Yeah….apparently ExpressScripts only checks your allergy list after you start your medication. By 2022 I was on a bunch of contraindicated medications and no pharmacist or doctor even discussed it with me…..like I’m glad I can let go of anger cuz I sure do have good cause to have some.
October 31, 2026 at 11:55 PM
Yeah….apparently ExpressScripts only checks your allergy list after you start your medication. By 2022 I was on a bunch of contraindicated medications and no pharmacist or doctor even discussed it with me…..like I’m glad I can let go of anger cuz I sure do have good cause to have some.
They never should have been one entity. CVS/Aetna, Optum/UHC, ExpressScripts/Cigna. Big three insurance companies in bed with big three PBMs was/is an economic disaster. I was an insurance broker when these acquisitions began. We saw it coming. Don’t know how anyone couldn’t have.
November 4, 2026 at 3:41 PM
They never should have been one entity. CVS/Aetna, Optum/UHC, ExpressScripts/Cigna. Big three insurance companies in bed with big three PBMs was/is an economic disaster. I was an insurance broker when these acquisitions began. We saw it coming. Don’t know how anyone couldn’t have.
How 3 PBMs Control 80% of U.S. Drug Claims and Costs
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https://nile1.com/how-3-pbms-control-80-of-u-s-drug-claims-and-costs/
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#breakUpBigMedicineAct #costPlusDrugs #cvsCaremark #drugClaims #expressScripts #gagClauses #healthcareAffordability #markCuban #optumrx #pb
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https://nile1.com/how-3-pbms-control-80-of-u-s-drug-claims-and-costs/
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#breakUpBigMedicineAct #costPlusDrugs #cvsCaremark #drugClaims #expressScripts #gagClauses #healthcareAffordability #markCuban #optumrx #pb
October 21, 2026 at 7:53 AM
How 3 PBMs Control 80% of U.S. Drug Claims and Costs
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https://nile1.com/how-3-pbms-control-80-of-u-s-drug-claims-and-costs/
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#breakUpBigMedicineAct #costPlusDrugs #cvsCaremark #drugClaims #expressScripts #gagClauses #healthcareAffordability #markCuban #optumrx #pb
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https://nile1.com/how-3-pbms-control-80-of-u-s-drug-claims-and-costs/
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#breakUpBigMedicineAct #costPlusDrugs #cvsCaremark #drugClaims #expressScripts #gagClauses #healthcareAffordability #markCuban #optumrx #pb
Try ExpressScripts mail order. Also, why will a pharmacy <cough Safeway/> start filling that prescription if they know they don't have enough to keep providing it to you and when you try to refill they won't be able to give you an ETA?
October 19, 2026 at 4:14 AM
Try ExpressScripts mail order. Also, why will a pharmacy <cough Safeway/> start filling that prescription if they know they don't have enough to keep providing it to you and when you try to refill they won't be able to give you an ETA?
The 12 plaintiff pharmacies pointed to recurring patterns across drugs, plans and dates to argue the underpayments are the purposeful result of the system #ExpressScripts uses to adjudicate claims. #Arkansas #Litigation #PBM buff.ly/31uWrku
Express Scripts targeted by Arkansas pharmacies in first-of-its-kind lawsuit
Arkansas passed a law last year giving pharmacies the authority to sue PBMs for underpayments. Twelve independent pharmacies are now the first to take advantage of the new enforcement mechanism.
