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Express Scripts Reviews

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About Express Scripts

Pros
  • Mail order service available
  • Cost-effective prescription options
Cons
  • Frequent prescription management issues
  • Delays in receiving critical medications

Express Scripts Reviews

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    Page 32 Reviews 4430 - 4580

    Reviewed April 6, 2009

    In April of 2008, Express Scripts processed a prescription phone order for my wife. A credit card was on file with them, and the number was confirmed at that time. Allegedly, the charge somehow failed to be billed to the card by Express Scripts. The medications were shipped. Three months later, this charge appeared on the card along with two others for subsequent orders. Express Scripts then started billing for this April order. Repeated phone conversations accomplished nothing. In January of 2009, our insurance company stopped using Express Scripts, but Express continued billing us for this charge. In a February 2009 phone call, an agent requested written proof from us that this had been paid. I obtained a summary from the credit card company covering the entire period, showing the payment. I mailed this to Express Scripts in early March.

    In April, having received no acknowledgement from Express Scripts, we received a bill from a collection agency. I called Express Scripts, and after much effort finally reached the collections department. Many minutes on the phone resulted in only rudeness and arrogance from an agent - and a complete refusal to even consider what I was saying. No apology or explanation for the lack of response to my submissions per their request. After repeated requests, I finally got to speak to a manager who was equally rude and unresponsive until he actually hung up on me. Never deal with Express Scripts. They lie, double-bill, and I didn't mention that they once sent my wife a prescription which was four times her proper dosage. We discovered the error at once, but Express Scripts would neither acknowledge nor correct the error. At that point, we stopped using them. Be forewarned.

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    Reviewed April 5, 2009

    Express Scripts is the worst company I have ever dealt with and the government should shut them down. Like many others here, I am forced to use them for long term scripts via our health insurance. I have had a problem with every prescription I have. I am an attorney and used to dealing with shady businesses, but they are the worst. They continually lose faxes from the doctors' offices. They will have you calling your doctor to re-fax it a thousand times if you do not put a stop to it. Their supervisors have told me that they have no way to check their incoming faxes (i.e, a log) to see what they have received.

    I spend 3 to 5 hours a month on the phone with these idiots. After they find the fax from a doctor, they then claim the doctor did not fill out the prescription properly. Then they claim (lie) that the doctor's office is not returning their calls. Then it takes about 7 days for them to process the script through the pharmacy, and another 7 days to mail it. God forbid if your doctor includes more than one script on a fax. They will fill one and lose the other. Then you get to start the above process from step one. Their online service has lost prescriptions from my past history (i.e., they falsely claim I've never filled a particular script with them). Also, God forbid if you have to have a controlled substance script filled through them. They refuse to contact the doctor's office for a refill. You have to obtain a new written script and mail it in. Then you get to wait 3 weeks while they slowly fill and package and mail it. That's if you're lucky. They also change their minds as to what a controlled substance is, and will tell you a different story each month.

    Don't believe anything they tell you about what the law is about prescriptions. They talk out their ** about that and deceptively try to blame federal law for anything they don't wish to do. Their phone reps are also vacuous and rude. Last month, I had a fellow named Chris tell me something particularly absurd. I started laughing, and he proceeded to attempt to lecture me about what a serious matter this was! These are not drugs I take for fun. I need these scripts to function and stay alive. This company is a travesty. I have complained to my husband's benefits VP's office, but I doubt many folks at his employer have the ability to get through to that person. So, they think all is going well. I am seriously thinking of suing these idiots for gross negligence and intentional infliction of emotional distress. Maybe we should file a class action?

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    Reviewed April 4, 2009

    In mid-March 2009, I received a letter dated February from Medco noting that in January they decided to remove one of my medication, an injectable, from the formulary. This short notice left me with just a few days to take the time and spend yet more money to go back to the doctor to get and send in a new prescription. I sent it in (for a known inferior and unstable medication that I am sure Medco is getting kickbacks and rebates to sell) and was told Medco wouldn't fill it because I still had a few days of my old medicine left. My wife's HR Benefits office had to intervene to get them to send the new medicine. The new medicine arrived, using a new type of injection pen I was not familiar with. I struggled through the instructions and ended up injecting half of the vial, a two weeks’ supply as an accidental overdose on the first use.

    My wife went to our United Healthcare website to find that the 24-hour nurse line phone number was disconnected and the live chat nurse could only ask stupid questions and then tell us to contact Poison Control center. So we called Poison Control and thankfully found out that since I am a diabetic, I can monitor skyrocketing sugar levels with my current glucose meter gear to try and control the overdose side effects. So in an effort to save money, these cheapskates at Medco now have to send me another prescription to make up for the amount accidentally injected as an overdose, and I have to pay another $100 co-pay. I cannot wait for this greedy and poorly run company to be regulated out of existence by the government when socialized medicine takes over!

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    Reviewed April 4, 2009

    This is a follow up to my 3/27 post. It is now 4/4 and Express Scripts' deceit continues. Since filing a complaint/grievance with Blue Cross Blue Shield Of Massachusetts Grievance Program, I still have not received my medication which was initially ordered 17 days ago. It has been 8 days since they allegedly shipped it via expedited delivery. A letter from Express Scripts suddenly appeared in my mailbox on 4/2, dated 3/27 yet postmarked 3/31 informing me that they have replaced my old prescription with one from another manufacturer due to the old manufacturer's difficulty in supplying the drug - another lie as the old drug was recalled 66 days ago.

    I received an email reply from Express Scripts Customer Care Team on 4/1 informing me that they, by law, cannot answer my questions because it is clinical in nature and that I could call one of their pharmacists for answers. Really now, my questions were that I wanted to know why Express Scripts Customer Care Team lied to me and wanted information on the recall ... This is clinical? Anyway, I asked them for an address, either snail mail or email of their pharmacy department as I will only communicate in writing because I do not trust them. As expected, they have not provided me with this contact information as they never want a written record of such problems.

    Bottom line is, Express Scripts is one of, if not, the largest Prescription Benefit Manager in the country and they will continue to be until health plan providers no longer find it mutually financially beneficial to do business with them. The bottom line is always about providing the least to derive the most or, greed and money! Thank God my prescription in question was only for Nitroglycerin which I only have to take when I experience cardiac pain for whatever reason. It's not that important, I guess, in the eyes of the FDA, Ethex Corporation, Express Scripts or Blue Cross Blue Shield Of Massachusetts who in the end will do nothing with my current complaint, I've been down this road with them before with no results.

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    Reviewed April 3, 2009

    I am permanently disabled and currently take 12 different prescriptions. In addition to my Medco coverage, I have secondary insurances from the state and federal governments. You would think that with 3 insurances getting my medications wouldn't be a problem, but for 8 of them, every 30 days, it's another song and dance. Dr. Medco has deemed 8 of these maintenance medications which means, according to the almighty policy, I am supposed to mail order from them 90-day bulk quantities and pay out of pocket upfront. Medco doesn't take any insurance. This idea has caused me more pain and grief than I can possibly describe here. If one script needs to change for some reason, it could easily affect 5 or 6 others.

    Just the amount of paperwork on 8 different mail ins. would be a full time job. Medco has led me to the conclusion that no insurance company should ever be allowed to also provide the thing they insure against. They are just a giant pharmacy who feeds on the sick and injured. Here's the thing, if they would just deny the coverage outright, the secondary insurances would pay the full cost at the pharmacy for every single one of them.

    It is not for lack of trying. I have called and pleaded with them to refuse coverage - to refuse it - which you think they would be happy to do, but they won't. I have tried to go to a more personal pharmacy that helps manage 12 prescriptions only to discover they require me to go to Walgreens, where I stand behind a little plastic stop sign. A few years ago, my doctor and I filed all kinds of forms and had a bunch of phone calls and faxes and jumped through a number of flaming hoops, just to get permission or an exception to get one of my prescriptions filled at the local pharmacy. 90 days later, naturally, it was denied. When I called to find out why, they said that I had only gotten permission to take the drug, not get it at the pharmacy. From that moment on, I have changed my personal policy and I no longer send Medco any mail whatsoever.

    They do not care one tiny iota about me or my decade-long struggle with disability and pain, nor the 19 years of surviving a terminal diagnosis. They clearly do not care if I can digest my food, or control my bowels, or lay flat. They happily even acknowledge my anxiety or stress but that doesn't change the policy. After one long conversation, they called the police to come over and check on my safety. Wasn't that just so thoughtful?!

    The real story is the one about Provigil. Many years ago, my doctor thought that even though not directly indicated for my condition, it might help. I am able to get around pretty well (at one point I could not walk 2 steps) but after about 10 blocks, the pain becomes overwhelming. It was truly like a miracle. After about a week, I could walk as far as I wanted or even run or dance! Going into that third month my life had totally changed. I even thought at one point I might go back to work! But the results are not what mattered; it was the price. All appeals were denied.

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    Reviewed March 27, 2009

    I could go on and on about how incompetent Express Scripts has been in handling my account, how they seem to lie as a matter of policy, etc...but this write up is an inquiry to other Express Scripts customers out there. There was a massive drug recall in the past six months for many drugs manufactured by ETHEX Corporation. Express Scripts carried some of these medications (Not sure how many) two of which I have in my possession. The recall for most of these medications (Do a search on ETHEX Corporation Recall) was to the Distributor Level only but the bottom line is that the FDA allowed a potentially tainted supply of various drugs be consumed by the unknowing public most likely placing financial considerations before the public health/safety.

    When I went to renew one of these prescriptions, after two online rejected attempts I contacted Express Scripts via a nasty email to complain that their system was dropping my orders for **. I received an email from them stating that the ** orders were being dropped because they no longer carry that product due to a packaging change and they told me I had to get a new script from my doctor. I immediately wrote them back and told them it was their responsibility to contact my doctor when they discontinue a product, I called them incompetent and informed them I will be filing a complaint/grievance with my health care/prescription plan, Blue Cross Blue Shield. The next day I received a call from Express Scripts who tried to lead me to believe that they had no knowledge of my nasty email and that they call everyone when they discontinue a product. Yeah! Right!!!

    Anyway, I did a little research and discovered that two of my medications were not simply discontinued due to a packaging change but were recalled with the FDA's approval due to possible defects. I demanded an explanation from Express Scripts as to why they would lie to me about the reason they no longer carried a medication but they chose to not address this issue at all instead rambling on and on about how they never received my email, blah! blah! blah! Ad nauseam. My inquiry is this - Did anyone out there receive any communication from Express Scripts within the last six months informing you that one or more of their prescriptions was either discontinued or recalled?

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    Reviewed March 27, 2009

    Express Scripts would not transfer prescriptions from previous pharmacy. They have not entered a number of refills properly and have lied about missing information on prescriptions (thank goodness I kept copies). They misled me on the reasons my doctor was required to call them (to confirm the non-existent missing information). I could write a chapter on the deceptive practices of this company and I have only used them for a few months. Who is regulating the mail order drug companies?

    I am unable to perform my job properly without the prescribed medication. The risk of my operating any type of vehicle without my prescribed medication is risky, so each time they play with my prescriptions they are putting anyone on the road with me at risk! I can't not drive and give up my employment based on their incompetence!

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    Reviewed March 24, 2009

    Unfortunately, my husband's company switched to Express Scripts on 1/1/09. He tried to order his medication online, mistakenly ordering another medication for my son that we did not need or that was authorized by doctor to order. Express Scripts sent us a 90-day supply and have now charge us for this medication. I spoke with 3 different reps to resolve the order before it was shipped, and they were eager to blame the patient and my son's doctor's office for the error. The doctor's office has no record of them requesting authorization. I actually received that request AFTER they shipped and billed us for medication.

    I also found out they contacted my local CVS pharmacy and got patient information regarding my son's medication. This is how they practice their business. When you switch to them for benefits, they are allowed to look up your past medications with your previous pharmacy. Then supposedly, on your behalf, they contact the doctor and get an authorization to refill. This letter is written with verbiage to look like it comes from the patient. My son is 4, and he did not write this letter. They are misleading the doctor's office this way. They get the doctor's office to authorize the maximum refill, and then ship it to patient and then bill then. This is NOT ethical. I spoke w/Diana, Chelsea and Deb at Express Scripts, and they still deny given us a refund for the medication! DON'T USE THIS COMPANY IF YOU DON'T HAVE TO...THEY LACK in customer service and ethics!

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    Reviewed March 24, 2009

    We have had a problem with this company from day 1. My step-daughter has ADHD and needs the meds or she just doesn't function well. First problem we had was that the scripts had to be written out for 90 days not 30 days and have refills on them. Then when we got that right they constantly called to verify our address. I finally told the last person that we haven't moved since the last time we talked to you! Now recently-they increased the price and because it is over $100 we have to pay for it first before they will ship it. Nice of them to do. Then in the mean time if you use a regular pharmacy they threaten you that you will pay full price! The people I have dealt with are very rude! This is a very poor mail order prescription company. I believe that this should be our choice if we use mail order or not!
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    Reviewed March 20, 2009

    My husband Richard Waksmunski ordered his medication 2 weeks ago. He did not receive it so he called Medco on 3-18-09. He was told at that time that it would be shipped out right away and that he would have it by Friday 3-20-09. He called Medco Friday around 3:00pm because he did not receive it. He spoke with Lori and she told him that it was not mailed out. Needless to say my husband was very upset. The doctors office was closed so he couldn't call to get medicine to hold him over until he received his shipment. He depends on his medicine. He takes heart, diabetes, cholesterol, and a variety of meds. His life depends on this medicine. This company needs to be held responsible for this. They should not be allowed to do this to people. I think they need to be investigated. We are very unhappy with the service we have received from this company.
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    Reviewed March 17, 2009

    I used to take Synthroid/Levothyroxine and was taken off and put on Armour Thyroid. Synthroid is like taking M&Ms and does nothing. It only acts on T4 but armour thyroid is multi acting on the T4,T3. My mood was better, I lost weight, skin was better, etc. Well now I am on Medicare and they no longer pay for armour thyroid and they put me back on synthroid. Now my health is in jeopardy and I am going on back on armour at my own cost. I am on Medicare disability. It is costing them a lot of money for the testing I am under going for damage caused for being on synthroid. It will take about a month for the armour thyroid to show the effects. Thank you US government.
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    Reviewed March 14, 2009

    Wife's company changed insurance companies on 1/1/09. This entailed using Express Scripts for medicine prescriptions (wife is primary insurance carrier). I am a bedridden person who depends on my medication for relief of pain and other problems. I can't get my medication from this company and now my insurance demands that I use them.

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    Reviewed March 5, 2009

    Recently I went to the doctor for a checkup and to renew my prescriptions. I have been taking Lipitor and asked the doctor for a generic equivalent. The doctor wrote the prescription for Zocor with the permission to allow generic. I am not a medical person and when I reviewed the prescription it looked correct to me. I noticed his signature was a bit below the generic allowed line but saw that generic allowed was circled. I mailed it in to Medco with the needed forms. I have been a Medco customer for several years.

    I checked my order online and notice it was indicating Zocor not the generic. The difference in price was significant, $366 vs. approx. $9. The order at that point had not been shipped and I immediately called Medco Customer Service. Customer Service transferred me to the pharmacy. The person in the pharmacy I talked to said there was nothing I could do. My doctor had signed below the line and the circle of the generic allowed, was part of how to use the drug and not an indication that generic was allowed. I mentioned that the order was not shipped and could it be held. He said no. I asked if I could send the order back unopened. He said no. He told me if the order was sent back, it would be trashed and I would still need to pay for it. Several days later the order came to the house and I have yet to open it.

    I understand my doctor may have been careless in writing this prescription, but this could have easily been fixed with a phone call. I am sure if there was a question on the drug I would have been called. Medco on their site talks a lot about buying generic and how much money you can save by buying generic. I would think that as a courtesy, they would have questioned the drastic difference in cost, when generic is available. My medical plan required me to use Medco mail order for my maintenance drugs. Now I feel it may be worth the additional cost, if any to talk live to the pharmacy, ask needed questions and be sure my order is filled correctly.

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    Reviewed Feb. 24, 2009

    I am a chronic pain patient. I have been on several drugs which control my pain VERY well for 10 years. My doctor believes if it ain't broke, don't fix it. We had another insurance provider, which used CareMark, which was not perfect, but at least they listened to my doctor when he insisted they fill prescriptions. People at Medco made my doctor send them ALL my medical records (including the 65 drugs I took which didn't work or gave me horrible side effects), blood work, etc. (this took 7 weeks as they kept losing things). They canceled the first order of meds I need every day, and take every day after THREE WEEKS of waiting. They told the doctor what to do (Medco was practicing medicine WITHOUT A LICENSE) and what to prescribe. He did so.

    After TEN days, they rejected that order. I was told by a case manager pharmacist that he had my file and instead of the meds which work, I should just take beta blockers for my pain. The SECOND THING on my chart is that I AM ALLERGIC TO BETA BLOCKERS!!!! My doctor let them know this. They are still refusing to fill my pain meds, and I am in indescribable pain every minute. They don't care, they lie. They say someone will call and no one does. They even THREATENED MY DOCTOR! WHY can a company like this stay in business?

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    Reviewed Feb. 16, 2009

    I have had numerous problems with Express Scripts. I have not stopped using them because I am diabetic and refuse to pay three co-pays instead of one for my supply of medicines. I take a total of seven prescriptions. They are not competent as a company to handle prescriptions. This time, I was trying to get a renewal of a usual prescription filled. I selected to have Express Scripts contact my doctor. No such luck. When I tried to call Express Scripts, I got transferred around in interminable circles, listened to a scratchy, defective telephone system, cut off, etc. For two days, I tried. The Express Scripts site said the doctor had not provided a new prescription. I finally called my doctor's office and they had not heard one word from Express Scripts. Express Scripts lied.

    While I was on the phone, the doctor's office confirmed that they had successfully faxed over a prescription days earlier. I finally gave up after numerous fruitless calls to Express Scripts, including returning a message at 4 pm to call a number. No answer. I had to wait all weekend to call. I finally called Blue Cross this morning and actually spoke to a helpful person who confirmed after checking that the prescription claim had been processed by Blue Cross and was in process at Express Scripts. It still says the same thing on the Express Scripts site, no progress at all. By the way, the first request on the Express Scripts site to contact my doctor was on February 6. It is now February 16. Someone needs to do something.

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    Reviewed Feb. 13, 2009

    On 1/21/09 I requested my medicine by phone and was given a confirmation. I received a letter dated 1/27/09 from Express Scripts. They did not process my order because, according to their records, my coverage had expired. I contacted Express Scripts and Ceridian who administers my Cobra benefits. Ceridian claimed that I was paid through 1/31/09. Ceridian also sent an e-mail on 2/6/09 to the eligibility department at Express Scripts claiming I was in good standing.

    Since the 6th I have called Express Scripts many times, including today. Today, 2/13, I am still showing inactive in their system. Also today, Ceridian is sending a second e-mail stating that I still remain in good standing. I have also contacted the Dept. of Labor who suggested I contact my former employer, Toys R Us. Because I am no longer employed, they do not handle the administration of my benefits. Ceridian now is responsible. I will contact Express Scripts early next week to see if they have received the second e-mail. If not I will, again, contact the Dept. of Labor.

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    Reviewed Feb. 4, 2009

    On 11-11-08, Medco sent me the wrong Insulin. It took dozens of emails and calls to correct. I went without insulin for over a month, causing Blood Sugar readings over 400. Then they charged me for both. By the time they straightened out the bill, 1-20-09, they claimed 90 days past due and denied refills for my prescriptions. I refused to pay them for their own errors, and medicine I cannot use. Out of Medicine again, on 1-20-09, my wife paid the correct balance with her debit card. I am not even on her account. When I was then finally able to refill my prescriptions, Medco charged $23.58 and $96.00 to my wife's account without anyone's authorization to do so.

