Express Scripts by Evernorth

Eliminating wasteful spend

Our National Preferred Formulary finds affordable medication alternatives that provide greater clinical value, so medication decisions are based on clinical quality and cost effectiveness. Each year, we save clients $29.4B in incremental value.¹ 

Improving continuity of care

Through our powerful partnerships, we provide industry-leading drug access and ability to process 99.1% of specialty drug claims.² 

Driving down overall pharmacy spend

The Advanced Utilization Management program ensures the safest, most cost-effective medications are prescribed to members, helping clients avoid $4.6B in costs—roughly 10-13% of total pharmacy spend.*

* 2022 for standard commercial program clients

1. Evernorth Health Services, 2022. “Biosimilars 101”.  https://www.evernorth.com/articles/biosimilars

2. Annual analysis of Express Scripts adjudicated claims volume for commercial and health plan payers for limited distribution, exclusive distribution and open access specialty drugs.

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Simplifying member experience


Our simple and seamless PBM member experience engages members at the right times with the right information to help them take advantage of their prescription benefit, so they’ll stress less and save more.

Providing deep member visibility


Our advanced analytics platform allows us to uncover insights and provide members with clear recommendations based on their plan sponsor’s benefit information, as well as clinical and wellness opportunities.

Removing access barriers to deliver exceptional care

We’re committed to engaging members by removing barriers to access and educating them on how to clearly and effortlessly navigate their prescription journey from annual enrollment to communications after their prescriptions are filled.

Advocating for members to enable impactful experiences


Using data like social determinants of health, plan sponsor design, member-designated preferences and medical data, we are proactive in the care of members, making sure they feel supported. We do this through a variety of PBM solutions available to plan sponsors.

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Industry-first price protections


Our Patient Assurance Program® provides lower, more predictable costs for members with diabetes and cardiovascular disease—capping the cost of insulin at $25 for a 30-day supply.

Flexible access to prescriptions  

Our suite of pharmacy solutions including home delivery and retail networks focuses on flexibility for members to drive greater affordability for plans and personalizing member care.

Using data to advance access


We use powerful health equity and social determinants of health data to help resolve health disparities and reduce unnecessary health care costs—keeping a strong focus on expanding access, affordability and speed of care.

Advancing transparency + value-based contracting


The SafeGuardRx® portfolio of solutions from Evernorth® Health Services uses condition-specific engagement tools and cost-containment strategies, saving clients billions each year in medical and drug costs.¹

1. Evernorth Specialty Data—Analytic & Reporting Consolidation

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Connecting data to optimize key PBM capabilities

With Health Connect 360®, we integrate 360-degree member data from across your health care solutions to fully connect reporting and close gaps in care. 

Bridging to outside health care services


Our capabilities extend beyond PBM to integrate with behavioral health solutions, predictive models, fertility and family planning benefits and more. 

Seamlessly addressing specialty needs


In partnership with Accredo by Evernorth and the deep experience of our Therapeutic Resource Centers (TRCs), we’ve helped achieve $92M in total specialty pharmacy savings for our clients^.1 

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