Express Scripts
Express Scripts is a pharmacy benefit management (PBM) company that administers prescription drug benefits on behalf of health plans, employers, and other clients. It provides services including network pharmacy claims processing, formulary management, home delivery pharmacy, and specialty pharmacy care, and operates as Evernorth's pharmacy benefit service within The Cigna Group.www.express-scripts.com
34
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Search complete. 34 mentions across 23 episodes found for "Express Scripts".
Nov 5, 2026
Michael CalhounCORRESPONDENT
One analyst says CVS on this likely moved early instead of waiting for lawmakers, the courts, to force a breakup.
Michael CalhounCORRESPONDENT
Could the pressure also extend to St. Louis County-based Express Scripts, which is now owned by Cigna? Michael Calhoun, KMOX News.
Megan LynchHOST
Missouri's Attorney General cracking down on unregulated THC.
Megan LynchHOST
Catherine Hannaway suing four retailers, including a shop in De Pere, for allegedly posing as licensed dispensaries to sell marijuana disguised as hemp.
Shreya SinghaHOST
UnitedHealth, the largest insurance company in America, owns Optum.
Shreya SinghaHOST
And Cigna owns Express Scripts.
Shreya SinghaHOST
So as you can imagine, people have been upset about this.
Shreya SinghaHOST
There's a lot of regulatory risk, a lot of political controversy around this because this has been described as a vertical consolidation.
Moshe ChaskyGUEST
And many community oncology practices have done this.
Moshe ChaskyGUEST
We're competing with the big pharmacy benefit managers, as you know, the Express Scripts, the CVS Care Marks, the Optums of the world, because even though they take out full page ads in the New York Times and the Wall Street Journal that they are They're giving care to the patients.
Moshe ChaskyGUEST
At the end of the day, I've personally never gotten a call from any of the pharmacy benefit managers that are giving these drugs to our patients that there's a problem and maybe I should scale back the dose or they weren't able to reach the patient.
Moshe ChaskyGUEST
I mean, it's just...
Craig StemmermanGUEST
Because they needed to make profits other places, all the insurance companies now own what's called a PBM.
Craig StemmermanGUEST
So Express Scripts in St. Louis was the largest PBM in the United States.
Craig StemmermanGUEST
Now they got bought out by Cigna.
Craig StemmermanGUEST
But they're the ones that make the medication costs, right? So all the insurance carriers bought up all the PBMs.
AmberHOST
And you want to check the formulary drug list and the rules like, for every medication when you have that conversation with, so I wanna encourage everyone to have a conversation with the helpers for that specific plan or for the Medicare plans.
AmberHOST
Is this exact drug covered? What tier is it on? If I pay that tier, does that count towards the deductible? What will it cost at my preferred pharmacy? Because it might be different Publix versus Express Scripts.
AmberHOST
Those can be very different costs for you.
AmberHOST
What will it cost at my current pharmacy? Do I need a step through or do I need some kind of prior authorization or permission first? Do I have to try a cheaper drug first? Is there a limit on how much I can get? It is an awful state of affairs that all of these questions need to be asked, that you have to somehow become an expert on Medicare in your retired years, like this could be a job figuring this out.
Todd EuryHOST
We knew this was happening.
Todd EuryHOST
The House Oversight Chairman James Comer has launched an investigation into whether CVS Health Caremark Express Scripts and OptumRx used burdensome audits against pharmacies that publicly supported PBM reform legislation.
Todd EuryHOST
One particularly striking allegation in an audit involving, listen to this, this is crazy, an audit involving a 99 cent medical claim, a PBM claim reportedly consumed hundreds of hours of a pharmacy staff's time.
Todd EuryHOST
These are the allegations under investigation, not established findings of retaliation.
Todd EuryHOST
We knew this was happening.
Todd EuryHOST
The House Oversight Chairman James Comer has launched an investigation into whether CVS Health, Caremark, Express Scripts, and OptumRx used burdensome audits against pharmacies that publicly supported PBM reform legislation.
Todd EuryHOST
One particularly striking allegation in an audit involving, listen to this, this is crazy, an audit involving a 99-cent medical claim, a PBM claim reportedly consumed hundreds of hours of a pharmacy staff's time.
Todd EuryHOST
These are the allegations under investigation, not established findings of retaliation.
Elizabeth HolmesSOUNDBITE_SPEAKER
That's proprietary information.
Amanda SeyfriedSOUNDBITE_SPEAKER
You were in the middle of trying to renegotiate your deal with Express Scripts.
Amanda SeyfriedSOUNDBITE_SPEAKER
Express Scripts is, what, 7% of your revenue? And they know that.
Amanda SeyfriedSOUNDBITE_SPEAKER
And now they're gouging you on behalf of the pharmaceutical companies.
Amanda SeyfriedSOUNDBITE_SPEAKER
And you have to eat it.
Katy TalentoGUEST
Yeah, we should talk about that.
Katy TalentoGUEST
But we eventually when I took over their plan, I fired Blue Cross and fired Express Scripts.
Katy TalentoGUEST
And, you know, it's better now.
Matthew ZacharyHOST
Imagine like, hi, I'm a nun.
Rodney Mattos Sr.GUEST
Employers still need to review the process.
Rodney Mattos Jr.HOST
The Federal Trade Commission also reached 2026 settlements with Express Scripts and Caremark in its insulin case.
Rodney Mattos Jr.HOST
The FTC reported the Caremark agreement requires changes intended to reduce patient costs, improve transparency, and treat community pharmacies fairly.
Rodney Mattos Jr.HOST
The Optum matter moved toward a proposed agreement as well.
13 more episodes mention Express Scripts.
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