Express Scripts

Express Scripts began in 1986 in St. Louis County, Missouri as a result of a joint venture between a retail chain of more than 79 pharmacies (Medicare Glaser Inc.) and Sanus Corp. Health Systems.

Sanus traces its history to Bradford Systems and Administrative Services which was founded in Boston in 1968. Bradford had a contract for computer processing of Medicare and Medicaid payments. It was acquired in 1981 by McDonnell Douglas through its McDonnell Automation Company (McAuto) subsidiary for $11.5 million.{{cite news|url=https://www.nytimes.com/1981/12/25/business/bradford-national-sells-a-division.html|title=Bradford National Sells a Division|work=The New York Times |date=25 December 1981|via=NYTimes.com}}

In 1983, two of McDonnell Douglas' former principals Joseph T. Lynaugh (a former director of NYC Health + Hospitals in New York City), the McAuto's project manager of the Bradford takeover,{{cite web|url=http://www.newspapers.com/image/121504036/|title=8 Dec 1982, Page 15 - Arizona Republic at Newspapers.com|website=Newspapers.com}} and Howard L. Waltman, a long time Bradford's employee,{{cite web|url=http://www.nndb.com/people/022/000169512/|title=Howard L. Waltman|website=www.nndb.com}} formed the Sanus Corporation with substantial investments and ownership from McDonnell Douglas, including a McDonnell Douglas whole ownership of the St. Louis office. General American Life Insurance Company invested in Sanus's future, the largest part of the funding based in New York. Sanus was a health maintenance organization and it merged with the General America Life Insurance preferred provider organization.{{cite web|url=http://www.newspapers.com/image/140996821/?terms=sanus+lynaugh|title=5 Dec 1985, Page 49 - St. Louis Post-Dispatch at Newspapers.com|website=Newspapers.com}} Sanus rapidly grew and by 1986 it had 200,000 clients and $100 million in revenue, operating in the St. Louis, Dallas, Fort Worth, Houston, and Washington, D.C. markets. It created a subsidiary called GenCare to fill prescriptions.

In late 1986, Sanus announced a deal with St. Louis based pharmacy Medicare-Glaser for fulfilling prescriptions. The deal was a 50-50 split ownership between Sanus and Medicare-Glaser, with the new name of Express Scripts (scripts being medical industry jargon for prescriptions). Initial plans called for Missouri and Illinois clients to get their prescriptions at the Medicare-Glaser brick and mortar pharmacies while those in other cities could get their prescriptions via mail order—an innovation at the time.{{cite web|url=https://www.referenceforbusiness.com/history2/41/Express-Scripts-Incorporated.html|title=Express Scripts Incorporated - Company Profile, Information, Business Description, History, Background Information on Express Scripts Incorporated|website=www.referenceforbusiness.com}} The initial report of the creation said that Charles H. Ridings, formerly in charge of McDonnell Douglas mergers and acquisitions, was named the first chief executive, although he was quickly replaced by Waltman.{{cite web|url=http://www.newspapers.com/image/142310612/?terms=%22Express+Scripts%22|title=11 Nov 1986, Page 14 - St. Louis Post-Dispatch at Newspapers.com|website=Newspapers.com}}

Sanus remained the dominant early insurance customer but Express Scripts began marketing to other providers. With increased investment by New York Life, Sansus change its name to NYL Cares and in 1998 was sold to Aetna for $1.05 billion.{{cite web|url=http://www.newspapers.com/image/113461505/?terms=NYL+Care|title=11 Dec 1998, Page 69 - The Tennessean at Newspapers.com|website=Newspapers.com}}

Glaser Drug Company sold its Express Scripts partnership interest back to Sanus before it was acquired by chain SupeRx in 1989 for $18.2 million. SupeRX declared bankruptcy and all stores closed in 1991 after Walgreens acquired the pharmacy records. SupeRX's loan to buy Glaser Drug Co. had been financed by Lincoln Savings and Loan Association. Morris Glaser had founded the company on October 1, 1924. In 1959, Glaser opened discount pharmacies, which would be called Medicare Pharmacy. The discount pharmacies were designed to resemble a doctor waiting room and were only about 800 to 1,000 square feet which focused just on the prescriptions. The two companies although sharing the same name operated separately, peaking at 100 stores.{{cite web|url=http://www.newspapers.com/image/141309966/?terms=Medicare+Glaser|title=14 Jan 1991, Page 69 - St. Louis Post-Dispatch at Newspapers.com|website=Newspapers.com}}