buff.ly
September 17, 2026 at 5:30 PM
The 12 plaintiff pharmacies pointed to recurring patterns across drugs, plans and dates to argue the underpayments are the purposeful result of the system #ExpressScripts uses to adjudicate claims. #Arkansas #Litigation #PBM buff.ly/31uWrku
ExpressScripts tried to send me the safety needle this time. If their needles weren’t so crap I would have pulled this one out when it was obvious I hit something. I don’t bleed often. They sent a thicker gauge needle and I tried new batch. Don’t think I nailed the IM part today, just SubQ B12
September 12, 2026 at 8:34 PM
ExpressScripts tried to send me the safety needle this time. If their needles weren’t so crap I would have pulled this one out when it was obvious I hit something. I don’t bleed often. They sent a thicker gauge needle and I tried new batch. Don’t think I nailed the IM part today, just SubQ B12
In the lawsuit, the #Florida Attorney General argues that the collaboration has led #PrimeTherapeutics to adopt far lower pharmacy reimbursement rates. #ExpressScripts #PBM #Litigation #RxCosts buff.ly/Hvd1Rbe
Florida AG sues Prime Therapeutics, Express Scripts for alleged price-fixing
Florida Attorney General James Uthmeier is suing Express Scripts and Prime Therapeutics, alleging that a partnership between the two pharmacy benefit managers allows them to illegally fix prices.
www.fiercehealthcare.com
September 3, 2026 at 4:00 PM
In the lawsuit, the #Florida Attorney General argues that the collaboration has led #PrimeTherapeutics to adopt far lower pharmacy reimbursement rates. #ExpressScripts #PBM #Litigation #RxCosts buff.ly/Hvd1Rbe
Print the logos on fabric, make that into a scarecrow?
Like CVS gets you Aetna, Cordavis, Signify, Zinc ...
Cigna gets you Quallent, Evernorth, ExpressScripts Specialty, Ascent...
Like CVS gets you Aetna, Cordavis, Signify, Zinc ...
Cigna gets you Quallent, Evernorth, ExpressScripts Specialty, Ascent...
August 28, 2026 at 7:12 PM
Print the logos on fabric, make that into a scarecrow?
Like CVS gets you Aetna, Cordavis, Signify, Zinc ...
Cigna gets you Quallent, Evernorth, ExpressScripts Specialty, Ascent...
Like CVS gets you Aetna, Cordavis, Signify, Zinc ...
Cigna gets you Quallent, Evernorth, ExpressScripts Specialty, Ascent...
Consumers are directing their ire at behemoths like #UnitedHealth Group, which includes #OptumRx, the major pharmacy benefit manager, and sprawling networks of doctors. Plus #CVSHealth, which owns #Aetna and #Cigna, which operates #ExpressScripts .
www.nytimes.com/2026/08/14/b...
www.nytimes.com/2026/08/14/b...
Fury at Health Insurers Persists After the Killing of a Company Executive
Higher premiums and rising medical bills have intensified Americans’ dissatisfaction with their medical coverage.
www.nytimes.com
August 17, 2026 at 1:44 PM
Consumers are directing their ire at behemoths like #UnitedHealth Group, which includes #OptumRx, the major pharmacy benefit manager, and sprawling networks of doctors. Plus #CVSHealth, which owns #Aetna and #Cigna, which operates #ExpressScripts .
www.nytimes.com/2026/08/14/b...
www.nytimes.com/2026/08/14/b...
ExpressScripts 2/2. Yearly costs you use when selecting a PartD plan are apparently useless since costs can go up without limit (~9X in my case) with no warning at anytime.
How is it that the USA has the most expensive, least friendly, poorest outcomes (especially if you’re not rich) health care?!
How is it that the USA has the most expensive, least friendly, poorest outcomes (especially if you’re not rich) health care?!
August 10, 2026 at 7:22 PM
ExpressScripts 2/2. Yearly costs you use when selecting a PartD plan are apparently useless since costs can go up without limit (~9X in my case) with no warning at anytime.
How is it that the USA has the most expensive, least friendly, poorest outcomes (especially if you’re not rich) health care?!
How is it that the USA has the most expensive, least friendly, poorest outcomes (especially if you’re not rich) health care?!
1 more go w/ ExpressScripts-told "Medication prices can fluctuate based on several factors, such as the total cost a pharmacy had to pay the manufacturer when the supplies are restocked. Because your copay on future refills may change, please come back and price before your next refill. 1/2
August 10, 2026 at 7:12 PM
1 more go w/ ExpressScripts-told "Medication prices can fluctuate based on several factors, such as the total cost a pharmacy had to pay the manufacturer when the supplies are restocked. Because your copay on future refills may change, please come back and price before your next refill. 1/2
So we need EOBs to submit the reimbursements. We get the meds from ExpressScripts, who happens to BE the pharmacy for the secondary insurance. They ship it out but refuse to charge the secondary insurance to THEMSELVES.
