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2002 Bear Stearns
Healthcare Conference

    September 19, 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

  Financial Summary
Healthcare Market Drivers
Aging population drives consumption of drugs, supplies
Influx of new drugs drives specialty services
Cost and consumer pressures drive need for quality and
increase focus on generics
Focus on quality drives adoption of new clinical software
Clinician shortage drives automation, information
technology and outsourcing
Med error crisis drives automation/information solutions
HIPAA drives systems standardization and connectivity
McKesson Solutions to Improve
Quality and Reduce Cost
                 Pharmaceutical and medical-
                                                            Clinical, financial and resource
                surgical distribution to all sites
                                                               management systems for
                                                                   hospital and IDNs

Automated drug dispensing
  for retail and hospital
        pharmacies                                                  Physician portal




Pharmacy outsourcing



                                                                   Solution for Medication
                                                                           Safety
Specialty pharmaceutical
      distribution



                 Services for payors, patients       HIT outsourcing
                     and manufacturers


          Unique Conversations with Customers At Higher Levels
McKesson Solutions Performance

  All 17 hospitals named to U.S. News & World Report
  “Honor Roll of Best Hospitals” are McKesson
  customers

  73 of 100 hospitals on “Most Wired” list are
  McKesson Information Solutions customers
Culture and Values
Agenda For Today’s Presentation

  Market and Strategy Overview

  Business Unit Review

  Financial Summary
Business Scorecard
                               Financial Success
                             To achieve the best financial
                             performance in the industry




                                                             Employee Satisfaction
Customer Satisfaction             Metric-Driven
                                                             To provide an environment
                                   Execution
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
McKesson Supply Businesses

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

 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 Industry Drivers

   Aging Population
   Increasing Pharmaceutical Utilization
   Generics Focus
   Expanding Drug Pipeline
   Strong Pricing Environment




      Excellent External Fundamentals
Pharmaceutical Solutions Margin
Momentum
Pharmaceutical Solutions
Operating Margin

                  53 bps*
                                                                +21 bp in Q1 FY03 =
                 Expansion
                                        2.43%
                                                              8 Consecutive Quarters
                                                                of Operating Margin
                      2.15%
                                                                    Expansion
      1.90%




     FY00             FY01              FY02


 *FY02 includes 3 bps from discontinuation of goodwill amortization
Pharmaceutical Solutions Operating
Margin Drivers FY01 and FY02
  Product sourcing opportunities

  Improvements in back office processing

  Six Sigma process improvements

  Expansion of generics channel

  Operating expense leverage

  Margin expansion in Canada
McKesson DC Productivity

                      1.40
                              ($Billions)
                      1.20
  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
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: Expand
Operating Margins in FY03

  Product Sourcing
  Six Sigma
  Expand Generics Sales
  Grow Packaging Capabilities and Penetration
  Automation Market Expansion and Cross Selling




    Significant Momentum in FY03
McKesson Information Solutions


                                               Employee
 Financial     Market         Solution
                                               Expertise
 Strength      Share          Portfolio


 $1 billion   60% of health   Most             6,300
 revenues     systems         comprehensive    employees
 15% of       82% of          Best-of-class    1,250 R&D
 revenue      covered lives    •Software
                                               850
 goes to                       • PACS
              Largest /                        customer
 R&D                           •Services
              most                             support
 investment                    •Outsourcing
              profitable
                                               500
                               •Consulting
              International
                                               clinicians
                               •Content
              HIT business
                               •Connectivity
Market Opportunity: IT Demand Drivers
               Processes
IT Demand                          Clinical Needs
Drivers                     Reduce variability
                 Care
                            Improve MD connectivity
                Delivery
                            Reduce medical errors
                                 Revenue Cycle Needs
   Core                     Improve cash flow
                Billing &
  Process                   Reduce rework
                 Claims
Improvements                Analyze financial performance

                             Resource Management Needs
                            Standardization of supplies
               Purchasing
                            Improve order management
                & Supply
                            Improve product movement
Information Solutions 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
McKesson FY03 Strategic Goals

                           Strong market position throughout North America
Pharmaceutical Solutions
                           Drive automation and generics sales for margin expansion




                           Well positioned in growth segments
    Medical-Surgical
                           Focus on operational restructuring to drive quality and efficiency
       Solutions




                           Capitalize on largest footprint to drive clinical leadership
 Information Solutions     Continued investment in new product development
Q1 FY03 Financial Highlights
                                                              1st Quarter
        ($ in millions, except EPS)
                                                       FY03            FY02
    Revenues                                           $10,131         $8,550      +18%

    Operating Profit

          Pharmaceutical Solutions                     $   225         $ 171       +32%
          Medical-Surgical Solutions                        19                25   - 22%

          Information Solutions                             19                11   +75%


    Net Income                                         $   125         $      90   +39%

    Diluted Earnings per Share                         $ 0.42          $ 0.31      +35%

   Note: Before special items, not including sales to customers’ warehouses
McKesson Financial Performance
 Six Quarters of Earnings Momentum

                                        FY01*                  FY02*         FY03*
                                         Q4              Q1    Q2    Q3   Q4  Q1
Revenue
                                                         16%   19%   20% 16%
                                        17%                                    18%
Y-O-Y

Operating Profit
                                                         34%   38%   39% 42%   27%
                 33%
Y-O-Y

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

*All results exclude warehouse sales and special items
and include impact of FAS 142 effective FY02
Factors Driving Sustained Financial
Performance

  Financial/Customer Momentum

  Positive External & Internal Fundamentals

  Execution-Oriented Strategy

  Strong Leadership Team



   Value Creation for Customers and
             Shareholders
	 2002 Bear Stearns Healthcare Conference

