Express Scripts is a health care opportunity company focused on helping our clients develop personalized solutions that make a meaningful difference in people’s lives. Express Scripts’ primary focus is providing pharmacy benefit management services to our clients, which include Medicaid health plans responsible for administering and managing risk for the pharmacy benefit as part of their State Medicaid and CHIP contracts.
As part of providing pharmacy benefit management services, we contract different pharmacy networks and adjudicate pharmacy claims on behalf of our clients. In addition, we provide benefit design consultation services, concurrent and retroactive drug utilization review (DUR), formulary management and consultation services, medical and drug data analysis, and cost management services. We also provide medication dispensing services through our home delivery and specialty pharmacies. Using medical, pharmacy, lab and other data, we analyze opportunities for our clients and help identify, develop and provide personalized solutions to help deliver the best outcomes for their members.