    As a result, 2 $35.00 OVERDRAFT Fees, and $7.50/day overdrawn fees were deducted from her account. On 1-29-09, Robert, and his supervisor at Medco admitted Medco's error and promised to fix it within 48 hrs. I immediately faxed the bank statement to Medco's Accounts Receivable as directed. NOTHING HAPPENED... 96 hours later, 2-2-09, I called Medco to complain, and was again promised by Deb, that not only would it be resolved that day, I would receive a callback with the details.

    Again, Nothing happened. Yesterday, I again called Medco, and Fay and Vicky said they would look into it. Nothing happened. Calling again, Mrs. ** assured me it had been fixed, then stated they never received the fax and gave me the direct number to A/R. I called the number again and again, busy, no answer, or hangs up on me. I faxed the statement again, and was promised she would call A/R and ensure a solution. Nothing happened. Talking with the bank manager this AM, 2-4-09, no activity has occurred on the account from MEDCO except for accumulating charges.

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    Reviewed Feb. 3, 2009

    Unbelievable! That's all I can say after viewing this website for the first time and reading the number of complaints, many of them recently, about Express Scripts. My biggest complaint with ES is their inefficiency and boobery. Oh, and not to mention, how they lie! I found that to be a common complaint amongst what I have read so far. One of the biggest lies, by the way, is their claim that you cannot return a medication they have charged you for because it’s against Federal law, or even State law for that matter. What is illegal for them to do is to return your medication to stock for further use on another customer. They can take it all back and credit you, but they will have to destroy the medication you return. It’s that simple, and it’s a matter of customer service. I have proven them wrong several times, and thus far, have not lost a penny to them; just time and aggravation.

    Most recently, they changed the formulary so that with my plan has a co-pay of $85 for branded formulary items and $160 for branded non-formulary items. Sure enough, I check the formulary that is attached to my plan and the product is not there. Could they not have called and notified me before filling and sending it? No way, baby! So upon inquiring about another of my medications that is branded, I did not find it on their formulary; however, they looked it up and told me it was $85 co-pay and they would send me a formulary list. Well, lo and behold! The formulary they sent me had two drug items for which they charged me $160 each; that's $150 over what I should have paid according to the formulary they sent me.

    Will I be calling them? For sure I will. Don't let them bully you or stall you. Complain, complain, complain. Write your congressman or senator. And please, whoever you are, please spell prescription correctly (it’s not a “perscription ” or a “subscription”). You will appear more informed and sound more intelligent to whoever you complain to.

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    Reviewed Feb. 2, 2009

    In November of 2007, my wife received from AARP a letter with the information that if you wanted mail order service to contact Express Scripts. She was under the impression that this was the new way of ordering her prescriptions through the mail. She had been using another company prior. Again, thinking that this was the new way of ordering, she sent in her prescriptions to them. Along came the medication in the mail with a bill of $249.97. Medication was returned to them stating that we had Medicare Rx and we never paid for medication prior.

    Express sent the medication back to us saying that the order was placed correctly. AARP gave us no help in resolving this nor did Express Script help. I complained to Express during several phone calls. I received a return call for Ernest who claimed to be the senior billing recovery. I have tried to call him back three times. I keep getting his answering machine. I left my number each time with no return call from him. On the bill that we receive, I call the number listed on top. AARP recorded message answers. It gives no mention of Express Scripts. At this point, AARP gives me no help resolving this matter nor do I have a number to call Express.

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    Reviewed Jan. 29, 2009

    On 12/31/08, I paid for my prescriptions online with my debit card. On 1/16/09, I sent in 2 prescriptions to refill and asked to be billed for them. Well, lo and behold, they used the debit card without my permission. They said that if I don't call to remove it, they use it. Well, nowhere on the website does it state this. Because of the above, my checking account had 2 withdrawals not paid and I was charged $70 for insufficient funds. Had they not done this, I would have been fine with my checking account. I feel they are responsible for the insufficient funds. It took me 3 hours to get them to credit this from my account and bill me.

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    Reviewed Jan. 21, 2009

    Express Scripts allegedly has published written information to pharmacies with my toll-free number on the documents. My office is being besieged by faxes from consumers trying to fax Express Scripts. We are a year-round firm and this has been an ongoing problem for over 6 months. I am unable to contact anyone at Express Scripts. When I call their CSR number, it's always a third party who works for Express Scripts who cannot help.

    I have today filed a complaint with the Attorney General of Texas regarding this. From what I find on the Internet, there are many complaints as far back as 2005 on the net. Today, I have received 33 calls on my 800-number. Their website shows the Board of Directors, a smooth-looking bunch to say the least, but not one has a contact number in St. Louis or elsewhere. Good luck.

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    Reviewed Jan. 19, 2009

    What a racket! I have had the same experience as others have described below. My husband's company has chosen this firm for prescriptions and we must use its service or pay full retail price for prescriptions. I first requested my refill on 01/05/2009. To date, there has been no prescription. Every time I call, I get a runaround. Their response seems to be standard: "I can let you know in 24 business hours (e.g., three days!) when you can expect your prescription to be processed and you can go to your local pharmacy and get a month's supply." I cannot go to a pharmacy and get the refill, as retail cost is about $700 for the month's supply. I am beginning to suspect they string clients along so they don't have to fill the prescription.

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    Reviewed Jan. 9, 2009

    I ordered a 3-month refill of a prescription. It arrived on Dec. 12 with the plastic bottle inside crushed and the pills spilling out. The bottle was not packed in any protective bubble wrap or in a box, just a plastic bottle in a thin plastic bag. The bag had holes in it. I called Express Scripts on Dec. 15 and spoke with Cheryl. She said the prescription would be replaced. She transferred me to a pharmacist to get a return package label. I waited on the phone for a pharmacist for almost 45 minutes and was then disconnected. I never received a return label and they did not send a replacement.

    On 12/29/08, I called back and spoke with Ashely and then Alicia. They said the prescription would be replaced and I would be sent a return package and label. I was given the reference #**. On Jan. 4, someone named Ernest left a message on my VM telling me that a return package label was being sent out and they would not replace medication without receiving that. Today is Jan. 8 and I have received nothing from Express Scripts regarding this matter. I will have to have the prescription refilled at Walgreen's for a higher price.

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    Reviewed Jan. 5, 2009

    Ripoff! They charge you $30 for a 30-day supply of medication, which should only be for a 90 days supply. Look at the complaints. Seems they are a creature of habit doing this to consumers. Why would I pay $1 a pill for basic generic medications. When I asked about the remaining two months, they told me they would have to call the doctor back and would charge me the $30 again. HELLO... My plan says 90 days for $30. They charged me $30 for 30 days. I have already paid for the remaining two months. In my eyes, this is theft.

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    Reviewed Jan. 2, 2009

    Medco is a joke. I called them to verify my insurance coverage, cost, and availability of a medicine. They charged my credit card. Ten days later, I find out they do not have the medicine. Here we go again, I have my physician fax in a new prescription, Medco verifies the price and insurance coverage. I again wait to receive it. Medco again says they do not have the medicine. Medco refuses to fill it now near the end of December. I am told that I can pick up the medicine at a local pharmacy instead. They are incompetent, disorganized, and not truthful. Do not do business with Medco.

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    Reviewed Dec. 30, 2008

    1) Did not receive benefit cards for 6 months. Then the type is so small you cannot read it. 2) Called corporate office in St. Louis, as customer service says they do not have a phone number, wow a corporation without a phone, no wonder they have so many problems. 3) Told I could not get refills at pharmacy, oh yes I did get them. We should forward all information to the FDA and plan a date to meet in St Louis for a rally. Seems Express scripts is in dire need of cash and if they don't document anything it never happened.

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    Reviewed Dec. 24, 2008

    For the past two years my parents have been terminated & reienstated. Each and every time we call the story is different. You can never, ever get a straight ansewer from these people. My parents don't get bills & then they are notified that they are dropped,when you call they have a credit balance on the account and are told it was an error & they are reinstated. The next month they get another cancellation notice & are told they owe money. Most recently my calls to Medco started on Dec. 16,2008 as my Dad had no coverage when he went to pick up his prescription. When I called Medco I was told he has a credit of $ 111.84 but he was terminated as of 8-31-08. No one can tell me if they received a payment made to his account on Dec 11,2008. My Mom's account is also messed up, they claim she has a credit balance of $ 31.69 which makes no sense at all because her premiums are $ 36.88. I was told my Dad had to re enroll by Dec 31,2008 so I enrolled him on line. As of today 12-23-08 his is still terminated. I have been on hold for hours waiting for someone who can tell me what is going on. Someone needs to audit their books. They will not send a year end premium statement to my parents and no one can look at their payment history.Someone from Medco was supposed to call me about both of these accounts, I still have not heard from them. I am writing to you and I will be writing to all of the government agencies I can unitl I get the information I need. Please, someone needs to fix this company. I am much younger than my parents and I cannot get anywhere with Medco, what about all the ederly who have no one to fight for them. YOU NEED TO PLEASE HELP!
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    Reviewed Dec. 23, 2008

    Medco is contracted through my husband's employer as the health care management programs for prescriptions. I was recently diagnosed, at the age of 37, with psoriatic arthritis. This condition causes excruciating pain in the joints, pain so bad it drove me to consider suicide until the doctor prescribed Celebrex for it.
    My physician had given me samples to cover the gap between the prescription being filled and the time I could pick it up --- abut nine days' worth. It was called into my local pharmacy and was kicked back because Medco had determined the drug wasn't medically necessary. According to the pharmacist, the sole reason for denial was my age. Celebrex was carefully chosen for me from that class of medications because it wouldn't interfere with all the other medications I was on and because its impact on the stomach was minimal. It did away with the pain to the point I could get out of my wheelchair and walk for short periods, something which had previously been impossible. My physician filled out the prior authorization form, which Medco returned with a denial in a matter of minutes. I had always thought a human being with some sort of medical qualification made those decisions and that the determination was made based on medical necessity. Apparently that is not the cast at all. From their own web site: Medco's clinical capabilities and rule-driven interventions are designed to help lower your patients' prescription drug plan costs and contribute to the quality of care patients receive. The definition of rule based is never given. They don't specify under what conditions they will deny a prescription and they are vague about the appeal process. There really is no final appeal if prior authorization fails. Their idea of management of certain disease like diabetes and asthma is nothing short of barbaric. Ignoring all modern medical information, Medco's education programs imply that these conditions are preventable through patient management and that a patient who does not do so has no right to critical medication remedies.
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    Reviewed Dec. 11, 2008

    My wife uses a prescription drug and cannot take a generic and needs the real drug. Our Doctor sent them numerous letters stating this and sent them prescriptions for the real drug, not to use generic drugs. Well, I got this generic drug in the mail and sent it back to them. I called them and was told we would have to petition our medical benefits provider to approve the real drug. Well, we never went that route and I discontinued the drug with my Doctor.

    The point here is two months prior to them sending me generic drugs in the mail, I requested that they do not send me anymore prescriptions. Now in Dec., they charged my credit card $238.39 for a prescription that my Doctor never authorized. I called them about it and was told once the drug is sent out, its against Federal Law for us to accept them back. So now we had to report this as fraud to our bank and will be getting our money back. But I don't think it is right for this Express Scripts to operate in the background and make unauthorized charges to people's credit cards. They later claim that they sent letters to you for you to cancel a fill order, in which they clearly had never sent me. If you were a previous customer of Express Scripts and no longer use their services, beware and check your credit card statements, because they will sneak in there and scam unauthorized charges to you.

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    Reviewed Dec. 2, 2008

    Express wrongly decided I was not qualified to order meds. Once they learned they were wrong, they gave me the run around by telling me the meds were in the mail. I filed a complaint with the Department of Defense IG. Yesterday Express Scripts would not refill a prescription that had 2 refills remaining on the bottle to be refilled after 11/17/2008. They claimed the prescription was out of date. It was their bottle. It is impossible to have such a bottle unless they made a mistake. Either they lost my later prescription or they made a mistake on the bottle. I am pondering what to do about this. Clearly, they lose too many prescriptions. Perhaps a class action.

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    Reviewed Nov. 29, 2008

    I will attach a letter that I sent to Medco:
    To Whom It May Concern, I am writing in regards to my medication coverage through your company and I think it is completely absurd and have contacted Senator Charles Grassley, our Senator for Iowa in Washington D.C. I have several medical conditions including heart disease, 3 past strokes, epilepsy, high blood pressure, CHF (congestive heart failure) and two heart surgeries in 2007 including plaque in my arteries for which I am on Lipitor for my cholesterol. I would like to know for one if the CEO or president of this company is a Medical Doctor or a Licensed Pharmacist. I was in the healthcare profession for over 25 years before becoming disabled after my second stroke in 2004. I have worked with the insurance industry and did work for Blue Cross and Blue Shield in Minnnesota also so am quite familiar with the insurance and healthcare industry. I went recently to our pharmacy in town in Sac City, Iowa to pick up my Lipitor and found at that time I was paying full price for this medication and was not aware of the fact that our plan had changed in July that we are only allowed to fill prescriptions 3 times at a retail pharmacy and then "HAVE" to order my medications through the mail through Medco for a 3 month supply. I am disabled and only receive a certain amount of money per month from disability and cannot afford to pay for 3 months worth of prescriptions at one time, which is close to $400.00. How can your company honestly say that that is saving me money when I cannot afford a 3 month supply at a time and when did companies start dictating when and where we HAVE to get our medications from? Now if we wanted to change our prescription coverage in the middle of year we could not do that. We would have to wait until "open enrollment," and why that does not apply to the other side of the coin so to speak. Five of my medications I just purchase from our retail pharmacy because the insurance company has not paid anything on them anyways in the past. Of course now my epilepsy medication, my blood thinners and my cholesterol medication is another story. I called our medical insurance company, Cigna today and informed them that when I do run out of my Dilantin and Keppra and go without it for 2 days I must go into the hospital and have it done intravenously, which falls on to them then and they were not happy about that. So if I have to go without my seizure medication and my blood thinners that I would prefer not to be on, but if I am not I will end up having another stroke. I DO NOT choose to be on medications at all, but it is a part of my life and many other peoples lives too that have medical problems which they did not ask for. I think this is just absolutely ridiculous. Would you have your family members do without their medications that they needed? If you didn't have the money for your family members or children because of the cost, would they have to go without and take the chance of dying? No wonder physician's are so totally fed up with the insurance companies, the giants of the industries, the ones that sit back and dictate to us, the customer's/patients while they sit back behind their desks collecting their big old fat paychecks and bonuses for saving the company money by making the sick and elderly have to pay out almost all of what they make in a month in their Social Security, pensions, disability and decide whether they can afford to eat that month or get their medications they need so deperately. You and other companies that have investors and on are the Nasdaq should be ashamed of yourselves for putting peoples lives at risk. I am apalled and I will take it as high as I have to to make sure things change for the sick and disadvantaged. Either that or make your company a little more user friendly that if you can only afford a month at a time, so be it. Not make people have to pay for 3 months or they just go without. I don't know how you people sleep at night. I would give my shirt off my back for people that were alone in the ICU where I worked or the homeless on the street. There are a lot of good people in this society that do not need to be treated in this way. If, by any chance there is someone that will listen to me and think what I have to say is worth taking higher and higher up the ladder then so be it. I will fight until my last dying breath for people to not have to worry about these things any longer. It is inhumane. I don't know about you, but I was born and bred in the United States where you pay it forward. The last thing I have to say is that if I have to go without my medications and I do end up in the hospital with a more serious stroke there will be attorney's involved. If I receive bills from Cigna for my hospitalizations due to not receiving my epileptic medications, they will be forwarded to MEDCO and I expect something to be done because I will not be responsible for them because it could have been avoided by getting and taking my medications as prescribed by my M.D. Thank you,
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    Reviewed Nov. 25, 2008

    I was recently prescribed a new medication by my doctor. I have medical insurance through my employer and with this my Rx plan is handled through Medco. This new medication is fairly expensive, when filled by a local pharmacy, my cost is approximately $111.00. Medco offers a mail order Rx program which in some circumstances, prescriptions can be cheaper if filled via mail order for a 3-month supply. Sometime during the first part of November of this year, I called Medco and inquired about the cost via mail order for a 3-month supply. During this first initial call, I was told that it would cost me $19.95 for a 3-month supply of this medication. I not only marveled at this drastic reduction in price, but expressed it to the representative.
    I eagerly told the rep. to send me the necessary forms. Approximately 1-week later I received the forms, and just to be absolutely certain this was NOT to good to be true, I called Medco once again, I believe this 2nd call was made on November 11, 2008 and the representatives name was Robert. During this call, and in order to cross check this price, I asked Robert what my cost would be for a 3-month supply. He told me that a 3-month supply would be $19.95.. Still marveling at this incredible savings, I asked him to check the other prescriptions that not only myself took on a monthly basis, but also my wife's. The prices I was given for these other prescriptions were not that great, so I again, EXHAUSTIVELY questioned, confirmed and reconfirmed with Robert, that for me to get a 3-month supply of this new medication, Androgel (a male hormone replacement topical gel) I would have to pay $19.95.. I sent my order in the next day, and when i received my bill, they had charged me $299.25!! I immediately called Medco, and spoke to a Catherine, who brought up the documentation of my previous calls and stated that she could see where I was quoted $19.95 not once, but on two separate occasions. She stated normally when a customer is given a quote, and it is incorrect, Medco makes an adjustment on the billing, as it was their mistake. She advised that she did not have the authority to do anything, but that she would document it and send it over to the billing dept. Tonight I called back to check, and was told that the amount I was quoted for $19.95 was for a totally different quantity. I escalated the call up to a dispute resolution rep. and was told that the quotes that are given are documented in the system. I explained to the dispute rep. that I had no idea what shows on their end, as far as their system, but only know what I am verbally told my cost will be over the phone. She told me that my only recourse was to file an appeal with my health care insurance, which is also my employer, as I am a telephone representative for Mountain State Blue Cross & Blue Shield in the OPL unit. They have the capability to pull the actual recorded telephone conversations. The bottom line is that I clarified the amount of $19.95 numerous, numerous times for a 3-month supply of Androgel with Medco reps. I exhaustingly clarified this.. to the point where I eventually asked.. and this is an almost verbatim quote with Robert at Medco on November 11, 2008. "So Robert, you are telling me that I am going to receive a 3-month supply of my medication which is 2-packets per day, 60-packets per month, for a total of 180-packets.. they come in 30-packs per box, so that will be 6-boxes for $19.95?" and he said yes.
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    Reviewed Nov. 16, 2008

    I am retired military. I ordered scripts and received poop service. I wrote letters about the poor service. I then mailed more scripts & they have been lost. Because of my complaints my account & my wife's account have been locked. I attempted to reset & both are still locked. I can not get scripts. I take 8 and my wife takes 4.

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    Reviewed Nov. 12, 2008

    The seizure medication I desperately need to take is late in coming and I am out! It is called phentoin and I mailed refill payment for RUSH delivery and it STILL HAS NOT arrived. When I contact Medco to question my order status, I only receive a recording. I'm desperate and frightened. I'm newly widowed and have never had to deal with something like this alone. I'm afraid I'll have a seizure!
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    Reviewed Nov. 8, 2008

    This drug insurance company denied payment for **... telling my pharmacist that I must take the generic. I will keep this long story short. I tried the substitute...and the side effects continued to be awful. I had been on ** for 4 years without adverse side effects. Then when my doctor told Express Scripts about that problem... they agreed to a second tier medication which was the very medication I had switched from to ** for the same reason. I am going to file a formal appeal under ERISA because this is the LAW that governs most group medical. All of us who have this problem should become acquainted with this law... It is a terrible law and one that both administrations (republican and democrats) promised to deal with after the election.

