Express Scripts Reviews

This has been one of the worst companies I’ve had to deal with. Their customer service is extremely poor, and representatives often seem unsure of what they’re doing. I was required to switch to this insurance after my company was acquired by a larger organization. Without notice, they stopped allowing prescriptions to be filled at my preferred pharmacy, which caused me to run out of my medication.

Zero would be too high for this lousy company. From the very beginning, I have had trouble with them. Sempra Energy switched my plan from Optum RX to Express Scripts in January and they had none of my prescriptions on file and delayed my heart medicine for 15 days even though they said they would put a rush on it. Continually saying I need pre-authorization even for medicine that I was on for almost a year with Optum.

BSOLUTELY the worst, including their subsidiaries (Accredo and Evernorth). They try to force me to talk to their own "nurses" who then encourage me to tell me doctor to change my meds to ones they prefer I use. WTF?? They deny, delay, etc. Horrible company. Horrible!!!

It really would be zero but that's not an option. Prescription didn't arrive, probably misdelivered. It took 2 calls and 10+ minutes to get a live agent - AI kept me in a circle of death - I will never do business with this company again

Express Scripts has the worse customer service of any business I have ever dealt with. As long as nothing is changing they are okay. However, if any little thing needs changing they are grossly incompetent. Need a recurring 90-day prescription shipped early by just 2 weeks due to traveling out of state. First they refused as saying I did not need it early. Even though they are totally ignorant of my medical condition and needs. Finally talked to a supervisor who said okay and moved it up two weeks. However, they only started working on it 2 weeks early, not ship it 2 weeks early. Called back and got another supervisor who changed it again and put it on 1 day overnight delivery. Did not ship it on the agreed date.

I would leave negative stars if I could. Express Scripts is the worst, slowest pharmacy delivery on the planet! My script was sent in 12 days ago. I've been out for a week already. I shouldn't have to call a pharmacy where it takes them TWO WEEKS to process an order, plus another 3-5 days for shipping! By the time I get my order, I have to reorder it just to get it in time. If you can afford to go with anyone else, do!

Worst experience ever with a mail order pharmacy. Trying to make contact with a living person to talk to is almost next to possible unless you are waiting to go through a series of options that don’t pertain to your question. The only reason I am with this company is because my Medicare Advantage plan through Network Health offered it as my only option for medication delivery.

The absolute worst insurance and pharmacy. They have screwed everything up in everything step for everything. This company has screwed up things that I didn’t even know was possible. They have lied almost every time I have talked to any of the employees. Half of the support staff have no clue how to complete their job and also commonly have horrible attitudes. If I could give them zero stars I would. They don’t even deserve a one star rating.

There should be a zero stars option for companies like Express Scripts. I'm currently on hold with USPS because ExpressScripts delayed my medication initially and now it has been lost in the mail for two whole weeks. This is a life saving medication. I had to pay full price out of pocket for an emergency fill at an ACTUAL PHARMACY. During my several hours on the phone with them over three separate calls, the ExpressScripts customer service "patient advocate" literally refused to do anything. I asked her how she was advocating for me in this situation and she transferred me to USPS while refusing to do anything at all to help or intervene.

This “pharmacy” is a joke. If you have meds you need to live, please avoid them at all cost, you may pass away waiting on them to fill anything. I’ve never dealt with a more incompetent bunch of people in my entire life. Every single prescription I’ve tried to fill or refill for all of 2026 has been rejected and the reasons they give are ludicrous. The latest one: “we need info from your prescribing doctor on how you should take this medicine.” I mean, IT'S AN ORAL PILL, so….??? And I’ve taken it for 4 years so you’d think I was aware that I wasn’t supposed to snort it or inject it… DO BETTER EXPRESS SCRIPTS.

My doctor sent an RX to Express Scripts on April 2, 2026 after I took my last dose of weekly med on April 1st. After a few days, ES says that the pre-approval has expired and that they need more information from the doctor. A prescription from a doctor is no good any more apparently. My doctor sent the needed information. ES then says, the information was not signed. I called my doctor's pre-approval group and they said there's no signature required. ES is now ok with that and began processing the RX on April 16th with an expected home delivery date of April 25.