General America, which had been a private St. Louis-based insurance since 1933, was acquired by MetLife for $1.2 billion in 1999. General America had run into financial problems and had said it could not pay back $6.8 billion in short term bonds to investors.{{cite web|url=https://money.cnn.com/1999/08/26/companies/metlife/|title=MetLife buys GenAmerica for $1.2B in cash - Aug. 26, 1999|website=money.cnn.com}}{{cite web|url=https://www.bloomberg.com/research/stocks/private/snapshot.asp?privcapId=4233378|title=General American Life Insurance Company, Inc.: Private Company Information - Bloomberg|website=www.bloomberg.com}}

Express Scripts was purchased by New York Life Insurance Company in 1989 and became a publicly traded company in 1992.{{Cite web|url=https://marketbusinessnews.com/express-scripts-holding-company-company-information/27850/|title=Express Scripts Holding Company - Company Information|last=Nordqvist|first=Joseph|date=2014-07-23|website=Market Business News|language=en-US|access-date=2020-04-08}} In 1993, Express Scripts signed on both FHP International and Maxicare Health Care and corporate clients Lockheed, Service Merchandise, and Ingersoll-Rand.{{cite web|url=http://www.encyclopedia.com/topic/Express_Scripts_Inc.aspx|title=Express Scripts Inc.|publisher=International Directory of Company Histories|access-date=20 November 2013|via=encyclopedia.com}} In 1994, the company expanded its services by adding workers’ compensation prescription services and reinsurance. In 1994, the company announced a two-for-one stock split, and in 1996 established Express Scripts Canada. The same year, the company began the annual Drug Trend Report and launched the Outcomes Symposium Conference.

In April 1998, Express Scripts acquired ValueRx, the PBM business of Columbia/HCA Healthcare Corp. The following year, in April 1999, the company purchased Diversified Pharmaceutical Services from SmithKline Beecham Corp for $700 million. That same year, the company purchased stock in PlanetRx.com. This partnership offered members options for purchasing prescriptions and over-the-counter health products online.

In 2000, the company had to write off its $165 million relationship with PlanetRx.com when the startup experienced financial difficulties. In 2001, Express Scripts partnered with Merck-Medco and Advance PSC to form RxHub LLC.

In 2002, Express Scripts, Inc. (ESI) acquired National Prescription Administrators, Inc. (NPA).{{cite web|url=https://caselaw.findlaw.com/us-8th-circuit/1702285.html|title=LYNCH v. NATIONAL PRESCRIPTION ADMINISTRATORS INC 25|access-date=2021-08-23}}

In late December 2006, Express Scripts made a proposal to purchase Caremark. Express Scripts lost the race to acquire Caremark to CVS Corporation, which became CVS/Caremark Corporation on March 22, 2007.{{cite news|url=http://www.marketwatch.com/story/express-scripts-makes-26-billion-offer-for-caremark-rx|title=Express Scripts makes $26 billion bid for Caremark|last=Pritchard|first=Carolyn|date=18 December 2006|work=MarketWatch|access-date=20 November 2013}}

In October 2007, Express Scripts acquired ConnectYourCare, and now handles FSA, HRA and HSA accounts for companies such as Suntrust, Zions Bancorporation and Allegis.{{cite web|url=http://www.stltoday.com/business/local/express-scripts-divesting-connectyourcare-unit/article_5dc27b24-f37d-11e1-906a-0019bb30f31a.html|title=Express Scripts divesting ConnectYourCare unit|date=31 August 2012 |access-date=2013-11-20}} However, Express Scripts divested ConnectYourCare in August 2012.{{cite web|url=https://www.sec.gov/Archives/edgar/data/1532063/000119312512349117/d394775d8k.htm|title=EXPRESS SCRIPTS HOLDING COMPANY FORM 8-K|access-date=2013-11-20}}