    In any event there are obligations imposed on the health provider to give more detailed information as to the Plan... the Plan Documents including recorded conversations with the patient... the name and address and person (by name) who is the plan administrator etc etc. It may not produce anything...but a lot of mail but I guarantee you it will drive them more crazy than their unilateral decisions, disrespectful decisions drive us. Anyone who wants to talk more about this can call me... if they wish. I have had personal experience with ERISA in our local, sixth circuit, Federal Court as I work for a small town attorney who is NOT looking for business... by the way, not at all or whatsoever. There is a chink in ERISA's armour...including not following the very law they use to protect themselves and the breech of fiduciary duty. It is tough to get to but sometimes persistence pays off.

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    Reviewed Nov. 6, 2008

    3rd Complaint: As of Nov 6th I received an e-mail from Express Scripts briefly explaining what I as the Client/Patient is now required to do to have my prescriptions for ** 350 mg and ** 7.5 mg filled. I MUST SEND EXPRESS SCRIPTS THE NEW PRESCRIPTIONS FORMS WHICH I HAVE WITH ME. TO PO BOX 52069 AZ 85072-9935 and if there is still missing information Express Scripts will call my doctor, I will have to wait another 3-5 business days once Express Scripts receive the new prescription (deliver by the USA Mail service). After the processing begins to be shipped, then it will take up to 12-15 days to be received.

    At 12:05 pm (Calif time) I placed a call to my Medical Insurance Co Health Net 1-800-522-0088, playing punch the number in order to speak with a real person. Got Karen C/S tried to explained the problem I am having with Express Scripts. Of course she stated I must contact Express Scripts because her records indicates my prescriptions were ordered on 10-10-08 which is too soon to refill again. I asked how can that be if (1) I had to call my own doctor for an emergency refill) which was done on10-14-08 and Karen states that she will make an attempt to contact Express Scripts Pharmacy and get this problem resolved. So no help even from my health care provider -- Healthnet.

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    Reviewed Nov. 1, 2008

    I had a large basal cell tumor (6 round) removed from my scalp last year... since then I've been on ** (sleeping medication). I toss and turn in my sleep and now with 1/3 of my scalp missing (there has been a skin graft from my thigh to replace it)... there is no cushion or fat layer or hair on my head... When I turn my head in my sleep... the hardness of my skull hitting the pillow wakes me up. I have been on the medication for over one year (MD prescribes). My mail-order pharmacy called me and told me they won't fill this med anymore as they have a generic and called my MD and told him he'd have to prescribe that. It was that or nothing. The substitute drug is ** and the strongest strength is 10 mg. It doesn't have the long acting feature as **. It doesn't work... it'll put you to sleep for about three hours and that's it. I thought the FDA rules for substituting a generic drug have to be apples-to-apples.

    The dosage isn't the same, the efficacy isn't the same, it doesn't have this two-layer feature of keeping you asleep. I have had non-restorative sleep for weeks (with their substitute medication)... I'm in the midst of an appeal and am helpless in fighting them. But I just don't get it... of course I understand the saving for pharmacy companies in getting away from brand names - but this substitute med is just not the same. I'm an RN by trade and am responsible in my work for quick and accurate decision making... which I feel is compromised due to Express Scripts now filling the medication ** as my MD prescribed. Is there anything I can do? Again, I wrote my appeal letter and their answer to me was to have my MD appeal for me. WHY? My MD isn't taking the medication I am. He prescribed it to begin with... I'm so confused and aggravated with drug companies... and just wonder as a consumer if there is anything I can do?

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    Reviewed Oct. 30, 2008

    My prescription coverage is thru my husband's retiree benefits. We used to have Express Scripts and they were wonderful. As of July 1, they changed to Medco and it has been a nightmare. I had a heart attack, requiring surgery (stent placement) in December 2007 and have been on Plavix and Lipitor in addition to other medications which are available in generic forms. However, Plavix & Lipitor is not generically available and I am paying a fortune!! My cardiologist does not want to switch me to some other substitute as these medications have kept me alive. Also, I am usually on hold for an unreasonable amount of time (20-30 minutes). Someone needs to do something about them. I also have a prescription for Levothyroxine and Furosemide and it is CHEAPER if I get it filled locally (Walmart) for $4.00!! Medco is ripping consumers off. It is an outrage!
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    Reviewed Oct. 23, 2008

    Well, here it goes again. On March 2,2008 I wrote a lengthy explanation as to why I need your help. I have been dealing with Express Scripts Mail Order for about a year now and they continue to pull the same line over and over again. So here goes the new story. On October 7,2008 in the Am I called Doctor ** to send a request for the following prescriptions to be refilled from his office by FAX. On October 15, 2008 I received a telephone call from Express Scripts that my order had been received and was in the pharmacy being processed (this is a general call a client will receive). The after many days another call saying my order will be mailed on October 25th. HERE IT IS NOW OCTOBER 23rd and no prescriptions have arrived. Instead I get three letters dating October 13th (2) (1) October 16th.

    The two letters dating October 13, 2008 stated that two of my prescriptions could not be refilled until dates showing 10/19/8 and 11/14/09 (these just happen to be the refill dates on a SEPT list. Funny these two prescriptions are for ** which shows on my empty bottles needed new prescriptions, both bottles dated received 8-14-08. The letter dating October 16th is for **. I placed a very urgent phone call to my Doctor ** to re-fax the prescription orders and mail them the hard copy.

    I know for a fact that Express Scripts is a CLEARING HOUSE that only RECEIVES phone calls and that their so call pharmacy is also a CLEARING HOUSE. They do not have any phones to call out on to any doctor, strictly e-mail and FAXES. I feel that Express Scripts is ripping me off and not willing to deal with the proper forms that my Doctor has faxed them. The letter mailed out does not even have a representative's name written on it so there is no one person any customer can call upon to handle their account.

    My Doctor has been contacted to deal with this problem created by EXPRESS SCRIPTS and to allow me an emergency supply until Express Script gets off their behinds and fill this order. This cost me time and money which Express Scripts and their employees do not seem to care one way or the other how it is handled.

    My suggestion is Express Scripts in Tempe AZ get a pharmacy right there in AZ to fill all their prescriptions instead of out of state (back East). No wonder it takes over 12 days by regular mail to get one prescription and only Express Scripts takes additional days and weeks to place the order even if called in and additional time by the pharmacy additional time. What do they care if the patient has to suffer!!!

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    Reviewed Oct. 17, 2008

    No service, phone, fax, US mail, or e-mail all the same result: never heard of you. Wait 48 hours, same result: nothing done. My doctor's office faxed twice, letter to their vice president and their president: no reply, as yet.

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    Reviewed Oct. 11, 2008

    Never put your credit card on file with Express Scripts. They will charge anything they want to when they want to. I am like most of you. They are slowly weaning me off the non-generic brand prescriptions and putting me on all generic drugs. There is one thing you do not want to do. Do not let them take over working with your doctor on what is best for you on prescriptions. The bottom line was they tried getting me to sign this agreement to have them to work with my doctor to tell him what I should be on - taking over my doctor duties. Why have a doctor then? Right? They tried that with my health insurance too! The health advocate wanted me to sign an agreement that I would follow what they suggest for so many months.

    My question is what if I do not follow their suggestions? What if they suggest I have a lap band surgery and my doctor says I am not fit to have any surgery? What is the insurance going to do then? Drop me from their plan because I am not participating and working with them? A friend of mine has a similar problem like that except it's her doctor that is reporting to her insurance company. He reports to her insurance company that she refuses to take the prescription because it upsets her stomach too much. Her insurance tells her that if she does not follow her doctor's orders she will be dropped from the insurance. So she goes to him for a while and finds a new doctor.

    Express Scripts latest pain for me was that I was waiting for a shipment to arrive so I went online to check the status. I found out that my ** 300 mg was $377.66. Now last time I ordered it was $160.00. The time before that it was $80.00. This was all in this year. I immediately call Express Scripts and told them that they should of call me or my husband that we can not afford it and we were sending it back. Why didn't they call us? They then said that the doctor did not write DAW. Well, he did too! He writes on carbon paper. She says "Well he did not!" You know how it continued. Then she said "Have your doctor call this number." I then hung up and of course it was 5:30 pm and the office was closed. So I waited until Thursday - the next day. Called the doctor. The rep calls Express Scripts and calls me and tells me to call a certain number and for me to send the package back with a new script. Okay!

    So I call the number - they say the Rep did not call! Oh boy! Do I have to go through this again? Which I did. Hung up and called the Prior Approval Number and asked "Did my doctor call you?" "No" they replied. I start complaining, ask to speak to a Supervisor and she passes me back to one regular Express Scripts people. I explain my whole story over thinking it's a Supervisor and then she tells me she not and I exploded. I ask for again for a Supervisor and I get this man who I don't remember his name. We start talking and I tell him that "I can't pay this amount and I did not open the package. We'll be shipping this back." He told me he can not receive it. I said "Why? I did not open it!" He replied "It's the law!" I said... and hung up.

    Called the credit card company and they can not do anything until 15 days after the order was cancelled. I went to a notary of public on Friday to have them see the bag that it was not opened and I signed a document that I typed up stating that it was never opened. It should be received by Express Scripts by Tuesday. I wonder what they are going to do.

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    Reviewed Oct. 6, 2008

    I work in the pharmaceutical field and would like to set the record straight regarding Medco and similar companies. It is up to your employer or insurance company how your plan is administered. You heard right. While Medco/PBMs have a hand in authoring the plan to meet your company's (the client) needs, it is UP TO THE CLIENT to decide ultimately if you get limited local refills, if your plan will cover certain meds, if they are going to make you go through arduous coverage reviews, etc.

    Unfortunately, it is simply economics. If your company is doing well and/or is generous with benefits, your coverage and certain services with us will be more advantageous to you. Not surprisingly, if your company is not doing so well, or is stingy, don't be surprised if your coverage is lackluster. That said, the customer service aspect doesn't differ, but unfortunately, the PBM's rep's hands are tied if your company can't or won't pay for every med you want/need. It's common sense.

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    Reviewed Oct. 4, 2008

    This is no longer a matter of incompetence. It is now criminal neglect. I have been trying to get a prescription filled for ** since Sept 15. I was told that it was not on my formulary, even though the doctor specifically requested that medication. They suggested the generic form which actually isn't equivalent. My doctor faxed in a new prescription for the generic on Sept 26. I call almost daily to check on the progress of this order. As of today it is still not in their system. How can Express Scripts be in business to help their clients stay well, and then fail to provide the care that is needed. They do not even make an attempt to contact you to discuss the medication. When they did in the past they were so incompetent, they didn't even know which medication I was talking about. Their records are so poor.

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    Reviewed Oct. 3, 2008

    I received a refill of two prescriptions around 9/15/08. I didn't open them and immediately called Medco asking who authorized the sending of the medicine. The person I spoke to said Medco received a faxed refill request from my physician. I told him he must be mistaken because I had just seen my physician on September 11th. At that time I told my physician I was going to discontinue the prescribed medicines. I still had about a month's supply of both medicines so there was no need for a refill. I told the rep at Medco I would return the medicine but he told me Medco would not accept a return. I asked him for a copy of the faxed request from my physician. That's when he put me on hold. I was on the phone for one half hour and finally hung up after being on hold for at least 5 minutes and I finally gave up and hung up. I never did receive a copy of the fax.

    I called my physician the same day. They said the only faxed authorization they sent Medco was for my original request for Medco to fill prescriptions back on 7/11/2008. They did not fax an authorization to Medco for a refill in September. I called Medco back a couple of days later. The person I spoke with was trying to help me, but again I was told that I could not return the medicine and that I had to pay the bill. That went on for about 1/2 hour. Finally, I asked to speak to a supervisor. I told that person that if I wasn't credited for meds not authorized by my physician, I was going to write to Chevron, the Better Business Bureau and any other agency I could identify and complain about Medco sending out meds without authorization. When I told her that, she agreed to credit me for the meds. I offered again to send the meds back but was told they could not accept them. It took me an hour's phone call to get them agree to crediting me.

    Yesterday, 10/3/08, I received a voicemail from Medco asking me to call them. I called them the same day. The person I spoke with said that they were requesting I return the meds in order to give me credit for them. I told the person I spoke with that credit was supposed to have been issued to me over a week ago. She kept repeating that she only knew what was written on my record. She offered to send a postage free envelope in which to return the meds. I told them I would take care of returning them myself. After having the meds now for almost three weeks, I'll return them at my expense tomorrow so that I can be done with Medco.

    Why do their customer service agents lie about information and why don't they just admit that Medco made a mistake? Why are they sending out unauthorized meds? Why do they say they won’t accept meds back and then ask for the meds back? Why do they only issue credit after threats of contacting consumer protection agencies? I won't do business with Medco again. I am sending a letter to the Better Business Bureau and Chevron. Shame on Chevron for using Medco.

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    Reviewed Sept. 11, 2008

    While I seem to recall a time or two of problems over the years, I am satisfied with the service, the politeness and information provided by the Medco reps. I have more trouble getting the renewed prescription from my doctors office and their getting it to Medco than I do with Medco at all (this is staff, not my doc who wrote the script). To the people who report they go without their meds, I find it unbelievable that they were not able to either get samples or an emergency script from their doc or go to their pharmacy and ask for a solution. In the few instances where I've found myself short, I've almost always been able to resolve the problem and avoid going without my meds.

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    Reviewed Sept. 9, 2008

    I recently suffered a heart attack and was prescribed Plavix and Lipitor. Things were fine for 3 months and then MEDCO happened. They would not cover my much needed medications that are required to take daily. MEDCO called and assured me that by using there services. I would infact save money and have my meds every 90 days. NOPE, NIGHTMARE.

    My doctor would fax them the RX for all of my needed meds, like Plavix, Lipitor, Beta blockers and others. Now my Doctor said IF I MISS 1 DOSE. It may KILL ME. Sure enough, MEDCO dropped the ball, again and again and again. I have spent several hours of the phone with MEDCO and my doctor trying to correct the error. MEDCO is the biggest joke I have ever had to deal with. Talk about STRESS, you call MEDCO and fix a problem and then you wait and call them a find out there is more problems and they never call you to letter you know.

    This JOKE with MEDCO started 08/20/2008 the doctor have faxed them the RX 3 times and guess what? Still no medicine. Now they called me and said they are sending out a 28 day supply for now, but it is going to cost me $258.00 for those meds, which at my local Pharmacy would only cost me $140.00 So how am I saving money??? The very next day, I get a automated phone call from them saying there is a problem with 1 of the meds and they need to me contacted by the DR office. and it is for the lipitor. I have already contacted the DR office and was given all the samples he had. Which is not enough to cover until MEDCO MIGHT send me MY MEDS.

    They politely offers to cover a another 7 day supply FREE OF CHARGE, JUST GO TO THE PHARMACY AND PICK IT UP........NOPE.... I had to pay for the meds and called MEDCO AGAIN and they said to mail they the receipt and they will reimburse me. I now have 1 day left of Plavix and they will not ship it out until 09/11/2008 I have called and demanded to speak with a supervisor SARA, She assured me she would take care of this personally and see that it gets the highest priority and be processed first......NOPE..... I am wondering what it is going to take? ME DYING TO GET THE MEDS???

    Chance of dying from not having my medications, Stress, higher blood pressure, Anxiety, physical headaches, to the point were I just don't care what happens to me anymore.

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    Reviewed Sept. 7, 2008

    In February of this year, my doctor prescribed Levothroid(150 mcg, 90 days) but mispelled the name. I've been taking Levothroid for approximately 25 years in spite of repeated attempts of Medco and physicians to switch me to Synthroid. Medco filled the prescription with Synthroid as a generic substitution for the Levothroid.

    I do not react to Synthroid the way I react to Levothroid so switching me to Synthroid causes me problems. My complaint, however, is that 90 days of Levothroid costs about $18 while the charge for generic is $25. The people at Medco explained that Synthroid was cheaper than any of the generic choices. After I pointed out that their charge for Levothroid is about 25% cheaper, they agreed to replace the Synthroid with Levothroid for me.

    Based on the number of people I know who take thyroid hormone, it appears that collectively patients are being over charged a large amount by Medco using Synthroid and charging $25 instead of using the less expensive Levothroid with an $18 charge.

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    Reviewed Sept. 7, 2008


    In February of this year, my doctor prescribed Levothroid(150 mcg, 90 days) but mispelled the name. I've been taking Levothroid for approximately 25 years in spite of repeated attempts of Medco and physicians to switch me to Synthroid. Medco filled the prescription with Synthroid as a generic substitution for the Levothroid.

    I do not react to Synthroid the way I react to Levothroid so switching me to Synthroid causes me problems. My complaint, however, is that 90 days of Levothroid costs about $18 while the charge for generic is $25. The people at Medco explained that Synthroid was cheaper than any of the generic choices. After I pointed out that their charge for Levothroid is about 25% cheaper, they agreed to replace the Synthroid with Levothroid for me.

    Based on the number of people I know who take thyroid hormone, it appears that collectively patients are being over charged a large amount by Medco using Synthroid and charging $25 instead of using the less expensive Levothroid with an $18 charge.

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    Reviewed Aug. 30, 2008

    I received a call from a representative with Medco stating if I used their program I would save money and get a 90-day supply. I sent in a prescription from my doctor for Accu-Chek Aviva Testing Strips to Medco. I was told by one of their representatives that my doctor would need to write a prescription for a 3 month supply. My doctor ordered 200 per month with 3 refills. When I received my purchase from Medco there was only 200 strips which I paid $75.00 payment. I only pay $60.00 retail. Where's the savings. I test 4 times a day and that equals 120 strips per month. The 200 will not last me for 3 months.

    I called Medco and spoke to Debbie and she stated my doctor did not write a 3 month supply only a 1 month supply with 3 refills which apparently is not the correct way to write the prescription. I asked if I had my doctor correct the prescription, could I get the other 2 bottles. She stated at an additional charge of $75.00. I stated no then I would be paying $150.00 for 4 bottles of 100 test strips and I could get them cheaper by retail at $120.00 for 4 bottles. She stated that's all she could do. I asked if I could send it back and she stated if I did, they will not reimbursement my debit card. I told her I thought this was supposed to be cheaper for me not more expensive and she stated it would have been if your doctor would have worded the prescription correctly.

    I also purchased Lantus Solostar Insulin and get a box per month for $30.00 retail. I paid $75.00 for a 3 month supply through Medco and when I received that order, I only had 2 boxes. The representative stated that because I used 30 units per night and 900 units per month that 1 box had 1500 unit and for a three month supply that would be 3000 units or 2 boxes.

    Again I stated if I would have purchased this retail, I would have only paid $60.00 not $75.00. Again where's the savings. She stated she apologized if I didn't understand the program and I stated when your representative called me and stated I can save you money on your prescriptions, she never went into detail about these adjustments that Medco makes. I'm not working right now because I am a diabetic and have foot ulcers. My Daughter is helping me out with my medical expenses and I feel like I've been taken by this company.

    For the strips I should have only paid $75.00 for 4 bottles and will now have to pay $150.00. For the insulin I should have only paid $60.00 for 2 boxes by retail and I put out $75.00 by mail order for 2 boxes. Also the frustration of dealing with Medco which is not a customer service friendly company. They don't care if you didn't understand their procedures and do not make any concessions to help you out.

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    Reviewed Aug. 25, 2008

    I am a cronically depressed woman since childhood (I`m 60 now). I was recently sent a letter saying my insurance didn`t cover this antidepressant any longer. When I called their 800 # I was told they couldn`t figure out why that letter was sent since it WAS covered. I can`t just stop taking it cold turkey or I go into a downward spiril which takes me weeks to recover. I am then at the mercy of my physician to either give me samples, or write a new subscription which when given to the pharmacy they say I`m not yet due for coverage......crap!!!

    I`m on yet another slew of medications as I`m asthmatic, & have severe back pain due to spinal stenosis----the same business aplies for getting these medications. Once I payed the extra money for expeditated services & that was totally ignored nor was my accound credited. What has happened to this company??? I`m really fed up, surprised they are still in business. I`m ready to go to herbs & vitamins & skip these drugs totally. Anyone else out there reached that point yet???

