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Integrail News & Events

November 8th, 2002

For more information contact:

Scott Momrow
Integrail
(518) 213-1463
contact@integrail.net

National Medical Health Card Systems Purchases Integrail

PORT WASHINGTON, N.Y., Nov. 8 /PRNewswire-FirstCall/ -- National Medical Health Card Systems, Inc. (Nasdaq: NMHC), a national independent pharmacy benefit manager (PBM) doing business as NMHCRX, announced that it has acquired the assets of Integrail, a health information management company, based in Latham, NY for $1,400,000 in cash, $700,000 of which will be paid into escrow subject to Integrail achieving specific operational milestones within the first year.

Integrail assists healthcare payers and providers manage risk, contain medical costs, and improve quality of care through its software applications, analytics, and services.

"The acquisition of Integrail marks a significant strategic milestone in NMHC's development," said James J. Bigl, chief executive officer of NMHC. "Integrail's powerful suite of software tools and analytical expertise furthers NMHC's ability to assist clients in managing both their pharmacy and medical costs through predictive modeling as well as early identification and management of high cost cases."

Michael Rosenblum, chief operating officer of Integrail said, "We are excited about the opportunity to offer our products and services across NMHC's client base. We also believe Integrail's clients will benefit substantially from NMHC's services and advanced technology. NMHC recognizes that value for our clients is obtained by providing actionable information along with the services necessary to affect change. It is this complete package that differentiates NMHC from other PBMs and health information management companies."

Bigl concluded, "Integrail also has a number of ancillary capabilities that we will look to expand upon. These include auditing health and pharmacy plans and clinical studies for pharmaceutical manufacturers, managed care organizations, and other interested parties. Integrail is uniquely positioned at the clinical and economic intersection of healthcare analytics and delivery. Integrail positions NMHC as an industry leader in assisting clients to effectively manage the cost and quality of healthcare services."

About NMHC

National Medical Health Card Systems, Inc. (NMHC) operates NMHCRX, a pharmacy benefit manager (PBM) providing services to corporations, unions, health maintenance organizations, third party administrators, and local governments. Through its clinical programs, value-added offerings, and advanced information technology systems, NMHCRX provides high-quality, cost- effective management of pharmacy benefit programs.

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 for the fiscal year ended June 30, 2002 and other Securities and Exchange Commission filings.

Company Contact

Investor Relations Contacts

Media Contact

David Gershen

Karen Pisciotta/John Nesbett

Chenoa Taitt

Chief Financial Officer
NMHC

Lippert/Heilshorn
& Associates

Lippert/Heilshorn
& Associates

800-251-3883

212-838-3777

212-838-3777

contact@integrail.net

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SOURCE National Medical Health Card Systems, Inc.

CONTACT:
David Gershen
Chief Financial Officer of National Medical Health Card Systems, Inc.
1-800-251-3883
contact@integrail.net
Investor Relations:
Karen Pisciotta
1-212-838-3777
contact@integrail.net
or John Nesbett
1-212-838-3777
contact@integrail.net
or
Media: Chenoa Taitt
1-212-838-3777
contact@integrail.net
all of Lippert/Heilshorn & Associates


"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.

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