On April 13, 2009, it was announced that Indianapolis-based WellPoint (now Anthem) had agreed to sell its NextRx subsidiaries for $4.675 billion to Express Scripts.{{cite web |url=http://phx.corporate-ir.net/External.File?item=UGFyZW50SUQ9Mzc0Mzh8Q2hpbGRJRD0tMXxUeXBlPTM=&t=1 |title=Express Scripts 2009 10-K |access-date=2011-02-19 }}{{Dead link|date=December 2019 |bot=InternetArchiveBot |fix-attempted=yes }} Express Scripts closed the transaction in December 2009.{{cite news |url=http://www.stltoday.com/business/local/express-scripts-plans-to-add-jobs-in-north-st-louis/article_5ee01545-5399-5518-81b3-3decce4e5414.html |title=Express Scripts plans to add 1,500 jobs in north St. Louis County |newspaper=St. Louis Post-Dispatch |date=June 20, 2013}}

In April 2012, Express Scripts completed a $29.1 billion acquisition of Medco Health Solutions.{{cite news|url=https://www.wsj.com/article/BT-CO-20130429-711811.html?mod=WSJ_qtoverview_wsjlatest|title=Express Scripts First-Quarter Net Rose 39%, Helped by Acquisition|access-date=2013-11-20 | work=The Wall Street Journal}} The Federal Trade Commission gave formal approval on April 2, 2012 after an anti-trust investigation. The acquisition positioned Express Scripts Holding Co. as the largest pharmacy benefit manager, filling 1.4 billion annual prescriptions.

In 2017, Express Scripts launched Inside Rx, a partially owned subsidiary that provides discounts on medications for the uninsured and underinsured.{{cite web|url=https://www.nytimes.com/2017/05/08/health/express-scripts-drug-prescriptions-prices.html|title=Express Scripts to Offer Cheaper Drugs for Uninsured Customers|work=The New York Times|first=Katie|last=Thomas|date=May 8, 2017|access-date=May 20, 2017}} In July 2017, Express Scripts purchased myMatrixx, a workers' compensation pharmacy benefits company based in Tampa, for $250 million.{{Cite web|last=Manning|first=Margie|date=28 July 2017|title=Express Scripts discloses purchase price for myMatrixx|url=https://www.bizjournals.com/tampabay/news/2017/07/28/express-scripts-discloses-purchase-price-for.html|access-date=2020-10-21|website=Tampa Bay Business Journal}}

In October 2017, Express Scripts lost its biggest client, Anthem, which said it would not renew the PBM contract in 2019 and would instead use CVS Health. Anthem alleged in court filings that Express had overcharged it by $3 billion.{{cite news|last=Johnson|first=Carolyn|date=21 March 2016|title=Anthem sues Express Scripts over prescription drug pricing|url=https://www.washingtonpost.com/news/wonk/wp/2016/03/21/anthem-sues-express-scripts-over-prescription-drug-pricing/|newspaper=The Washington Post}} Anthem said that it would launch its own competing PBM service, IngenioRx. The battle between the two companies in 2017 caused Express Scripts stock to drop by nearly a third.{{cite web|date=8 March 2019|title=Anthem Breaks With Express Scripts, Will Start Own Drug Plan|work=Bloomberg |url=https://www.bloomberg.com/news/articles/2017-10-18/anthem-breaking-with-express-scripts-plans-own-benefits-firm}} Express Scripts announced its acquisition of eviCore in October 2017. The $3.6 billion deal closed that December.{{cite web|url=https://www.forbes.com/sites/brucejapsen/2017/10/10/express-scripts-to-buy-evicore-for-3-6b-as-value-based-care-takes-hold/|title=Express Scripts To Buy eviCore For $3.6B As Value-Based Care Takes Hold|first=Bruce|last=Japsen|website=Forbes}}{{cite web|url=https://www.usatoday.com/story/money/2017/10/10/express-scripts-evicore-acquisition/749382001/|title=Express Scripts buys medical benefits management firm eviCore for $3.6 billion|last=NathanBomey|website=USA TODAY}}{{cite web|url=https://www.nasdaq.com/article/express-scripts-buys-evicore-for-36b-forays-into-mbm-cm893137|title=Express Scripts Buys eviCore for $3.6B, Forays Into MBM|date=18 December 2017|website=NASDAQ.com}} In November 2017, Express Scripts announced it was divesting United BioSource Corp. (UBC), its pharmaceutical support business. UBC was sold to Avista Capital Partners.{{cite web|url=https://www.forbes.com/sites/brucejapsen/2017/11/27/express-scripts-to-sell-drug-support-unit-as-pbm-industry-shifts-focus/|title=Express Scripts To Sell Drug Support Unit As PBM Industry Shifts Focus|first=Bruce|last=Japsen|website=Forbes}}{{cite web|url=https://pharmaceuticalcommerce.com/business-and-finance/express-scripts-unloads-rest-united-biosource/|title=Express Scripts unloads the rest of United BioSource|date=28 November 2017|website=Pharmaceutical Commerce}}{{cite web|url=https://www.stltoday.com/business/local/express-scripts-to-sell-subsidiary-to-private-equity-firm/article_26514461-225a-5e81-8abb-09efe0ab005b.html|title=Express Scripts to sell subsidiary to private-equity firm|first=Samantha Liss St Louis|last=Post-Dispatch|website=stltoday.com|date=27 November 2017 }}

