Exhibit 25
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM T-1
STATEMENT OF ELIGIBILITY
UNDER THE TRUST INDENTURE ACT OF 1939 OF A
CORPORATION DESIGNATED TO ACT AS TRUSTEE
¨ | CHECK IF AN APPLICATION TO DETERMINE ELIGIBILITY OF A TRUSTEE PURSUANT TO SECTION 305(b) (2) |
WELLS FARGO BANK, NATIONAL ASSOCIATION
(Exact name of trustee as specified in its charter)
A National Banking Association | 94-1347393 | |
(Jurisdiction of incorporation or organization if not a U.S. national bank) | (I.R.S. Employer Identification No.) | |
101 North Phillips Avenue Sioux Falls, South Dakota | 57104 | |
(Address of principal executive offices) | (Zip code) |
Wells Fargo & Company
Law Department, Trust Section
MAC N9305-175
Sixth Street and Marquette Avenue, 17th Floor
Minneapolis, Minnesota 55479
(612) 667-4608
(Name, address and telephone number of agent for service)
Express Scripts Holding Company
* And the Guarantors listed below
(Exact name of obligor as specified in its charter)
Delaware | 45-2884094 | |
(State or other jurisdiction of incorporation or organization) | (I.R.S. Employer Identification No.) |
*TABLE OF GUARANTOR REGISTRANTS
Name of Guarantor Registrant* | State or Other Jurisdiction of Incorporation or Formation | Primary Standard Industrial Classification Code Number | I.R.S. Employer Identification Number | |||||
1. | EXPRESS SCRIPTS, INC. | Delaware | 5912 | 43-1420563 | ||||
2. | AIRPORT HOLDINGS, LLC | New Jersey | 6324 | 75-3040465 | ||||
3. | ESI REALTY, LLC | New Jersey | 5912 | 75-3040456 | ||||
4. | BYFIELD DRUG, INC. | Massachusetts | 5912 | 01-0705518 |
Name of Guarantor Registrant* | State or Other Jurisdiction of Incorporation or Formation | Primary Standard Industrial Classification Code Number | I.R.S. Employer Identification Number | |||||
5. | CARE CONTINUUM, INC. | Kentucky | 5912 | 61-1162797 | ||||
6. | CFI OF NEW JERSEY, INC. | New Jersey | 5912 | 22-3114423 | ||||
7. | CHESAPEAKE INFUSION, INC. | Florida | 5912 | 22-3835126 | ||||
8. | ESI HRA, LLC | Delaware | 5912 | 20-2996995 | ||||
9. | CURASCRIPT PBM SERVICES, INC. | Delaware | 5912 | 36-4374570 | ||||
10. | DIVERSIFIED PHARMACEUTICAL SERVICES, INC. | Minnesota | 5912 | 41-1627938 | ||||
11. | ESI ACQUISITION, INC. | New York | 5912 | 16-1279199 | ||||
12. | ESI CLAIMS, INC. | Delaware | 5912 | 43-1869691 | ||||
13. | ESI ENTERPRISES, LLC | Delaware | 5912 | 56-2356810 | ||||
14. | ESI MAIL ORDER PROCESSING, INC. | Delaware | 5912 | 74-2974964 | ||||
15. | EXPRESS SCRIPTS CANADA HOLDING, CO. | Delaware | 5912 | 43-1942542 | ||||
16. | EXPRESS SCRIPTS CANADA HOLDING, LLC | Delaware | 5912 | 27-1490640 | ||||
17. | EXPRESS SCRIPTS PHARMACEUTICAL PROCUREMENT, LLC | Delaware | 5912 | 20-5826948 | ||||
18. | EXPRESS SCRIPTS SERVICES COMPANY | Delaware | 5912 | 43-1832983 | ||||
19. | FRECO, INC. | Florida | 5912 | 02-0523249 | ||||
