1 EXHIBIT 21 SUBSIDIARY JURISDICTION - -------------------------------------------------------------------------- Action International Marketing Services Limited England Alchemy Pharmaceuticals Pty. Limited Australia AR-MED Limited England BCA Corp. (a/k/a Butler Recruitment) North Carolina Benefit B.V. Netherlands Benefit Canada Medico-Economic Studies, Inc. Canada Benefit Holding, Inc. North Carolina Benefit International SNC France Benefit Research Italia S.r.l. Italy Benefit Transnational Holding Corp. North Carolina Benefit, Inc. North Carolina BRI International Holdings N.V. Belgium BRI International Limited England BRI International N.V. Belgium BRI International S.A.R.L. France ClinData International (PTY) Limited South Africa G.D.R.U. Limited England H2V S.A. France HCR ZVG Switzerland Health Care Research U.K. Limited England Histological Services Limited England Innovex (Australia) Pty Limited Australia Innovex (Benelux) BV Holland Innovex (Biodesign) GmbH Germany Innovex (DCCG) Holdings Pty. Limited Australia Innovex (France) SARL France Innovex (North America) Inc. Delaware Innovex Spain S.L. Spain Innovex (UK) Limited England Innovex Belgium NV Belgium Innovex DAS, Inc. North Carolina Innovex GmbH Germany Innovex Holdings Limited England Innovex Istanbul Turkey Innovex Limited England Innovex Merger Corp. North Carolina Innovex Nordic AB Sweden Innovex Overseas Holdings, Ltd./Limited England Innovex S.r.l. Italy Innovex South Africa PTY Limited [f/k/a PPMS] South Africa Innovex Staff Services. S.r.l. Italy Intelligent Imaging, Inc. Delaware International Clinical Research Limited England Lewin-TAG, Inc. California Medical Action Communications Limited England Medical Action Publishing Limited England Medical Action Research Limited England Medical Alliances Pty. Limited Australia Medical Technology Consultants England MTCE France S.A.R.L. France Novex Pharma Limited England Penderwood Limited England 2 Pharm OTC SARL France PharmaBio Development, Inc. North Carolina Phytotherapy Pty. Ltd. South Africa Presta Medica SARL France Q98 Corp. (d/b/a/ Biotext, Inc.) North Carolina QED International, Inc. New York QELS Corp. Tennessee QTRN Acquisition Corp. North Carolina Quintiles (Israel) Ltd. Israel Quintiles (UK) Limited England Quintiles AB Sweden Quintiles Asia, Inc. North Carolina Quintiles Australia Pty. Limited Australia Quintiles Canada, Inc. Canada Quintiles Cardiac Alert Limited England Quintiles Chile Chile Quintiles Clindepharm (Pty.) Limited South Africa Quintiles CVA, Inc. North Carolina Quintiles East Asia Pte. Limited Singapore Quintiles England Limited England Quintiles European Holdings Limited England Quintiles GesmbH Ltd. Austria Quintiles Brasil Ltda. Brazil Quintiles GmbH Germany Quintiles Holdings Limited England Quintiles Holdings SNC France Quintiles Hong Kong Limited Hong Kong Quintiles, Inc. North Carolina Quintiles Ireland (Finance) Limited Ireland Quintiles Ireland Limited Ireland Quintiles Transnational Japan KK Japan Quintiles Laboratories Limited North Carolina Quintiles Latin America, Inc. North Carolina Quintiles Mexico, S. de R.L. de C.V. Mexico Quintiles Mauritius Holdings, Inc. Mauritius Quintiles NV/SA Belgium Quintiles Oak Grove, Inc. North Carolina Quintiles Oy Finland Quintiles Pacific, Inc. North Carolina Quintiles Poland Sp. Zoo Poland Quintiles Quality Regulatory Alliance, Inc. Virginia Quintiles S.A. France Quintiles s.l. Spain Quintiles, S.r.l. Italy Quintiles Scotland Limited England Quintiles South Africa (Pty.) Limited South Africa Quintiles Spectral ltd. India Quintiles Taiwan Limited Taiwan Quintiles Technologies, Inc. North Carolina Quintiles Transnational Corp. North Carolina Royce Recruitment Limited England Serval SA France Serval Recruitement SARL France Servicios Clinicos, S.A. de C.V. Mexico Simirex Inc. New Jersey Simirex International New Jersey 3 Speci Plus SARL France Strategic Medical Publishing Limited England Synapse Pharmaceuticals Pty. Limited Australia T2A - Techniques de Aide aux Affaires SA France T2A Marketing SARL France T2A Promotion SARL France T2A Recruitement SARL France The Clinical Research Foundation (UK) Ltd. England The Lewin Group, Inc. North Carolina The MSM Group, Inc. Delaware The Royce Consultancy Limited Scotland Transforce, S.A. de C.V. Mexico Envoy Corporation Tennessee Healthcare Data Interchange Delaware National Electronic Information Corporation Delaware Professional Office Systems, Inc. Washington, D.C. Envoy/ExpressBill, Inc. Tennessee Synergy Health Care, Inc. Delaware Automated Revenue Management, Inc. Ohio (a wholly owned subsidiary of Envoy/ExpressBill, Inc.) Quintiles Scott-Levin, Inc. North Carolina PMSI Holdings Limited Delaware PMSI Scott-Levin Inc. New Jersey PMSI Finance Limited Delaware PMSI Database Services Inc. Delaware Source Informatics European Holdings, Inc. Delaware Source Informatics European Holdings LLC Delaware Source Informatics European Finance Inc. Delaware Pharma Informatics Inc. Delaware Medical Informatics KK Japan PMSI Ltd. England