In March 2018, Cigna, which earlier was blocked by courts from being acquired by Anthem, announced a $67 billion deal to acquire Express Scripts. The Express Scripts acquisition would be the last major deal involving the country's largest PBMs. In 2017, CVS Health announced a merger with Aetna, completing in November 2018.{{cite web |title=CVS Health Completes Acquisition of Aetna |url=https://cvshealth.com/aetna}} The takeover of PBMs have drawn regulator resistance because of fears they foster an anti-competitive environment. Insurance companies have charged that the PBM model has contributed to high drug prices because PBMs take a commission on each transaction.{{cite news|url=https://www.nytimes.com/2018/03/08/business/dealbook/cigna-express-scripts.html|title=Cigna to Buy Express Scripts in $52 Billion Health Care Deal|last1=Thomas|first1=Katie|last2=Abelson|first2=Reed|last3=Bray|first3=Chad|work=The New York Times|date=March 8, 2018|access-date=March 15, 2018}}{{cite web|url=https://decisionresourcesgroup.com/drg-blog/merger-speculation-vertical-integration-pharmacy-lives-shakeup-pbm/|title=Merger speculation, vertical integration of pharmacy lives shakeup PBM|last=Prusty|first=Sonali|work=DRG|date=November 1, 2017|access-date=March 15, 2018}}

Express Scripts has 30,000 employees worldwide.{{cite web|url=http://www.stltoday.com/business/local/express-scripts-plans-to-add-jobs-in-north-st-louis/article_5ee01545-5399-5518-81b3-3decce4e5414.html|title=Express Scripts plans to add 1,500 jobs in north St. Louis County|date=20 June 2013 |access-date=2013-11-20}} The company volunteers with local Blessings in a Backpack organizations.{{cite news|url=https://fox2now.com/2019/01/15/cigna-and-express-scripts-employees-help-feed-st-louis-area-school-children/|title=Cigna and Express Scripts employees help feed St. Louis area school children|first=Patrick|last=Clark|work=Fox2now}}

In December 2018, it was reported that Walmart and Express Scripts extended its network agreement to give Express Scripts' clients access to Walmart's prescription services.{{Cite news|url=https://www.wsj.com/articles/walmart-express-scripts-extend-prescription-services-agreement-11544623483|title=Walmart, Express Scripts Extend Prescription-Services Agreement|last=Al-Muslim|first=Aisha|date=December 12, 2018|work=The Wall Street Journal|access-date=December 12, 2018}}

In December 2019, Express Scripts entered into a three-year partnership with Prime Therapeutics.{{Cite web|url=https://www.forbes.com/sites/brucejapsen/2019/12/19/express-scripts-and-big-blue-cross-pbm-ink-major-collaboration/|title=Cigna's Express Scripts And Big Blue Cross PBM In Major Deal To Tame Drug Costs|last=Japsen|first=Bruce|website=Forbes|language=en|access-date=2020-04-08}}

In late 2020, Express Scripts and several subsidiaries were rebranded and reorganized into a distinct health services organization, Evernorth.{{Cite web|url=https://www.fiercehealthcare.com/payer/cigna-to-rebrand-health-services-business-line-as-evernorth|title=Cigna to rebrand health services business line as Evernorth|last=Minemyer|first=Paige|date=16 September 2020|website=www.fiercehealthcare.com|access-date=2022-05-24}} Evernorth CEO Tim Wentworth retired at the end of 2021 and Cigna veteran executive Eric Palmer became Evernorth CEO starting in 2022.{{Cite web|url=https://www.fiercehealthcare.com/payer/evernorth-ceo-tim-wentworth-to-retire-eric-palmer-tapped-as-successor|title=Evernorth CEO Wentworth to retire, Palmer tapped as successor|last=Minemyer|first=Paige|date=23 September 2021|website=www.fiercehealthcare.com|access-date=2022-05-24}}

