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Express Scripts receives fees from clients for PBM administrative services.

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Transparency is built into all of our pricing models with clients.

Clients can choose to pay for these services via various pricing models—pass through pricing (or direct payment of administrative fees), value sharing through rebates and/or spread pricing—based on the specific needs of their populations.

Covered by administrative fees: services include claims adjudication, retail network management, clinical programs, formulary management, and utilization management programs.

Express Scripts services covered by administrative fees

Express Scripts provides a detailed disclosure to clients of administrative fees, as well as its principal revenue sources, including rebate arrangements with pharmaceutical manufacturers and pharmacy claim insights.

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