Catalyst Rx Receives Top Marks in Industry-Benchmark Survey

Catalyst Rx, the pharmacy benefit management (PBM) subsidiary of Catalyst Health Solutions, Inc. (NASDAQ: CHSI), announced today that it received top client recognition in the 2009 Pharmacy Benefit Management Institute (PBMI) PBM Customer Satisfaction Report. PBMI independently conducts this annual client survey across the PBM industry to benchmark performance on overall customer satisfaction.

“The outstanding results reflect Catalyst Rx’s ability to identify the unique needs of our clients and deliver the most care- and cost-effective solutions,” said David T. Blair, Chief Executive Officer of Catalyst Health Solutions. “We thank our valued clients who participated in this survey.”

Catalyst Rx received top scoring in the category of “Delivering Promised Services,” as well as exemplary client satisfaction scores in the categories of “Overall Service & Performance” and “Delivering Promised Savings.”

About Pharmacy Benefit Management Institute (www.pbmi.com)

The mission of the Pharmacy Benefit Management Institute (PBMI) is to create the industry's premier forum for health care purchasers to exchange ideas, advance best practices, and drive appropriate changes in the pharmacy benefit management marketplace. PBMI achieves its mission through a broad-based education and research agenda driven by the needs of its members. The organization views industry participants and vendors as essential partners in developing and promoting innovation in the marketplace. PBMI has been a valued resource to health care purchasers, pharmacy benefit managers, and other industry professionals involved in the delivery of drug benefits since 1995.

About Catalyst Health Solutions, Inc. (www.chsi.com)

Catalyst Health Solutions, Inc. is built on strong, innovative principles in the management of prescription drug benefits and provides an unbiased, client-centered philosophy resulting in industry-leading client retention rates. The Company's subsidiaries include Catalyst Rx, a full-service pharmacy benefit manager serving more than 6 million lives in the United States and Puerto Rico; HospiScript Services, LLC, one of the largest providers of pharmacy benefit management services to the hospice industry; and Immediate Pharmaceutical Services, Inc., a fully-integrated prescription mail service facility in Avon Lake, Ohio. The Company's clients include self-insured employers including state and local governments, managed care organizations, unions, hospices, third-party administrators and individuals.

This press release may contain "forward-looking statements" as defined in the Private Securities Litigation Reform Act of 1995. These statements involve a number of risks and uncertainties that might materially affect our results, particularly those risks referred to in our Annual Report on Form 10-K for the year ended December 31, 2008 under "Item 1A. Risk Factors." Readers are urged to carefully review and consider the various disclosures made in our Annual Report on Form 10-K and our other filings with the Securities and Exchange Commission that attempt to advise interested parties of the risks and uncertainties that may affect our business. Catalyst Health Solutions, Inc. does not undertake any obligation to update forward-looking statements, whether as a result of new information, future events, or other developments.

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