For the fiscal year 2017, Express Scripts reported earnings of US$4.517 billion, with an annual revenue of US$100.065 billion, a decline of 0.2% over the previous fiscal cycle. Express Scripts shares traded at over $64 per share, and its market capitalization was valued at over US$53.6 billion in October 2018.{{cite web|url=https://www.macrotrends.net/stocks/charts/ESRX/express-scripts-holding/revenue|title=Express Scripts Holding Revenue 2006-2018 {{!}} ESRX|website=www.macrotrends.net|access-date=2018-10-31}}

File:Express Scripts (8681557549).jpg

Express Scripts is headquartered within Greater St. Louis in North St. Louis County, Missouri.

In 2007, the company became the first and only Fortune 500 company to open a headquarters on a college campus when it opened its headquarters at 1 Express Way on the north edge of the University of Missouri–St. Louis north of University Place Drive and south of Interstate 70. A second headquarters building adjoining the original one opened in 2008. Three additional structures have been added to the NorthPark development on the north side of I-70 including an Office and Data Center, Tech and Innovation Center, and Operations Center. The area north of I-70 is separate from the university.{{cite web|url=https://www.bizjournals.com/stlouis/news/2018/03/08/st-louis-job-cuts-seen-in-cigna-express-scripts.html |title=St Louis job cuts |date=March 8, 2018 |website=www.bizjournals.com |access-date=2019-06-02}} In 2018 the majority of the 5,000 St. Louis Express Scripts employees work in the complex.

File:1 Express Way.jpg

George Paz, CEO of Express Scripts at the time of the move, was an UMSL graduate.{{cite web|url=https://blogs.umsl.edu/news/2018/02/19/chancellors-council-paz/|title=Express Scripts Chairman George Paz takes leadership of the Chancellor's Council at UMSL|date=19 February 2018}} Express Scripts, which rather owns both its headquarters and nearby office buildings, received substantial tax breaks.{{cite web|url=https://www.umsl.edu/library/university-archives/Student%20Newspaper/Current,%202005-2007/2005/September%2012,%202005.pdf |title=Student newspaper |date=September 2012 |website=www.umsl.edu |access-date=2019-06-02}} Since the move the company has been an active partner with the university including contributing money to renovate the computer sciences building (Express Scripts Hall),{{cite web|url=https://blogs.umsl.edu/news/2011/02/28/esi-hall/|title=UMSL renames computer building Express Scripts Hall|date=28 February 2011}} raising funds for building projects, sponsoring a pre-collegiate bridge program for high school students and sponsoring a small business incubator.

Express Scripts throughout its entire history has been in St. Louis County, Missouri rather than the City of St. Louis. It was originally headquartered in Maryland Heights, Missouri, and its current headquarters is about 4 miles west of the St. Louis city limits and its two building headquarters campus is actually spread across three jurisdictions. The entrance to the main building is located in Cool Valley, Missouri.{{cite web|url=https://www.google.com/maps/place/Cool+Valley,+MO/@38.7253169,-90.3151683,15z/data=!3m1!4b1!4m5!3m4!1s0x87df35f06bf68fe1:0x651b443ec8e9a204!8m2!3d38.7278287!4d-90.310114|title=Cool Valley|website=Cool Valley}} The southeast portion of the campus is in Bellerive, Missouri{{cite web|url=https://www.google.com/maps/place/Bellerive,+MO+63121/@38.7131174,-90.3211185,15z/data=!3m1!4b1!4m5!3m4!1s0x87df35919199ed7d:0x7ff8c67868b24d63!8m2!3d38.71144!4d-90.3140032|title=Bellerive|website=Bellerive}} and the southwest corner of the two-building complex is in unincorporated St. Louis County.{{cite web|url=https://www.stlouisco.com/Portals/8/docs/Document%20Library/Public%20Works/code%20enforcement/Maps/Munis-color.pdf |title=Map |website=www.stlouisco.com |access-date=2019-06-02}} The three buildings north of I-70 are in Berkeley, Missouri.{{cite web|url=https://www.google.com/maps/place/Berkeley,+MO/@38.7260696,-90.3224933,13.75z/data=!4m5!3m4!1s0x87df367b52bbfcc1:0xc68d01bab02a5fbe!8m2!3d38.7544952!4d-90.3312256|title=Berkeley|website=Berkeley}}

