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Express Scripts Review

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Should I use Express Scripts?

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· 1 day ago

Large employers, insurers, and government programs buy Express Scripts as their pharmacy benefit manager. Individuals cannot buy it directly; a health plan assigns it to you.

Confidence

Medium. Based on 18 public sources. The product page itself returned no usable content.

Ratings

  • Value for money
  • Ease of use
  • Feature depth
  • Support quality
  • Security posture

Pricing

Not disclosed

ModelNot disclosed
Monthly feesNot disclosed
HardwareNot disclosed

Best for

  • Large employers funding drug benefits
  • Health plans outsourcing pharmacy management
  • Medicare Part D plan sponsors
  • Government programs like TRICARE

Not for

  • Individuals shopping on their own; enrollment runs through a plan
  • Small employers wanting transparent drug pricing
  • Independent pharmacies; Arkansas pharmacies sue this PBM
  • Anyone who picks their own PBM; members do not choose it

Gotchas - check before you buy

high

Formularies exclude drugs each year; check the exclusions list before filling

high

Prior authorization reviews delay coverage; approval steps add waiting time

medium

Your employer or health plan picks this PBM; you cannot enroll directly

medium

No public price list; costs live inside plan documents

Pros and cons

Pros

  • Runs mail-order and Accredo specialty pharmacy for complex drugs
  • Serves millions of members across employer, Medicare, and military plans
  • 2026 FTC settlement requires lower drug costs for patients
  • Two-step verification protects member accounts
  • Three-year Walmart pharmacy network agreement (2018)

Cons

  • Members report denials, delays, and poor service in volume
  • FTC settled a landmark pricing case in 2026
  • Senate hearing flags contract terms that overcharge taxpayers
  • Independent pharmacies sue over underpayment in Arkansas
  • A dedicated Facebook group collects ESI victim complaints

Sources & method

- 18 sources - Multiple disclosed breaches since 2008, including credential stuffing on member accounts; a trust center exists.

official x4review x7security x3news x4
  • Credential stuffing on the mobile app, Delaware Attorney General posted a member notification about credential stuffing.
  • Vendor HIPAA breach, A vendor breach triggered HIPAA notifications to plan sponsors.
  • TRICARE beneficiary data notice, A substitute notice advises TRICARE beneficiaries to monitor credit reports.
  • 2008 breach at Uniform Medical, WSU reported a security breach involving Uniform Medical and Express Scripts.

Key stats

  • Value for money: 2/5

    Rating

  • Not disclosed

    Starting price

  • 18

    Sources

  • Analyzed

  • Value for money: 2/5. FTC settlement and Senate overcharge claims
  • Ease of use: 2/5. Prior authorization delays dominate member complaints
  • Feature depth: 4/5. Full PBM stack: formularies, mail order, specialty pharmacy
  • Support quality: 1/5. Angry Reddit threads and a victims Facebook group
  • Security posture: 2/5. Multiple disclosed breaches plus credential stuffing notice
  • 579 Yelp reviews Maryland Heights, MO location
  • 388 Trustpilot reviewers Customer service reviews
  • 2026 FTC settlement Landmark deal to lower drug costs
  • 2018 Cigna merger Part of The Cigna Group

Pricing

Not disclosed

Security

Multiple disclosed breaches since 2008, including credential stuffing on member accounts; a trust center exists.

  • Credential stuffing on the mobile appDelaware Attorney General posted a member notification about credential stuffing.13
  • Vendor HIPAA breachA vendor breach triggered HIPAA notifications to plan sponsors.12
  • TRICARE beneficiary data noticeA substitute notice advises TRICARE beneficiaries to monitor credit reports.14
  • 2008 breach at Uniform MedicalWSU reported a security breach involving Uniform Medical and Express Scripts.

Companies that use it

  • TRICARE (military pharmacy program)
  • LifeWise
  • Gerdau
  • City of Houston
  • Texas A&M University System

Companies that could

  • Cornell University18 Uses CVS Caremark instead
Full analysis

Based on 18 public sources. The product page itself returned no usable content.

A Big 3 PBM for employers and plans, not a product individuals buy. 2026 FTC settlement, heavy member complaints.

Methodology

Based on 18 public sources. The product page itself returned no usable content.

Read how a report is made.

Sources

  1. Express Scripts Reviews | Trustpilottrustpilot.com
    review
  2. Express Scripts Reviews & Complaints | ConsumerAffairsconsumeraffairs.com
    review
  3. Express Scripts Yelp Reviews (579)yelp.com
    review
  4. Express Scripts BBB Customer Reviewsbbb.org
    review
  5. Express Scripts is nothing but BULLSHIT!!!! : r/ChronicPainreddit.com
    review
  6. Express Scripts Fail : r/tricarereddit.com
    review
  7. Victims Of Express Scripts (Facebook group)facebook.com
    review
  8. FTC Secures Landmark Settlement with Express Scriptsftc.gov
    news
  9. Warren hearing on Express Scripts contract termswarren.senate.gov
    news
  10. Express Scripts targeted by Arkansas pharmacieshealthcaredive.com
    news
  11. Upstart PBMs chip away at market leadersmodernhealthcare.com
    news
  12. HIPAA Breach by Express Scripts Vendorhaynesboone.com
    security
  13. ESI mobile app credential stuffing member notificationattorneygeneral.delaware.gov
    security
  14. Notice Regarding TRICARE Beneficiary Datamilitaryrx.express-scripts.com
    security
  15. Express Scripts Frequently Asked Questionsexpress-scripts.com
    official
  16. 2027 National Preferred Formulary Exclusionsexpress-scripts.com
    official
  17. Express Scripts Benefit Overview (Longmeadow, MA)longmeadowma.gov
    official
  18. Cornell Health Pharmacyhealth.cornell.edu
    official

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