Health and Wellness
Express ScriptsThis business is NOT BBB Accredited.
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Important information
- Customer Complaint:Better Business Bureau has received a pattern of complaints against Express Scripts. Complainants allege billing issues, difficulty obtaining a prescription, and poor communication with the company.
Complaints
This profile includes complaints for Express Scripts's headquarters and its corporate-owned locations. To view all corporate locations, see
Customer Complaints Summary
- 1,561 total complaints in the last 3 years.
- 457 complaints closed in the last 12 months.
If you've experienced an issue
Submit a ComplaintThe complaint text that is displayed might not represent all complaints filed with BBB. Some consumers may elect to not publish the details of their complaints, some complaints may not meet BBB's standards for publication, or BBB may display a portion of complaints when a high volume is received for a particular business.
Initial Complaint
Date:03/24/2025
Type:Service or Repair IssuesStatus:AnsweredMore info
Complaint statuses
- Resolved:
- The complainant verified the issue was resolved to their satisfaction.
- Unresolved:
- The business responded to the dispute but failed to make a good faith effort to resolve it.
- Answered:
- The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
- Unanswered:
- The business failed to respond to the dispute.
- Unpursuable:
- BBB is unable to locate the business.
Express scripts has terrible customer service. You get a different answer every time you call and they don't seem to care. Their issues have caused me to miss multiple doses of medication and that seems to be fine with them.. They constantly change their policies to make it hard to fill prescription. Waste doctors time over and over getting their paperwork straight. We should not have touse them but my company sold them out insurance contract. Stay away from them if possible. Hopefully the government will shut their scam downBusiness Response
Date: 04/09/2025
April 9, 2025
Better Business Bureau Serving **************** and *****************
***************************
***********, *******; 63102
Attn: Dispute Resolution Department
Tracking ID: ********
Complainant: **** ********
Dear ********************** is to advise you that **** Deerhakes concern has been addressed.
We have been in contact with Mr. ******** and will remain in contact through completion.
Sincerely,
***** ******-*****
Senior Manager, Executive CorrespondenceCustomer Answer
Date: 04/10/2025
Complaint: 23110422
I have reviewed the business' response and am rejecting it because:
I have still not been able to fill prescription even though it says pre-approved. Six weeks missing my meds because Express Scripts should not be handling prescriptions. **************** calls to tell me it's my mistake but I still have no meds. They do nothing to help get your meds on time.
Sincerely,
**** ********Business Response
Date: 04/17/2025
April 17, 2025
Better Business Bureau Serving **************** and *****************
***************************
***********, *******; 63102
Attn: Dispute Resolution Department
Tracking ID: ********
Complainant: **** ********
Dear ********************** is to advise you that **** ******** s concern has been resolved. We spoke with *** ********,discussed his concerns further and provided an update, this matter is considered closed.
Sincerely,
***** ******-*****
Senior Manager, Executive CorrespondenceBusiness Response
Date: 04/22/2025
April 22, 2025
Better Business Bureau Serving **************** and *****************
***************************
***********, *******; 63102
Attn: Dispute Resolution Department
Tracking ID: ********
Complainant: **** ********
Dear ********************** is to advise you that **** ******** s concern has been resolved. We spoke with *** ********,discussed his concerns further and provided an update, this matter is considered closed.
Sincerely,
***** ******-*****
Senior Manager, Executive CorrespondenceInitial Complaint
Date:03/24/2025
Type:Service or Repair IssuesStatus:AnsweredMore info
Complaint statuses
- Resolved:
- The complainant verified the issue was resolved to their satisfaction.
- Unresolved:
- The business responded to the dispute but failed to make a good faith effort to resolve it.
- Answered:
- The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
- Unanswered:
- The business failed to respond to the dispute.
- Unpursuable:
- BBB is unable to locate the business.
Ive been on ******* for almost 2 years due to type 2 diabetes. I was put in this after previous treatments with ********* and xigduo. ******* has been the most effective. According to express scripts too effective since my A1C was less that what they say it has to be. Ignoring the face that my sugar level from those SAME labs shows 139. Their policy even states and A1C of a certain 6.5 OR a glucose level of or equal to 126. My doctor also tried to get me back on xigduo until we can get this resolved. This was also denied since I need to use step up therapy. This has already been done! Ive had diabetes for years. Im now going on week three of no medications. My fasting glucose was 151 this morning and I need meds NOW!!!Business Response
Date: 04/08/2025
April 8, 2025
Better Business Bureau Serving **************** and *****************
***************************
***********, ******** 63102
Attn: Dispute Resolution Department
Tracking ID: ********
Complainant: ****** ******
Dear ********************** is to advise you that ****** ****** concern has been addressed. We made attempts to reach Ms. ******* however, have not been able to discuss this matter with her. ***************** return our call, we will be happy to discuss her concerns. At this time, the matter is considered closed.