20. | FREEDOM SERVICE COMPANY, LLC | Florida | 5912 | 20-3229217 | ||||
21. | HEALTHBRIDGE, INC. | Delaware | 5912 | 26-2159005 | ||||
22. | HEALTHBRIDGE REIMBURSEMENT AND PRODUCT SUPPORT, INC. | Massachusetts | 5912 | 04-2992335 | ||||
23. | iBIOLOGIC, INC. | Delaware | 5912 | 20-0325621 | ||||
24. | IVTX, INC. | Delaware | 5912 | 43-1794690 | ||||
25. | LYNNFIELD COMPOUNDING CENTER, INC. | Florida | 5912 | 58-2593075 | ||||
26. | LYNNFIELD DRUG, INC. | Florida | 5912 | 04-3546044 | ||||
27. | MATRIX GPO LLC | Indiana | 5912 | 51-0500147 | ||||
28. | NATIONAL PRESCRIPTION ADMINISTRATORS, INC. | New Jersey | 5912 | 22-2230703 | ||||
29. | PRIORITY HEALTHCARE CORPORATION | Indiana | 5122 | 35-1927379 | ||||
30. | PRIORITY HEALTHCARE CORPORATION WEST | Nevada | 5912 | 88-0445494 | ||||
31. | PRIORITY HEALTHCARE DISTRIBUTION, INC. | Florida | 5912 | 59-3761140 | ||||
32. | PRIORITY HEALTHCARE PHARMACY, INC. | Florida | 5912 | 59-3099905 | ||||
33. | PRIORITYHEALTHCARE.COM, INC. | Florida | 5912 | 59-3573515 | ||||
34. | SINUSPHARMACY, INC. | Florida | 5912 | 56-2394216 | ||||
35. | SPECIALTY INFUSION PHARMACY, INC. | Florida | 5912 | 74-3105470 | ||||
36. | SPECTRACARE, INC. | Kentucky | 5912 | 61-1147068 | ||||
37. | SPECTRACARE HEALTH CARE VENTURES, INC. | Kentucky | 5912 | 61-1317695 | ||||
38. | SPECTRACARE INFUSION PHARMACY, INC. | Kentucky | 5912 | 61-1147067 | ||||
39. | VALUE HEALTH, INC. | Delaware | 6324 | 06-1194838 | ||||
40. | YOURPHARMACY.COM, INC. | Delaware | 5912 | 43-1842584 | ||||
41. | MEDCO HEALTH SOLUTIONS, INC. | Delaware | 5912 | 22-3461740 | ||||
42. | ACCREDO HEALTH, INCORPORATED | Delaware | 8090 | 55-0894449 | ||||
43. | ACCREDO HEALTH GROUP, INC. | Delaware | 5912 | 11-3358535 | ||||
44. | MEDCO HEALTH SERVICES, INC. | Delaware | 5912 | 26-3544786 | ||||
45. | CURASCRIPT, INC. | Delaware | 5912 | 36-4369972 | ||||
46. | EXPRESS SCRIPTS UTILIZATION MANAGEMENT CO. | Delaware | 5912 | 43-1869714 | ||||
47. | EXPRESS SCRIPTS SENIOR CARE, INC. | Delaware | 5912 | 20-3126075 | ||||
48. | EXPRESS SCRIPTS SENIOR CARE HOLDINGS, INC. | Delaware | 5912 | 20-3126104 | ||||
49. | EXPRESS SCRIPTS WC, INC. | Florida | 5912 | 59-2997634 | ||||
50. | ESI MAIL PHARMACY SERVICE, INC. | Delaware | 5912 | 43-1867735 | ||||
51. | EXPRESS SCRIPTS SPECIALTY DISTRIBUTION SERVICES, INC. | Delaware | 5912 | 43-1869712 |
Name of Guarantor Registrant* | State or Other Jurisdiction of Incorporation or Formation | Primary Standard Industrial Classification Code Number | I.R.S. Employer Identification Number | |||||
52. | MOORESVILLE ON-SITE PHARMACY, LLC | Delaware | 5912 | 26-1102625 | ||||
53. | ESI-GP HOLDINGS, INC. | Delaware | 5912 | 43-1925556 | ||||
54. | ESI RESOURCES, INC. | Minnesota | 5912 | 41-2006555 | ||||
55. | ESI PARTNERSHIP | Delaware | 5912 | 43-1925562 | ||||
56. | SPECTRACARE OF INDIANA | Indiana | 5912 | 35-1807559 | ||||
