Figures, my company is changing from CVS to ExpressScripts
November 5, 2026 at 12:43 AM
Figures, my company is changing from CVS to ExpressScripts
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.
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.
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
Told “by” ExpressScripts customer rep that their cost increased (left out “by” in my original post).
August 8, 2026 at 5:24 PM
Told “by” ExpressScripts customer rep that their cost increased (left out “by” in my original post).
Been on this generic Tier 1 BP med since I went on Medicare. Never been this costly! 90d now more than I’ve paid for full year in the past. Will check pricing before next refill & likely dump ExpressScripts.
August 8, 2026 at 5:21 PM
Been on this generic Tier 1 BP med since I went on Medicare. Never been this costly! 90d now more than I’ve paid for full year in the past. Will check pricing before next refill & likely dump ExpressScripts.
Tried calling, eventually got to a person, went round & round explaining nothing in meds or plan had changed just the almost 9X cost jump. Finally told ExpressScripts costs went up w/out warning so that is what I must now pay. No idea if true & no reason given for why I wasn’t informed.
August 8, 2026 at 2:56 PM
Tried calling, eventually got to a person, went round & round explaining nothing in meds or plan had changed just the almost 9X cost jump. Finally told ExpressScripts costs went up w/out warning so that is what I must now pay. No idea if true & no reason given for why I wasn’t informed.
When I signed up for my PartD plan blood pressure meds cost was $2.75 which it was for 1st 2 90D refills. Thought latest fill from ExpressScripts at $23.75 must be an error. Got no rational reason via online message app.
August 8, 2026 at 2:51 PM
When I signed up for my PartD plan blood pressure meds cost was $2.75 which it was for 1st 2 90D refills. Thought latest fill from ExpressScripts at $23.75 must be an error. Got no rational reason via online message app.
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
How stupid is our health care "system"? My insurance would only preauthorize a prescription through Accredo, the online specialty pharmacy associated with ExpressScripts. The "amount billed" was $4,376.96. (No way to know what insurer paid.)
$67.07 at GoodRX, $40.26 from Cost Plus Drugs.
WTF?
$67.07 at GoodRX, $40.26 from Cost Plus Drugs.
WTF?
July 31, 2026 at 2:44 AM
How stupid is our health care "system"? My insurance would only preauthorize a prescription through Accredo, the online specialty pharmacy associated with ExpressScripts. The "amount billed" was $4,376.96. (No way to know what insurer paid.)
$67.07 at GoodRX, $40.26 from Cost Plus Drugs.
WTF?
$67.07 at GoodRX, $40.26 from Cost Plus Drugs.
WTF?
State audit of Medicaid records points to methods used by PBMs to obscure drug costs.. statnews.com/pharmalot/20... #pharma #Medicaid #Iowa #PBM #CVS #ExpressScripts #Cigna #audit #spreadpricing
State audit of Medicaid records points to methods used by PBMs to obscure drug costs
An audit of state Medicaid records revealed how PBMs are using complicated tactics for handling prescription drug claims that ultimately overcharge taxpayers.
statnews.com
July 20, 2026 at 12:44 PM
State audit of Medicaid records points to methods used by PBMs to obscure drug costs.. statnews.com/pharmalot/20... #pharma #Medicaid #Iowa #PBM #CVS #ExpressScripts #Cigna #audit #spreadpricing
Cignaowns EverNorth, which now owns ExpressScripts, just FYI, y'all.
Internal documents and former company executives revealed how Cigna doctors rejected patients’ claims without opening their files.
“We literally click and submit,” one former company doctor said.
(Published March 2023 w/ @capitolforum.bsky.social)
“We literally click and submit,” one former company doctor said.
(Published March 2023 w/ @capitolforum.bsky.social)
How Cigna Saves Millions by Having Its Doctors Reject Claims Without Reading Them
Internal documents and former company executives reveal how Cigna doctors reject patients’ claims without opening their files. “We literally click and submit,” one former company doctor said.
www.propublica.org
June 24, 2026 at 7:42 AM
Cignaowns EverNorth, which now owns ExpressScripts, just FYI, y'all.
Express Scripts is reportedly down for some users currently. Are you one of them? #ExpressScripts #ExpressScriptsDown https://community.designtaxi.com/topic/30867-is-express-scripts-down-june-13-2026/
June 13, 2026 at 4:07 PM
Express Scripts is reportedly down for some users currently. Are you one of them? #ExpressScripts #ExpressScriptsDown https://community.designtaxi.com/topic/30867-is-express-scripts-down-june-13-2026/
The doorbell is your ExpressScripts order.
May 31, 2026 at 11:19 PM
The doorbell is your ExpressScripts order.
PSA.
For seven years, my employer changed insurance and prescription coverage every single year.
By MILES, the absolute WORST insurance company is United Health Care, and the worst prescription coverage is ExpressScripts.
If you have ANY other option, take it!
For seven years, my employer changed insurance and prescription coverage every single year.
By MILES, the absolute WORST insurance company is United Health Care, and the worst prescription coverage is ExpressScripts.
If you have ANY other option, take it!
May 3, 2026 at 1:51 AM
PSA.
For seven years, my employer changed insurance and prescription coverage every single year.
By MILES, the absolute WORST insurance company is United Health Care, and the worst prescription coverage is ExpressScripts.
If you have ANY other option, take it!
For seven years, my employer changed insurance and prescription coverage every single year.
By MILES, the absolute WORST insurance company is United Health Care, and the worst prescription coverage is ExpressScripts.
If you have ANY other option, take it!
www.tiktok.com/t/ZP8gTc1jE/
The only reason Walgreens does more biz is that big Pharma & expressscripts types of companies will only let you get a 3-mos supply at one time at Walgreens; sometimes your med becomes a Walgreens only available too.
The only reason Walgreens does more biz is that big Pharma & expressscripts types of companies will only let you get a 3-mos supply at one time at Walgreens; sometimes your med becomes a Walgreens only available too.
TikTok - Make Your Day
www.tiktok.com
April 30, 2026 at 7:18 AM
www.tiktok.com/t/ZP8gTc1jE/
The only reason Walgreens does more biz is that big Pharma & expressscripts types of companies will only let you get a 3-mos supply at one time at Walgreens; sometimes your med becomes a Walgreens only available too.
The only reason Walgreens does more biz is that big Pharma & expressscripts types of companies will only let you get a 3-mos supply at one time at Walgreens; sometimes your med becomes a Walgreens only available too.
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.