Express Scripts Reviews

Updated on 08/11/2026: Express Scripts responded to my post "privately" so now it says Resolution in Progress. When in fact, there is no "resolution in progress at all". I've been without my specialty med for 4 weeks, started the process 4 weeks before it was due. ExpressScripts/Accredo are less than communicative and less than cooperative about the whole situation.

Every time I need medication from Express Scripts there is a problem. Here lately I have been having a problem with them sending medication that I don't need so I put a stop on Auto refill that they automatically did themselves cause I never put any medication on auto refill. Then I had them fill a prescription for a medication that the doctor changed the dosage to. Called up there and they said the doctor sent the prescription in twice one for the old dosage and one for the new and they automatically refill new prescriptions. I know for a fact the doctor didn't refill the old dosage but of course they lie up and down and don't want to admit it and then I am told that taking auto refill off does not cover new prescriptions.

My experience with Express Scripts and Accredo Specialty Pharmacy has been absolutely horrible. I provided Accredo with my insurance information on at least four separate occasions. I have two insurance plans—commercial insurance and Medicare—and I was repeatedly told that both had been verified and that my out-of-pocket cost would be $0. Yet that is not what continued to show up on my account. Instead, I was billed over $744, despite being told that I would owe nothing. Even more frustrating, when I spoke with another representative, the notes in my account did not reflect what I had previously been told.

A lot of work to get them to cover a prescription. Long delays in their process. When you run into a step they don't approve, you start all over from the beginning. Your doctor is going to hate you.

Worst coverage I ever had! Fight you on everything. Refuse to give me a medication that all my doctors know is the ONLY medication that works for me. Doctors sent in forms saying I had severe reactions to the medication Express Scripts says they will cover. Another medication I've been on for decades they won't cover because of how the doctor prescribes it. Absolutely ridiculous! I told my family if anything happens to me keep all the records and get lawyers!

They had my prescriptions for 9 days and still were “processing” them. Every phone call was met with ridiculous answers. I was getting two texts from two different Express Scripts numbers that contradicted each other. I called them on day #9 and told them to cancel everything. It’s much easier to drive to my local pharmacy!

Suffice is to say, I have been waiting 11 days for my prescription to be "processed". Many phone calls and promises that it will be expedited and eventually overnights. Customer service manager has an attitude, pharmacy is no help either. I have no confidence in the company. In fact, I believe that manager went in and changed dates to cover up.

Express Scripts takes far too long to authorize medications, and they repeatedly deny prescriptions my doctor recommends. They don’t examine me, they don’t diagnose me, and they aren’t part of my care team — yet they’re allowed to override medical decisions made by actual professionals. It’s unacceptable and harmful to patients who rely on timely treatment.

I take care of someone who has his medicine through Tricare through Express Scripts and I swear after this I will never ever ever have anything to do with Express Scripts again!!! These little girls on the phone are cocky, arrogant, not helpful, could care less about who they're talking to and even the pharmacist the one and only time I talk to him Dave I think his name was oh my God he was rude oh my God. Must be stressful working for a company you hate that's what I got from him!!

Absolutely terrible service! Very rude staff. They just don’t want to help! Never again!!

Have used this company for a long time with occasional problems. Was told by my Doctor that if I went to automatic refills they would decrease. Since the company is ? under new management?? Evernorth... I have been subjected to "prior authorizations". That have lasted months. Recently they have discontinued necessary medication for this and My Dr has sent them multiple correspondences. These are muscle relaxer that are necessary due to many health problems. I have been on these medications for years and they are treating them as if they are new. Instead of telling me that a medication was just too expensive they put it in limbo. My Dr would have replaced it!! The second is an old medication that is not expensive and still not filled! Would not recommend this company to a worm. Crossing fingers I switched to Amazon. Last bill is added.

Absolutely the worst prescription management plan on the market. This is my second time dealing with them and I am actually scared. Every medication they managed in the past was no less than 2 weeks late. Thankfully my spouse switched jobs and that roller coaster was over. Well her company just started with Express Scripts at the beginning of the year and I am not willing to let them play games with my medications and my life again. I will pay out of pocket before I allow them to control my medications again. It’s not like they gave me much choice anyway, they have already denied my blood pressure refill.

So far I am extremely disappointed in their service, I have yet to receive my first shipment from them. It has been 3 weeks of problems, and I have had nothing but trouble and customer service is no help either. They offer no real solutions. I thought home shipment would be convenient but as of now it is not. I would caution if you are going to use them. I am giving them a third chance and if this doesn’t work I will go somewhere else I guess. I wanted convenience and price but this isn’t worth it in my opinion.

Absolutely the worst experience. I would never recommend this company. My prescription was submitted, and after waiting two weeks for approval, I had to contact them multiple times only to discover they hadn't even requested the prior authorization. They then claimed they hadn't received it from my doctor's office, despite it having been sent. Nearly four weeks later, I'm still having to chase them for updates with no resolution. It's a good thing this medication isn't urgently needed, because the delays and lack of communication have been completely unacceptable.