57. | ACCREDO CARE NETWORK, INC. | Delaware | 5912 | 26-3591774 | ||||
58. | AHG OF NEW YORK, INC. | New York | 5912 | 13-3888838 | ||||
59. | BIOPARTNERS IN CARE, INC. | Missouri | 5912 | 43-1815573 | ||||
60. | BRACKET GLOBAL LLC | Delaware | 5912 | 04-3559429 | ||||
61. | CCS INFUSION MANAGEMENT, LLC | Delaware | 5912 | 61-1516378 | ||||
62. | CCSI HOLDING 3, LLC | Delaware | 5912 | 65-1310056 | ||||
63. | CRITICAL CARE SYSTEMS OF NEW YORK, INC. | New York | 5912 | 02-0646252 | ||||
64. | CRITICAL CARE SYSTEMS, INC. | Delaware | 5912 | 04-3115329 | ||||
65. | DNA DIRECT, INC. | Delaware | 5912 | 71-0958489 | ||||
66. | ENVISION PHARMA INC. | Connecticut | 5912 | 06-1633253 | ||||
67. | EVIDENCE SCIENTIFIC SOLUTIONS, INC. | Delaware | 5912 | 26-3434149 | ||||
68. | HIDDEN RIVER, L.L.C. | Delaware | 5912 | 45-2893398 | ||||
69. | HOME HEALTHCARE RESOURCES, INC. | Pennsylvania | 5912 | 52-1498155 | ||||
70. | INFINITY INFUSION II, LLC | Delaware | 5912 | 04-3673742 | ||||
71. | INFINITY INFUSION, LLC | Delaware | 5912 | 41-2043158 | ||||
72. | INSTITUTE FOR MEDICAL EDUCATION & RESEARCH, INC. | Florida | 5912 | 22-3858266 | ||||
73. | LIBERTY HEALTHCARE GROUP, INC. | Delaware | 5912 | 86-1056555 | ||||
74. | LIBERTY HEALTHCARE PHARMACY OF NEVADA, LLC | Nevada | 5912 | 65-1289809 | ||||
75. | LIBERTY LANE DEVELOPMENT COMPANY, INC. | Florida | 5912 | 65-1071974 | ||||
76. | LIBERTY MARKETPLACE, INC. | Delaware | 5912 | 37-1588500 | ||||
77. | LIBERTY MEDICAL SUPPLY, INC. | Florida | 5912 | 65-0193983 | ||||
78. | MAH PHARMACY, L.L.C. | Delaware | 5912 | 27-1506930 | ||||
79. | MAH PROCESSING, INC. | Delaware | 5912 | 45-2822362 | ||||
80. | MEDCO AT HOME, L.L.C. | Delaware | 5912 | 05-0619053 | ||||
81. | MEDCO CDUR, L.L.C. | Delaware | 5912 | N/A | ||||
82. | MEDCO CHP, L.L.C. | Delaware | 5912 | 27-5133672 | ||||
83. | MEDCO CONTINUATION HEALTH, L.L.C. | Delaware | 5912 | N/A | ||||
84. | MEDCO EUROPE, L.L.C. | Delaware | 5912 | N/A | ||||
85. | MEDCO EUROPE II, L.L.C. | Delaware | 5912 | 27-3709630 | ||||
86. | MEDCO HEALTH, L.L.C. | Delaware | 5912 | 41-2063830 | ||||
87. | MEDCO HEALTH NEW YORK INDEPENDENT PRACTICE ASSOCIATION, L.L.C. | New York | 5912 | 22-3572956 | ||||
88. | MEDCO HEALTH PUERTO RICO, L.L.C. | Delaware | 5912 | 81-0616525 | ||||
89. | MEDCO HEALTH SOLUTIONS OF COLUMBUS NORTH, LTD. | Ohio | 5912 | 22-3478893 | ||||
90. | MEDCO HEALTH SOLUTIONS OF COLUMBUS WEST, LTD. | Ohio | 5912 | 22-3478895 | ||||
91. | MEDCO HEALTH SOLUTIONS OF FAIRFIELD, L.L.C. | Pennsylvania | 5912 | 22-3478953 | ||||
92. | MEDCO HEALTH SOLUTIONS OF FRANKLIN LAKES, L.L.C. | New Jersey | 5912 | 22-3478889 | ||||
93. | MEDCO HEALTH SOLUTIONS OF HENDERSON, NEVADA, L.L.C. | Delaware | 5912 | 51-0447039 | ||||
94. | MEDCO HEALTH SOLUTIONS OF HIDDEN RIVER, L.C. | Florida | 5912 | 59-3736512 | ||||
95. | MEDCO HEALTH SOLUTIONS OF ILLINOIS, L.L.C. | Delaware | 5912 | N/A |