• Howard L. Waltman (1986-1992){{cite web|url=http://www.nndb.com/company/494/000062308/|title=Express Scripts|website=www.nndb.com}}
• Barrett A. Toan (1992-2005)
• George Paz (2005-2016)
• Tim Wentworth (2016–2021)
• Adam Kautzner (2021-Present){{Cite web |title=Adam Kautzner {{!}} President of Express Scripts and Evernorth Care Management {{!}} Evernorth Health Services |url=https://www.thecignagroup.com/our-leaders/leadership-team/adam-kautzner |access-date=2025-01-24 |website=www.thecignagroup.com}}

Published annually since 1993, the Express Scripts Drug Trend Report provides detailed analysis of prescription drug costs and utilization.{{cite news|url=https://www.reuters.com/article/us-expressscripts-prices-idUSBRE92406W20130305|title=Generics brought down common drug prices in 2012: Express Scripts|access-date=2013-11-20 | work=Reuters|date=2013-03-05}} Now a web-based version, the Drug Trend Report is developed and published by the Express Scripts Research & New Solutions Lab with contributors from researchers, clinicians and others.{{cite news|url=https://www.wsj.com/articles/SB10001424127887323494504578340393335386084|title=Spending on Basic Prescriptions Decreases|access-date=2013-11-20 | work=The Wall Street Journal}} This type of research is designed to understand consumer behavior relative to healthcare benefits.{{cite news|url=https://www.nytimes.com/2013/03/19/business/use-of-generics-produces-an-unusual-drop-in-drug-spending.html|title=U.S. Drug Costs Dropped in 2012, but Rises Loom|access-date=2013-11-20 | work=The New York Times|first=Katie|last=Thomas|date=2013-03-18}}{{cite web|url=http://www.drugtrendreport.com/|title=Drug Trend Report|access-date=2013-11-20}}

Health science is the study of how people make decisions, and how to help them make better ones{{cn|date=October 2023}}. Upon the merger of Express Scripts and Medco Health Solutions, the company came up with its own approach to understand its members health concerns, which it has dubbed Health Decision Science. This involves looking at three scientific disciplines: behavioral science or “consumerology”, clinical specialization, and actionable data.{{cite web|url=http://www.cbs42.com/news/alaska/alabama-among-most-wasteful-states-in-medical-spending|title=Alabama among most wasteful states in medical spending|access-date=2013-11-20}}{{cite news|url=https://www.wsj.com/news/articles/SB10001424052702304692804577285821129341442|title=Numbers, Numbers and More Numbers|access-date=2013-11-20 | work=The Wall Street Journal}}{{cite web|url=http://lab.express-scripts.com/patient-behavior/health-decision-science/|title=Health Decision Science|access-date=2013-11-20}} Because of its position between pharmacies and health care plans, Express Scripts sees 1.4 billion prescriptions a year, and it uses this information as part of its research data to create better options for clients and patients.{{cite web|url=https://www.theatlantic.com/technology/archive/2013/02/how-big-data-can-catch-oxycontin-abusers-and-bad-docs/273398/|title=How Big Data Can Catch Oxycontin Abusers and Bad Docs|website=The Atlantic |date=22 February 2013 |access-date=2013-11-20}}{{cite web|url=http://drugtopics.modernmedicine.com/drug-topics/news/user-defined-tags/pbm/collaboration-may-improve-medication-adherence|title=Collaboration may improve medication adherence|access-date=2013-11-20}}{{cite web|url=http://gigaom.com/2013/04/30/not-taking-your-medication-or-taking-waaay-too-much-the-data-knows/|title=Not taking your medication, or taking waaay too much? The data knows …|work=Gigaom |date=May 2013 |access-date=2013-11-20 |last1=Harris |first1=Derrick }}{{cite web|url=http://www.modernhealthcare.com/article/20130411/NEWS/304119974|title=Patient engagement's obstacle: human nature|date=30 December 2010 |access-date=2013-11-20}}{{cite news|url=https://www.forbes.com/sites/matthewherper/2013/06/28/does-medication-waste-cost-the-u-s-418-billion/|title=Does Medication Waste Cost The U.S. $418 Billion?|access-date=2013-11-20 | work=Forbes|first=Matthew|last=Herper}}