Sincerely,
***** ******-*****
Executive CorrespondenceInitial Complaint
Date:03/23/2025
Type:Delivery IssuesStatus:ResolvedMore info
Complaint statuses
- Resolved:
- The complainant verified the issue was resolved to their satisfaction.
- Unresolved:
- The business responded to the dispute but failed to make a good faith effort to resolve it.
- Answered:
- The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
- Unanswered:
- The business failed to respond to the dispute.
- Unpursuable:
- BBB is unable to locate the business.
Spoke numerous times with Accreedo Specialty Pharmacy beginning February 12th for a prescription that was sent over by my gastroenterologist Dr. ****** with ****** ******* clinic. Prescription was initially sent beginning of January to Accreedo Specialty Pharmacy. I have missed work due to heavy bleeding from a Crohns flare up due to pharmacy's negligence of filling my prescription.Spoke with **** from Accreedo and she assured me that prescription would be expedited on March 10th. Spoke to ******* with Accreedo on March 19th and stated he would expedite my prescription once again. Prior Authorization has been approved via my Health ******************** Blue Shield of Texas so pharmacy has all required documentation and approvals for shipment. My medication has been in process since February 11th and still hasn't been shipped.Customer Answer
Date: 03/25/2025
Business has resolved my issue.Initial Complaint
Date:03/21/2025
Type:Service or Repair IssuesStatus:AnsweredMore info
Complaint statuses
- Resolved:
- The complainant verified the issue was resolved to their satisfaction.
- Unresolved:
- The business responded to the dispute but failed to make a good faith effort to resolve it.
- Answered:
- The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
- Unanswered:
- The business failed to respond to the dispute.
- Unpursuable:
- BBB is unable to locate the business.
Accredo specialty pharmacy is causing unnecessary delays in filling and delivering prescriptions.After unsuccessful attempts to resolve the issues, my insurance company spoke to Accredo and the issue was supposedly resolved. However, the pharmacy changes the doctors prescription and now requires "clarification" from the doctor. This has gone on twice and now the doctor is getting alienated and has reported it to her Rheumatology supervisor. They do not notify you of what is going on. You only look at your Accredo mobile app and see that nothing is happening and you must call in to find out why. We are about to miss dosages and all they can offer is "counseling" for missed doses. The health insurance, and the doctors office have all done their part. Accredo is stalling the process every step of the way.Business Response
Date: 04/04/2025
April 4, 2025
Better Business Bureau Serving **************** and *****************
***************************
***********, *******; 63102
Attn: Dispute Resolution Department
Tracking ID: ********
Complainant: ***** *******
Dear ********************** is to advise you that ***** Mcneeses concern has been resolved.
We made multiple attempts to reach *********** however, have not been able to discuss this matter with him. ****************** return our call, we will be happy to discuss his concerns.
At this time, the matter is considered closed.
Sincerely,
***** ******-*****
Senior Manager,Executive CorrespondenceInitial Complaint
Date:03/21/2025
Type:Service or Repair IssuesStatus:AnsweredMore info
Complaint statuses
- Resolved:
- The complainant verified the issue was resolved to their satisfaction.
- Unresolved:
- The business responded to the dispute but failed to make a good faith effort to resolve it.
- Answered:
- The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
- Unanswered:
- The business failed to respond to the dispute.
- Unpursuable:
- BBB is unable to locate the business.
Express Scripts mail order Pharmacy refuses to process and ship my prescriptions for a 90 day refill. Submitted March 10, 2025. Prescription Number ************ Prescription Number ************ Prescription Number ************ Prescription Number ************ Currently they claim by an e-mail How Will I pay for the 90 day Refills of prescriptions. They have cashed (2) checks for $26.00 each that covers the cost of Medications. They refuse to acknowledge receipt of refill requests and payment by written ( mailed by ****) correspondence relating to reason for failure to ship. Check Number 1254 $26.00 Check Number 1256 $26.00 ******* ***** ************************************ *************Business Response
Date: 04/16/2025
April 16, 2025
Better Business Bureau Serving **************** and *****************
***************************
***********, ******** 63102
Attn: Dispute Resolution Department
Tracking ID: ********
Complainant: ******* *****
Dear ********************** is to advise you that ******* Stasis concern has been addressed. We made attempts to reach Mr. ****** however, have not been able to discuss this matter with him. **************** return our call, we will be happy to discuss his concerns. At this time, the matter is considered closed.