Name of Guarantor Registrant* | State or Other Jurisdiction of Incorporation or Formation | Primary Standard Industrial Classification Code Number | I.R.S. Employer Identification Number | |||||
96. | MEDCO HEALTH SOLUTIONS OF INDIANA, L.L.C. | Delaware | 5912 | 26-1955207 | ||||
97. | MEDCO HEALTH SOLUTIONS OF IRVING, L.L.C. | Delaware | 5912 | 27-1809723 | ||||
98. | MEDCO HEALTH SOLUTIONS OF LAS VEGAS, L.L.C. | Nevada | 5912 | 22-2675929 | ||||
99. | MEDCO HEALTH SOLUTIONS OF NETPARK, L.L.C. | Delaware | 5912 | 22-3474891 | ||||
100. | MEDCO HEALTH SOLUTIONS OF NORTH VERSAILLES, L.L.C. | Pennsylvania | 5912 | 22-3478898 | ||||
101. | MEDCO HEALTH SOLUTIONS OF RICHMOND, L.L.C. | Virginia | 5912 | 22-3478958 | ||||
102. | MEDCO HEALTH SOLUTIONS OF SPOKANE, L.L.C. | Delaware | 5912 | 22-3046530 | ||||
103. | MEDCO HEALTH SOLUTIONS OF TEXAS, L.L.C. | Texas | 5912 | 22-3478955 | ||||
104. | MEDCO HEALTH SOLUTIONS OF WILLINGBORO, L.L.C. | New Jersey | 5912 | 22-3474877 | ||||
105. | MEDCOHEALTH.COM, L.L.C. | New Jersey | 5912 | 22-3732483 | ||||
106. | MEDCO OF WILLINGBORO URBAN RENEWAL, L.L.C. | New Jersey | 5912 | 22-3811751 | ||||
107. | MEDCO RESEARCH INSTITUTE, L.L.C. | Delaware | 5912 | 45-3631137 | ||||
108. | NATIONAL DIABETIC MEDICAL SUPPLY, L.L.C. | Delaware | 5912 | 45-3860748 | ||||
109. | NATIONAL RX SERVICES NO. 3, INC. OF OHIO | Ohio | 5912 | 34-1666699 | ||||
110. | P-STAR ACQUISITION CO., INC. | Delaware | 5912 | 20-1968476 | ||||
111. | POLYMEDICA CORPORATION | Massachusetts | 2834 | 04-3033368 | ||||
112. | SYSTEMED, L.L.C. | Delaware | 5912 | 22-3474888 | ||||
113. | THE VACCINE CONSORTIUM, LLC | Maryland | 5912 | 20-5454871 | ||||
114. | THERAPEASE CUISINE, INC. | Wisconsin | 5912 | 26-0759966 | ||||
115. | TVC ACQUISITION CO., INC. | Delaware | 5912 | 45-4509922 | ||||
116. | UBC HEALTH CARE ANALYTICS, INC. | Delaware | 5912 | 54-1759539 | ||||
117. | UBC LATE STAGE, INC. | Missouri | 5912 | 43-1083790 | ||||
118. | UBC SCIENTIFIC SOLUTIONS, INC. | Delaware | 5912 | 26-3434243 | ||||
119. | UNITED BIOSOURCE CORPORATION | Delaware | 5912 | 80-0077029 | ||||
120. | UNITED BIOSOURCE PATIENT SOLUTIONS, INC. | Delaware | 5912 | 20-3419132 | ||||
121. | INFINITY INFUSION CARE, LTD. | Texas | 5912 | 76-0391439 |
One Express Way St. Louis, MO | 63121 | |
(Address of principal executive offices) | (Zip code) |
2.750% Senior Notes due 2014
2.100% Senior Notes due 2015
3.500% Senior Notes due 2016
2.650% Senior Notes due 2017
4.750% Senior Notes due 2021
3.900% Senior Notes due 2022
6.125% Senior Notes due 2041
(Title of the indenture securities)
Item 1.General Information. Furnish the following information as to the trustee:
(a) | Name and address of each examining or supervising authority to which it is subject. |
Comptroller of the Currency
Treasury Department
Washington, D.C.
