Official Website: https://www.express-scripts.com/
Wikipedia: https://en.wikipedia.org/wiki/Express_Scripts
(will update my internship experience with ESI, St Louis from May 2018 to August 2018)
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Express scripts -> Pharmacy Benefit Management
Express Scripts stuffs:
- Express Scripts Holding Company is an American Fortune 100 company. As of 2017, the company is the 22nd-largest in the United States as well as the largest pharmacy benefit management (PBM) organization in the United States.[1] Express Scripts had 2016 revenues of $100.752 billion.[1]
- Headquartered in St. Louis, Missouri, Express Scripts provides integrated pharmacy benefit management services including network-pharmacy claims processing; home delivery pharmacy services; specialty pharmacy benefit management, through its subsidiary Accredo; benefit-design consultation; drug-utilization review; formulary management; and medical and drug data analysis services to manage drug plans for health plans, self-insured employers and government agencies (both as administrator of employee benefits and public assistance programs). One of its largest clients is the United States Department of Defense's Tricare program.[3]
Express Scripts also offers pharmacy benefit management services for workers' compensation insurance programs. The program is accredited by URAC, the nation's largest accrediting body for pharmacy benefit management companies.
The company processes pharmaceutical claims for members through a network of retail pharmacies. Its own automated pharmacies dispense long-term, chronic medications-like those for diabetes or heart disease-directly to members by home delivery.[4]:4
- Express Scripts[edit]
Express Scripts Holding Company is the largest pharmacy benefit management (PBM) organization in the United States,[20] with 2013 revenues of $104.62 billion.[21] In 2012 Express Scripts' $29.1 billion acquisition of rival Medco Health Solutions (once the nation's largest PBM) created "a powerhouse in managing prescription drug benefits".[22]
In October 2015 Express Scripts began reviewing pharmacy programs run by AbbVie Inc and Teva Pharmaceuticals Industries Ltd regarding the potential use of tactics that "can allow drugmakers to work around reimbursement restrictions" from Express Scripts and other insurers. Insurers like Express Scripts direct "patients to cheaper generic versions of widely-used medicines to save costs". These reviews resulted from investigations into "questionable practices" at Valeant Pharmaceuticals International Inc's partner pharmacy, Philidor Rx Services.[20]
Short Notes:
- Pharmacy Benefit Management Organization
- As of 2016, PBMs manage pharmacy benefits for 266 million Americans.[2] They operate inside of integrated healthcare systems (e.g., Kaiser or VA), as part of retail pharmacies (e.g., CVS Pharmacy or Rite-Aid), and as part of insurance companies (e.g., UnitedHealth Group).[1][5] There are fewer than 30 major PBM companies in this category in the US,[1] and three major PBMs comprise 78% of the market and cover 180 million enrollees.[1][6]
- One among the 3 major PBMs in USA. The other 2 companies are CVS Health and UnitedHealth Group
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About us
We’re a healthcare technology and innovation company driven by one simple idea: to make medicine more affordable and accessible for millions of Americans.
Since 1986, we’ve been doing two things incredibly well: taking care of patients and controlling costs for our clients. By putting our patients at the center of all we do, we’re able to help 83 million Americans access the medicine they need to get, and stay, healthy. But it takes a diverse group of smart and driven individuals to achieve this.
That’s why we’re always looking for creative, passionate and curious individuals to join our team. As an Express Scripts employee, you’ll be part of an energetic environment that champions outside-the-box thinking and being ‘all in’ for patients, clients and each other. An environment where you’re empowered to lead, explore and take control of your own career as you provide solutions that impact lives. Transforming healthcare is more important than ever before. It’s a transformation that needs thinkers, caregivers, trailblazers and craftsmen. Will you join us?
SUBSIDIARIES
Accredo – specialty pharmacy
Care Continuum – medical benefit management
CuraScriptSD – specialty distribution
Freedom Fertility Pharmacy – fertility pharmacy
Inside Rx – pharmacy savings for uninsured and underinsured
eviCore healthcare – medical benefit management
MyMatrixx – workers' compensation
NOTABLE RECOGNITIONS
Largest independent pharmacy benefit manager in U.S.
Fortune 500, No. 22
Fortune Magazine, World's Most Admired Companies, 2017
Forbes, World’s Most Innovative Companies, 2014 and 2015
URAC Accreditations: Pharmacy Benefit Management, Mail Service Pharmacy and Specialty Pharmacy
Ethisphere Institute, World’s Most Ethical Company, Healthcare Services Category
KEY FACTS
Employees – 26,000
Clients – 3,000
Members – 83 million
Annual adjusted prescriptions – 1.4 billion
Generic dispensing ratio – 85.4%
2016 revenue – $100.5 billion
Recent updateSee all See all recent updates
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HIMSS18 Highlights: Using Actionable Intelligence to Enhance Prescribing and Inform Care Decisions
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Company details
Website
http://express-scripts.com/corporate
Headquarters
St. Louis, MO
Year founded
1986
Company type
Public Company
Company size
10,001+ employees
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