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Key Topics

Below, you can find detailed information about how Express Scripts works, how we add value and how we ensure transparency with all stakeholders.

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Express Scripts fights to ensure clients and consumers have access to safe, effective and affordable medications and life-sustaining or life-saving therapies.

 

The Value Express Scripts Delivers

Express Scripts, and other PBMs, are essential partners across the drug supply chain—helping drive down drug spend and improve medication access for clients and customers.

 

How PBMs Work

Studies and analyses clearly show drug price increases are not caused by PBMs like Express Scripts.

 

The Truth About High Drug Prices

PBMs use generic and biosimilar competition to accelerate lower drug costs

 

Driving Drug Competition to Lower Cost

Rebates are just one tool to lower drug costs—in direct response to skyrocketing prices set by big pharmaceutical companies.

 

The Reality of Rebates

Express Scripts builds industry-leading, clinical-first formularies that equal greater value.

 

Driving Drug Savings Through Formularies

PBMs build networks of pharmacies to provide consumers convenient access to prescriptions at discounted rates.

 

Building Purposeful Pharmacy Networks

Express Scripts negotiates discounts with retail pharmacies and other providers

 

The Skinny on Spread Pricing

In a pass through pricing model, the client chooses to pay the exact discounted value that Express Scripts negotiates.

 

Breaking Down the Pass Through Pricing Model

 

Express Scripts receives fees from clients for PBM administrative services.

 

A Look at Administrative Fees

PBMs must adhere to strict governance standards that are contractually binding

 

PBM Governance

A prescription doesn’t work if it is priced out of reach for consumers

 

Delivering Value and Affordability to Consumers

A group purchasing organization combines purchasing volume to achieve discounts

 

A Word on Group Purchasing Organizations and Ascent

Services to support patients and caregivers navigating complex and chronic conditions.

 

Specialty Pharmacy Deep Dive

HDHPs are growing in popularity among plan sponsors and participants

 

High-deductible Health Plans and Drug Costs