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2002 Bear Stearns Healthcare Conference

  • 1. 2002 Bear Stearns Healthcare Conference September 19, 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 Financial Summary
  • 5. Healthcare Market Drivers Aging population drives consumption of drugs, supplies Influx of new drugs drives specialty services Cost and consumer pressures drive need for quality and increase focus on generics Focus on quality drives adoption of new clinical software Clinician shortage drives automation, information technology and outsourcing Med error crisis drives automation/information solutions HIPAA drives systems standardization and connectivity
  • 6. McKesson Solutions to Improve Quality and Reduce Cost Pharmaceutical and medical- Clinical, financial and resource surgical distribution to all sites management systems for hospital and IDNs Automated drug dispensing for retail and hospital pharmacies Physician portal Pharmacy outsourcing Solution for Medication Safety Specialty pharmaceutical distribution Services for payors, patients HIT outsourcing and manufacturers Unique Conversations with Customers At Higher Levels
  • 7. McKesson Solutions Performance All 17 hospitals named to U.S. News & World Report “Honor Roll of Best Hospitals” are McKesson customers 73 of 100 hospitals on “Most Wired” list are McKesson Information Solutions customers
  • 9. Agenda For Today’s Presentation Market and Strategy Overview Business Unit Review Financial Summary
  • 10. Business Scorecard Financial Success To achieve the best financial performance in the industry Employee Satisfaction Customer Satisfaction Metric-Driven To provide an environment Execution 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
  • 11. McKesson Supply Businesses McKesson McKesson McKesson McKesson McKesson McKesson McKesson McKesson McKesson McKesson Health Medication Medical Health Medication Medical Pharmaceutical Automation Pharmaceutical Automation Solutions Management Surgical Solutions Management Surgical 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
  • 12. Pharmaceutical Industry Drivers Aging Population Increasing Pharmaceutical Utilization Generics Focus Expanding Drug Pipeline Strong Pricing Environment Excellent External Fundamentals
  • 13. Pharmaceutical Solutions Margin Momentum Pharmaceutical Solutions Operating Margin 53 bps* +21 bp in Q1 FY03 = Expansion 2.43% 8 Consecutive Quarters of Operating Margin 2.15% Expansion 1.90% FY00 FY01 FY02 *FY02 includes 3 bps from discontinuation of goodwill amortization
  • 14. Pharmaceutical Solutions Operating Margin Drivers FY01 and FY02 Product sourcing opportunities Improvements in back office processing Six Sigma process improvements Expansion of generics channel Operating expense leverage Margin expansion in Canada
  • 15. McKesson DC Productivity 1.40 ($Billions) 1.20 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
  • 16. 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
  • 17. Generics Gross Profit Drivers Better sell margin Margin expansion through buying leverage “Formulary” fees Portfolio opportunities with manufacturers Free goods/credits
  • 18. Pharmaceutical Solutions: Expand Operating Margins in FY03 Product Sourcing Six Sigma Expand Generics Sales Grow Packaging Capabilities and Penetration Automation Market Expansion and Cross Selling Significant Momentum in FY03
  • 19. McKesson Information Solutions Employee Financial Market Solution Expertise Strength Share Portfolio $1 billion 60% of health Most 6,300 revenues systems comprehensive employees 15% of 82% of Best-of-class 1,250 R&D revenue covered lives •Software 850 goes to • PACS Largest / customer R&D •Services most support investment •Outsourcing profitable 500 •Consulting International clinicians •Content HIT business •Connectivity
  • 20. Market Opportunity: IT Demand Drivers Processes IT Demand Clinical Needs Drivers Reduce variability Care Improve MD connectivity Delivery Reduce medical errors Revenue Cycle Needs Core Improve cash flow Billing & Process Reduce rework Claims Improvements Analyze financial performance Resource Management Needs Standardization of supplies Purchasing Improve order management & Supply Improve product movement
  • 21. Information Solutions Outlook Growing Demand for Clinical Products McKesson Positioned for Clinical Leadership Margin Expansion Strategies Improving revenue mix Leveraging existing infrastructure
  • 22. Agenda For Today’s Presentation Market and Strategy Overview Business Unit Review Summary
  • 23. McKesson FY03 Strategic Goals Strong market position throughout North America Pharmaceutical Solutions Drive automation and generics sales for margin expansion Well positioned in growth segments Medical-Surgical Focus on operational restructuring to drive quality and efficiency Solutions Capitalize on largest footprint to drive clinical leadership Information Solutions Continued investment in new product development
  • 24. Q1 FY03 Financial Highlights 1st Quarter ($ in millions, except EPS) FY03 FY02 Revenues $10,131 $8,550 +18% Operating Profit Pharmaceutical Solutions $ 225 $ 171 +32% Medical-Surgical Solutions 19 25 - 22% Information Solutions 19 11 +75% Net Income $ 125 $ 90 +39% Diluted Earnings per Share $ 0.42 $ 0.31 +35% Note: Before special items, not including sales to customers’ warehouses
  • 25. McKesson Financial Performance Six Quarters of Earnings Momentum FY01* FY02* FY03* Q4 Q1 Q2 Q3 Q4 Q1 Revenue 16% 19% 20% 16% 17% 18% Y-O-Y Operating Profit 34% 38% 39% 42% 27% 33% Y-O-Y EPS 41% 45% 58% 55% 41% 35% Y-O-Y *All results exclude warehouse sales and special items and include impact of FAS 142 effective FY02
  • 26. Factors Driving Sustained Financial Performance Financial/Customer Momentum Positive External & Internal Fundamentals Execution-Oriented Strategy Strong Leadership Team Value Creation for Customers and Shareholders