Legacy Medco was head & shoulders above ESI. Since the merger, it's been disastrous, I've been with ESI since the merger and see how they run their company. I gave it a chance, I truly did. However, ESI hires the cheapest staff they can find, their management hires in St Louis are a joke. They don't have long range plans, they implement changes and don't plan how it will affect the downstream areas. The downstream areas are confused by the work you do....It's just silo after silo. It's disorganized and poorly run. Nothing ESI does is properly managed or thought out. Company is so 15 years ago, the technology they use is a joke, their business practices are from 1992.....it's like stepping into a time machine when you visit headquarters in St. Louis. It's so sad when I come to the office in NJ, remembering how great Medco was, so innovative with lots of opportunity. Understanding it's a business and we're here to make money, this company is so poorly run from top to bottom. The benefits that were offered for 2014 were a joke!