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. Employers, health plans, labor unions, government organizations and many others partner with us because of the significant value we create by:
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
If we didn’t provide significant value for our thousands of partners, we wouldn’t exist.
Who we are
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
~2.3K
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
Patient Assurance® program
First in the industry to cap the out of pocket cost of insulin at $25 for a 30-day supply
Copay AssuranceTM plan
Caps out of pocket cost at $5 for generics and specialty generics, $25 for preferred brand drugs, $45 for preferred specialty brands under a client’s prescription drug benefit
ClearCareRxTM
Fully transparent client pricing model with 100% rebate and spread pass through—proven to drive lower drug trend and total medical costs
Embarc Benefit Protection®
Makes multi-million dollar gene therapies more affordable with $0.99 PMPM flat fee and $0 out-of-pocket cost
Health Connect360®
Performance-based clinical solution driving $399 PMPY1 and gaps-in-care closures 14x faster2
SafeGuardRx®
Value-based program that saved clients $6.4B3 in 2022 through lower medical and drug costs
IndependentRx
Expands rural health access via independent pharmacies—offering greater reimbursements and care services, while enhancing support with industry-first Independent Pharmacy Advisory Committee
Express Scripts ClearNetwork
Standardizes and simplifies payments to pharmacies with industry benchmark pricing for prescription drugs
Driving better clinical outcomes for those we serve
Preventing thousands of incidents of stroke, heart failure and other serious health issues per year through our clinical programs
Driving >80% adherence rates4 across the majority of specialty Therapeutic Resource Centers
Developing >2.4M safety interventions5, preventing adverse events and hospitalizations for patients each year
Our clinical programs perform 18,000 safety, quality and benefit checks in less than a second on each prescription
Evernorth Health Connect360, “Making connections that count”
SafeGuardRx | Home (Evernorth Data)
Accredo Specialty data, Book of Business Average 2021
RationalMed data, 2020 Express Scripts Book of Business