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A Prescription to Investigate Further

By Brian Orelli, PhD – Updated Apr 6, 2017 at 1:24PM

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Let's not worry just yet about Medco's margins.

Sometimes you have to look closer than the income statement to get a full picture of a company's health. Shares in Medco Health Solutions (NYSE: MHS) fell 4% yesterday after the company saw consolidated gross margins slip 30 basis points to 6.1%.

In the pharmacy benefit management business, that's a big no-no. Medco, Express Scripts (Nasdaq: ESRX), and CVS Caremark (NYSE: CVS) are in the business of saving money for insurers and businesses that retain their services. They have to run on thin margins.

But a closer look at the numbers paints a much brighter picture. The generic fill rate increased 2.9 percentage points to a record high 69.7%. Medco makes more off generic drugs than it does branded drugs. Mail order drugs also come with a larger profit because it's cheaper to fill prescriptions without having to pay for retail space, unlike Walgreen (NYSE: WAG) or Kroger (NYSE: KR). Total mail order prescriptions were up 5.8%. Nice. And mail orders for generic drugs were up 10.2%. Double nice.

So where did the slip in gross margins come from? Margins for its specialty pharmacy business slipped, but that's because it was compared to a very strong quarter a year ago. Margins were also hurt by seasonal costs associated with new clients. You have to spend money to make money, as the saying goes. Look for margins to head back in the right direction next quarter.

Yesterday's share price decline may also have had to do with the company's guidance of growing earnings per share "at least 5% over the first quarter." At the low end, that's not very impressive considering the speed it's been growing, but management tends to be conservative with its guidance. Last quarter it guided for a 5% quarter-over-quarter increase in revenue; it turned out to be 7%.

I've always thought the pharmacy benefit management business was a good one, but shares always seem a little overpriced. After the pullback yesterday, this might be a good opportunity for investors to get a quality company on the cheap.

Medco is a Motley Fool Stock Advisor pick. Let Fool co-founders David and Tom Gardner show you their top stock picks absolutely free with a 30-day trial. 

Fool contributor Brian Orelli, Ph.D., doesn't own shares of any company mentioned in this article. The Fool has a disclosure policy.

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Stocks Mentioned

Medco Health Solutions, Inc. Stock Quote
Medco Health Solutions, Inc.
MHS.DL
Express Scripts Holding Company Stock Quote
Express Scripts Holding Company
ESRX
The Kroger Co. Stock Quote
The Kroger Co.
KR
$44.86 (-1.41%) $0.64
CVS Health Corporation Stock Quote
CVS Health Corporation
CVS
$98.35 (-1.48%) $-1.48
Walgreens Boots Alliance, Inc. Stock Quote
Walgreens Boots Alliance, Inc.
WBA
$32.83 (-1.47%) $0.49

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