They require EOBs to get a refund. But it take 14 days to get one.
They require EOBs to get a refund. But it take 14 days to get one.
July 28, 2025 at 2:36 AM
So we need EOBs to submit the reimbursements. We get the meds from ExpressScripts, who happens to BE the pharmacy for the secondary insurance. They ship it out but refuse to charge the secondary insurance to THEMSELVES.
They require EOBs to get a refund. But it take 14 days to get one.
They require EOBs to get a refund. But it take 14 days to get one.
That's frigging infuriating. That's why I prefer prescription by mail stuff like ExpressScripts, but I have no idea if that's even a thing in Australia.
April 24, 2026 at 6:06 PM
That's frigging infuriating. That's why I prefer prescription by mail stuff like ExpressScripts, but I have no idea if that's even a thing in Australia.
#PBMS ARE ALSO THE ONES WHO ENCOURAGED COMPANIES LIKE #ExpressScripts & OTHERS TO QUIT TAKING DRUG COMPANY COUPONS FROM PATIENTS, KILLING AMERICANS. UNDER #TRUMP EXPECT TO PAY A LOT MORE. #DC #GOP #Republicans #Democrats #Vets
PBMs sue the FTC because because ohiocapitaljournal.com/briefs/big-d...
Big drug middlemen sue to stop federal antitrust action • Ohio Capital Journal
The three largest pharmacy benefit managers — or PBMs — earlier this month went to court to quash a suit by the Federal Trade Commission over their pricing practices regarding the diabetes drug insuli...
ohiocapitaljournal.com
November 29, 2024 at 10:46 PM
#PBMS ARE ALSO THE ONES WHO ENCOURAGED COMPANIES LIKE #ExpressScripts & OTHERS TO QUIT TAKING DRUG COMPANY COUPONS FROM PATIENTS, KILLING AMERICANS. UNDER #TRUMP EXPECT TO PAY A LOT MORE. #DC #GOP #Republicans #Democrats #Vets
November 20, 2024 at 6:36 PM
#Anthem, #Humana drop $140M to launch a next-gen PBM platform
The #PBM market has long been ruled by the “Big Three” PBMs: #UnitedHealth Group’s #OptumRx, #Cigna’s #ExpressScripts, and #CVSHealth’s #Caremark —which control 80% of the PBM market.
www.emarketer.com/content/anth...
The #PBM market has long been ruled by the “Big Three” PBMs: #UnitedHealth Group’s #OptumRx, #Cigna’s #ExpressScripts, and #CVSHealth’s #Caremark —which control 80% of the PBM market.
www.emarketer.com/content/anth...
Anthem, Humana drop $140M to launch a next-generation pharmacy benefit management platform
Anthem, Humana JV could be a golden distro channel for DTx makers: The payers are developing a cloud-based pharmacy benefits management platform,—we unpack why its pricing transparency feature makes i...
www.emarketer.com
February 13, 2025 at 10:40 AM
#Anthem, #Humana drop $140M to launch a next-gen PBM platform
The #PBM market has long been ruled by the “Big Three” PBMs: #UnitedHealth Group’s #OptumRx, #Cigna’s #ExpressScripts, and #CVSHealth’s #Caremark —which control 80% of the PBM market.
www.emarketer.com/content/anth...
The #PBM market has long been ruled by the “Big Three” PBMs: #UnitedHealth Group’s #OptumRx, #Cigna’s #ExpressScripts, and #CVSHealth’s #Caremark —which control 80% of the PBM market.
www.emarketer.com/content/anth...
Been waiting 45+ minutes at the pharmacy for a COVID booster and flu shot ahead of my trip to New Zealand in 2 weeks. Expressscripts and Aetna disagree on coverage but I'm willing to just pay so I can get out of here. This whole experience really explains why the whole medical industry needs to go.
