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.

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We partner with you to meet your goals and our mutual clients’ goals

Our one-of-a-kind, flexible capabilities and strategic partnership approach enable us to respond to each client’s specific needs with custom benefits, transparent pricing models and value that delivers on our promises.
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Outperforming on the fundamentals
We’ve mastered the essential PBM and health services capabilities to go beyond expected outcomes, delivering exceptional care, experiences and costs.
Innovating on value creation
We stay a step ahead for you—continuing to challenge what’s expected by innovating how we create new value.
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Partnering across the ecosystem
We leverage our industry-wide reach to fill gaps and create services at every point in the care journey for members.
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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

For Health and Benefits Consultants
Our cutting-edge, end-to-end health services deliver quality care at a better value than other solutions on the market. We go beyond providing an endless stream of point solutions by integrating our entire portfolio of capabilities, simplifying benefits management for clients to seamlessly connect members to the care they need.
For PBM Consultants
With our 37 years of industry experience, we’re the best PBM there is in managing pharmacy spend. We build flexible, innovative roadmaps to powerful outcomes and deliver custom, integrated solutions to simplify complexities and drive out wasteful spending.

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.

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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

Learn more about ClearCareRx

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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

Learn more about Specialty Management

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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

Learn more about Copay Assurance™

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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

Learn more about Behavioral Health

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Visit our services page to learn more about how Evernorth Health Services can support your members.
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Let’s start the conversation
We’re here to partner with you to provide the best plan recommendations and outcomes for our mutual clients. Connect with us today to get started.
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