Constantly having problems getting my thyroid medicine filled and staff does nothing to get this resolved. I am thinking about switching to a regular pharmacies.

If I could give Express Scripts zero stars, I would. My experience with their "customer service" and internal policies has been nothing short of a bureaucratic nightmare. Every time I call, I am met with a labyrinthine automated system designed to keep me from speaking to a human. When I finally do reach a representative, they are either: Ill-informed. Powerless. Indifferent. The company's policies seem intentionally designed to favor its bottom line over its patients/clients. Express Scripts is the poster child for everything wrong with the American healthcare system. They force you to use a service that clearly does not care about you. If you have a choice, go anywhere else. Save yourself the stress and the inevitable headache. Bottom line: Inefficient, unreliable, and utterly dismissive of customer needs. Avoid at all costs.

I had a very bad experience with Express Scripts home delivery. I had removed home delivery from my profile before January. Even so, a medication was shipped to me on February 25 and my card was charged. When I contacted them, I was told they had “attempted” to stop the shipment but were unable to do so. In my case, I did not authorize that shipment, and I do not believe patients should be charged for medication they did not approve for delivery. If you use mail-order pharmacy, review your settings carefully, monitor your prescriptions closely, and keep records of every call. It should never be this much work to get medicines reliably.

Express Scripts is the worst insurance I have ever dealt with. I was diagnosed with hypothyroidism in 2007. It took two miserable years to discover that I could not take generic Synthroid, and that my thyroid could only be managed with the brand name Synthroid. Since 2007 I have never encountered a problem obtaining the brand name drug through any of the insurance companies I had, that is until now when my company changed insurance companies that included us using Express Scripts. Express Scripts denied my request for the brand name Synthroid. My doctor appealed. They denied again. My doctor appealed again stating that the generic was not an option for successful management of my hypothyroidism, and that this had been determined by an endocrinologist back in 2007.

Worst service ever. No one there knows what they are doing. It took half an hour on the phone, numerous pauses and transfers from agent to agent when all I needed was a simple vacation over ride so I can enough meds before a trip. At the end I was told they don't do over rides but can transfer the prescription to a regular pharmacy. After 5 more minutes they said they can’t do that either and it is the pharmacy that needs to call them to have it done. Why not say it from the start instead of keeping me on the phone for half an hour?

Constant issues with billing and prescriptions getting filled. Will no longer use them for future meds.

This by far is the most This by far is the most exasperatingly incompetent, relentlessly ignorant prescription service in existence! There is always an issue when I try to get my prescriptions, this has been ongoing for literally four years! If I do a refill, my rxs often get put pn hold for no apparent reason. Do they call, text, or email me? No., they do not. I find out when after a few days they weren't sent by going onto the app and finding out there's a problem on their end and have to wind up calling them, furthering a delay in shipping.

Worst prescription company ever!! Delays in prescription, unauthorized credit card payments when you are on a payment plan...I wish I could just never use them! I've made several complaints but this is the plan our HR picked. I would give it zero stars but it won't allow it.

My doctor changed my prescription from 1 pill a day to 2 pills a day. My doctor and I spent hours and hours on the phone with them. It started on March 9. They kept canceling my prescription orders 5 times, which took us to April 10. So now my doctor just changed to another kind but my cost is now $145.00 for 90 days, and I was paying nothing. Customer service is terrible; no one can answer your question. Nothing ever gets solved.

One of the best customer experiences I've had lately (considering many companies have gone to AI/have useless representatives). I was emailed that my estimated shipment would occur on a certain day but two days before the estimated arrival, I saw that the order was still being processed with a then estimated shipment time of 3-5. Due to an extended work trip, I needed the medication by the originally specified email. I called and spoke with two representatives, the second of which updated the shipping method to be overnight once the order was processed without charge or other penalty. They arrived on the exact day the original email stated, and I am happy I'll have my medication for the duration of my trip. I removed a star because they were poorly packaged. All of the boxes were opened/crushed. Thankfully, the blister packs were intact and my medication was preserved.

