Express Scripts Reviews

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.

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.