Express Scripts Reviews

They threaten me because I don't use their mail service prescriptions, but anytime I try, they are not able to get a hold of my doctor. The other pharmacy I use never has any problem. When I spoke to them about this, they said their outreach consists of a fax. My doctor's office confirmed they don't even accept faxes anymore. So my refills will never reach them. Maybe time for Express Scripts to join this century and come up with a better way of operating.

Express Scripts has been one of the most frustrating experiences I've had with any company. Their communication is terrible. They tell you nothing. I only found out my prescription was stuck because Amazon Pharmacy told me my insurance couldn't be applied while a prior authorization was pending. Express Scripts never sent me a single update about where things stood or what I needed to do. When you're waiting on medication, you shouldn't have to chase down answers or piece it together from other companies. A simple notice saying "here's what's holding this up and here's what happens next" would make all the difference. Instead you're left in the dark, guessing, and losing time. I'd avoid them if you have any choice.

Back in July 2026, I was advised by Express Scripts to pay out of pocket for an inhaler I needed, because I couldn’t breathe, and I didn’t know I needed pre authorization since I just picked one up in March. Well I did just that, I submitted my claim and was told by 4 different supervisors that my claim is appearing, it took for the 5th supervisors after almost two months of trying to submit my claim, that I had two express scripts account and it wasn’t being processed through the right account. Finally, I was able to submit the claim. I was then told I had the wrong pharmacy receipt, which I then resubmitted again and finally it was accepted.

Horrible service! Ordered my medication 2 1/2 weeks ago and website showed in-process. A week later I called and they told me my prescription was going to be expedited. Five days later and prescription still in-process. I called and they say they’ll expedite…again! Forty four minute phone call, spoke to a supervisor and he says they have the medication in stock, they don’t understand the delay, but there is nothing they can do. I ask them to transfer my prescription to Costco because I have none left. He tells me that they cant do that until the order is cancelled and that can take several days for my order cancellation to be processed. So I have no medication, Express Scripts refuses to help and they just don’t care.

Awful communication, terrible customer service. I am forced to get a new prior authorization every month for the same medication. I am left without diabetic medication while I fight with them to reapprove the same medication.

Had my doctor send in two prescriptions which I needed immediately but Express scripts didn’t agree and because of express scripts' lack of knowledge and information I ended up with infection.

I have been on the same medicine for 4 years. Suddenly Express Scripts decides “I don’t meet the criteria and denied my medicine. ER Dr disagrees. Express Scripts is the worst business ever. I truly hope they close tomorrow and all go to jail.

Really terrible. Remarkably awful. If there's a delay in filling a prescription, they don't tell you. If you call to have a prescription delayed because you don't need it yet (1 of my prescriptions I'm supposed to take 3x/day and there are a lot of days I miss 1x so I use less than a 90-day supply in 90 days), you talk with the phone rep, they say it's going to happen, but no, it's like I never made the call at all. This has happened 2x/row with me with 2 different prescriptions. And good luck if you ever try to find out the cost of something in advance. Also, they sent me an email saying the drug that I had delayed for 3 months was going to ship on time, 3 months earlier than the delay I asked for. I replied back by email.

Express Scripts has cancelled 2 prescriptions that were ordered without notifying me and without a legitimate reason, leaving me without medication. I will take all my prescriptions from them and move to another pharmacy. Do not use Express Scripts; they could put your life in danger.

Just received my second order with same condition of the first one, CRUSHED. These clowns don't have any idea of packaging and shipping. My order included a very expensive medication which was thrown in a plastic bag and shipped. I received a crushed medication.

Zero is what I would give. This company is the worse company of all time and that says a lot. I am thrilled to learn my company is moving away from them. They have no sense of urgency and it feels like they make things WAY more difficult than it needs to be. I've had to deal with them for years and they just get worse and worse. Prob due to outsourcing but all and all would avoid them at all costs. Don't let their low costs fool you...you will pay for it in other ways.

Express Scripts never sent my prescription. They charged me for it and kept the money. They never had the product in stock at the time they were supposed to deliver it. Now I'm not allowed to get the script refilled anywhere else for so many days because they said they sent it. Burning up anther one of my refills. They won't retract or refund because it's been over 30 days.

This company is awful. I have had my doctor send my prescription in 10 different times, and they keep finding things to get in the way of filling it. They are doing everything they can to kill me.