I used Express Scripts via Cigna until April 2025 when I switched to Medicare insurnace. I signed up for WellCare Value scripts for Part D in 2026 and they use Express Scripts mail service. Now every time a provider submits a prescription to Express scripts it is denied due to lack of coverage. I then have to hand fill out a form, take it to my provider and they have to hand complete the form and fax it to get Express scripts to use my 2026 plan, not the 2025 Cigna plan. No amount of calls, etc... work and I have had to pay out of pocket to get prescriptions that should have been covered.

I am constantly running out of some meds about a week before my next refill arrives. I am also being shorted pills in every prescription. I brought this up with ES numerous times to no avail. 👎👎👎👎👎

I’m very disappointed with Express Scripts and how they handled my ADHD medication. My doctor sent in a prescription for lisdexamfetamine 40 mg on June 29. Instead of keeping the order open and filling it when they had stock again, Express Scripts simply cancelled it without offering a real solution or alternative. For a controlled medication that I rely on daily to function, this isn’t just inconvenient – it’s disruptive and careless. I understand there are ongoing national shortages of lisdexamfetamine and similar ADHD medications, but that makes communication and planning even more important, not less. Simply cancelling my order and leaving me to chase down a new prescription and pharmacy is unacceptable customer service. If you depend on critical, time‑sensitive medications, think carefully before trusting Express Scripts with your prescriptions.

I haven’t been able to login to my account in over a year because of mismatch in my account info that I did not make. There are five phone numbers to call that all seem like the one to call. I don’t understand why I can’t just send an email and they can figure out how to fix my account. I pay them.

If there were zero stars I would give it. I will preface this with I am an advanced practice nurse with 20+ years experience. I am also a narcoleptic who has been on the same medication regimen for 10 years. They are reviewing one of the medications I need to control the cataplexy associated with my disease. They denied it on 6/8 and we escalated it to review. They didn’t send it for review until 6/30 and it will take till 7/9 to be completed. The denial from 6/8 was from a nurse review, not a specialist in the field. Now the medical director will do the final review but no one can tell me if this is a neurologist or a podiatrist or a dermatologist! I am out of medication and having severe symptoms now. My son, who is a minor, takes a medication that is preventing him from organ failure. It was a month late due to review. These are the only two under review because of the cost associated. So much for patient care.

Absolutely terrible. I would use Amazon pharmacy instead of Express Scripts any day. It takes them forever to process a prescription. I have been out of my medication now for over a week. I even paid to have it expedited and it is still showing only in process. The automated system is a joke. It doesn't help you with anything. As I said before you're better off going through Amazon pharmacy or any other mail order pharmacy other than Express Scripts. Do not use this service.

On 6/25, I submitted an order for a prescription that had run out of refills, knowing that Express Scripts would contact the doctor to get the authorization. On 6/26, the doctor was contacted and sent the new authorization the same day. On 6/29, I received an email from Express Scripts asking me if I wanted the prescription filled, and I responded that I did (after all, I had initiated the order on 6/25). After that, the order went to "processing." On 7/2, I called Customer non-support to find out what the hold up was, and I was told that the item would ship that day. On 7/4, the item is reported to have shipped and has a tracking number, but USPS reports that they have not received the item yet.

I don't understand why it's so hard to apply the current active insurance to an account and their dependents. If I go to a store pharmacy, they take my insurance card and apply it to all accounts and dependents right there and then. After 4 calls to Express Scripts over the last 2 months about 3 hours total, they still haven't applied the current active insurance to all dependents and put through prescriptions on old insurance.

Medication that I’d already been on for six months needed refilled and had been refilled in the past but then Express Scripts denied this refill saying primary insurance had to pay first. I called express scripts to explain I didn’t have primary insurance and ended up on the phone for 1 hour and 18 minutes. They transferred me back-and-forth between express scripts and WellCare six times each time putting me on hold. I don’t understand why they just couldn’t have conference the call and cut the time in half to resolve the problem. At one point I was told I needed prior off. I again explained I’ve already been on the medication six months. The tech from express scripts didn’t seem to know what she was doing. It finally got resolved, but like I said, it took 1 hour and 18 minutes to resolve this and the issue seemed to come from express scripts.

Absolutely appalling business practices. Refused to cover a prescription my doctor ordered. I appealed and found out no doctor or even pharmacist reviews the cases just customer service agents. Your doctor calls and discusses your private medical information and has to try to describe why you need a medication to someone with ZERO medical education. No medical degree. They decide if you get approved or not. I am surprised this company hasn’t been sued yet. The icing on top was listening to the customer service rep suck on her vape the entire time she was telling me why my doctor’s prescription was not acceptable.

