Express Scripts by Evernorth PBM Member Experience
Helping plan sponsors care for their people.
Simplify the PBM experience, improve costs and outcomes
Prescription drugs are often the first line of defense for members and plan sponsors alike. When members are adherent to their medications, it can improve their quality and length of life, health outcomes and reduce overall health care costs.1, 2
But a big factor in adherence is understanding. Members need a simple and seamless pharmacy benefit service experience to understand the importance of taking their medications, and how to navigate their benefits to get the best available price for their medications.
Both plans and members save when the pharmacy benefit functions as it should
11
prescriptions filled per year on average by members, making the prescription benefit the most used health benefit3
32%
average member savings when members’ prescriptions are fully aligned with benefit design3
Providing deep member visibility
At Express Scripts, we simplify complexities and help drive savings to enable members to get the most out of their plan sponsor’s carefully designed prescription benefit. We provide clear, proactive recommendations based on their specific benefit information, including:
Lower cost, clinically appropriate therapy alternatives
Opportunities to adjust strength or dosage
Options to use generic medications
Convenient pharmacy locations
Educating members throughout their pharmacy benefit journey
At Express Scripts, we are your members’ AM, PM, PBM, providing more affordable pharmacy care at all hours, day or night. Discover the ways we’re educating members, empowering them to make the most of their pharmacy benefit journey.*
*This video is available on the member website.
Working to remove barriers to exceptional care
The best way to simplify care is to educate members on navigating their prescription journey while proactively recommending actions they should take, ensuring they receive the right prescription without any guesswork. This starts with engaging members at the right times, with the right information to help them take full advantage of their prescription benefit, using plain language that’s easy to understand the first time a member reads it.
Americans are more digitally focused than ever
To ensure members can select their preferred method of communication, we engage via email, text, mobile app and web at key touchpoints in the pharmacy benefit journey: before pharmacy coverage begins, and before and after prescriptions are filled. For those who prefer a traditional approach, we also offer a print experience, ensuring everyone stays connected in the way that suits them best.
Empowering impactful member experiences
We use data to provide tailored, meaningful support to each member, making sure they are well cared for with a variety of solutions available to their plan sponsors:
Highly trained, highly trusted specialty and traditional pharmacists and nurses available 24/7
Condition-specific member engagement tools that make it easier to stay adherent
Proactive guidance with Savings Advisor including web features, communications, and our mobile app to inform members during all stages of the benefit
Express Scripts Savings Advisor: Providing a shortcut to savings
Express Scripts Savings Advisor* simplifies complexity by letting members know quickly and simply how they can save more immediately.
*We continue to build this solution and certain terms are subject to change.
As your pharmacy benefit service, Express Scripts by Evernorth provides a wide range of digital tools and base services for members
These services include our contact center, website, mobile app, mail, clinical consultation and more—for free. But there’s always room to enhance engagement beyond the base experience—and we’re here to serve as your guide.
Sources
Geneva: World Health Organization. 2003. “Adherence to long-term therapies: evidence for action.”
Med Care, 2002. “Patient adherence and medical treatment outcomes: a meta-analy-sis.” 40(9):794-811.
Express Scripts Book of Business data.