On August 4, 2004, New York State Attorney General Eliot Spitzer filed a lawsuit against Express Scripts alleging that the company had kept tens of millions of dollars in drug rebates owed to the state. The suit was filed in the New York Supreme Court in Albany County.{{cite news|author=Raksha Shetty |url=http://www.cbsnews.com/stories/2004/08/04/health/main634035.shtml |archive-url=https://web.archive.org/web/20041104064856/http://www.cbsnews.com/stories/2004/08/04/health/main634035.shtml |url-status=dead |archive-date=November 4, 2004 |title=Drug Benefit Company Accused of Fraud |publisher=Cbsnews.com |date=2004-08-04 |access-date=2011-02-19}} The lawsuit further claimed that Express Scripts had overstated the cost benefits of switching to certain preferred medications. In 2008 the company settled the lawsuit, agreeing to pay $9.3 million to Pennsylvania and 28 other states to resolve claims of deceptive business practices. As part of the settlement, the company also agreed to change its business practices and pay up to $200,000 in reimbursement to patients.{{cite web|url=http://www.bio-medicine.org/medicine-news-1/Pennsylvania-Attorney-General-Corbett-Announces-Multi-State-Settlement-With-Express-Scripts-Inc--20298-1/ |title=Pennsylvania Attorney General Corbett Announces Multi-State Settlement With Express Sc... (HARRISBURG Pa. May 27 - One of ...) |publisher=Bio-medicine.org |date=2008-05-27 |access-date=2011-02-19}}

In October 2008, the St. Louis headquarters received an anonymous letter that contained sensitive information about 75 members.Vamosi, R. (2008, November 6). [http://news.cnet.com/8301-10789_3-10084187-57.htmll "Extortion used in express scripts database breach"]. The extortionist stated that they would release more of similar records if the company failed to pay an unspecified amount of money. A consumer class action lawsuit against Express Scripts was brought on by John Amburgy, a Missouri man, who accused the company of negligence in protecting customer records. The case was dismissed when Amburgy failed to show how he was directly affected by the breach.Vijayan, J. (2009, December 3). [http://www.computerworld.com/s/article/9141772/No_harm_no_foul_says_judge_in_Express_Script_data_breach_case "No harm, no foul, says judge in express script data breach case"]

The city of Rockford, Illinois is now{{When|date=January 2020}} suing Mallinckrodt Pharmaceuticals and Express Scripts for their failure to reduce the prescription drug Acthar's price. The suit alleges that Express Scripts had a contract to be the exclusive distributor of Acthar, and therefore benefited from its higher price. The company said in an email to 60 Minutes that there was no conflict of interest.{{cite web|url=https://www.cbsnews.com/news/60-minutes-reports-prescription-drug-price-fixing-2019-05-12/7| title=60 Minutes reports: prescription drug price fixing|author=Brit McCandless Farmer & Ayesha Siddiqi|work=CBS News| date=12 May 2019}}

Express Scripts is known to reimburse pharmacies below cost for medications and push patients to only use their mail order service. They then will spread price the medication and charge the plan sponsor a much higher price for the medication than they will reimburse pharmacies for.{{cite press release |url=https://www.businesswire.com/news/home/20180625005112/en/Pharmacy-Files-Suit-Express-Scripts |title = Pharmacy First Files Suit Against Express Scripts {{!}} Business Wire| date=25 June 2018 }}

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{{Portal|United States|Companies}}

• {{Official website|http://www.express-scripts.com}}
• [http://lab.express-scripts.com Research site]
• [http://www.curascriptsd.com CuraScript SD site]
• [http://www.drugtrendreport.com Drug Trend Report]
• [http://www.accredo.com Accredo site]
• [http://www.ubc.com UBC]

{{Finance links

| name = Express Scripts

| symbol = ESRX

| sec_cik = ESRX

| yahoo = ESRX

| google = ESRX

}}

{{Authority control}}

Category:1986 establishments in Missouri

Category:American companies established in 1986

Category:Companies based in St. Louis County, Missouri

Category:Companies formerly listed on the Nasdaq

Category:Health care companies established in 1986

Category:1992 initial public offerings

Category:Pharmacy benefit management companies based in the United States

Category:Specialty drugs

Category:Health care companies based in Missouri

Category:2018 mergers and acquisitions