I have updated my review as a result of Express reaching out to me, researching my issue with the medication I received and resolving my issue with me. I would have provided four stars if our interactions had resulted in a change in business practices which would ensure heat-sensitive medications would be packaged and shipped in a manner to keep these medications from reaching high temperatures.

Express Scripts also was supportive to me by offering me the opportunity to speak with one of their pharmacists about the experience I had using the heat-damaged product. I appreciated their prompt response and support.

I went to the Doctor, because they insisted on seeing me for a new prescription for Malaria pills for going overseas. That was on 27 March, and they sent the prescription to Express Scripts, which I went online and verified it was in progress that day. Fast forward to 6 April, went online and still in progress, so I called them, to find out what is going on, they told me it was held up for some type of verification, which only took a day (their words) and was stuck in progress. I told them I needed it by the 10 April and they would expedite it. Come today, I receive e-mail from Post Office it will get here 11 April, so I called Express Scripts again, they told me it had already shipped before they could expedite it. I am going to call them out for not tell the truth.

Took a little bit but came as submitted. I'm sure they have to jump through all kinds of DEA hoops. Very good service for a huge outfit.

The worst place possible to deal with! It’s a who is on first kinda show! Many a problem, looking at other options to leave this place behind…. If they let me I do not even left the single star! Constant issues with their app and placing orders……

I had a very frustrating experience with Express Scripts. My pharmacy coverage changed without clear communication, and I was told at the pharmacy that my medication wasn’t covered. I had to pay out of pocket. After calling Express Scripts, the issue was “fixed,” but when I submitted a reimbursement claim, it was denied with a generic “refill too soon” explanation that didn’t apply to my situation. I was then sent in circles with letters instead of getting a straightforward resolution. This process felt unnecessarily complicated for a simple reimbursement, and the lack of clear communication and accountability was disappointing.

My doctor prescribed Mounjaro for me due to rising blood sugar levels. Sure enough, it brought my levels way down and so now Express Scripts will no longer cover it. My blood sugar went down BECAUSE I was taking mounjaro and will now go back up. I don’t understand how a prescription drug service can deny coverage for a drug my doctor says I need and the drug proved it works for me. I’m still paying the same amount each month for my prescription drug coverage, but can no longer get one of the drugs I need.

My meds have always been cheaper at Express Scripts. The total for my two meds in Jan. 2026 was $5.50. I have them on auto refill and express scrips doesn't show pricing until they ship. So I am now owing $47.50 for the same two meds in April of 2026 with no notice of such a huge price change. The thing is that I could have gotten the same meds locally for about $10. This is shady. I get changing by a few dollars but this is ridiculous and they should have given me a heads up.

This is by far the most incompetent, uncaring pharmaceutical company I have ever dealt with. I've been prescribed generic Humera for psoriasis arthritis for 15 years, and dealing with Express Scripts is a losing battle on every level. My medication is frequently late by weeks, and as of late, canceled completely on 2 occasions without cause. Interacting with their representatives is like trying to deal with a kindergarten child. I've been told such childish things like, "sometimes we accept your coverage, and sometimes we don't". When I asked them to explain exactly what that means, it was rebutted with, "Would you like to speak with a supervisor"? NO, I simply want my prescription filled as it was for 15 years and don't need a supervisor to answer that question. I was told I would receive a call in a couple of days to apprise me when my medication would ship.

I am writing to formally express my frustration and concern regarding the handling of my prescription order during the month of March. During the first few months, everything worked well. However, on March 16, I called to check if everything was okay with my medication shipment, the order was put on March 12. The representative I spoke with assured me that everything was fine. Immediately after I ended that call, I received an email stating that my order had been canceled, without any explanation or prior notice.