Federal Deposit Insurance Corporation
Washington, D.C.
Federal Reserve Bank of San Francisco
San Francisco, California 94120
(b) | Whether it is authorized to exercise corporate trust powers. |
The trustee is authorized to exercise corporate trust powers.
Item 2.Affiliations with the Obligor. If the obligor is an affiliate of the trustee, describe each such affiliation.
None with respect to the trustee.
No responses are included for Items 3-14 of this Form T-1 because the obligor is not in default as provided under Item 13.
Item 15.Foreign Trustee. Not applicable.
Item 16.List of Exhibits. List below all exhibits filed as a part of this Statement of Eligibility.
Exhibit 1. | A copy of the Articles of Association of the trustee now in effect.* | |
Exhibit 2. | A copy of the Comptroller of the Currency Certificate of Corporate Existence and Fiduciary Powers for Wells Fargo Bank, National Association, dated February 4, 2004.** | |
Exhibit 3. | See Exhibit 2 | |
Exhibit 4. | Copy of By-laws of the trustee as now in effect.*** | |
Exhibit 5. | Not applicable. | |
Exhibit 6. | The consent of the trustee required by Section 321(b) of the Act. | |
Exhibit 7. | A copy of the latest report of condition of the trustee published pursuant to law or the requirements of its supervising or examining authority. | |
Exhibit 8. | Not applicable. | |
Exhibit 9. | Not applicable. |
* | Incorporated by reference to the exhibit of the same number to the trustee’s Form T-1 filed as exhibit 25 to the Form S-4 dated December 30, 2005 of file number 333-130784-06. |
** | Incorporated by reference to the exhibit of the same number to the trustee’s Form T-1 filed as exhibit 25 to the Form T-3 dated March 3, 2004 of file number 022-28721. |
*** | Incorporated by reference to the exhibit of the same number to the trustee’s Form T-1 filed as exhibit 25 to the Form S-4 dated May 26, 2005 of file number 333-125274. |
SIGNATURE
Pursuant to the requirements of the Trust Indenture Act of 1939, as amended, the trustee, Wells Fargo Bank, National Association, a national banking association organized and existing under the laws of the United States of America, has duly caused this statement of eligibility to be signed on its behalf by the undersigned, thereunto duly authorized, all in the City of Minneapolis and State of Minnesota on the 12th day of November, 2012.
WELLS FARGO BANK, NATIONAL ASSOCIATION |
/s/ Richard Prokosch |
Richard Prokosch |
Vice President |
EXHIBIT 6
November 12, 2012
Securities and Exchange Commission
Washington, D.C. 20549
Gentlemen:
In accordance with Section 321(b) of the Trust Indenture Act of 1939, as amended, the undersigned hereby consents that reports of examination of the undersigned made by Federal, State, Territorial, or District authorities authorized to make such examination may be furnished by such authorities to the Securities and Exchange Commission upon its request therefor.
