Express Scripts by Evernorth®
Partnering to deliver pharmacy benefits that are right for today, right for tomorrow, right by your side.
Express Scripts is committed to be the partner you need
Helping you do right by your people, while receiving the best service at the best value.
The growth of extensive new treatment for chronic and complex conditions like diabetes, obesity and genetic disorders is adding complexity and cost to an already challenging landscape. Gene therapies and high consumer demand for weight loss drugs such as GLP-1s are driving significant trend and plan costs.
We're a partner like no other
We’re focused on delivering the right programs and partnerships to support everyone within the pharmacy benefits ecosystem—including payers, prescribers, manufacturers, government entities and members.
Express Scripts is a leader in four key pillars of pharmacy benefits management:
Delivering on our promises
Don't take it from us, hear what our customers are saying makes Express Scripts by Evernorth different.
How Express Scripts creates value for you
We do this by negotiating deeper discounts—including rebates and formulary tiers—after drug manufacturers set drug list prices. This value is passed on directly to our clients, who decide how they want to use the cost savings.
We partner across the supply chain and work to:
Drive down drug spend
Improve member access to medications
Achieve lower drug list prices
Providing deep member visibility, exceptional care and impactful experiences
Learn how a simple, effective PBM member experience leads to improved health outcomes and lower costs for plan sponsors.
Who We Serve
With more than 1,000 specialized pharmacists, doctors and nurses, 3.5K+ patient service advocates and 18K employees across the U.S., Express Scripts is uniquely positioned and prepared to make pharmacy benefits work harder for those we serve, including:
1 in 3
Americans
~60
health plans and government employers
2.3K+
commercial employers
42
Medicare Advantage plans
24
PBMs and wholesale market participants
15
Medicaid plans in 13 states
Driving value and affordability for 38 years and counting
Click through the tabs below to learn more about Express Scripts solutions designed to help you better care for your people.
Outperforming on the fundamentals
Eliminating wasteful spend
Our National Preferred Formulary finds affordable medication alternatives that provide greater clinical value, so medication decisions are based on clinical quality and cost effectiveness. Each year, we save clients $29.4B in incremental value.2
Improving continuity of care
Through our powerful partnerships, we provide industry-leading drug access and ability to process 99.1% of specialty drug claims.3
Driving down overall pharmacy spend
The Advanced Utilization Management program ensures the safest, most cost-effective medications are prescribed to members, helping clients avoid $4.6B in costs—roughly 10-13% of total pharmacy spend.4
Helping plan sponsors care for their people
Simplifying member experience
Our simple and seamless PBM member experience engages members at the right times with the right information to help them take advantage of their prescription benefit, so they’ll stress less and save more.
Providing deep member visibility
Our advanced analytics platform allows us to uncover insights and provide members with clear recommendations based on their plan sponsor’s benefit information, as well as clinical and wellness opportunities.
Removing access barriers to deliver exceptional care
We’re committed to engaging members by removing barriers to access and educating them on how to clearly and effortlessly navigate their prescription journey from annual enrollment to communications after their prescriptions are filled.
Advocating for members to enable impactful experiences
Using data like social determinants of health, plan sponsor design, member-designated preferences and medical data, we are proactive in the care of members, making sure they feel supported. We do this through a variety of PBM solutions available to plan sponsors.
Innovating to create new value
Industry-first price protections
Our Patient Assurance Program® provides lower, more predictable costs for members with diabetes and cardiovascular disease—capping the cost of insulin at $25 for a 30-day supply.
Flexible access to prescriptions
Our suite of pharmacy solutions including home delivery and retail networks focuses on flexibility for members to drive greater affordability for plans and personalizing member care.
Using data to advance access
We use powerful health equity and social determinants of health data to help resolve health disparities and reduce unnecessary health care costs—keeping a strong focus on expanding access, affordability and speed of care.
Advancing transparency + value-based contracting
The SafeGuardRx® portfolio of solutions from Evernorth® Health Services uses condition-specific engagement tools and cost-containment strategies, saving clients billions each year in medical and drug costs.5
Partnering across the ecosystem
Connecting data to optimize key PBM capabilities
With Health Connect 360®, we integrate 360-degree member data from across your health care solutions to fully connect reporting and close gaps in care.
Bridging to outside health care services
Our capabilities extend beyond PBM to integrate with behavioral health solutions, predictive models, fertility and family planning benefits and more.
Seamlessly addressing specialty needs
In partnership with Accredo by Evernorth and the deep experience of our Therapeutic Resource Centers (TRCs), we’ve helped achieve $92M in total specialty pharmacy savings for our clients.2
Sources
- 2023 Express Scripts drug trend review
- Evernorth Health Services, 2022. “Biosimilars 101”
- Annual analysis of Express Scripts adjudicated claims volume for commercial and health plan payers for limited distribution, exclusive distribution and open access specialty drugs
- 2022 for standard commercial program clients
- Evernorth Specialty Data—Analytic & Reporting Consolidation
Financial Disclosure: Express Scripts by Evernorth provides an overview of the principal revenue sources of Express Scripts, Inc. and Medco Health Solutions, Inc. (individually and collectively referred to herein as “ESI”), as well as ESI’s affiliates. See more details and access the disclosure statement