRIBUTION CONSULTING
  • 27. SupplyScan: Closed Loop Supply Management Bar code scanner automates tracking, billing and re-stocking of medical-surgical supplies by nurses Developed for HCA in 2001, launched into broader market in 2002 Live in more than 180 hospitals in less than 2 years Large under-penetrated market Integrated with medical-surgical and information solutions
  • 28. Closed Loop Patient Care Management Discrete Data •Lab •Vitals - I&Os Medical Images Documents •History & Physical •Discharge Summary
  • 29. Agenda For Today’s Presentation Market and Strategy Overview Business Unit Review Focus on Innovation Summary
  • 30. FY00 to FY03 Achievements Highest revenue growth and largest operating profit margin expansion in industry for Pharmaceutical Solutions Major improvement in customer satisfaction and more new product introductions combined with solid operating margin expansion for Information Solutions Solid EPS growth despite erosion in Medical- Surgical Solutions operating profit
  • 31. Goals for Delivering Sustained Financial Performance Industry-leading solutions and margin expansion in Pharmaceutical Solutions Clinical leadership, continued new product innovation and margin expansion in Information Solutions Return to historical operating margins in Medical-Surgical Solutions Value Creation for Customers and Shareholders