September 3, 2025 at 8:01 PM
Been waiting 45+ minutes at the pharmacy for a COVID booster and flu shot ahead of my trip to New Zealand in 2 weeks. Expressscripts and Aetna disagree on coverage but I'm willing to just pay so I can get out of here. This whole experience really explains why the whole medical industry needs to go.
The model will roll out to #Cigna fully insured plans in 2027, before a wider launch in 2028 to all of #ExpressScripts. #PBM #RxCoverage #Rebates
Cigna CEO: Express Scripts seeing 'significant early interest' from clients for new rebate-free PBM model
UPDATED: July 30 at 2:20 p.m. ET | Cigna is raising its outlook for the year after beating the Street on both earnings and revenue in the second quarter of 2026.
buff.ly
July 31, 2026 at 8:30 PM
The model will roll out to #Cigna fully insured plans in 2027, before a wider launch in 2028 to all of #ExpressScripts. #PBM #RxCoverage #Rebates
#ExpressScripts' settlement contains provisions requiring it to work with local pharmacies and disclose #RxCosts to employers annually.
Exclusive-Cigna settles FTC insulin case, commits to overhauling drug pricing
Feb 4 () - Cigna Corp's Express Scripts has settled the U. Federal Trade Commission's claims its insulin pricing practices violated antitrust and consumer protection laws, and agreed to changes aimed…
buff.ly
February 4, 2026 at 8:00 PM
#ExpressScripts' settlement contains provisions requiring it to work with local pharmacies and disclose #RxCosts to employers annually.
The case was dismissed on standing grounds -- not because the allegations lacked merit, but because the plaintiffs couldn’t show a concrete and personal injury. #PBM #Lawsuit #WellsFargo #ExpressScripts #Rx buff.ly/bNUP3qo
Judge tosses Wells Fargo's ERISA suit over drug benefit management
The case outlined how Wells Fargo used Express Scripts as its pharmacy benefit manager without competitive bidding and permitted enormous markups.
buff.ly
March 27, 2025 at 8:30 PM
The case was dismissed on standing grounds -- not because the allegations lacked merit, but because the plaintiffs couldn’t show a concrete and personal injury. #PBM #Lawsuit #WellsFargo #ExpressScripts #Rx buff.ly/bNUP3qo
#ExpressScripts intends to make new steps standard operating procedure moving forward, creating a baseline for its efforts around #transparency and #affordability. #PBM #Prescriptions
Express Scripts takes new steps to improve transparency, address affordability
Pharmacy benefit management giant Express Scripts unveiled several steps it's taking to boost transparency and mitigate high costs members may face. | Pharmacy benefit management giant Express Scripts...
buff.ly
January 30, 2025 at 8:00 PM
#ExpressScripts intends to make new steps standard operating procedure moving forward, creating a baseline for its efforts around #transparency and #affordability. #PBM #Prescriptions
Yes. Aetna is owned by CVS and owns Caremark who owned Minute Clinics. Cigna owns ExpressScripts. Florida Blue owns their community care centers.
The CEO of UnitedHealthcare has no input into the activities of any other company owned by UnitedHealth Group.
The CEO of UnitedHealthcare has no input into the activities of any other company owned by UnitedHealth Group.
December 5, 2024 at 5:13 AM
Yes. Aetna is owned by CVS and owns Caremark who owned Minute Clinics. Cigna owns ExpressScripts. Florida Blue owns their community care centers.
The CEO of UnitedHealthcare has no input into the activities of any other company owned by UnitedHealth Group.
The CEO of UnitedHealthcare has no input into the activities of any other company owned by UnitedHealth Group.
Talked 2 WAG pharmacist who said register stops every ExpressScripts Rx so Rph can ask customer to ask their HR rep to keep WAG in network
December 17, 2024 at 6:41 AM
Talked 2 WAG pharmacist who said register stops every ExpressScripts Rx so Rph can ask customer to ask their HR rep to keep WAG in network