I recently noticed that the prices for all my medications on the Express Scripts site suddenly increased from 2 times to 5 times the previous prices, while the prices for all my medications at in-network pharmacies did NOT increase. When I called Express Scripts, they told me that they didn’t know why the prices increased. When I called my prescription drug plan (HealthSpring), told me that they received a memo last May, saying that Express Scripts negotiated new prices, which would increase by 2%. The problem with that story, is that the prices of my medications increased from 207% to 502%. Shame on you, Express Scripts, for doing such a disservice to your customers.

My employer uses Express Scripts/Evernote to manage prescription benefits for approximately 4,000 employees and their families. After my recent experiences, I have to ask: What exactly are employers paying Express Scripts to do? Our plan requires Express Scripts to fill 90-day prescriptions, and they require local pharmacies to fill 30-day prescriptions. Express Scripts created these rules, yet when a prescription is sent to the wrong place, the customer is expected to fix it. Express Scripts does nothing. I do not receive monthly prescriptions, but I used Express Scripts to process three prescriptions within the last 6 weeks. They completely dropped the ball in ALL THREE instances.

They are the absolute worst. They will tell things that are untrue. Deliveries are late. Staff appears to lack sufficient training to deal with even small issues. I have moved all of my prescriptions elsewhere after being told untruths and several delays and other issues. If you have nothing to do this is the company for you because you will spend a great deal of time on the phone trying to straighten out their messes. Yes, I am being sarcastic. Stay away from their service, or lack thereof of, if at all possible.

If I could give zero stars I would. My company switched to them 2 months ago. I've needed 5 prescriptions filled, 3 refills for critical maintenance meds and two new prescriptions for isolated issues. Meds to treat poison ivy were initially canceled, doctor resent it, Express Scripts marked it as processing and said I'd have it in 2-3 weeks. Unacceptable, that's a med needed now yet I wasn't permitted to fill it at my local pharmacy. Another script was for 6 weeks and that got blocked at my local pharmacy. They said I should have had the doctor submit 2 separate prescriptions for 30 days and 12 days because they can only process 30 or 90 day requests.

I am a Prior Authorization Specialist for a large hospital in the Upstate NY area and I have never been treated with such disdain as a patient by a pharmacy EVER until Express Scripts. My script was on a national shortage for HRT therapy, I had enough to get me thru till they were back in stock at Express Scripts and thought that, ok there back in stock I will get my patches because I had 3 (three) refills left. BUT no that's not how they work.

With no notice or warning, Express Scripts dropped coverage for a daily medication that I've been taking for 10+ years. My doctor has listed "Dispense as Written" on the prescription. I have been taking and refilling the medication without issue for years. Suddenly and without any warning, Express Scripts dropped the coverage. I am filing complaints with my state representative, my state senator, Congress, and federal regulators.

The only thing I appreciate about Express Scripts is the offering (LOL seems to be mandatory) of filling prescriptions in 3-month batches at a time. But that's a convenience, not something I urgently need. The pricing is outlandish, such that the only way to not be overwhelmed is to order as many prescriptions in the same batch as you can - eventually, you hit a "cap" and the price won't increase further. I can deal with that; but Express Scripts won't hold/pause a newly received prescription.

I have a controlled substance prescription that has to be mailed monthly. Every month there is a delay. Every month I have to go days without my medication between refills, sometimes over a week. I don't care how cheap Express Scripts is, or that my health insurance provider is forcing me to use them, or that I have to pay a higher price. Having my medication ON TIME is more important than money.

Express Scripts literally plays god. It does not matter what your dr or surgeon prescribed you! They decide if you get your meds or not! Because of Express Scripts my wife has had to lie around in extreme pain suffering so bad all she can do is sit there and cry! She cannot take most pain meds because of her seizures and they refuse to fill her Journavx until the end of this month!!! She just had major shoulder surgery involving screws into her bones and reattached muscles! She’s been suffering for weeks!!! This is cruel and unusual treatment of someone who has paid thousands and thousands of dollars into health insurance over the years! I don’t see how they can decide what meds you can take! This isn’t fair!!!

Bottom line is that I don't have my prescription and Express Scripts are still charging me. Terrible customer service. Express Scripts charged me for three prescriptions I never received. I contacted them by email and then called, only to be told that because UPS marked the packages “delivered,” they would charge me anyway. Apparently, a tracking status matters more to Express Scripts than whether the customer actually received their medication. Completely unacceptable and deeply disappointing.

I am new to Express Scripts having started a new job with Cigna as the insurance provider, and so far my experience has been awful. I have been calling for days to get my medication overnighted as I am going to run out on Friday (it's a Schedule II controlled substance), and while I was told several times it would be shipped that way, it is now scheduled for standard. Who knows when I will get the medication. This is incredibly frustrating, and it is clear that they do not care at all about the customers. CVS Caremark was by far superior in its responsiveness and customer service, and I wish I could switch back.