    I spend much of my retirement money going from Dr. to pharmachy & am a nervous wreck plus the extra gas money it takes & its a once a month deal each time. I`m giving up on this company.

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    Reviewed Aug. 21, 2008

    I have had the same coplaints
    that other patients taking Nexium and
    Toprol XL have had. I, too, would
    rather go to Walgreens, pay the extra
    money and know the meds I get will
    work. I do have to go directly to
    the pharmacist & take an out-of-
    pocket hit -- on a monthly basis but
    it beats the heck out of feeling
    like sickly for at least three more
    months. As a widow, I don't appreciate
    the extra time and $$ spent due
    to the greed of insurance companies --
    especially the most expensive FEP.
    Caremark should be ashamed to sub-

    contact to Medco!

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    Reviewed Aug. 21, 2008


    Express script incompetence is mind boggling. When an order was mailed in, they call back to say you are too early, we can not refill the order. But it is not true. My refill is due. Two days later they left a message, your order is shipped and another two days later they said your order will be shipped next day. Make the long story short; they filled the order 3 times. They delay the order with out any concern to the patients health. How can these people be in business? I am scared to place an order now, because the medicine will never arrive in time. Why cant I use anyone else or change the management of this organization. I can say more, but what good it will do.

    I went on vacation scared with out my medicine due to their inefficiency of not delivering my medicne on time.

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    Reviewed Aug. 18, 2008

    Just over a year ago when my husband was terminally ill with cancer, we were hounded by Medco to have every medication he was on to be delivered by mail order in 3-month quantities. I called & spoke with a lady in customer service who was very understanding that my husband's pharmaceutical needs were subject to change very quickly--some drugs he could tolerate for a very short time, some he couldn't at all, or due to his deteriorating health they were no longer appropriate. She said if we encountered any problems to just call again and explain the situation to someone in customer service to assure that we would not be required to have all prescriptions sent by mail order.

    As my husband's health took a very precipitous decline, he became unable to eat except when he took a certain medication. When I went in to pick up a refill at the pharmacy, I found Medco had declined payment, and the out-of-pocket costs for us were prohibitive. I immediately called Medco and the CS agent said they would not approve payment regardless of my husband's health condition.

    I asked to speak to a supervisor, and I wound up trying to talk to a man who was verbally abusive and yelled at me that he didn't care what I'd been told by anyone there, that he was telling me that my husband's dire health condition was NOT going to sway him, that we could order the prescription the only way we'd been told we could or we could pay for it ourselves.

    My husband did without. Within weeks he was dead. The outcome would not have changed had we had been allowed to pick up at the pharmacy a small supply of the stomach medication ordered by his doctor. The irony is that Medco had little or nothing to lose by allowing him to have immediately a smaller quantity from our local pharmacy; he surely had a right to that consideration as he'd paid for the prescription benefit. Medco's cruelty is something I can never forget or forgive.

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    Reviewed Aug. 13, 2008

    Express Scripts has refused to fill a valid prescription for 10 days claiming it calls for a low over-the-counter strength. They are lying - original script was written for prescription strength. A copy of the original prescription was faxed and they will refuse to fill it. I am out of my medication and they are willfully withholding it from me. I DO NOT UNDERSTAND WHY NOTHING IS BEING DONE ABOUT THIS COMPANY.

    No medication as of today. I do not know what will happen.

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    Reviewed Aug. 4, 2008

    I received a call at home at 6:25 PM EST from a Medco representative who the 'Prudent Health Department at for an interchange request. The representative was proposing substituting several of my brand name drugs with generics. Unfortunately, my brand name drugs don't have generics available or I would be taking them. Due to multiple drug allergies, my physicians are limited in what they can prescribe for me. The Medco representative insisted that the generics he was telling me about were direct replacements for my medications.

    I looked the generics up for him at the Medline Plus website & read what the generics were REALLY for - not MY brand name meds. I feel this is a blatant bait & switch attempt by Medco to switch my medications from what my physicians feel are best suited to me, to medications that cost Medco less money but are potentially dangerous to me. This is the 2nd phone call of this nature from Medco in less than a year. I have now asked the company to cease & desist.

    I had the sense to look up the generics while Medco had me on the phone.

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    Reviewed Aug. 4, 2008

    Medco is horrible. They cancelled my prescription twice due to a 100,000 mg limit every 90 days in my plan. I am prescribed 1000 mg/day so the limit is reasonable. Medco is applying the limit incorrectly. When my company switched to Medco my doctor prescribed a 30 day supply and sent it to my local pharmacy. At the same time he faxed a 90 day mail order to Medco. Medco covered the 30 day prescription but cancelled the 90 prescription. When I called to find out why, they told me about the 100,000 mg /90 day limit. Since it was almost 30 days since my 30 day prescription was filled, Medco told me that my doctor can now fax in a 90 day prescription and it will be filled. Medco also cancelled this prescription.

    When I called to find out why they said the 30 day plus 90 day prescription was 120,000 mg which exceeded the 100,000 mg/ rolling 90 day limit. I spent an hour on the phone with Medco trying to explain why they were miss applying the limit. The resolution was that they would convert the 90 day prescription into a 70 day prescription and expedite it. It would take them 7 days to fill the prescription. Meanwhile, I have ran out of medicine which has required me to take 1/2 day off of work to resolve this. After another hour on the phone Medco authorized a 7 day emergency supply that I can get filled at my local pharmacy.

    My doctor now has to request a third prescription. Medco is a huge waste of time for my doctor. Rather than make it a waste of time for me, I am making it a waste of time for my employer. I know my case is not unique. If everyone insisted on time at work to deal with their employer's choice of Medco, then companies will dump Medco. I don't expect Medco will be around much longer. They are very poorly managed.

    I do not see the purpose of companies such as Medco. Apparently Medco is saving companies money by denying employees their medicine. Companies such as Medco are just an expense since they do not provide any services.

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    Reviewed Aug. 1, 2008

    Medco (mail order pharmacy through Blue Cross-Blue Shield) changed manufacturer of Meprobamate. The maanufacturer is INVAGEN (Dr. Reddy's). The pills burn my mouth, tongue and throat. Asked Medco to change back to former manufacturer. They refused. After several hours they finally said they would use a different manufacturer BUT it would cost me a 66 dollar co-pay because (supposedly) Blue Cross-Blue Shield will not cover it. Have not been able to take the medication for several days. Have had temper tantrums and alienating myself from family and friends. My doctor is prescribing another form of medication that I must go out and buy myself at a pharmacy.

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    Reviewed July 25, 2008

    MEDCO filled a prescription written and sent by my doctor without notification to me regarding the brand or cost. My doctor inadvertently signed the 'fill as prescribed' instead of allowing a generic for substitution. I have called and spoke with 3 seperate individuals and sent 2 appeal letters to be told [the] mail-order pharmacy filled prescription as written by the doctor. [I am] required to pay the full co-payment for each prescription despensed.

    In similar situations with my local pharmacy I am able to contact my doctor to have the situation resolved, in this situation the medication was sent and I was billed at a 90% higher cost. I keep reading articales about MEDCOs excellent numbers, but find it laughable since I feel taken advantage of by the 'system'.

    I have since thrown the medication in the trash, go a month with out my medication, and been forced to pay the bill of $52 for one month (which should have been $20 for three months). They made it very clear they refuse to fill prescriptions with past due balances, and send the bill to collections if refusal to pay is continued. MEDCO is the school yard bully of prescription drug benefits, and if I had ANY other option I would take it.

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    Reviewed July 16, 2008

    By error, Medco received a perscription and filled it. On a fluke I was still listed on my ex-husband's insurance and Medco is his provider for pharmaceutical materials. They called him to inform him of the perscription being filled and that is when I called to have it cancelled. They claim they received another fax from my dr. for a new perscription but my dr. states per my record they did not fax anything a 2nd time (Medco hasn't provided me with the copies of the faxes per my request)

    So they filled the supposed 2nd perscription and again, I called to cancel again. I was informed that it was cancelled and I should have no further problems as they noted my record as not being on Medco's plan and not wanting any perscriptions filled. I got another call stating my perscription was sent out. Despite all the assurances and guarantees, they did not follow through with anything they told me and now want to hold me liable for the cost of the medication.

    The bill is over $100, in addition, I have had to waste at least 3 hours of my personal time on the phone adding to the cost of this issue, since they do not handle things in a timely manner. Their customer service is appalling.

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    Reviewed July 16, 2008

    I have been using Medco for years to order prescription drugs. Normally I do it over the phone, but I decided to try ordering refills online, thinking it may be quicker. I placed an order on July 5 and I am still waiting for my three refills. I have contacted them numerous times about this via email and phone. They have provided no explanation as to why my prescriptions didn't arrive yet, and they told me I should expect them on or around July 23rd! That is three weeks since I ordered refills. It is supposed to take 5-7 days.

    I asked for the shipping to be expedited and their explanation was that the order is too far into the automated system to do anything. It should be noted that Medco discourages the use of retail pharmacy's for purchasing prescriptions. For long term medications they only will cover the use of a pharmacy for 3 fills. After that you have to pay full price for medication.

    I've had to abruptly stop taking two very potent medications b/c of the delay and am experiencing very uncomfortable physical and mental side effects. It is well known that patients should not abruptly stop taking the medications I am taking.I am extremely stressed out about this. I feel completely helpless and that I am at the mercy of an uncaring, flawed establishment.

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    Reviewed July 14, 2008

    I have yet to complete a successfully transation with Express Scripts. I can not believe that I am held hostage by the company I work with and I am forced to work with a dishonest and incapable organization. They fail to ship on the days the promise and more frustrating happen to forget to include all of the ordered prescriptions.

    I have severa asthama and do not have my maintanance drugs. If I end up in the hospital it will be Express Scripts fault. Hopefully my insurance company will send the bills to them.

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    Reviewed June 21, 2008

    I guess there is the real world, and then there's the Medco world. Who in the world runs this company? Received a call this morning. The woman introduced herself from Medco and stated she represented our health care provider and wanted to verify information, including what prescriptions my wife was on (my wife wasn't home, but told her I could speak for my wife). I laughed and said, Ma'am you're a voice on the phone and you want me to tell you what prescriptions my wife is taking? I told her that maybe she should verify who she is before she asked me to verify who I am. I asked her name and the address where she worked. (She knew her name.)

    Meantime, I told her that she could put something in the mail if she represented a real company and she said they had sent us several pieces of mail, which I did not recall. I said giving personal health information over the phone to strangers is against HIPPA regs, and she said it was all perfectly legal. At the end of our conversation, I told her to go to consumeraffairs.com and look up Medco and find out what customers think of her company. She finally hung up, thank goodness.

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    Reviewed June 18, 2008

    I have been compelled to deal with this group for three years. I am Diabetic and take about a dozen prescription meds a day. I have yet to have a satisfactory transaction with these people. I have been stalled, disrespected and frustrated. Ok, nothing actionable there. They routinely discontinue my scrips for no discernable reason with refills remaining.

    However, I have also been lied to: Your order was shipped yesterday. Here is the UPS tracking number. and when I check with UPS, they have no such number in their system. We never recieved the fax from your doctor and not only my doctor has a confirmation, but another customer service (doubtful they even understand the term) acknowledges that the prescription was in the pharmacy being filled at the time. Of course, yet another claimed it was delayed because they need the doctor's approval to fill the prescription he sent them and yet another agreed that it had never been received. They have held prescriptions, claiming they needed authorization (which they did not) or that they had attempted to contact me. As I never got a phone call, fax, email, telegram or knock on the door, I asked what means they used when they attempted, and they could not answer the question.

    I have moved all the prescriptions I can afford to over to [another] pharmacy. I may pay a couple dollers more, but knowing that my prescriptions will actually be filled is worth it.

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    Reviewed June 16, 2008

    They keep losing the prescriptions my physician faxes to them. After nearly five months of e-mailing, speaking w/ESI representatives, I still have not been able to get my prescriptions on file so I can save money via mail order. My plan offers no other cost savings alternatives, so I'm essentially burning money and have stopped taking one of my prescriptions due to their incompetence and lack of customer service.

    This hasn't been life threatening in my case, but I feel the need to report this because people can die from this inexcusable lack of service in trying to get their prescriptions. I FINALLY reached a supervisor today. She's promised to help. This is the first time any ESI rep has offered to help. I'm keeping my fingers crossed that this time someone at ESI actually does something.

    Economic because I have been unable to take advantage of the cost savings available when ordering prescriptions via mail.

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    Reviewed June 2, 2008

    Medco continues to reject coverage for drugs I have verified several times are covered under my plan, and the general incompetence of their service reps is preventing resolution of the issue.

    They initially rejected the claim sent by my doctor on a technicality, which was promptly corrected and resubmitted as an amendment. Subsequently, no service rep can be found who has the foggiest idea what an amendment is or how to find one in the system. Three could find no evidence of a denial of coverage as much as a week after it occurred, two found the denials but couldn't say when or why they happened, three said that amendments weren't even possible and that only an appeal (which we were explicitly told it *wasn't* since we weren't challenging whether the drug was actually covered it its category, but rather were correcting the claim paperwork) could be filed.

    I am on a time constraint and will likely have to come out of pocket for upwards of 3 grand to pay for drugs this company is too disorganized to recognize that it should be paying for. I am starting the complaint/appeals process today, but given the intelligence with which they've handled things so far, I'm expecting a very frustrating process.

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    Reviewed May 30, 2008

    My dr. requested a perscription from them without consulting me first. I sent the perscription back. I have sent them two letters explaining that I get my perscription for this medicine at CVS and that I do not want medication sent to me or billed to me. However, I keep getting harrassing phone calls saying that I still owe $100. A supervisor today told me that even though I returned the medicine and sent the letters, I still owe. I will not pay for something that I did not ask for and that I sent back unopened.

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    Reviewed May 29, 2008

    This company should be closed down. They are useless. There customer service is non-existent. I have dealt with them in the past and my experience has been terrible. They lose prescriptions, they take weeks to input information. You could be waiting for several weeks to get prescriptions. My doctors office refuses to fax anything to them because they always claim it has not been received (IE YOU NEVER SENT IT)

    You could be dead or seriuosly affected before they get round to sending your medications out to you.

    Businesses that perform at this level should be banned from being involved in any aspect of someone's healthcare. Walmart will fill 3 month prescriptions it takes about 30 minutes. EXPRESS SCRIPTS could take WEEKS to fill the same prescription. BAD COMPANY, LOUSY SERVICE A perfect example of the level that healthcare has sunk to in this country. If you need medication and you do not receive it the consequences could potentially be fatal.

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    Reviewed May 28, 2008

    I get letters monthly about subscribing through mail to get my perscriotions. I have told them that it is not cheaper, but they have threaten to cut off my insurance.

    I have had to change some medications because they where nto on the list of drug I could either take or afford.

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    Reviewed May 20, 2008

    I am a retired professional, on disability, who suffered this past year with several serious injuries and a bout with Hepatitis A. During that time, there were brief lapses in my medical coverage, (re-instated back to full coverage); in the interim, I paid full price for a number of prescriptions.

    In February, '08, with forms sent to me by Highmark BC/BS, I submitted over $1100 worth of claims for reimbursment to Medco. All of the claims were rejected. On the phone with a Medco supervisor for 3 hours, the problem of an improper form was discovered, corrected, and I was promised it would all be resolved quickly.

    It is now the end of May, 3 further rejections, for illogical reasons, the involvement of two other supervisors promising quick turnaround' and I am still without reimbursement. It has created a financial hardship for me, as those funds were a borrow from Peter situation, and it is getting worse by the day, as Medco keeps promising what they don't deliver: the resolution of claims in 14 days! HELP!

    I am getting overdraft fees for electronically withdrawn bill payments, as I was promised these funds would be here months ago. My trip to my son's wedding in Philadelphia was ruined as I counted on this money. I cannot buy the new prescriptions I need, nor gas to go get it. I am now in dire straits, waiting well beyond the time it should have taken. I have worked for hour upon hour, with Medco reps, going over these 12 claims. All of the necessary information is there to complete the processing. It has been sheer negligence and sloppiness that has resulted in the rejections. I am scheduled for knee surgery in two weeks and cannot prepare as I am supposed to for it.

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    Reviewed May 20, 2008

    Sent my prescriptions to Medco by U.S. Mail. After one week of waiting, they had no record of receiving them. Their response was for me to send them the 3 prescritions to them again. I am about to run out of medication, and the 3 prescriptions were from 2 different doctors. They did not offer to look for my prescriptions or try to locate them. Their solution was for me to get 3 more prescriptions and send them again. Can you help me ?

    Extremely stressful. Medco advertises fast turn around time. But they apparently lose prescriptions, and make no effort to work with the customer. The impersonal attitude leaves one feeling helpless. I now must take time off work to get the prescriptions again, or at least contact the doctors and explain the situation. Perhaps this tiem the prescritions will be faxed. Is their any way to hold Medco accountable for losing prescriptions ?

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    Reviewed May 14, 2008


    After recently changing employers, I was required to use Express Scripts for mail order pharmacy services (a different provider than used by my previous employer). This required changing from my previous brand of glucose test strips to OneTouch strips.

    I had my physician complete a prescription for the strips in a generic fashion (simply specified as OneTouch test strips) so I could obtain a meter that would work with the strips supplied to me by Express Scripts. Express Scripts, after acknowledging receipt of the order on 4/22 and shipping the strips on 5/5 with my receipt of the strips on 5/8 (rather lengthy compared to other mail order pharmacies), shipped strips that would work with only the OneTouch II or Basic meters. Neither Express Scripts nor any local retail pharmacies stock these older meters (only Ultra meters and later versions are stocked in retail pharmacies and Express Scripts).

    After several conversations with Express Scripts Customer Service, I was made fully aware that Express Scripts would not accept return of the strips for credit or exchange the strips for those that work with available meters. My local retail pharmacy (Target) was able to provide an Ultra meter, free of charge (Target obtains the meter rebate from the manufacturer thus providing the customer the service of not having to pay and then apply for a rebate). Express Scripts has offered to sell me an Ultra meter (for an out of pocket cost of $65 USD) to work with the Ultra strips that I have had to now order from them. Express Scripts Customer Service is refusing to assist me with obtaining a Basic meter so that I can at least use the original strips that they had sent

    $50 USD out of pocket expenses for strips that cannot be used with available meters.

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    Reviewed May 4, 2008

    Beware of ordering meds on line. I ordered on line an was under the impression that I order a generic an was charged for name brand. The medicine was sealed an hadn'd been opened but could not retune it. I was told that I had ordered the name brand. Medco called in Feb. to tell me that there was a generic for the med I had been using so I ordered the generic over the phone. Medco had push the generic an has even ask doctors to change a name brand for generic so why didn't they push for this unless they need to get ride of the name brand this time.

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    Reviewed April 26, 2008

    I have been forced to use Express Scripts for many years. With a heart condition, high blood pressure, and rheumatoid arthritis, I take 11 prescriptions every day. I have had nothing but aggravation with this company since they took over for CFI. The employees are all incompetent, the customer service reps are ignorant, and the procedures and practices of this company are unethical and devious.

    Worst of all, they do not care to do anything at all to get necessary drugs to the patients. I do not want to file any legal action -- what I do want are addresses of the appropriate goverment agencies or pharmaceutical associations. I would like to file complaints against this company. I believe they should not be able to get away with being so sloppy with people's medications. They should be forced out of business - or at the very least, they should be in trouble.

    I have a heart condition and high blood pressure. This company has caused me nothing but aggravation, and worry that I will receive my life-saving drugs. My blood pressure goes up everytime I put new prescriptions in the mailbox. I know there will be problems - as always.

