Helping you help your clients
We set a new standard for care through clinically superior pharmacy and medical benefit solutions that proactively engage with clients to deeply understand and address their challenges.
We partner with you to meet your goals and our mutual clients’ goals
Working together to manage great care and benefits
We truly collaborate with you to provide insights and develop customized programs that successfully manage costs, while helping members improve their health and wellbeing.
Offering deep expertise in health services including pharmacy, care and benefits
Meaningful support, tangible results
specialty trend in 2023 for clients after adopting our trend management solutions1
1. Data from 2023 ESI DTR client sample for plans >10K lives enrolled in multiple specialty pharmacy trend management strategies.
client savings in 2023 with our clinical and formulary programs2*
2. 2023 Express Scripts Drug Trend Report
*Does not include rebates
of our commercial plans spent the same or less on drugs in 2023 versus 20223
3. 2023 Jan-June, Express Scripts Book of Business
EncircleRx℠: Cardiodiabesity
Manage the cost of GLP-1s—the #1 trend for plans in 2023
EncircleRx: Cardiodiabesity offers the PBM industry's first financial guarantee, giving plans the tools to better control GLP-1 growth and expand access.
These enhanced controls ensure GLP-1 access to clinically necessary patients, improving their clinical outcomes and lowering downstream medical and prescription costs with a 3:1 savings guarantee.
Solutions to meet adherence, quality and savings goals
Our innovative, industry-leading solutions help you reduce costs, increase quality and create health experiences that are truly equitable. Learn more about a few of our popular health plan solutions below:
Express Scripts’ new ClearCareRx offers employer, health plan, and government employer clients the option of a transparent economic model by providing clear and predictable costs for prescription drug benefits:
Clients pay exactly what Express Scripts pays pharmacies for a prescription
Clients receive 100% of drug rebates that Express Scripts obtains by negotiating with pharmaceutical companies
Clients pay one simple fee to cover the administration of pharmacy benefits, PBM product services, reporting and analytics, and is 100% auditable
Provides guarantees that keep Express Scripts accountable to clinical and financial performance measures, including improvements in drug performance, adherence, and overall patient outcomes
Empowering plan sponsors with tools and solutions to make smart, effective benefit decisions in a complex specialty environment.
Specialty benefit decisions you can feel confident in
Flexible options to manage specialty spend
Advocacy for access to lower cost, quality care
More holistic care experiences for your members
Tools to make more informed decisions
Capping prescription drug prices through a simple, predictable copay model and low, flat-dollar tiers
Better member experience
Increased visibility to member pay
Reduced abandonment
Integrated pharma value
Reduction in medical costs
Improved utilization
We use a data-informed approach to proactively identify, engage and guide patients to the right level of behavioral care, quickly, all while providing measurement and quality outcomes that drive cost savings.
Data-informed early identification of behavioral health needs
Customized assessments that help tailor individual care pathways
Quality care delivered digitally, in person and virtually
24/7/365 call center support
Guided concierge navigation assistance every step of the way
