EXHBIT 21 IMS HEALTH INCORPORATED ACTIVE SUBSIDIARIES AS OF DECEMBER 31, 1998 STATE OR OTHER % OWNERSHIP JURISDICTION OF 100% EXCEPT NAME INCORPORATION AS NOTED ---- --------------- ------------- CLARK-O'NEILL, INC. New Jersey COGNIZANT TECHNOLOGY SOLUTIONS CORPORATION Delaware 61.70 Cognizant Technology Solutions U.S. Corporation Delaware Cognizant Technology Solutions Canada, Inc. Ontario Cognizant Technology Solutions India Limited India Cognizant Technology Solutions UK Limited United Kingdom CSS Investment Corporation Delaware COORDINATED MANAGEMENT SYSTEMS, INC. Delaware DBHC, INC. Delaware LexHealth, Inc. Illinois ENTERPRISE ASSOCIATES, INC. Delaware ERISCO MANAGED CARE TECHNOLOGIES, INC. New York IMS ASIA (1989) PTE. LTD. Singapore IMS OF CANADA LTD. Nova Scotia IMS CHINAMETRIK LIMITED Hong Kong IMS CHINAMETRIK INCORPORATED Delaware IMS DEUTSCHLAND GMBH Germany IMS-MIDOC Medizinische Informations, Dokumentations und Consultinggesellschaft mbH Germany GIC Gesellschaft fur Informationstechnologie und Consulting mbH Germany Infor-med Gesellschaft fur Marketing mbH Germany IMS Holding Deutschland GmbH Germany IFNS Marktforschung GmbH Germany IMS GmbH Institut fur Medizinische Germany Statistik IMS Data GmbH Germany IMS Hellas Ltd. Greece GPI Krankenhausforschung Germany 60.00 Gesellschaft Fur Pharma- Informations-systeme m.b.H. MedVantage GmbH Integriertes Germany 60.00 Datenmanagement im Health Care-Markt IMS HEALTH INDIA HOLDING CORPORATION Delaware RX India Corporation Delaware IMS Health India Private Limited India EXHBIT 21 IMS HEALTH INCORPORATED ACTIVE SUBSIDIARIES AS OF DECEMBER 31, 1998 STATE OR OTHER % OWNERSHIP JURISDICTION OF 100% EXCEPT NAME INCORPORATION AS NOTED ---- --------------- ------------- IMS HEALTH STRATEGIC TECHNOLOGIES, INC. Delaware IMSH L.L.C. Delaware IMS Australia Pty. Ltd. Australia Amfac Pty. Limited Australia Chemdata Pty. Limited Australia Data Design Hisoft Pty. Limited Australia Medrecord Australia Pty. Limited Australia Permail Pty. Limited Australia Healthnet Pty. Limited Australia Walsh International Pty. Ltd. Australia Walsh New Zealand Ltd. New Zealand PMS Pty. Ltd. Australia IMS Health HQ Limited United Kingdom IMS H Nederland BV Netherlands Walsh European Holdings BV Netherlands Walsh Belgium BV Belgium Walsh Hispania S.A. Spain IMS HEALTH STRATEGIC TECHNOLOGIES S.A France Walsh Italy S.r.L. Italy Walsh Nederland BV Netherlands Walsh International Holdings GmbH Germany Walsh International Holdings GesmbH Austria Walsh Ltd. United Kingdom PMSI Database B.V. Netherlands IMS Services Nederland B.V. Netherlands Walsh Asia Pacific (Pte.) Ltd. Singapore 51.00 Walsh Pharmaceutical Marketing Services Ltd. Ontario IMS HEALTH TRADING CORPORATION Delaware IMS South Africa (Pty.) Ltd. South Africa Decision Surveys International(Pty.) Ltd. South Africa IPRA (Pty.) Ltd. South Africa PMSA (Pty.) Ltd. South Africa IMS HEALTH TRANSPORTATION SERVICES CORPORATION Delaware IMS HOLDINGS (U.K.) LIMITED United Kingdom Intercontinental Medical Statistics Ltd. United Kingdom Imsworld Publications Ltd. United Kingdom Medical Direct Mail Organisation Ltd. United Kingdom PMS International Limited United Kingdom Pharma Strategy Group Limited United Kingdom IMS INFORMATION MEDICAL STATISTICS (ISRAEL) LTD. Israel IMS INTERNATIONAL (SOUTH AFRICA) (PTY.) LTD. South Africa IMS South Africa (Pty.) Ltd. South Africa IMS ITALIA S.P.A. Italy IMS Holding (Belgium) S.A. Belgium IMS JAPAN K.K. Japan SSJ K.K. Japan IMS KOREA LTD. Korea EXHBIT 21 IMS HEALTH INCORPORATED ACTIVE SUBSIDIARIES AS OF DECEMBER 31, 1998 STATE OR OTHER % OWNERSHIP JURISDICTION OF 100% EXCEPT NAME INCORPORATION AS NOTED ---- --------------- ------------- IMS (NZ) LIMITED New Zealand IMS PHARMINFORM HOLDING AG Switzerland IMS Health Licensing Associates, L.P. Delaware 84.52 Spartan Leasing Corporation Delaware Pharmadat Marktforschungs-Gesellschaft m.b.H. Austria Pharmacall Statistik Ges. m.b.H. Austria Informations Medicales Et Statistiques S.A. Belgium Pharma Data Boliviana S.R.L. Bolivia IMS Servicos Ltda. Brazil Intercomunicaciones Y Servicio de Datos S.A. Colombia 98.96 IMS Medinform A.S. Czech Republic IMS Republica Dominicana, S.A. Dominican Republic Datandina Ecuador S.A. Ecuador IMS Egypt Limited Egypt Institute for Medical Statistics Oy Finland Asserta Centroamerica Medicion de Mercados, S.A. Guatemala IMS Medinform Hungaria Market Research Services Ltd. Hungary IMS Data (M) Sdn. Bhd. Malaysia Interdata S.A. de C.V. Mexico Informations Medicales & Statistiques S.A.R.L. Morocco I.M.S. (Nederland) B.V. Netherlands IMS Denmark ApS Denmark I.M.S. Finance (Nederland) B.V. Netherlands Institute for Medical Statistics Norge A/S Norway Pharma Data Paraguaya S.R.L. Paraguay IMS Lanka (Private) Limited Sri Lanka Datandina S.A. Peru Intercontinental Marketing Services Iberica, S.A. Spain Mercados Y Analisis, S.A. Spain Data Coordination AG Switzerland PMA Sociedad Anonima Argentina IMS AG Switzerland IMS Information Medical Statistics AG Switzerland IMS Poland Limited Sp. z.o.o. Poland IMS Institute for Medical Statistics Sweden AB Sweden RCI Research Consultants AG Switzerland Marketing Y Datos Limitada Chile Interstatistik AG Switzerland IMS Ges m.b.H. Austria Datec Industria e Comercio, Distribuidora Grafica Brazil e Mala Direta Ltda. IMS Tunisia Tunisia IMS Tibbi Istatistik Ticaret ve Musavirlik Ltd Sirketi Turkey Pharma Data Uruguaya S.A. Uruguay PMV De Venezuela, C.A. Venezuela IMS PHILIPPINES, INC. Philippines 99.96 I.M.S. PORTUGAL-CONSULTORES INTERNACIONAIS DE MARKETUNG FARMACEUTICO, LDA Portugal IMS SOFTWARE SERVICES, LTD. Delaware IMS TAIWAN COMPANY LTD. Taiwan 99.99 EXHBIT 21 IMS HEALTH INCORPORATED ACTIVE SUBSIDIARIES AS OF DECEMBER 31, 1998 STATE OR OTHER % OWNERSHIP JURISDICTION OF 100% EXCEPT NAME INCORPORATION AS NOTED ---- --------------- ------------- IMSH MEDICAL S.A. France INFORMATIONS MEDICALES ET STATISTIQUES S.A. France INTERCONTINENTAL MEDICAL STATISTICS INTERNATIONAL, LTD. Delaware INTERCONTINENTAL MEDICAL STATISTICS IRELAND LIMITED Ireland 99.99 LOGIMED S.A.R.L. France MEDICARE AUDIT LIMITED United Kingdom 50.00 MEDI-DIFF S.A. France PMSI HISPANIA S.A. Spain PMSI JAPAN K.K. Japan PMSI MEDILOG GESUNDHEITSFORSCHUNG DEUTSCHLAND G.M.B.H. Germany PMSI UK LIMITED United Kingdom PMSI Medical Research Factors Limited United Kingdom Mediphase Limited United Kingdom Pharmacy Systems Limited United Kingdom Docpal Systems Limited United Kingdom Specialist Media Services Limited United Kingdom CMA Data Services Limited United Kingdom CMA Medical Data Limited United Kingdom 98.50 SOURCE INFORMATICS FRANCE S.A. France SOURCE INFORMATICS DEUTSCHLAND GMBH Germany SOURCE INFORMATICS EUROPE B.V. Netherlands SOURCE INFORMATICS ITALIA S.R.L. Italy SOURCE INFORMATICS LIMITED United Kingdom SOURCE INFORMATICS NEDERLAND B.V. Netherlands