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    Reviewed April 23, 2008

    My company requires us to use Medco for long term use medication. So I logged onto the Medco website on 4/11/08 and selected the option to have 2 of my medications refilled. Medco indicated that they would contact my doctor's office to get the authorization to refill both medications. A couple days later I checked the Medco website to find that my ** had not been refilled. So I contacted my doctor's office to ask why and was told that Medco never asked for a refill on the **. My doctor's office said they would fax over a prescription for the **. So I checked the Medco website and saw that they did receive the prescription for the ** on 4/16/08. I waited several days and after receiving the first prescription I checked the Medco website for the status of the Lexapro.

    To my shock I saw that the ship date on this order was pushed back by another week! So I called Medco to ask why there was such a delay in getting my ** and I was informed that they were trying to contact my doctor to find a cheaper alternative. I immediate informed the customer service rep that I was out of the ** and I needed the prescription filled ASAP (that's why I requested the refill on 4/11). She agreed that the delay was too long and told me to contact my doctor and have my doctor phone in a 7-10 day prescription to my local pharmacy and Medco would cover it no charge to me.

    So again I contacted my doctor's office and asked them to call in the prescription. However, when I went to pick up the ** at my local pharmacy I was told the 10 pills would cost me $30. I informed the pharmacist that Medco should be approving it at no cost to me. The pharmacist came back and said Medco was blocking the payment request. I contacted Medco to see why and was informed that I was only approved for a 7-day prescription. In the time it took for Medco customer service rep to look up my account and figure out what was going on, the pharmacy closed. So I was unable to pick up my **.

    I asked the Medco rep for a telephone number to call Medco and file an official complaint and was informed that they don't have phone number for complaints. She did however patch me through to a male employee who basically told me there was nothing he could do help and next time I should order my refills earlier. Despite the fact that Medco made several errors in processing my prescription, he made absolutely no effort to help or contact another pharmacy!

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    Reviewed April 12, 2008

    On March 5th, 2008 my doctor faxed in a prescription to Medco for the wrong medication. Medco shipped me Lidoderm Patch 1's and an invoice which DHL left on my door step on Monday, March 10th.

    After opening the package and discovering it was the wrong medication, I called Medco Customer Service and spoke with Judy Fleming #3342. Judy told me that consumers do not have to approve medication, that any doctor can fax or mail in a prescription for a Medco consumer and Medco simply ships and bills the consumer whether that consumer ever requested the prescription or not. She told me there was no way to return the prescription and that they would not credit my account. She said her supervisor Jenny Sosa could call me back within 24 to 48 hours.

    I next called my doctor's office and my doctor's secretary stated the error was due to the doctor's office faxing the wrong prescription to Medco. They had intended to order Ibuprofen but mistakenly requested the Lidoderm Patch 1's. My doctor's secretary said she would fax Medco to tell them it was an error made by the doctor's office and that Medco should take the medication back and credit my account.

    On March 11th, I received an email from Medco about my new prescription order. I signed on to Medco's web site and found that Medco was filling a second prescription for the same incorrect medication. I called Medco Customer Service and spoke with Dorla Levy #3206. Dorla told me that my doctor had submitted a prescription for the Lidoderm Patch 1's and they were going to send me a second shipment. She pulled Ed, a Medco pharmacist on the line and Ed told me my doctor had sent in a prescription for Lidoderm and they were sending it whether I wanted it or not.

    I contacted my human resources help desk and asked that they contact Medco and see if they could get this corrected. I then sent an email to the vice president of human resources at my company suggesting my company contract with another prescription insurer for 2009. The good news is that my company does not hold its employees responsible for errors outside of the employee's control. The human resources department arranged to have my Medco account credited for the correctly filled prescription (Lidoderm), to send me a mailer to return the Lidoderm prescription to Medco, and to cancel the 2nd correctly filled prescription (Lidoderm).

    The bad news is that Medco refuses to accept any responsibility for the way they do business. Medco claims the bottom line is they made no errors in the process and the responsibility for my receiving the wrong medication lies entirely with my physician's office. Further more, they stated it was clear that twice, on March 5th, and again on March 10th, my doctor's office faxed prescriptions for Lidoderm to Medco. Medco states they filled these prescriptions as written by the prescribing physician, Medco fulfilled its responsibility correctly and properly. Medco was correct when they informed me that my prescriptions were properly filled. They never acknowledged that the March 10th fax contained a cover letter stating the prescription on the 5th was an error and to refund the incorrect prescription. This could all be easily fixed if Medco offered its customers an option to opt-in to a must approve prescriptions on their web site. That way whether my doctor faxed the prescription, or I mailed a paper prescription, before Medco actually filled the prescription, Medco would provide me with (1) an image of the ENTIRE prescription they received (2) the cost to me to fill the prescription and (3) the prescription they are going to fill for me - which doesn't always match what was prescribed with generics and substitutions and Medco rules and all that.

    8 hours of work-time spent on the phone with Medco, my human resources department or my doctor's office trying to get this straightened out. It didn't end up costing me anything because my company paid my salary for this wasted time and I got a refund for Medco's mistake.

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    Reviewed April 6, 2008


    A prescription was written for my daughter and was filled by my local pharmacy. Weeks later a MEDCO refill arrives at my door with a bill for $125. We never asked for a refill, never ordered the medicine, we didn't even know what MEDCO was. After dozens of calls and conversations with supervisors we sent the prescription back. They continued to bill us and sent us to collections. (which has lowered our credit score)

    Finally we paid the bill and requested the prescription to be returned for us. Medco's response was No Way! we destroyed the returned medicine and we will not issue a refund. So we were out the $125 and had no prescription to show for it. It's a sad state that we now have a company openly commiting fraud. When I threaten a small claims lawsuit I was laughed at by the MEDCO manager. It just blows me away that some company can send you a product that you didn't order and then force you to pay for it!

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    Reviewed March 19, 2008

    I sent 40 dollars to medco for 4 RXs. I sent them to the only address I had for medco. I never received them nor was my checked returned. I have written 2 times & gotten no reply. I am afraid I am a victim of a medco employee.

    Where is my medicine? I had to purchase this at a drug store at a much higher cost.

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    Reviewed March 17, 2008

    I take 19 pills a day, and 2 of these are narcotics, so I cannot get the prescription for 90 days filled on them. I can only get 75 days' worth. I was told on the phone on March 10 that if i mailed the scripts express mail overnight and pay $16.25 to mail it that way, that they would get it on March 11; and they would be mailed out to me by Friday or Sat. On March 14 or 15 I would have them. Well its now March 17, and I am being told they don't have the scripts in their system. And it is now going to take another 7 to 10 days for me to get the meds. Today, March 17, I am out of the meds that they were to be filling. I had to call the doctor to get emergency scripts for 2 out of 3 scripts that they are to be filling. I had 4 heart attacks in Sept of '07, and I have ulcerative colitis, so the meds needed are for my heart and the chronic pain from the colitis. Here I sit, scrambling to get the emergency scripts from the doctor's office.

    If this is the way they work, I will not be using the mail order from them and will take the time to go to the drug store to get my meds. At least there I know that they be filled with no hassles. This company should not even be around if this is the way they do business. If this business is ranked 3rd in the US, then how many businesses are there for mailing prescriptions? Must be only 3.

    My doctor is 45 minutes away from me, and the pharmacy is another 40 minutes. Their incompetency cost me much wasted time on the phone since Thursday, March 13 until Monday the 17th. I wasted a lot of gas driving around to get prescription and to get it filled.

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    Reviewed March 15, 2008

    I am covered by MEDCO under both mine and my husband's insurance plans. After lab work, my doctor's office called & said they were prescribing Tricor. I had never used MEDCO's mail service before, but the office said they would send it in for me. In a few days the medicine arrived with a bill for $266.70. I immediately called them and explained that under my plan I should pay only $40.00 ($20 for brand name drugs x 2 months). I have since called six times and each time they have told me they would try & resolve the problem, even transferring me to their accounting department. Today, however, I spoke with Mrs. Butler, extension 2157, and she told me they will NOT rebill. She refused to let me speak to anyone higher up. Another woman at MEDCO, Beatrice, told me it was not their job to make sure it was billed under the right plan. She told me I had coverage through Saint Francis Hospital. If they know everything about me, then why is it so hard to correct this? How do I cut through the red tape & get DuPont to ask for their money back (if they paid it in the first place.)?

    I have quit taking the Tricor. I'm sure my credit rating will lower, but my husband broke his back and is now on SS disability and I cannot afford any more screw-ups.

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    Reviewed March 10, 2008

    On 2/27/08 I went to Walgreens to get a refill on my prescription for **. This is a refill for the original prescription I had filled at the same Walgreens on 11/5/07. On 11/5/07 I paid $191 for a 30 tablets. On 2/27/08 Medco wanted me to pay $371. The pharmacist called Medco to question the charge but could not get a reason for the increase. I paid for the prescription and went home. I then checked the Medco website. It said I should only pay $233 for the medicine.

    I then called Medco myself. I spent over 1 hour on the phone with a customer service rep while she and several others tried to figure out what was happening. I was eventually transferred to a supervisor, Laura ** who could not figure out why the Medco website said I should only pay $233, but I was charged $371. She said she would get back to me. Two days later she called me back and said that the $371 was correct and maybe there was a mistake by my benefits provider. I asked her why the Medco website stated a price that was different from what I was charged. She deflected the question and said she would get back to me. It's now about 2 weeks later and I have not heard back from Medco. Is this a case of false advertising? How many others may Medco be doing this to? I have hard copy printouts from the Medco website as well as my invoice from the prescription. Is it legal to advertise 1 price and charge another price?

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    Reviewed March 5, 2008

    I was prescribed by my doctor, 90 Zomig tablets, one per day for 90 days, and submitted this to Medco just as I have done for the last 6+ years. Medco pharmacist Ed Kestler altered this prescrition and sent me only 24 pills stating that this is all that the guidelines of the National Headache Foundation would allow. Now I have received 90 pills per 90 days for over 6 years why now all of a sudden is this a problem. I think that because this is an expensive prescription, Medco is trying to get me to pay more copays.


    I will be paying more copays and if I run out of these pills I will suffer migraine headaches which are extremly debilatating and can cause me to miss work and could result in my losing my job.

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    Reviewed March 4, 2008

    I ordered a 90-day supply of a prescription drug on 2/23/08. They have my credit card number on file. They sent me 30 days instead. When I called to complain on 2/29/08, they told me a 90-day supply required prior approval. They said it was my responsibility to know all of their internal rules on every drug in their manual (those which require prior approvals, etc.). They did not call either me or my doctor to inform me prior to sending me the meds I didn't order and charged my card without my authorization. I told them I would dispute the credit card bill with the credit card company since I didn't order or authorize a charge for a 30-day supply (same price as the 90 day supply). I was willing to pay 1/3 of the cost of the 90 day supply even though I had not authorized that either, and technically they shouldn't charge a credit card for something a customer doesn't order. I told them they were not authorized to send me medicines I didn't order, in quantities I didn't order, without securing my approval or my doctor's approval.

    On 2/29/08 at about 6 pm Pacific time I spoke with a resolution conflict expert at Medco. (Medco has no supervisors in the entire company. (I have been told that over 50 times, over the years, and I know Medco wouldn't lie to its valuable customers.) I was told by this conflict resolution expert that once they have a customer's credit card number on file, they can charge whatever they want, whenever they want, for whatever they feel like sending me. Yes, the conflict resolution expert actually said that. I'd hate to think what someone who isn't an expert at resolving conflict would say. I said that was illegal, and on my street corner, that was called: stealing. The people at Medco are so criminally ingrained in their behavior; she didn't even have a clue what I was talking about. She had no idea why I would call that behavior stealing. Charging my card, whatever they feel like, whenever they feel like it, for whatever they feel like sending me, is a company policy which it is my responsibility to know. (YES, SHE SAID THAT.) She actually said, "It it not 'Stealing'." Is there any regulator responsible for watching these people and closing them down?

    My consequence is that I will stop taking all of my medications (diabetes, blood pressure, depression) once I run out of my current supply unless I can find a more honest source. I will not do business with people who admit over the phone to me that they have their hand in my wallet debiting my credit card whenever they want, for whatever amounts they want, for whatever drug they want to send--and not admitting they are stealing. Street thugs and the Mafia have the integrity to admit they are stealing when they steal.

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    Reviewed March 4, 2008

    Medco sent me one of my prescriptions that I don't use and have never used. Now they say I have to pay for it before I can get my usual prescription for depression. I spoke with someone from Medco, and she says the pharmacist automatically fills it when it comes in. I told her it's useless to me, and I'm sending it back. She said they will not take the charge off my bill, and I will receive nothing more from them until I pay it. Talk about depressed.

    I NEED my Cymbalta. It keeps me sane....

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    Reviewed March 3, 2008

    My son has been taking Focalyn XR 10 mg. This was the medicine prescribed by my doctor after trying others. My son had a terrible reaction to adoral. This medicine seems to be a good match with his metabolism. Focalyn is not one of Medco's preferred medicines. When I went to the pharmacy to fill an emergency prescription (The doctor would only give him a week's worth because he needs to be reevaluated by the doctor.) I was told that 7 pills cost as much as 30 pills. There is something very wrong with that. That is over $5 per pill. Why is an insurance company able to collect that kind of money? If it truly is the new law, that law is harmful to consumers. I can see why the insurance company would like it, but every day people are suffering while medical insurance companies are making gross profits.

    My son would have to trial other medicines on Medco's preferred list and possibly have adverse reactions like he had to adoral. He was sleepless for almost 3 days, unable to manage himself. I am not willing to put him through that. Does Medco have doctors that say their preferred medicines are correct for my son?

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    Reviewed March 3, 2008

    Federal Blue Cross Blue Shield changed from Caremark Pharmacy to Medco on 01/01/08 for our mail order prescription company. We had Medco a few years back and it was horrible then. They constantly messed up my prescriptions and billed my credit card for items I did not order. Caremark was great, but we were switched back to Medco.

    I was told that all of my prescriptions would transfer over. They did; however, Medco took it upon themselves to decide that I didn't need a couple of those prescriptions any longer, or the amounts with which my doctor requested. They blamed it on Federal Blue Cross Blue Shield; however, Caremark never questioned these same prescriptions. I emailed Medco asking when they became more knowledgeable about my healthcare than my doctor. My responses have been very rude and unprofessional. Also, Medco had kept my credit card information in their file from the previous time we had them (over 3 years ago). They started billing my credit card and it was a big fight for me to get them to delete my credit card from their files and credit back my account. Something needs to be done about this company. I hated the day that we were switched over to them because from prior experience I knew it would be a nightmare.

    Billed credit card that was up-to-limit and could have resulted in fees and/or interest rate being raised. Not being able to get the prescription quantity and brand that doctor requested because they felt I didn't need it.

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    Reviewed Feb. 28, 2008

    Since Jan 08, my husband, Steve, and I have been having continuous, frustrating, annoying feeling of TOTAL LACK of professionalism this pharmacy staff has shown in accidentally losing FAXED in prescriptions from our Doctor's office. It has happened not once BUT TWICE in the last two months, each time we the consumer (patients) must wait additional time (up to and including a month) waiting to see if our prescriptions HAD EVEN been received by this Pharmacy then supposedly once received, immediately noted to our accounts.

    My husband was in our Doctor's office watching his prescriptions FAXED with a confirmation only to find now going on three weeks that this PHARMACY cannot find any records. Today I again had to place a call to my family doctor's office and instructed them to fax over again (this is the THIRD TIME) once of my husband's medication and two of my prescriptions. WHY with such a LARGE Company as they claim to be that the patient has to suffer for their lack of better control as to quality and response for their selected Pharmacy? At least I do get some help when I place a call to the customer service Dept BUT I having worked in the Customer Service Field for over 30 yrs. I completely understand the CS trying to assists me BUT they are only looking at a computer screen, they do not have a LIVE PHARMACIST that can find the prescription and tell them if it is filled or not. Their CS is doing a fine job BUT their choice and maybe their LOCATION of the Pharmacy they are using STINKS.

    STONG SUGGESTION: Either HIRE more personal that can actually receive and process ALL FAXED IN PRESCRIPTIONS and get them out in a timely basis and enter the information immediately so all concerned (Customer Service Representative, CONSUMER DOCTORS etc.) will be updated and happy to continue using EXPRESS SCRIPT system. So far this company gets a BIG F for receiving and filling prescriptions, I assure you if there was another by mail prescription company I can use I would do so in a heartbeat.

    If these issues do not change we will start looking for another Prescription group which will give us immediate service and our prescriptions on a timely bases. It costs us not only money but calls I have to place if not once a week but sometimes two or three times in one day! Being without our medications may cause us further extended MEDICAL SERVICES which may cost this company too. We are both retired and we have better things to do then spend our time either on the phone with your CS or our Doctor's office finding out when and if our refills have been FAXED.

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    Reviewed Feb. 13, 2008


    Ordered two prescriptions from Medco which they processed on Sep. 25 but as of Feb 09 didnt have medicines, called them and initiated a two day long phone call marathon about why I didn't have meds.. I'm sure that they did not have one or both ofthe drugs and they used some of their usual excuses about why... needed to verify my address .. ha.. my address was on the order form and on my check.. ended up having to use my car and gas to go local pharmacy to pick up drugs, and had to pay for one of them... hope I will be able to get a reimbursement... You wouldn't believe how many lame excuses I heard from more than one person... all in an attempt to hide the fact that they didn't have the meds... It's been 19 days since they got the order and still no meds.. wonder how much longer it will take... now have 30 days supply wonder if it will take them longer than that.... Really wish I didn't have to deal with them but these two meds. are kinda expensive if I don't use mail order.....

    went without two medicines for a few days, very much stress and aggravation dealing with those idiots, time and gas used in going to the pharmacy to cover their shortcomings..

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    Reviewed Feb. 7, 2008

    Incorrect rx's shipped and I had to pay for canceling the Rx without my authority. Total incompetence regarding consumer issues.

    I have some economic damages, plus seizures potentially due to extreme agitation when attempting to resolve issues regarding medco's errors. Someone should file a class action lawsuit for all of us who feel economically and emotionally cheated!

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    Reviewed Feb. 6, 2008

    My mother sent a prescription to AARP Pharmacy for a medically necessary drug she regularly takes. Over a period of 4 weeks she and I repeatedly called their number at 800 289-8849 to check on the status of her medication. Many different answers were given including: We do not have you in the system. We have expedited the order and you should receive it soon. We are processing it now. We can no longer find the prescription. We cannot find your mother in the system. I see all the notes regarding this matter, but we do not have the prescription in the system; it can't be found.

    All of these sequenced replies conflicted with one another. Now she is out of medication and at her wits end trying to get an emergency supply from her local pharmacy. After purchasing drug insurance with AARP, they sent her 2 membership cards: 1 for Medicare RX, and 1 for AARP Pharmacy services-Express Scripts. It is grossly misleading and confusing as she did not know which card she should use for her mail-in prescriptions. She used the AARP Prescription savings card-Express Scripts, and the above situation unfolded.

    My mother is emotionally distressed and desperate to get emergency medication in the next day or two. Four weeks were wasted trying to get 1 prescription filled. AARP Pharmacy services repeatedly lied regarding the status of her prescription and gave different responses on different days. AARP has misrepresented themselves to the elderly and made an already difficult medicare prescription drug program completely unworkable. As part D is a requirement of medicare, we purchased insurance through AARP-United Health Care that has been detrimental to her health.

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    Reviewed Feb. 6, 2008

    I have Blue Cross Blue Shield insurance which uses Medco for prescriptions. I had my doctor call in a new prescription for me, and they inadvertently called in the wrong version. A few weeks later, I get a three month's supply of the incorrect medicine. When I spoke to Medco, the woman was very rude and uninterested in my issue. I told her what happened and explained that I needed to send it back for the correct medication. They proceed to tell me that I can send it if I want, but they will just throw it away and I am still liable to pay for it. The thought of paying $100 for medicine I didn't order and cannot take is ridiculous! Now I am stuck taking time out of my work day to call back and forth fighting with them about getting the correct medication. In the meantime, my medication is running out and I will likely have to phone the doctor for a month's supply at the retail pharmacy, which costs more because it's not through Medco.

