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September 3, 2002

Fortune Magazine Ranks National Medical Health Card Systems Among 'America's 100 Fastest Growing Companies'

PORT WASHINGTON, N.Y., Sep 3, 2003 /PRNewswire-FirstCall via COMTEX/ -- National Medical Health Card Systems, Inc. (Nasdaq: NMHC), a national independent pharmacy benefit manager (PBM), announced it was named the 27th fastest growing company in the country by Fortune Magazine's list of "America's 100 Fastest Growing Companies".

NMHC, headquartered in Port Washington, NY with service centers in Latham, NY and Little Rock, AR, is named in the September 1, 2003 issue of Fortune Magazine.

"We are privileged that Fortune Magazine recognized National Medical Health Card for its strong performance," said James Bigl, chief executive officer of NMHC. "This achievement illustrates our entire company's commitment to growth and to offering services that help clients manage their pharmacy programs and control their overall health care costs."

Bigl noted that NMHC has provided excellent customer service through this period of rapid growth. Many NMHC clients agree. "Although we have only been a customer of NMHC for six months, they have been six months of great customer service. NHMC guided us through the implementation process to establish our plan parameters, eligibility, and employee communication," said Beth Skalitzky, Corporate Benefits Administrator for Perry Judds, Inc.

Beyond Standard Pharmacy Benefits Programs

Clients choose to work with NMHC because of its ability to extend beyond standard service approaches and provide customer-focused pharmacy benefits programs. In some cases, NMHC has helped clients reduce the typical 15-20% annual increases in pharmacy costs to as little as 1-4% by:

  • Building customized pharmacy benefits programs for each client to address its unique needs, rather than applying a standard program template.
  • Relying on clinical and service expertise to implement benefits programs quickly and effectively, thus reducing member issues.
  • Predicting plan members at risk and recommending proactive strategies that benefit both the individual and the plan.
  • Providing professional pharmacy services that reduce the costs of specialty drugs that are expensive yet medically essential.
  • Offering an independent services approach without affiliation or allegiance to any drug or pharmaceutical company.

Four Integrated Services Programs

NMHC provides quality, cost-effective management of benefit plans through four integrated services programs:

  • Pharmacy Benefits (NMHCrx) -- Management of prescription drug programs for HMOs, employers, local governments, union groups and third party administrators.
  • Specialty Pharmacy (NMHCascend) -- Proactive management for specialty pharmacy programs including women's health, pediatric care, men's health and transplant.
  • Mail Order Pharmacy (NMHCmail) -- Technology-enabled mail order prescription drug service for chronic therapy medications.
  • Health Information Management (NMHCintegrail) -- Decision support services that transform physician and patient data into actionable information to improve care while managing pharmacy and medical costs.

About NMHC

National Medical Health Card Systems, Inc. (NMHC) provides quality, cost-effective pharmacy benefits services to corporations, unions, health maintenance organizations, third party administrators, and local governments through its clinical expertise, value-added services, and advanced information technology systems.

Forward-Looking Statements

This press release contains forward-looking statements which involve known and unknown risks and uncertainties or other factors that may cause actual results, performance or achievements to be materially different from any future results, performance or achievements expressed or implied by such forward-looking statements. When used herein, the words "may," "could," "estimate," "believes," "anticipates," "thinks," "intends," "will be," "expects" and similar expressions identify forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995. For a discussion of such risks and uncertainties, including but not limited to risks relating to demand, pricing, government regulation, acquisitions and affiliations, the market for PBM services, competition and other factors, readers are urged to carefully review and consider various disclosures made by NMHC in the Company's Annual Report on Form 10K, as amended, for the fiscal year ended June 30, 2002 and other Securities and Exchange Commission filings.

     Contact:
     Kent Johnson
     Marketing Manager
     (518) 456-1066, x1631
     contact@integrail.net

SOURCE National Medical Health Card Systems, Inc.

Kent Johnson, Marketing Manager, NMHC, +1-518-456-1066, x1631, or contact@integrail.net

http://www.nmhc.com

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"Safe Harbor" Statement under the Private Securities Litigation Reform Act of 1995: Statements in this press release regarding National Medical Health Card Systems' business which are not historical facts are "forward-looking statements" that involve risks and uncertainties. For a discussion of such risks and uncertainties, which could cause actual results to differ from those contained in the forward-looking statements, see "Risk Factors" in the Company's Annual Report or Form 10-K for the most recently ended fiscal year.