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A new era of pharmacy benefit services to lower medication costs

On October 27, 2025, Evernorth® Pharmacy Benefit Services unveiled a transparent rebate-free pharmacy benefit for lower costs and a simplified member experience.

Evernorth introduces a groundbreaking pharmacy benefit model—Evernorth Signature^SM Pharmacy Benefit Services—designed to deliver clear, upfront savings and predictable costs for your clients.

Our transparent, streamlined contracting model moves away from the current rebate system to a simple administration fee for our services. This approach ensures financial predictability, clear visibility into medication costs, and enhanced transparency through open-book audits and third-party validation. The new model ensures patients always pay the lowest available price for their medications at the pharmacy counter. Whether it’s their copay, our negotiated discount, or the cash price, patients will automatically be charged the lowest option—no extra steps required.

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Bringing greater clarity to health care costs

Ashley Holzworth-Nash, Pharm D, Vice President, Evernorth Product Strategy and Solutions shares how we are helping members make more informed care decisions through greater price transparency, personalized guidance, and tools that simplify affordability.

How the pricing model works

Evernorth is ensuring that members pay the lowest available cost for both brand-name and generic medications, whether it is the Evernorth negotiated price, their copay, or a cash discount. Discounts are applied upfront, not through post-purchase rebates—improving transparency and predictability.

For example, if a medicine has:

An Evernorth negotiated price of $22 (70% off the list price),

A cash discount price of $20,

A drug company's "direct-to-consumer" price of $50, or

A copay of $25; the customer will pay $20, the lowest of the four options.

Explore the pricing model in action

Our interactive consultant resource features examples that show how the evolved model is designed to bring predictability, transparency, and aligned incentives to client pharmacy benefit conversions.

Download the interactive guide

What this means for clients:

Moving away from the current rebate system toward a fee-based contracting model makes it easier to budget and plan.

A first-of-its-kind functionality that makes it easy to find, fill, and pay for prescriptions based on what matters most to members: lower cost medications, local pharmacies, and a seamless experience.

Access to robust clinical safeguards and safety checks to help prevent harmful drug interactions, flag allergies and ensure medications are taken correctly.