    I now have a battle on my hands to get them to take back the sealed, unopened packets of wrong medication and send me the correct ones. What an unbelievable inconvenience from a terrible company. If you can get your prescriptions elsewhere, I recommend doing so.

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    Reviewed Jan. 25, 2008


    On 1/7/08 I sent 3 prescriptions in to be refilled. A week later I received a letter stating my account was being transferred to Medco. I called Express Scripts and was told all my prescriptions would be transferred. I called 3 or 4 more times still no transfer. I called on the 1/19/08 they said they would transfer my meds. within 48 hours. Today is 1/25/08 they still haven't transferred anything. I called again on 1/25/08 and was told we transferred everything on the 14th we cant do It again. This Is untrue because on the 19th they still hadn't done anything.

    I ask them to please transfer my meds, they refuse and state have Medco call us of course Medco says they must contact them. They refuse to make one phone call to Medco so I can receive my meds. I even asked them to return the refill request to me so I could send it to Medco myself, they refuse.


    I have epilepsy, myasthenia gravis and a brain tumor. I need my medication its that simple.Without the tegretol I will have seizures and without the mestinon I will have severe muscle weakness and respiratory distress among other things

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    Reviewed Jan. 18, 2008

    My employer changed pbm's 01/01/08 and prior to this we were told Medco agreed to transfer any existing prescriptions (with refills remaining) to ExpressScripts. I had 3 that needed to be transferred. When I called ExpressScripts on Jan. 14 to request refills, Isaac said they had no record of any transfers and suggested that I call my physician to have him rewrite the scripts. He did not offer to have one of their pharmacists call a pharmacist at Medco to make the transfers. I believe this is how it is done at a retail pharmacy. I asked my employer for help on 1/15 and they said that it was possible Medco would not transfer scripts. I talked to a coworker and hers had transferred. My physician wrote these in early November and I felt bad asking him to do that again, so soon after the fact, so I called Medco.

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    Reviewed Jan. 18, 2008

    I am a member of Blue Cross which recently changed our prescription company from Caremark to Medco as of 1/1/08. Today is 1/18/08 and my dealings with Medco have been horrific. My prescriptions didn't roll over as they were supposed to from Caremark to Medco. I emailed on 1/3/08 to have them fix the problem. They emailed me and said all my physicians need to fax in new prescriptions. I told them it was their job to figure out the problem, not my problem to contact all physicians. I received a call and eventually they agreed to get the prescriptions from my physicians after I provided them info. Well, after many emails and worthless phone calls, I'm still at square one. They couldn't care less - all there responses are done from some script - they don't even listen. I'm so frustrated and wonder how Blue Cross could pick such a horrific prescription provider and let Medco continue to give such bad service.

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    Reviewed Jan. 17, 2008


    My husband was (note I say WAS) on Plavix for a heart condition. Followind Medco's protocol for reordering perscriptions, my husband placed a reorder for his perscription of Plavis some time before December 14, 2006 (We know this because that is the date that Medco charged his American Express Card in the amt. of $62.50 for the perscription).They claimed that it was shipped on this date also. We never received it. Trying to contact them is next to impossible to begin with so you can just imagine what it was like trying to deal with them during the holiday season.

    On January 5th we sent an email to Medco informing them that he had take his last pill as he had run out. We also stated that we wanted to speak with a REAL PERSON not a recorded message or email. On Sunday, January 6th they did return a phone call and left a message as we were not at home to take the call.

    On Monday January 7th my husband called them again and spoke with Medco. They told him that they could express mail (next day) his order to him and he would have it the next day. That did not happen. We tried to get the medication

    filled at the local pharmacy as we had the empty bottle and they would not fill it as there was something on his account that would not allow pharmacies to fill this perscription as it was being filled by Medco.

    On Saturday evening January 12th at about 4:30 pm my husband began to complain about feeling strange and was being pulled to the left so I carried him to the emergency room at our local hopsital from there he was transported by ambulance to a larger hospital as he needed the care of a cardiologist.He was in atrial fibrillation and its suspected by doctors that he suffered a stroke. The doctors told him that this was a medicine that you do not go a single day without. It was also noted that it takes about 6 days for Plavix to get out of your system He spent 4 days in the hospital. And today, January 17, 2008 we received his order of Plavix in the mail!!


    Atrial Fibrillation and possible stroke. Placed on a much stronger medication, Coumadin which will involve weekly monitoring by blood testing. This is a much more expensive treatment. Then there will be monthly monitoring of his blood the rest of his life.

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    Reviewed Jan. 17, 2008


    Medco falsely advertises the copayment for a nebulized medication for cystic fibrosis called Hyper-Sal as $2.95 for a 90 day supply, when in fact it is actually FORTY times that amount. I went to the Medco by Mail website 2 days ago, checking to see if they had started carrying this medication yet. I have 2 children with cystic fibrosis, who are both on multiple medications, which I purchase every 3 months in 90 day supplies from Medco.

    When I did the online search for Hyper-Sal, I was given the option to check the price for a 90 day supply, which is one package per month. I continued on to the next screen, and the screen stated Qty: 3; 4 ml packs, and gave a 90 day supply price of @2.95. I was amazed because this is significantly less than the CF pharmacy charges for the same medication [$59.50 for a 1 month supply (60 vials) is Medco's copay thru the CF pharmacy].

    I had my children's doctor fax in a new prescription for Hyper-Sal to Medco right away. I had recently ordered all of the boys' medications, and was expecting a big shipment this week. Last night, I got an automated call from Medco, saying that I needed to update my shipping address, or my order wouldn't ship. I called immediately to verify my correct shipping address. In talking to a member services rep (who barely spoke English), I learned that my shipping address was fine, but that I had exceeded my courtesy limit on medications. I was told that my credit card had been declined and that my order would not be shipped until I gave a credit card number.

    Medco has a valid card number on file, but this week, I declined the automatic debit option. Medco has screwed up several orders, and I did not want my card to be charged for any more medication order errors. This has never been a problem in the past...Medco has always just billed me via US mail. When I changed my option for auto debit, I received no information stating that Medco would not ship my order unless it was paid in advance.

    I finally got so frustrated (because we are out of one drug) that I told the rep to go ahead and charge the card on file. She simultaneously charged the card and told me the charge was $700. This was not the price quoted when I refilled all the medications online (it was more like $450). I asked where these extra charges were coming from, especially since my card was already charged. This member rep told me that she could not go over the order list with me, and that she would mail me a list in a week.

    I told her I wanted to speak to someone who could go over the prices so I could determine where the extra charges were coming from right then, and she hung up on me. When I called back, I got another member rep, who was able to go over the prices. In reviewing the costs of the various medications, I discovered that the extra charge came from 2 orders of Hyper-Sal, which was about 40 times the price shown online for a 90 day supply. This medication comes in a box of 60. The rep said that the online quote was for 12 ampules, and that each cartridge of 4 ampules is what they call a package. This is the most ridiculous thing I've ever heard, because Hyper-Sal is a twice daily nebulized medication. The way Medco advertises Hyper-sal in a 90 day supply as Qty: 3; 4 mL packs led me to think 3 boxes of 4 mL ampules (because it is prepackaged in a box of 60 ampules). Twelve ampules of this medicine is only a 6 day supply. The rep then told me that Hyper-Sal is not a preferred medication (which is why it has such a high copay). This is also preposterous because it is a common CF medication.

    Their preferred nebulized saline solution requires the patient to mix 2 different strengths of saline in a beaker, which is unsanitary. I am a physician at Emory University, by the way. I am aware of case reports of serious pulmonary infections caused by contaminated nebulized medications compounded for patients by pharmacists. It doesn't make sense that a less hygenic form of medication would be the preferred drug for people with serious pulmonary disease.

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    Reviewed Jan. 13, 2008

    I discovered yesterday that Medco's Perscription Malpractice almost killed me. I have been becoming increasingly ill for the last year. I have suffered chronic, excessive diareaha, daily projectile vomiting, dizziness, partial blindness, disorientation, tremors, weakness and fatigue. What turned out to be the cause of this - both my phaysician and Medco are guilty of malpractice.

    For almost a year Medco has monthly been sending me the same 3 prescription drugs - with no warnings and not a word about interaction. Yesterday when I ended up in the emergency room with Renal Failure, the doctor was livid because for the last year I have been taking a deadly combination of three prescriptions - all of which are clearly noted in the protocol - one of the drugs I have been taking has deadly interaction with the other 2. Neither the prescribing doctor nor Medco ever provided me with a warning and since Medco does not provide any of the drug information or inserts, I would not have had the opportunity to find this on my own. I don't care if I have to pay full price for my perscriptions from now on, I will not use Medco (which is the only way my insurance will cover the prescriptions). At least if I go to a REAL pharmacy I can talk to a human and not a machine - and maybe I would not have gone through the last years of hell and put my life in danger. I intend to report this to every regulatory agency I can find.

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    Reviewed Jan. 9, 2008

    I received a letter informing me that my long term prescription for Terbinafine (Lamisil) must now go through Medco's mail order pharmacy which takes 10-14 days to process orders rather than under 24 hours for my local pharmacy (even if they have to order it!). I complied and had my doctor fax them my prescription. Five days later I receive an automated phone call telling me my prescription was canceled. I called in to learn (after sitting on hold) that they canceled it because they only allow 22500mg in a 180 period. Terbinafine comes in only one dosage according to my doctor - 250mg - and it is to be taken daily until the nail grows out completely --something like 6 to 9 months; so Medco's limit is exactly half the typical dose. They told me to have my doctor call or fax them for a coverage review. He did (took two weeks due to problems at both my medical office and Medco). Once done, Medco denied the claim within 15 minutes. The reason they gave for the denial was the same as the one that motivated the coverage review--so why I spent two weeks on that I don't know and they couldn't explain it to me.

    Now they tell me I or my doctor have to fax or mail an appeals letter to a different department to have the case reviewed. My doctor's office did that today. I have already had to cover one prescription out of pocket, and since the appeal process can take up to 15 days and it takes Medco 14 days to mail medicine, I will likely have to fill 2 or 3 more out of pocket as well. At $10/pill/day, these little guys get pretty expensive. I have been disgusted with Medco's level of service and the amount of my time and money they are wasting. I have notified my employer, filed a formal complaint with Medco, and filed a complaint with the BBB. I'm not sure what else I can do. I believe I am stuck with Medco as far as my employer's benefits package is concerned, but I may purchase my own all the same.

    I'm out $165 every two weeks as we deliberate over the coverage. Numerous hours of lost productivity as I battle with them over this.

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    Reviewed Jan. 4, 2008


    My company forces us to use Medco for all prescriptions that we take on a continuing basis. I am diabetic. My doctor has prescribed several generic drugs and we have been seeing which work best.

    I went on line and ordered a refill of my generic drug ($12) from Medco. Instead of filling the order, they emailed my doctor asking which drug I was to receive: Glipizide or Glyburide.

    Doctor circled Glipizide and checked Glipizide. Intsead, MEDCO shipped and charged me $83 for Glucotrol. I immediately called them and shipped it back.

    They have sent me the paperwork that absolutely proves that my doctor did not order this drug - and I took the paperwork to my doctor for futher verification.

    Medco issued a credit to me on October 24th and then charged me again on October 25th.

    They are refusing to fill any of my diabetic drugs (any preseciption) unless I pay for the drug that I don't have and never ordered.

    This can be a life-threatening situation. I absolutely cannot afford these drugs without the presciption plan that comes with my health insurance that they take $129 every two weeks out of my paycheck

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    Reviewed Dec. 29, 2007

    They are just a very bad company. After a month they approved my breathing meds, but when I tried to get them filled they would not pay. Needless to say I sure do not need this insurance. I changed to another company.

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    Reviewed Dec. 19, 2007

    I had been on Forteo, which is a shot daily for osteoporsis for almost 2 years. I am now back on Fosamax. My Dr. wrote the prescription for once a month for a year. I sent into Medco and when I only got one months supply I called and they told me that my Dr. had written it that way and to get another prescription for a 3 month supply times 3 for a year, I did this right away and mailed it in. They are telling me that I have to wait 81 days to fill this new one even though I am not getting the other one now. It has been since early November and now it is late December and I can not get my medicine, which is to be taken once a week, until Dec. 31,. This means that I had to go 2 months without my medicine. I just can't understand this. They are the ones that told me to get another prescription and cancel lthe other. The Forteo was $700. a month and I know Fozamax is nothing to compare with this.


    This could result in a bone problem again. I thought I was doing so well. If them making me do without my medicine, affects my bone density again I will be very unhappy

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    Reviewed Dec. 17, 2007


    Would not listen to reasoning on any appeal that was written to them and advised it would do no good to appeal.

    This is concerning Glucophage Xr Tab Sr.


    I was stolen from because I have Insurance to cover my cost they would not take my doctor's letter stating he had made an error.

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    Reviewed Nov. 16, 2007


    Submitted a full year prescription from my doctor after being contacted by Medco in letter about how much money I could save if I switched my prescription from Actenol to Fosamax. I was sent a one month supply and charged a three month co-pay. I called to report the problem and I was told there was no problem, that the prescription did not specifically say they could send me a three month supply so they only sent one month. However, since they save money by sending multiple months, I was still charged the three month co-pay!

    When I asked why I wasn't notified in writing or by phone of the problem, I was told there is no way possible they have the time to contact all the people about this issue.I also asked why they aren't more clear on the three month/one month prescription stating they will charge for three months no matter what. She didn't answer but asked me in turn if I wanted to submit a complaint and I said yes. She said she typed it in my file that the process isn't written clear on how the prescription must be written. She also said I would still have to pay the three month co-pay.

    To me it is just a scam to get three times the money by only providing a one month supply of medication. From what I gather from the person I spoke with and the complaints I have read, this happens all the time. Medco also won't send any more medication until the bill is paid in full. I don't see how this process be legal or how Medco can still in business with this type of misrepresentation.


    Financial burden of paying three times what I should have paid when they convinced me to switch so I could save money. The stress of receiving only one month medication, knowing I had to get another prescription to pacify Medco and yet another prescription so I could have my medication until this gets straightened out. I'm concerned they will again fill my prescription wrong to continue to get more money. Medco can't be trusted and I have been duped.

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    Reviewed Nov. 14, 2007


    My daughter had a 90 day perscription with a 3 times refil. They have no record of this although I have a copy from her doctors office. I called to have the medication refilled and they told me that there were no refills left. I proceeded to let them know that they were mistaken since the prescription was dated Aug. 07. They then said they had no record of the doctor.

    I had to call the doctors office to phone in a different perscription to a local pharmacy for a 14 day supply to hold her over. They continually gave the run around, and my daughter is without her meds because of them. Do they have to answer to anyone? Who controls them?


    I have called the doctor to phone in a 14 day supply to a local pharmacy. I will be moving all our prescriptions from there and hoping they have to answer to someone. I called 5 times in one day to straighten this out to no avail. Are they in business to kill people?

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    Reviewed Nov. 7, 2007


    My Daughters doctor refilled her inhaler prescription for a year and Medco sent us all the prescription and a whooping bill for nearly 400.00!!

    My husband called and told them that we only needed one month maybee 3 at a time, But they sent all the prescription at one time. When my husband called to tell them that we could not use or pay for that all at one time and that we were shipping the case back to them, they told him we could NOT do that. And that if we did they would have to throw it away EVEN though it WAS NOT OPENED and we would have to still pay the bill. This is totally ridicilous when we didn't even authorize them to ship it to us anyway!

    AND on their privacy policy states we refill your prescriptions when you ask us to do so. I think this company is terrible and should NOT legally be allowed to do this. Do we owe for meds we didn't authorize or even call in for?

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    Reviewed Nov. 6, 2007


    My wife, being under pain management care, needs her medicine every day. Medco filled the first 90 day supply without a hitch. The next time around they claimed protocol? problems would delay the order and informed her that she should have back-up prescriptions as a contingency in the event Medco cant ship on time.

    It was tough enough coaxing her doctor into writing a 90 day supply of pain medications in the first place. Now Medco expected us to go back and ask for more prescriptions because they couldnt fill an order in a timely manner (over a week). My wife complied and the temporary supply was reimbursed by Medco after two months and many phone calls. Now the same thing has happened again. Medcos excuse was that they couldnt read the dates on the prescriptions. I could. They also claimed they were unable to get a hold of the doctors office in four attempts. This has never happened to us.

    The supervisor at Medco would not allow us to talk to a manager or the Pharmacist unless, get this, we wanted to know what the patient will experience when their pain medications run out. Thanks a lot!

    I am sending this complaint on to Blue Cross in the hope that they will find a competent replacement for Medco. In the future, we will spend the extra money and go to our local pharmacy to get her prescriptions filled. At least she will have her medicine in minutes.

    Consequences of interrupting a daily pain management regimen are twofold. Not only does the patient now have to endure severe pain, they will also experience the withdrawal effects due to being totally deprived of their prescribed medicine.

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    Reviewed Oct. 5, 2007

    Lost prescriptions, late prescription filling, no contact records, 8/19 canceled prescription filled 8/26, overcharged copayments, no contact records, inability to locate even my account, outsourced customer service giving misinformation, and more.


    My child, insulin dependent diabetic, left in emergency situation to get insulin more than once.

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    Reviewed Sept. 25, 2007


    An order was placed for a generic Rx and was filled with the Name Brand. I discovered that the order was incorrectly filled by going onlne to check our account. After contacting them that this order was not filled as requested,I was told that they would send me a return mailer. I returned the unopened package shipment in the return mailer that was sent to me by MEDCO. I am being billed for a product that was returned as instructed. I tried unsuccessfully to resolve this issue with MEDCO and with BCBS. Now I am trying to resolve this issue with a collection agency.

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    Reviewed Sept. 14, 2007


    I guess I am in good company when it comes to being unfairly treated by Medco. I too take a schedule 4 drug, considered a controlled substance. When I didn't receive my perscription in the mail, even though the doctor faxed it to them I was really puzzled. It turns out that Medco's policy is that they DO NOT accept perscriptions by FAX for schedule 4 drugs. Fair enough, but instead of leaving me hanging by a thread, they could have contacted me stating such.

    It was only when I was in dire need of the prescription, did I do the research myself and find out what the delay was. So, I went back to the drawing board requesting from my doctor that he MAIL in the original perscription and Medco by mail form. He obliged, but when I received the perscription, it's only 30 days worth, not 90.

    The doctor claimed it is because Medco gave him the run-around with NY State Law. However, when I called Medco the representative told me (after a lengthy pause and her looking up a bunch of legalise) that I would indeed be entitled under my plan for the 90 day supply, but that the doctor would have to write it as such: Quantity = 90, with 1 refill. She also referred to Code AF having to be used by the Medco staff. Then, she backtracked when I asked Where is the physician mail in form on your site? and told me I would have to download the patient one which to me, made no sense.

    If they didn't accept a FAX from a doctor's office, why would they accept my doctor's handwritten perscription with MY MAILING it in?? Why wouldn't they have a FORM that the DOCTOR can mail in along with the perscription? She said she could either transfer me to their pharmacist, (to which I said no thank you!) or, my doctor could call the 800 number and get advice on how to write the prescription correctly.

    What a mess. I agree with earlier complaintants - Medco can't hi-jack people's access to their meds without a fight! (At least not from me!)

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    Reviewed Sept. 5, 2007


    Our company just moved to Great West health insurance who uses Express Scripts to fill mail order prescriptions. After being assured calendar year deductibles that had already been paid would carry over from the previous insurer, we learned that it was not true. Then when a prescription was ordered, instead of the cost being subtracted from the deductible, Express Scripts ignored the charge and the next prescription was billed at the full amount also instead of the copay amount. Numerous calls to Great West and Express Scripts resulted in conflicting statements and doublespeak. Express Scripts simply stole my money and now I am held hostage, because I have no way to mail order prescriptions from another company.

