The value Express Scripts delivers
A prescription drug doesn’t work if it’s priced out of reach. Express Scripts fights to ensure clients and consumers have access to safe, effective and affordable medications and life-sustaining or life-saving therapies.
Working on client terms and defending consumer wallets
Express Scripts offers clients multiple options to support the unique needs of their populations.
Clients have complete control and flexibility to choose their specific benefit design, network and pricing structure.
If we didn't provide significant value for our thousands of partners, we wouldn't exist
Employers, health plans, labor unions, government organizations and many others partner with us because of the significant value we create.
Negotiating rebates and discounts from drug manufacturers and providing formulary management services
Negotiating reimbursement rates and reduced fees with thousands of retail pharmacies nationwide to create industry-leading pharmacy networks
Encouraging the use of generics, biosimilars and more affordable brand-name drugs
Managing high-cost specialty medications with high-touch clinical care coordination
Improving population health, reducing waste and increasing clinically appropriate medication adherence
Who we are1
18K
employees across 20 sites in the U.S.
3.5K+
patient service advocates
1K+
of pharmacists, doctors and nurses with specialties by disease state
Who we serve
1 in 3
Americans
~2.2K
commercial employers
40+
health plans and government employers
42
Medicare Advantage plans
15
Medicaid plans in 13 states
24
PBMs and wholesale market participants
Industry-leading and first-to-market innovations that matter
Industry-leading and first-to-market innovations that matter
Patient Assurance® program
First in the industry to cap the out of pocket cost of insulin at $25 for a 34-day supply, and since it's launch has delivered more than $275 million in patient savings for diabetes and other medications2
Evernorth MoreThanRx℠ Services
A suite of solutions that opens new doors of access to patients by delivering products and clinical services through partnerships at retail pharmacies, including vaccinations - since 2021 empowered pharmacies to administer over 78 million vaccines3
Express Scripts ClearCareRx℠ Contracting Suite
A modular approach to pharmacy benefit services contracting, allowing clients to choose the benefit model that aligns to their business needs and delivers accountability for plan performance, including the Benchmark Plus Package - a simple pricing model for prescription medications and pharmacy services at industry-standard benchmark prices
Embarc Benefit Protection®
Makes multi-million dollar gene therapies more affordable with $1.25 PMPM flat fee and $0 out-of-pocket cost
EncircleRx℠
Optionality and predictability in managing cardiodiabesity — obesity, diabetes and cardiovascular disease — with the first-ever GLP-1 financial guarantee from a PBM.
SafeGuardRx®
Value-based program that delivered $1.3 billion4 in direct value to clients in 2023
IndependentRx
Offers increased reimbursement opportunities to rural independent pharmacies, benefiting 9005 rural independent pharmacies to date
Express Scripts ClearCareRx℠ Contracting Suite: Per Member Per Month Package
Provides clients with the predictability of total spend and aligns incentives and the pharmacy supply chain with a focus on a pay-for-performance structure.
Driving better clinical outcomes for those we serve
More than 353,000 clinical gaps in care were closed in 2023 for enrolled members6
107% increase in medication adherence among enrolled members in 20236
23% fewer hospital stays for enrolled members in 20216
Our clinical programs perform up to 18,000 safety, quality and benefit checks in less than a second on each prescription
Sources
- Express Scripts. Internal Data. 2024
- Express Scripts. Patient Assurance Program data. 2024.
- Express Scripts. MoreThanRx data. 2024
- 2023 SafeGuardRx data
- Express Scripts. Pharmacy network data. 2024.
- Holistic Clinical Care Program. Evernorth data. 2023