Rapp Collins, Mullen and Gillespie are the three agencies vying for Medco Health Solutions' $20 million direct marketing, public relations and interactive account.

Carat was named search marketing agency of record for Virgin America. The account will include a variety of paid search marketing and search engine optimization services, and will be managed by the agency's San Francisco office.

Deutsch New York was awarded additional creative work by Novartis, this time the $25 million Exelon account, a patch that treats moderate Alzheimer's disease. The agency bested Kaplan Thaler Group, Kirshenbaum Bond & Partners and Ogilvy & Mather for the win.

The Visiting Nurse Service of NY selected Hill Holliday's New York office as its agency of record. The agency will develop new TV, radio, print and online advertising for the brand, to be launched in the first quarter of 2008. The agency will also be responsible for media planning and buying. Billings are not disclosed.

The VIA Group was named agency of record for Colonial Life & Accident Insurance Company. The scope of work will include advertising, branding, strategy, research, and media planning and buying. The account will be managed out of VIA's Portland office. Spending was not released.

Draftfcb Chicago was named strategic partner and agency of record for Qwest Communications International's consumer advertising programs. McClain Finlon Advertising previously handled the account.

Sonos, a manufacturer of multi-room digital music systems for existing homes, opened a review for an agency to assist with Sonos' integrated offline/online direct marketing strategies. An announcement is expected by mid-February. Ayzenberg, the current planner/buyer for Sonos, will be included in the review. The company will retain Bay Sequence as its branding agency.