This company suck and they are a ripoff. Got me for over 400.00 bucks prices

We have used them for years, but delivery gets slower every year. I am waiting for an order I placed on the 19th, with no delivery date in sight. I ordered dog food from Chewy five days after my Express Scripts order and it will be here today. It took 2 days. They send it through UPS Mail Innovations, which is used for high-volume, non-urgent shipments such as catalogs, small e-commerce parcels, and marketing materials. which can take up to 14 days. News Flash, medicines are important.

Second, you will be transferred as many as 3 times to resolve an issue. This involves waiting on "hold" with each transfer. Third, I can honestly say the majority of servive reps were courteous. However, I have experienced rude and condescending exchanges especially with the GLP division. Save yourself the frustration and agitation and do not use Express Scripts services.

If I could give 0 stars, I would. I truly can not believe this company is allowed to be operational, given mine (and obviously everyone else’s) experience. Prescriptions are “processing” for weeks with no updates or reasons. It’s impossible to get someone on the phone and when you do, they are absolutely no help. They won’t cancel my prescription that I am out of and need because it’s “processing.” They won’t transfer it to a local pharmacy either. I’m stuck without it and they say there’s nothing they can do.

Express scripts has twice denied coverage for a medicine, requested more information from the doctor the approved it. But they insisted the doctor resend the prescription which they promptly denied. As I said this has happened twice.

Was a decent and reliable company, now it’s bots and call centers and zero interest in helping or proactively addressing customer needs or circumstances. Numerous times I am sent one email of them not fulfilling a prescription, so if you miss that, you are then asking where are my meds arriving, you call a rep and they’re like oh we emailed you, once, 30 days ago… And you have been receiving said meds routinely for over a year. And you ask, why didn’t you email me again? Yes user error but still, when its a real pharmacy, you are getting calls, and notifications.

Express Scripts is the worst company for prescriptions. They always mess up my refills inflate pricing. I think they're a scam.

Most unorganized company I have ever dealt with! You stay on hold for 20-30 minutes and get a different story every time you talk to someone. I will be reporting this to the Better Business Bureau and my insurance company.

I switched to Express Scripts after one too many rounds of extreme frustration with a particular chain pharmacy and provided everything is going well, I have no complaints except for the following: 1. Getting prescriptions sent through from my docs is a headache for them. It often takes multiple tries. 2. Ordering refills? Forget it. Must send a new Rx. 3. Need to reach a human? This is the same all over with the AI answering systems, so they aren't the only one, but getting through the tiresome process often has me shouting at my phone. Once I DO reach a human, the problem can be solved quickly and with minimal effort at their end. If there was a way to send a message to alleviate these headaches, that'd be great, but the onus falls on patients, which is absolute BS since they're the corporate business.

I just got off the phone with Mia from customer service and then Betty, a supervisor (supposedly) who were no help whatsoever. My medication was mailed 8/6 and arrived at the post office on 8/8 and is listed as package acceptance pending for six days. When I asked Betty to follow up with the post office on the delivery to see why it hasn't been delivered, she told me that I can call the post office myself. Since they're the ones who shipped the medication, they are the ones who should be responsible for tracking it down and ensuring that it gets delivered.

I am so upset by this company. My employer recently changed to Express Scripts. They have denied medication my daughter has been on for years, though she is allergic to the generic. I have been dealing with this for a week. Everyone I speak to says something different. One customer representative laughed at me. One I was talking to and on hold with for an hour, just to find out it was the wrong department and she couldn’t help me. It is so sad that they could care less about the health of the customer.

The billionaires at Express Scripts are now "managing" prescriptions for insurance companies, forcing customers to use Express Scripts ad effectively blocking competition. Using these monopolistic tactics, they then come between doctors and patients and deny the treatment the doctor prescribes. I have been trying to get them to fill a prescription for weeks and have been repeatedly frustrated by their uncaring and untrained staff. The only person showing any compassion was an actual pharmacist who sounded like he wasn't completely in on the scam. Don't believe the lie that Express Script will attempt to resolve your issue, either. Only massive numbers of complaints to doctors, the FTC, and Congress will remove this cancerous company and stop them from practicing medicine without a license.

I'm a provider's office and have been trying to help a patient start a new biologic for over a month now. I am transferred and disconnected almost every time I call them. The staff is not helpful and this isn't the first time this has happened. Patient's also report how difficult it is to get a hold of the proper department.

If I could leave a zero review, I would. I don’t understand how they feel that they can override a doctors decision. They are not Doctors. They are just worried about how to make a profit, not taking care of their customers.

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.