TriCare for Life Express Scripts via EVERNORTH Heath Services. Recently prescribed Farxiga (Express Scripts, without, consult changed to Dapagliflozin as suitable substitute). The prescription languished in approval purgatory until I had the physician's office call Express Scripts direct. The newest hurdle is Express Scripts cannot fulfil the prescription because payment is required. I do not share my credit card, debit card, nor banking information with Express scripts because some years ago my personal information was released by an Express Scripts contractor. I receive a bill for my prescriptions and pay, upon receipt, by check, via mail. I've never failed to pay for my prescriptions. Now however, an arbitrary $150.00 limit has been placed on accounts due. Two of my prescriptions exceed that amount, so should I require them they demand payment to release one.

Date of Transaction: 06-21-2026. Amount owed: $132.00. Express Scripts did not commit to providing any services to me because I never requested any services from them. Dispute is for receipt of product that was not ordered and or requested i.e. Dexcom G7 sensors that I have been getting from Luke AFB Pharmacy for the past 4+ years. I contacted Express Scripts this morning upon receiving the product and was informed since the order was filled and received, I could not return the product, nor did they offer to write off the product which I fully understand however this has completely thrown off how I receive the prescriptions from Luke AFB.

I work in a medical office for 15 years and not once in 15 years have I ever had a good experience with ES. ES staff (outsourced to non-USA countries), keep transferring my calls. NO HELP AT ALL.

This company will always try to get you to do their work for them. I have been getting a life saving medicine from CVS for several months. Then after an endless back and forth, they tell my pharmacy that they are not allowed to fill my life-saving med. So I ask them what to do, and now they want the doctor to send the prescription to them so they can take another week to send me the life-saving med. I told them they can call the pharmacy and they will simply transfer it over. They said I have to call them. I told them i am not their employee and they could call them for the transfer.

Zero stars, do not recommend. By far the worst RX company I've ever dealt with. Just running around in circles trying to get a prescription approved and my issued resolved.

USPS sent my prescription on a tour of the US after we changed address (change of address was completed well in advance of ES mailing prescriptions). My prescription was delivered to a random parcel box in AZ but I (now) live in WY. I have no idea why it was delivered to AZ but USPS will not refund the copay and ES refused to help seeing as it was "delivered." I will never use this service again as there are too many factors out of my control.

This is the worst company I've ever done business with (even worse than Comcast). I won't go into all the hours I've wasted with this company dealing with lost packages, misleading co-pays, cumbersome coverage requirements and absolutely horrible customer service, but just as one example, a current prescription ordered weeks ago shipped from Phoenix, hung out in Indiana for a week and is now in Puerto Rico (I live in Seattle). They kept telling me all of this is "normal." After 45 minutes on the phone they finally admitted they put the wrong address on it and they would make a one-time special exemption to refill it again (early) if I'd pay another $20 co-pay. How is this even legal? Avoid them at all costs. I'm moving all of my Rx to my local pharmacy.

I use Express Scripts because I have $0 to pay for my prescriptions. But it comes at a cost of waiting 2 1/2 weeks every time I use them. When I can go to any pharmacy and get it right away. They say it's processing and approvals, then why doesn't the local pharmacy have this processing wait time. I even opt to pay to have it shipped faster after the processing week long processing is complete but now it just seems to take longer to process and get it in the same amount of time. I have also dealt with a prescription not being available, do you think they let you know. Nope! It just sits there processing.

I have had the worst service with this company. Difficult to get my Wegovy approved. So many issues with them. Eventually ended up buying on my own, meanwhile I have good insurance with my job. Worst worst. Don’t use. Approval process very difficult and you must have severe conditions they say.

They are the slowest and worst pharmacy I have ever dealt with. Takes them over 7 days to refill my medication, and they refills of existing meds I have a current prescription for. I will never use this company again and I will be transferring all my medication as soon as I can. I would recommend never to use this place.

If I could give them negative stars I would. Absolutely vile customer service with staff that has zero training. They should be ashamed to call themselves a healthcare service.

I have Tricacare East that uses EScripts. My Dr prescribed me Wegovy, yes I’m overweigt. I have arthritis down my spine. I’m wheelchair bound when I go to parks and long days out with my family because the pain is unbearable. It takes almost two hours to clean my kitchen. Now escripts and tricare are ok with forcing steroids into my back three times before giving permission for nerve burning so I can have some relief. Which causes weight gain. Which caused me to gain 30 pounds in five years. Add to the numerous amounts of prednisone in the past year since my recent diagnosis of Ménière’s disease which interrupted my Wegovy treatment. This all left me with sleep apnea.

Tell me my medicine will be delivered expediently. Mind you that we waited a week for the medicine. Another week later DHL delivered it. I figured if they're gonna do it fast to be FedEx or UPS.

Horrible Service…Left me stranded without medication when I needed it the most.

I’ve used them for a few years and were great. Then all went to hell. No communication. They tell you they are sending meds, then you check and says delayed. Call and are on hold for long periods of time. No one can help you. My doctors have better things to do than constantly call this pharmacy to answer their questions.

They send texts they got your prescription, but then don't send it for 2 or 3 weeks, when you call they blame your doctor's office. They are a nightmare to deal with and do not want to answer your questions. Also send unauthorized name brands, poor communication with staff.