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    Reviewed April 25, 2007


    Prescription faxed on 4/2/07. When I started calling to check on order, according to pharmacy they never received it yet when I finally got to speak to a supervisor I was told they (pharmacy) faxed a verification of address to my physician. When I questioned why the pharmacy would do this when supposedly they had no record of prescription, supervisor became defensive.

    My Physician ended up calling rx directly into pharmacy on 4/13/07, which I was told would process in 3-5 days. It is now the 25th and I still have no prescription. Again dealing with pharmacy reps and supervisor gets no where. Extremely poor customer service and quality of care. Filed complaints thru Express Scripts Patients Response Officer and my insurance co.

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    Reviewed April 24, 2007

    I requested a generic prescription which would have cost me $5. Medco sent me a non-generic prescription, w/ the wrong dosage, w/out notifiying me and charged my credit card for $75 with out my authorization. They refuse to take back the wrong medication and refuse to reimburse me.

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    Reviewed April 4, 2007

    Shorted prescriptions: 4 weeks short in July 06, 1 week shorted March, 07.

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    Reviewed March 17, 2007

    I have Cystic Fibrosis and I take 13 to 15 meds 4 times a day. My husband has 4. I had to take on Express Scripts Jan 2006 I had the hardest time getting my pills in my house. They have the worst customer service ever. It took me 3 months to get the meds in my house. They admitted to making mistakes after it was done. I have never had anything happen smoothly with Express Scripts, except for them taking my money. I went to the web site to renew my pill giving a correct amount of time to refill having them shipped here. No can't be done have to get new scripts. Do they tell you that no.

    The web site says one refill. So I faxed the scripts nope not good enough. Have to have the doctors office fax them again. Then I talk to two managers one above the another and they still don't do what I asked. I wanted 11 of them sent over night at their expense $18. Did they do that NO of course not. They send 9 of them regular mail and 2 over night. I am holding my breath I don't run out of pills. May none of the employees never have an illness they need meds for.

    If I don't have my drugs to keep me healthy I end up in the hospial for 10 days on intervenes antibiotics.

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    Reviewed March 5, 2007

    The insulation around the sparkplug wires inside of the ignition harness has deteriorated causing short circuits and misfiring. This occurred in a model 1993, 300E with 160,000 miles. This is premature for a vehicle boasting longevity and reliability. Reporting of this same problem is so widespread suggesting poor design choice in placement of the harness and/or inferior insulating material. The cost of the replacement harness has jumped from around $400 in 2004 to over $900 today ( feb 2007). Is this good customer service or exploitation of customer trust?

    ˆ

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    Reviewed Feb. 26, 2007

    I can ditto all the other complaints on this site for Medco Pharmacy. THEY ARE A NIGHTMARE!

    I spent half a day going to each of my doctor's offices to have them fax new prescriptions to Medco. I have been checking my order status 2-3 time a day since and it is constantly changing and constantly WRONG!

    I am supposed to get all generic drugs, but one day they are showing the generic drug as pending and the next day they've changed it to the name brand. I had 3 prescriptions faxed to them 2/21 and one has shown up correctly, but has not shipped (nothing will be shipped prior to Feb. 28th).

    And to top it off, when I do a price check, it tells me my retail pharmacy is cheaper for two of the drugs! I thought the whole point of this mailorder/nightmare/hassle was to get the cheapest price. What a joke!

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    Reviewed Jan. 3, 2007

    On my 2007 Mercedes CLK350 Convertible when pushing the front seat forward to allow rear passangers out of the backseat a serious safety issue occurs. The headreast is automatic so when the seat is pushed forward and laying in the full forward position it goes all the way down by a motor.

    There is no automatic sensor to indicate fingers ot hands/limbs that are placed there as an aid to get out.It is the natural motion to place your hand/forearm on the front seat when getting out of the rear seat of a 2 door car. Since they only exit from the passanger side I can only speak of what occurs from that dise.

    Although, I have reenacted the scenario on the drivers side and the same situation occurs. When pushing the seat forward the motor automatically lowers the headrest without a sensor.

    3 of my 4 children have had serious injuriries resulting from the headrest.

    My 4 year old son was getting out of the backseat and the headrest caught 3 of his fingers under it. He was screaming as the headrest was continually trying to get all the way down while crushing his fingers.

    The ONLY option was to yank his hand out. My 7 year old was exiting the rear seat when hif forearm was crushed resulting in a bruise and hickey like mark where the headrest crushed him.

    My 10 year old daught also had her hand crushed under the same head rest. There is no way to push the headrest back up as it is crushing the bones. They all now know to wait until it is ll the way at the lowest position before exiting the car.

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    Reviewed Nov. 18, 2006

    I have been working with this problem since April, when I reached my donut hole with Medicare. I have a secondary insurance with my husband's ex-employer Raytheon. For some reason Medco YOURx PLAN will not send me the correct paperwork for me to mail to my secondary insurance, Innoviant, so that they may pick up the reimbursements for my medicines. I have tried on numerous occasions to get this problem corrected.

    Medco is constantly sending me the wrong forms. I have the correct information to give them, however, they will not send correct ones. Medco has my money for the perscriptions, $2200, as they have charged this to my discover credit card. In order for me to be reimbursed I need their cooperation. I need their paperwork to mail to my secondary. In my opinion, Medco is playing dumb when it comes to sending the correct paperwork. I will also be filing a complaint with my Texas State Board of Pharmacy in Austin Texas.

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    Reviewed Nov. 14, 2006

    My sister in law and I have the same name, I am Jennifer B and she is Jenny B. We both use Express Scripts. We work at different places but both in the same town. She has received prescriptions from them with warnings about its interaction with a drug I take. Now I have a charge on my credit card for one of her prescriptions. I have been calling Express Scripts now for 2 months trying to get this charged reversed to no avail. They are ridiculous!

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    Reviewed Sept. 22, 2006

    On an almost regular basis over a period of years our claims are rejected for fabricated reasons. I beleive this is a company policy to extend the time it takes to actually pay the claim. Some months they state another insurance carrier may exist and we have to resubmit everything, this month we just got back 8 forms stating the ID number is not valid. These are regular rxs filled on a monthly basis with all of the same information. I believe all comsumers who are subjected to this are due something for their time spent correcting the insurer's processing errors. I also beleive this is a corporate policy which is put in place to make people give up submitting claims for small amounts just because of the time and effort needed recalling, refaxing, resubmitting, etc.

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    Reviewed Sept. 13, 2006

    Medco - United Health Care Systems have to be the worst company I have ever dealt with. When medication is prescribed by a Physician, what gives Medco the right to evaluate a consumers medical information to determine if they will cover medication under the plan. I have had to fight to get my Provigil covered which they finally approved and additional fees charged by my doctor for having to deal with Medco and completing addition forms. Now I receive a letter stating that the approval is coming upon expiration and that they will need my doctor to contact them and provide additional information so that they can determine if the medication is still required.

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    Reviewed Sept. 1, 2006

    Prescription came with lid off and medication capsules destroyed. Called express scripts and was told they would send a replacement and, with replacement, a fedx return label. Did not receive either. When I called back, I was told I needed to mail back damaged meds first. I pursued with pharmacist and was told I needed a brand new script. I was told express scripts would need to receive back original damaged meds, then they would request script from doctor, then replacement would be mailed. They stated there was no way to expedite. In their system, they have stated, patient returned prescription because generic. Nowhere in their records do they indicate the meds were damaged because the lid was never put on.

    I asked that they correct records to state the reason for the return is damage. They stated records couldn't be changed. One of my early calls, CSR stated that I was not the first person that day to call because the lid was not put on, and meds were damaged.

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    Reviewed Aug. 24, 2006

    I was prescribed a medication by the name of Provigil 200mg to help me with fatigue. My days are sometimes hard to get through because I'm so tired I can barely function. My medication was denied for payment because it was not on the list of medications approved by Verizon Wireless and Medco to be used for treatment of fatigue due to Multiple Sclerosis. Since my pre-auth. was not approved through Medco, I had to file an appeal that can take up to 15 days for a decision to be made. I could do an urgent appeal, but if my appeal was denied that decision was final and there would be nothing else I could do. I have told them how helpful this medication would be to me.

    Due to these decisions that have been made, I have to buy my prescription out of pocket. My medication is $10.00 per pill. I can not afford this. If I can't afford my medication, I can not take it.

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    Reviewed Aug. 19, 2006

    i sent my 4 prescription medications and sent me only three. when i tried to check with them,, express script stated, we may not have received your priscription. after 10 minute of argument, they we will check into this matter. after two weeks no answer-- absolute negligence.

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    Reviewed Aug. 5, 2006

    No response from getting prescriptions sent through mail until I called our Congressman office. Wife's blood sugar getting too high and not getting her or my prescriptions from a month ago from Express Scripts except for double talk.

    Yes! Our blood pressure increases during stressful phone calls to them, for missing prescriptions and 3 times the extra cost at a local drug store for the actual prescription that we should have gotten from Express Scripts that we are already paying once for! We are retired and get an argument from them but no results untill I get mad enough to call Mississippi Congressman's office to complain. My blood pressure goes up. Is this part of their plan? (To try to cause strokes and actually causing high sugar and blood pressure readings) That my good doctor is trying to prevent!) My wife's sugar and mine are under care of this company that we are giving $175 a month to, so we can not get anything but an augment which is taking it's toll. We have to further spend MORE money at local drug stores and pay 3 times the price for our drug care that Express Scripts is GETTING PAID to provide through the US Mail. What a Crime! Larry King we need you!

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    Reviewed Aug. 3, 2006

    My employer's Heath Insurance provider, HealthNow, has recently contracted with Medco, a mailorder pharmaceutical provider. I have asked that the rheumatoid arthritis medication, Humira (I need to take once a week), not be sent via commercial courier (UPS, FedEx, USPS, etc.). Humira must be kept between 36 and 46 degrees F and not damaged in transit. Medco packs a 90-day supply in a styrofoam box with a cold pack and ships with whatever courier they've contracted with at the time. Humira is on their mandatory mailorder list but Enbrel (nearly identical) is not. Pharmacies receive their Humira from a wholesaler who ships it within one day in a dedicated truck packaged to maintain the proper temperature, and handled by trained pharmaceutical shipping employees (not UPS, FedEx or USPS delivery people - not trained in the proper handling of delicate medicines).

    Commercial couriers tend to damage a very high percentage of the packages they handle. It is bad policy and very dangerous to the patients requiring this medication to ship it commercially to one's doorstep (where it could overheat in the summer or freeze in the the winter). My Rheumatologist agrees that it is not good policy to transport Humira via commercial couriers.

    Humira is a self-injectable live antibody suspended in a liquid base that needs to be kept within a very narrow (9 degree) temperature range and also needs to be handled with a certain amount of care (not dropped, shaken, crushed, etc.) to maintain its therapeutic efficacy. After I'd explained my position (thoroughly discussed in several recent email communications) Phillip Baker (a Medco administrator) asked me if I'd be willing to give it a chance. Clearly, the decision makers at Medco are willing to take a chance that using commercial couriers will not result in compromising the therapeutic efficacy of my Humira prescription. They don't have anything to lose... but as I explained in multiple emails to Medco representatives, it would only take one compromised batch (even a one or two week supply) to cause irreparable damage to my health and ability to function.

    After joint damage has occurred, as a result of Rheumatoid Arthritis, it doesn't recover while the disease is active. Humira helps to slow the progress of the disease - it doesn't stop it. Ground that's lost in this battle is lost for good. I'm certain that if Mr. Baker or anyone at Medco involved in this discussion were in my position, they'd feel uncomfortabe about taking that chance. I'm one of thousands of RA patients dependent upon Humira. Medco is unnecessarily risking our health by unwisely adhering to this policy.

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    Reviewed May 30, 2006

    Repeated delays processing prescription refill orders. I had my Dr. office fax (per Medco's instructions and using their prescription order forms) to Medco for refills and new scripts. When trying to contact Medco by phone, they just told me that there was a problem (non-specific) with my prescription and that they have contacted my Dr.'s office and there was NOTHING they could or would do until my Dr. responded back. I immediately called my Dr. and verified with him and his staff that no one from Medco or representing medco had contacted them...PERIOD!!

    Medco's service and support is nothing short of simply being insulting. When attempting to resolve this matter, I just get handed off from one person to the next, each adding a non-matching variation to the reason why there's a delay. Each Medco customer service rep's story changes from person to person. This type of event has occurred each and everytime I've tried to have medicine prescriptions refilled, renewed or reordered.

    Out of prescription medications to control severe hypertension (high blood pressure) and the medical consequence for uncontrolled hypertension is considered life threatening. In addition other medications are required to control the life altering side affects of taking hypertension medications, the consequence of which affects the quality of life, which leads to severe depression if not controlled with medication. Medco has been negligent in their responsibility to ensure prompt attention and service for medications that are life sustaining.

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    Reviewed May 22, 2006

    On 04/03/06, I mailed (USPS) a prescription for my wife for Advair at a dosage of 250/50 to Medco. Later that same day (04/03/06), my wife’s doctor changed the prescription to a dosage of 500/50. On 04/04/06 At approx. 8:00 AM Eastern, I called Medco and advised them of the change and told them to cancel the 250/50 prescription. At that point in time, Medco verified that the request for the 250/50 prescription had not yet been received and therefore had not been shipped and that my account would be noted so that when the 250/50 prescription arrived, it would not be shipped.

    On 04/12/06 the (canceled) Advair at a dosage of 250/50 prescription arrived at my home. Subsequent to the delivery of the cancelled prescription, I called Medco to advise them of having received the wrong prescription and to verify that the correct prescription was being sent and to verify that I would not be charged for the Advair at a dosage of 250/50. However, the individuals to whom I spoke on that and subsequent occasions are all informing me that Medco is going to continue to charge me 120.00 for the prescription that I had ordered to be canceled on 04/04/06.

    In justification of their actions, each Medco representative with whom I have spoken has stated some variation of the following:

    1.The Medco process is an automated process.

    2. I was given no guarantee at the time I called in the cancellation.

    To the former (The Medco process is an automated process), I would like to respond:

    •Medco’s internal communications procedures and any resident inherent weaknesses are Medco’s problem and I should not have to suffer for them. I, their client, made my request prior to the prescription’s having even arrived at their company. How Medco fulfills my request is their company’s own, internal challenge.

    •I see no policies or procedures concerning cancellations posted on Medco’s web-site, nor has anyone from Medco been able to provide any such policies (in writing) to either myself or my advocate from company's Benefits center. If Medco's policy on cancellations isn’t publicly available, how is one to abide by it? To the latter (I was given no guarantee at the time I called in the cancellation), I would like to respond:

    •I never asked for a Guarantee when I canceled the order as it seemed (and was) a timely and reasonable request on my part.

    •While the Medco representative indeed did not say specifically that they will guarantee anything, they also did not state that they will not guarantee anything either.

    As it was a very simple request, if any problem was foreseen, perhaps the Medco representative to whom I spoke should have stated “Mr Customer, we can’t guarantee that your request will be honored. If we do send out the wrong prescription, you will be charged for it”. However, had such a statement been made then and there, I would have been asking for a supervisor right then and there!

    I am now expected to pay Medco 120.00 for a prescription which I had requested be cancelled and fear that while I attempt to arbitrate this, they will delay any future orders that I place.

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    Reviewed May 5, 2006

    I phoned in a refill to my required prescription drug benefit manager, Medco. My refill is for Actonel. The price should have been $37.29. The automated system said it would charge my credit card on file $87.29. I called customer service number at Medco to see if the drug price could have really increased 120% in the last 90 days. Customer Service looked at the order and said that there was a problem with their computer program. The Medco rep said that the price was going up on June 1st, as Actonel moves to a non-preferred drug status.

    The rep said that when I receive the medication, I should call them and ask Medco at that time for a $50 credit. I asked why I had to wait to get the money credited . She said because the price is going up on June 1st 2006 and the new price is already loaded. I asked what June 1st 2006 had to do with today, May 5th 2006. She said that by the time I got my medication it would be June 1st so I had to pay the price.

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    Reviewed April 24, 2006

    This company has been harrassing us with a bill of $120 for the past 30 days on account of their customer service department making a mistake and placing an UNAUTHORIZED order without our consent. We did not want this prescription and we do not need it. When the representative made the mistake on the telephone while speaking with my wife on another matter, she advised my wife that she had corrected her mistake and she would not get billed for her mistake. Nevertheless, a few weeks later we get an invoice. I called again, and spoke to another representative and apparentaly the representative NEVER cancelled her mistake on the system and the order was placed and shipped out.

    The problem is that it was $120 and I did not need this medication. I explained this to this representative and asked to speak to a manager, she advised that I just DO NOT ACCEPT THE package when it arrives VIA UPS. Therefore, we did not accept the package when it attempted to arrive our home for deliver and it was refused to be returned to the company. The company to this day, refuses to delete this invoice and now claims that because the medicine was made and shipped that I am responsible for this medication. This is absurd. I have called many times and spoken to many people and been hung up many times on account that it is a long distance call for me since I live in NC and this company is located in NJ.

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    Reviewed April 13, 2006

    I placed an online order for Aromasin on the morning of April 4th. My wife saw her Oncologist the same morning who told her to stop taking Aromasin. I called Medco's Customer Support and cancelled the order in less than four hours after placing it. I was billed and the order was shipped the next day. I have been in contact with Medco's Customer Support and they are the rudest people I have EVER done business with. They yelled at me and insisted that I would have to pay for the order and that even though I had called to cancel they can't cancel an order. I wanted to appeal and was told that there was NO appeal process.

    After contacting my employer's Help Desk and their intervention I was told that Medco was sending me an appeal form in 7 days. I have never in my 66 years done business with such an unprofessional and rude company. The order arrived 9 days after I cancelled it... The two Medco Customer Service Reps yelled at me and would not listen to anything I had to say. It's a shame that people like this are hired when there are compassionate people looking for jobs.

    Because Medco did not cancel my order I was billed $70. (which the CC company has removed from my bill) and IBM will be billed over $500 which will go against my prescription cap. Since we will definitely go above our cap this year we will have to pay this $500. Not to mention the emotional stress this has caused my wife who is dealing with cancer. Medco's lack of professionalism and their lack of customer service has caused us much distress.

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    Reviewed April 4, 2006

    Six days ago I dropped off my 14-year-old's prescription for an ADHD medication. She has been medicated for this condition for 7 years. My husband's company switched prescription benefits to this company in January. Medco requires prior authorization for this medication. Our doctor faxed a letter to medco the next day. My daughter ran out of medication 4 days ago. I assumed that the pharmacy had forgottten to call me to let me know that the medication was ready when I showed up to pick it up for the 3rd time. I had to pay full price for the medication in order to get it. I spoke to someone at Medco who gave me the phone number to check on the authorization; an automated voice told me the claim was in process. My husband can get a form and fill it out for reimbursement.

    While I am sure that the prescription card is supposed to save his company money, I believe that Medco is fraudulently making money off people who forget, or do not have the time to jump through all their inconvenient hoops. It becomes like a rebate-many consumers do not receive the benefit they have been promised. My daughter has been unable to finish school work that would have posed no problem, had she had the medication that her doctor prescribed for her. We are so frustrated.

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    Reviewed March 28, 2006

    I have dealt with many prescription insurance companies, none have been as horribly inefficient as Medco. I sent a three month script a few months back and was sent only half of the prescribed quantity-with no explanation! I called Medco, to learn (once I got through the miserable automated phone service to a customer service rep) that I was only covered the amount sent. I could get the correct quantity if I went through a pre-authorization process with my doctor. I did so, mailed another script, and was again sent the incorrect amount.