Very truly yours, |
WELLS FARGO BANK, NATIONAL ASSOCIATION |
/s/ Richard Prokosch |
Richard Prokosch Vice President |
Exhibit 7
Consolidated Report of Condition of
Wells Fargo Bank National Association
of 101 North Phillips Avenue, Sioux Falls, SD 57104
And Foreign and Domestic Subsidiaries,
at the close of business September 30, 2012, filed in accordance with 12 U.S.C. §161 for National Banks.
Dollar Amounts In Millions | ||||||||
ASSETS | ||||||||
Cash and balances due from depository institutions: | ||||||||
Noninterest-bearing balances and currency and coin | $ | 16,931 | ||||||
Interest-bearing balances | 74,188 | |||||||
Securities: | ||||||||
Held-to-maturity securities | 0 | |||||||
Available-for-sale securities | 204,296 | |||||||
Federal funds sold and securities purchased under agreements to resell: | ||||||||
Federal funds sold in domestic offices | 30 | |||||||
Securities purchased under agreements to resell | 24,666 | |||||||
Loans and lease financing receivables: | ||||||||
Loans and leases held for sale | 31,929 | |||||||
Loans and leases, net of unearned income | 728,980 | |||||||
LESS: Allowance for loan and lease losses | 14,500 | |||||||
Loans and leases, net of unearned income and allowance | 714,480 | |||||||
Trading Assets | 40,930 | |||||||
Premises and fixed assets (including capitalized leases) | 7,618 | |||||||
Other real estate owned | 4,074 | |||||||
Investments in unconsolidated subsidiaries and associated companies | 581 | |||||||
Direct and indirect investments in real estate ventures | 86 | |||||||
Intangible assets | ||||||||
Goodwill | 21,545 | |||||||
Other intangible assets | 19,703 | |||||||
Other assets | 57,739 | |||||||
|
| |||||||
Total assets | $ | 1,218,796 | ||||||
|
| |||||||
LIABILITIES | ||||||||
Deposits: | ||||||||
In domestic offices | $ | 876,434 | ||||||
Noninterest-bearing | 234,742 | |||||||
Interest-bearing | 641,692 | |||||||
In foreign offices, Edge and Agreement subsidiaries, and IBFs | 76,676 | |||||||
Noninterest-bearing | 2,323 | |||||||
Interest-bearing | 74,353 | |||||||
Federal funds purchased and securities sold under agreements to repurchase: | ||||||||
Federal funds purchased in domestic offices | 8,985 | |||||||
Securities sold under agreements to repurchase | 11,823 |
Dollar Amounts In Millions | ||||
Trading liabilities | 23,232 | |||
Other borrowed money | ||||
(includes mortgage indebtedness and obligations under capitalized leases) | 39,783 | |||
Subordinated notes and debentures | 16,786 | |||
Other liabilities | 35,449 | |||
|
| |||
Total liabilities | $ | 1,089,168 | ||
EQUITY CAPITAL | ||||
Perpetual preferred stock and related surplus | 0 | |||
Common stock | 519 | |||
Surplus (exclude all surplus related to preferred stock) | 99,518 | |||
Retained earnings | 20,950 | |||
Accumulated other comprehensive income | 7,541 | |||
Other equity capital components | 0 | |||
|
| |||
Total bank equity capital | 128,528 | |||
Noncontrolling (minority) interests in consolidated subsidiaries | 1,100 | |||
|
| |||
Total equity capital | 129,628 | |||
|
| |||
Total liabilities, and equity capital | $ | 1,218,796 | ||
|
|
I, Timothy J. Sloan, EVP & CFO of the above-named bank do hereby declare that this Report of Condition has been prepared in conformance with the instructions issued by the appropriate Federal regulatory authority and is true to the best of my knowledge and belief.
Timothy J. Sloan
EVP & CFO
We, the undersigned directors, attest to the correctness of this Report of Condition and declare that it has been examined by us and to the best of our knowledge and belief has been prepared in conformance with the instructions issued by the appropriate Federal regulatory authority and is true and correct.
John Stumpf | Directors | |||||
David Hoyt | ||||||
Carrie Tolstedt |