    I called Medco again and was told it would be resolved, but I needed to mail a new script. Meanwhile, I was forced to get a 30 day script from my doctor until Medco figured it out. This resulted in a three hour trip to the pharmacy because Medco would not approve the 30 day quantity. I then mailed in the new 90 day script and called to verify that the authorization had gone through. I was told that it would be filled correctly. I checked the website after it was processed, and found that-once again- it was not. I called Medco again, to learn that the original authorization was mistakenly submitted for the incorrect dosage. I was told that I would need to begin the process for a new pre-authorization. This delay required another trip to the local pharmacy.

    Clearly Medco lacks the ability or the desire to recognize and meet its customer's needs.

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    Reviewed March 16, 2006

    Prescription Delays I am a diabetic and wanted to refill my prescription. I was advised that Medco no longer had a supply of the medication (Avandament) because the mfg had run out. I went to my doctor and got a prescription for a 90 day supply of a new medication. I sent in the prescription and then realized that I was running out of my old medicine. Since the process with Medco Mail-order takes about 3 weeks, I asked my doctor to call a local pharmacy with a 30 day supply to hold me over until I received my mail order.

    When I went to CVS to pick up the prescriptions, I was told that they were not approved by Medco since I had already sent in an order to the Medco Mail Order Center. I called the Medco customer service number and spoke with a rep that told me they would not approve the prescription for 30 days but I could get another prescription for 14 days from my Dr and they would approve that. I could understand an issue with them not approving my prescription if it was one that I was only taking for a short time. However, I will be taking this medication for years.

    This instance is a prime example of a company trying to save money and the expense of their customers health. The sad thing is there is nothing I can do except write this complaint. Medco will continue to get away with their unethical business practices. I will miss 2 weeks of medication to control my Diabetes.

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    Reviewed March 7, 2006

    Yesterday my doctor called me to ask if I had instigated a change from my local pharmacy to Medco. I said no. He said he has recieved a request from Medco to fill all of my prescriptions as well as my daughter's through mail order. Since this was not my request, he said he would tell them no, thank you. Today I recieved an emailed order confirmation from Medco. Upon checking their website, I saw that there were in excess of 17 prescriptions being filled. I called my doctor to confirm that he had not sent prescriptions to medco. He confirmed that he faxed NO in response to their request. I contacted Medco by telephone. They claim they just don't understand how or why this happened.

    This is the second time it's happened to me. The representative was helpful only to the point of getting the order cancelled, however didn't want to acknowledge that a serious medical mistake could be made by continuing this practice of switching out peoples prescriptions. The mistake could come from a person in my situation-in that I also get different medications which are not paid for by my health plan, but are paid by workers compensation and are not known by Medco. Their own staff pharmcists have no way of knowing about these other medications and could instigate a deadly reaction by switching medications around.

    What is it going to take to get Medco to stop their practices? I see where they've settled the suits brought about on behalf of the government workers, but this isn't a government plan, it's a private plan through Blue Cross/Blue Shield. I am so fed up with this, and it seems that as consumers, our rights are being violated left and right and no one is doing anything about it!

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    Reviewed Feb. 23, 2006

    My husband's company, Siemens, switched their perscription policy to basically only deal with Medco for maintenance medication. My doctor faxed over a perscription, and after 10 days, at 8:30 p.m. on Friday night I was told that only a paper perscription would be accepted since it was a narcotic. Monday I visited my doctor, paid a $15 script fee and Tuesday I mailed the perscription. It took them 10 days to receive it and get it into the system, 10 business days to process it, and then my EXPEDITED order was to be sent to me overnight (free of charge) on 2/21, almost 3 weeks later.

    I called today, because my EXPEDITED order is 2 days late, and after being forced to hang up from their automated system to find a real person, I was told my EXPEDITED order would be received by 2/27. No email, no notification, etc. And, there is no note of the expedited order. The last 2 phone calls were very frustrating and controlling by the representatives, you feel as though your hands are tied behind your back. I don't want my order changed to expedited, as I am sure they will end up charging me and then I would have to be at home or have my delivery address changed and that just sounds like more trouble to me. And in the end, I wonder how a pharmaceutical company can legally get away with not filling a perscription which requires it to be filled in 7 days?

    I guess I will just buy it myself than go through this again. And I doubt I will have it by the 27th anyway with so many unfulfilled promises. And finding a way to complain on that award winning website is non-existent, as on their corporate site. I think I find the automated representatives more friendly too.

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    Reviewed Feb. 23, 2006

    I make the 40 minute call to help me with anything, logging on to do refills online, so I don't waste time on hold. Trying to get help for 6 months with this. still can't log in. rep are rude and not informed about pretty much anything and I just keep getting transfered to different people. If I go to a local pharmacy to fill meds I have to pay full price according to our plan so I really have no choice to call. It is really the elderly I am thinking about who can't navigate this system. I run a medical office and see this everyday.

    I wait until i'm out of med to refill because i can't bear to make the call. I see elderly not getting meds at all because they can't use their horrible system.

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    Reviewed Jan. 23, 2006

    My Doctor gave me a prescription which was a generic drug for Prilosec. Little did I know the generic drug did not come in 40mg. Instead of contacting me and telling me this they took it upon thereselves to fill it with Prilosec. I did not want it. Of course I had to take it because it came to my home. Since I could by it for $28.00 at Wal-mart for 42 day supply why would I want to pay $195.00 for it for a 3 mo. supply. Over the counter at $28.00 for three mo. comes to $84.00. Which would choose? Yes it is only 20mg., but that was okay.

    The sad thing is I am on social security and have to pay $195.00 for a prescription I did not want. I would appreciate it if they cannot fill a prescription like it is written, they would call me. I feel I have been taken advantage of.

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    Reviewed Jan. 16, 2006

    I sent a prescription in for mail order the end of December 2005. They acknowledged receiving it in December 2005, but on January 10, 2006, they returned the prescription saying they were unable to contact my doctor for more details. Of course, this now meant having to pay the $250 deductible for 2006. They told me that just because the prescription is received in 2005, it's when THEY bill, not when the request is made that determines which year is used. This is the second issue I've had with them over issues that cost me money and benefit them.

    I now have to pay the $250 deductible for 2006 to have this medication filled.

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    Reviewed Jan. 8, 2006

    I have spent at least 15 hours on the phone to Medco and Health Choice over the past week in addition to about eight hours online. The price quoted for some of my medicines has changed three times in four days. This is the same company that handled my prescriptions last year. They tell me I cannot buy some prescriptions retail and that I must buy them mail order. They say my medicines are covered and then they say that their portion is zero. I was told at a meeting they held last Fall that my costs would be approximately the same as last year. This is not true. Some of my medicines are two and three times what they were last year.

    This is a nightmare. I have severe medical problems and cannot do without my medicines. Some are ruled by law and they are telling me to do something that I could not legally do last year (90 day prescripion instead of 30 day, mail order instead of hand carry). I fear I am going to have to simply pay the full price because I need the medicines. This is in spite of the fact that I have paid for Medicare Part D (through Health Choice)and the cost of my private insurance. Help!

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    Reviewed Jan. 6, 2006

    In Dec of 2004, we received a prescription order from Express Scripts for a prescription my doctor had taken me off of in late November. The doctgor's office did not fax or call in an order to Express Scripts, which we verified with them upon receipt of the prescription package. This company mistakenly sent a prescription we did not order. We did not even open it, but sent it back to them.

    We got the prescription back again with a note saying we still had to pay, and that the Health & Safety Act would not let them accept back dispensed medicine. We have been disputing the $80 order since Dec. 2004 with numerous phone calls and letters, but Express Scripts just ignores our complaints. They have recently sent this to collections. We have sent our documentation to sall parties involved, and have asked them to at least provide evidence that our doctor ordered the prescription, which he did not do since he took me off this prescription in Novemeber of 2004.

    How do you fight a company that is in error but won't do anything about it? Our credit is impeccable and we have never been in collections. Does this not tell you that we are legitimate law-abiding citizens who do the right things, and pay our bills which are legitimate? This is completely wrong for a company to send a prescription not ordered, then do nothing about rectifying it. To me it appears like a scam. They figure we will eventually tire of the fight and give up and pay. We won't. We do not owe any amount for a prescription we did not order! Is there some agency we can contact to file further complaints against the unethical practices of this company? Because they are so very wrong, I would rather go to jail (whcih would be a great injustice) before I will pay them a cent for something that was not authorized or ordered.

    This is over $80. But in principle, we cannot pay for something we did not order. The damage is in the fact that they will not listen to our complaints, and have sent it to collections. We have excellent credit, always pay our bills on time, and do not want this tainting our good standing. A company cannot just send an unauthorized order to someone's home and EXPECT payment, then send it to a collection agency, ignoring our pleas for some assistence in the matter, then start adding on interest as a threat to force payment. This is highly unethical!

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    Reviewed June 22, 2005

    I ordered 3 prescriptions through Express Scripts in December and requested that they be sent to a temporary address over Christmas vacation. I never received the prescriptions. When I called Express Scripts after numerous attempts to reach a live person after being on old eternally, they told me they would cancel to order, no problem. I called back and attempted to order another order. They said they would send them. When I never recieved the 2nd order, I called and she told me I had an outstanding balance for the $210 prescriptions I never received in December. She told me it was out of her hands and gave me a Fed Ex tracking number to see if I could track the package that way.

    When I called them they told me it was delivered in December to someone signing with the initials TAM. I have not idea who that is. I sent a letter explaining my situation and received no reply just numerous invoices for the missing prescriptions. When I called today and talked to a billing manager, she told me that I had 60 days to contact them about the missing prescriptions and that I did not. But I did contact them in February. In fact the initial person who answered the phone even said that there is a recorded conversation in their records that I called in February. But now they are saying that I did not contact them until April and there is nothing I can do about it.

    I am probably going to be strong-armed into paying $210 or it will be negatively reported on my credit.

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    Reviewed Feb. 11, 2005

    The current prenatal vitamin I'm taking was reformulated and Express Scripts (E-S) told me I'd need a new Rx for the vitamin. So far, it's been a 2 week process that has consisted of 4 emails, 4 phone calls to E-S and 3 phone calls to my doctor's office. I don't understand the problem, but they claim this process is supposed to be easy and it has been anything but. They have faxed my doctor Rx requests twice, and my doctor has sent them back. Yet, E-S still has nothing registered in their system. I also asked my doctor to call the pharmacy directly, and there still has been no registration of my Rx in their system.

    In addition, this is not the first time I've had this exact same problem with E-S. The first time was 2 years ago. It was also filling a new Rx, where I had to mail in twice, and had my doctor fax in twice and call in once, the Rx to E-S before it was finally registered in their system. At this point, I've had it. Their customer service has been terrible, implying that there's nothing more they can do. The Rx isn't in their system. I'm getting no real support, service satisfaction or assistance from them. All I've received is there's nothing more we can do and you'll have to get a Rx from your doctor. There's been no acknowledgement so far of the 2 weeks of hassle I've gone through, or the fact that I've gotten Rx's from my doctor and had them sent in according to their easy steps and still nothing.

    I've read other complaints regarding E-S concerning similar dissatisfaction and want to make people aware of the problem. Maybe then they'll realize that they're easy system isn't so easy and there are flaws that need to be addressed.

    The Rx I'm waiting for is certainly not life threatening as some medications might be, however dealing with E-S has proven to be quite a hassle. Especially the implication that there's nothing they can do and somehow the problem must lie on my end, (with myself or with my doctor's office) is very frustrating. Certainly with the amount of problems I've had, there must be some sort of improvement that could be made on their end.

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    Reviewed Dec. 5, 2004

    In November I called Express Scripts to refill a prescription on which my bottle said I had one refill. When I tried to order the prescription I was told there was no refill. I called Express Scripts and told them I should have a refill on file. After checking they admitted they had inadvertently deleted the refill that should have been on file. They stated they would contact my doctor and send the needed medication to me immediately. It is now December and I never received the prescription believing it was in the mail.

    Today I called Express Scripts to be told that they had called the doctor twice and had not received a response. The result is I am completely without my diabetes medication. Should I go into a diabetic lapse I will hold your company responsible. I have explained to my family what has happened and what actions they should take. Even though I also hold my doctor responsible for not responding to you, your company was negligent in first deleting the refill order and should have been persistent until they got the needed prescription. Since I have been taking this medication consistently for two years with your company, they should have made arrangements for me to get an immediate temporary prescription. They never informed me that they were unable to get a response from my doctor. I find the irresponsibility of this company appalling.

    Having been without my required medication I am at risk for repercussions due to my blood sugar not being kept under control.

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    Reviewed Oct. 5, 2004

    I went to Medco Health website to refill rx for Estring 2mg. They did not have in stock, so they called the doctor and had the rx changed and shipped, billed my credit card, without informing me of the change. When I called Medco health and wrote letter of complaint they put the blame on my doctor. However, my problem is that I pay for the medication and before I'm billed and shipped something different should be given the option of purchasing. Very disatisfied with the service. I asked Charlie if they could send me an email before they so this and was bluntly told no.

    They sent me something that I won't use and they don't care. They sent me Nuvaring vaginal ring (which adds another hormone that I don't need), but again they reiterated that this is the doctor's choice. I believe when I pay for something it's my choice! The doctor doesn't buy my medication.

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    Reviewed Sept. 29, 2004

    Medco is the prescription drug benefits provider for our BlueCross BlueShield coverage. They have come up with a new monopoly ruling that says that we must pay more money for our prescriptions if we use our local pharmacies instead of their pharmacies. I had to have all new prescriptions done and order my maintenance drugs from them or pay almost twice as much from my local pharmacy.
    As a result, one of my prescriptions was written wrong and I received the wrong medication. After taking one pill, which I had an adverse reaction to, I stopped taking the medication, researched what was wrong, and contacted Medco. My doctor had written a prescription for the wrong medication. I have used the same pharmacist for years. He knows the types of meds I can and cannot take. He catches errors made by my doctors all the time. Medco knows nothing about me, my history and does not care to know.
    When I filled out what meds I take monthly, I filled out the correct medications. Medco did not check to see that what I listed matched the prescriptions that were sent. To be honest sometimes meds have so many different generic names, it is impossible for a non-certified pharmacist to know that it is not the same medication. Therefore when I sent my script in, I didn't realize it was not my normal medication and I didn't question it.
    There were several things my normal, caring pharmacist would have questioned. I am allergic to yellow dye, this incorrect pill was green, this signals it takes yellow dye to get that color. He would also have questioned why my medication was changed. At that point, we would have contacted the doctor to correct the problem.

    I am now stuck with 3 months of pills I cannot take. Medco will not refund my money and to be honest takes no responsibility for this at all.

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    Reviewed Aug. 2, 2004

    I sent in a prescription for a glaucoma drug which I have to take for the rest of my life. The doctor prescribed 6 refills. My plan says that if I go thru Medco, I can get 90 days worth of this drug for $30. So, I tried to save money and do exactly that -- go thru Medco. But Medco sent me ONLY 15 DAYS OF THE MEDICATION FOR $30 -- the same price as the 90 day supply!
    They said since my doctor did not explicitly write this on the prescription, they could only send me 15 days worth of the medication. THE PRESCRIPTION CLEARLY SAID 6 REFILLS, but that was not good enough for Medco. It had to explicitly say 90 days for them. Now, please tell me, why would anyone request a 15-day supply when they can get a 90-day supply for the same price? And Medco very well knows that this specific drug is the type an individual must take for the rest of his life. They had to know I would want a 90-day supply.

    To add insult to injury, if I had gone thru a local pharmacy -- an option my plan offers, I would have only paid $10 for the 15-day supply according to my plan!

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    Reviewed July 29, 2004

    My company selected Medco as the sole provider of prescription drugs under the company's benefits package. I have never used a mail order service, so this was new to me. The program is very focused on persuading the buyer to purchase medication in larger quantities to pay lower costs if the prescription allows. I'm not sure how true that really is, because it appears that their quotes for buying less or from an external pharmacy were very "bloated".
    My pocketbook is not flowing with money, so I decided to buy a 90-day supply of my medication. (It was a sacrifice at the time) I received the medication, but only received 30 days worth. I contacted customer service to see what the process would be to get the rest of what I paid for. They said that my prescription only allows for 30 days. I then returned a reply and asked "how much is it for the 30 days that I got?" They said it's the same as 90 days. I returned a reply and asked when I would be receiving a refund or the rest of my prescription. They said I would not get a refund or medication as it was not their error.

    I've gone through my Human Resources Department for assistance and they are getting the same reply. I am angry that they are trying to get away with this. It's not an enormous amount of money, but it infuriates me to think that they get away with this from day to day. I have elderly parents and understand the struggles that older Americans have with fighting the system.

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    Reviewed July 21, 2004

    About a month ago I reordered a 3-month prescription online with Medco Health, as I have done for the past two years. A few days later I was called on the phone and told that I needed a new Rx from my doctor. So I made an appointment to get a new prescription. I mailed it to Medco, and they eventually sent me a one month supply, and charged me $75, which I have been paying for 3 months supply.
    I investigated the problem and called them and they said the Dr. wrote a Rx for one month, with three refills. This is a technicality, as I read the Rx as meaning 9 pills X 3 refills, or three refills at a time. I even went to the Dr. today and he rewrote the prescription, wording it as 27 pills, or a 3 month supply. I called Medco back and asked if I could fax the new Rx and have the other 2 months filled. NO, they said, since it's not their fault. But I was charged the same price as if I bought 3 months!

    "Well, can I get a refund since I'm not satisfied with this service?" I aasked. "NO," I was told. I would go to the neighborhood Walgreens if I wanted one month-- it'd be cheaper! I asked them aren't they a business? I can get a refund if I'm not satisfied with their service. No, I was told. As a consequence, I will be paying $75 for a one month supply of 9 pills, so that's about $8 a pill! I would have paid $30 at a retail pharmacy. I am a single woman with 2 jobs, so extra expenses are difficult.

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    Reviewed July 18, 2004

    Ever since my Virginia Anthem/Blue Cross plan turned our prescriptions over to Medco Health, it has been a virtual nightmare for me. I seldom get any of my prescriptions on time, and suffer a severe hassle from Medco on every new prescription or refill. All I use is blood pressure medication, water pills, and synthroid. NONE of these drugs would sell well on the street corner, yet they imply every time that I'm trying to get extra medication, or trying to get it too soon. I actually believe they think I have a black market for water pills!
    I've told them numerous times that I have had to do without medications 3-5 days. That's when they want to put me through to someone who will tell me the dangers of doing without medication. Do they really think I want to hear about the symptoms I'm already experiencing that THEY are causing? I sometimes feel as if they have targeted me, and are taking delight in torturing me.
    To date, the worst identifiable problems I've experienced is the extreme anxiety they have caused me. I know, however, that with missing with the blood pressure medications, there is unseen damage. I once had to do without synthroid for nearly two weeks, and that brings on flu-like symptoms, and causes unseen damage to organs. The anxiety is severe. I fear every contact with them, because none have had good results. I have reached the point that I would almost rather do without medication than try to deal with them.

    It is extremely depressing to look at a nearly empty pill bottle, and know I have to either try to reorder, or choose to do without. I never knew what depression was until I had to start dealing with them.

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    Reviewed June 25, 2004

    I can see that several other people have had the same problem as we have just had with Medco. We just started the mail order for long term prescriptions and when it came in it was only enough for 30 days. After calling them and explaining what I thought was a problem, they told me that the prescription cost the same for 30 or 90 days. How is this saving me money? We could get the same thing for $10 before Cigna contracted with Medco.

    Now we have to get another script, pay for the Doctors visit and another copay. Their whole excuse is that the script is a "legal" document and nothing can be done. I just want to know how they can get away with charging the same no matter the quantity. They must be making money hand over fist. Can you say Savings and Loan?

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    Express Scripts Company Information

    Company Name:
    Express Scripts
    Website:
    www.express-scripts.com