Sincerely,
***** ******-*****
Executive CorrespondenceCustomer Answer
Date: 04/16/2025
Complaint: 23098502
I have reviewed the business' response and am rejecting it because:I mailed Express Scripts a letter requesting a mail response not a phone call and Express Scripts has not responded. I am requesting written Documation on failure to process and ship medication. There is now one additional prescription sent and not processed or shipped.
Sincerely,
******* *****Customer Answer
Date: 04/29/2025
Express Scripts has failed to respond in writing why they will not process my Prescription. The only acceptable response was in "WRITING"
I do not have my Prescription and Express Scripts has my money and has not returned my money.
Express Scripts has Said to BBB "WE HAVE CALLED THE CUSTOMER" (Was that an unacceptable response by BBB standards.
I HAVE SENT EXPRESS SCRIPTS "TWO "CERTIFIED MAIL WRITTEN REQUEST" REQUESTING A WRITTEN RESPONSE AND THEY REFUSE TO RESPOND. I have not received a hard copy from **** indicating they have received my correspondence.
I do not understand how BBB can close an unresolved dispute. I do not have prescription, and I do not have my money.
******* *****
Customer Answer
Date: 05/02/2025
I have sent the business two letters with additional prescription information and I am not sure if they have received these letters. There are now two prescriptions that have not been filled.Business Response
Date: 05/07/2025
May 7, 2025
Better Business Bureau Serving **************** and *****************
***************************
***********, ******** 63102
Attn: Dispute Resolution Department
Tracking ID: ********
Complainant: ******* *****
Dear ********************** is to advise you that ******* Stasis concern has been addressed. We made attempts to reach Mr. ****** however, have not been able to discuss this matter with him. **************** return our call, we will be happy to discuss her concerns. At this time, the matter is considered closed.
Sincerely,
***** ******-*****
Executive CorrespondenceCustomer Answer
Date: 05/07/2025
They indicated "CALL THEM" or "WE HAVE CALLED THE CUSTOMER" and I believe that was an unacceptable response by the BBB standards. I sent two letters by "CERTIFIED MAIL' and have not received a response from the **** of delivery. I asked them to respond in writing which they appear to lack the skills to do A phone call is an unacceptable response. They have cashed a check for $53.00 and not delivered prescriptions. They have not responded in writing and have not returned my money.Customer Answer
Date: 05/18/2025
To:
BBB Serving Eastern & Southwest Missouri & S. Illinois 4-16-2025
Subject:
I do not accept the response made by the business to resolve this complaint
Attachment(s):I mailed Express Scripts a letter requesting a mail response not a phone call and Express Scripts has not responded. I am requesting written Documentation on failure to process and ship medication. There is now one additional prescription sent and not processed or shipped.
5-18-2025
I think we are at an impasse between Express Scripts and myself. Express Scripts only response is by phone and requesting to call them.BBB standard is (DO NOT CALL ME) as an acceptable response. Express Scripts has not responded to two (2) certified letters which they have acknowledged receipt by U.S.P.S. My options are procuring my prescriptions through local pharmacy at full retail very high cost until I find a new provider for Medical prescription coverage. Write off as unresolved debit of $38.00 paid to Express Scripts which they have not refunded. Currently there are (5) five unfilled Prescriptions with Express Scripts. Express Scripts refuses to respond in writing.
Solution at this time is to close out complaint as UNRESOLVED/ NO SOLUTION.
Thank you for your time and efforts. Sincerely, ******* Stasi (********************)Initial Complaint
Date:03/20/2025
Type:Service or Repair IssuesStatus:AnsweredMore info
Complaint statuses
- Resolved:
- The complainant verified the issue was resolved to their satisfaction.
- Unresolved:
- The business responded to the dispute but failed to make a good faith effort to resolve it.
- Answered:
- The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
- Unanswered:
- The business failed to respond to the dispute.
- Unpursuable:
- BBB is unable to locate the business.
I've reached out to Express several times this week for assistance with my daughter's ******* RX that was due for its 90 day refill.This refill has been nothing but h*** I'm getting run around issues from the doctor's office, Express Scripts and the pharmacies.I was advised this morning that Express Scripts is refusing to cover a 90 day RX fill for the generic ******* that they prefer to cover over the name brand. When I called Express Scripts today to find out, I couldn't get any answers. I was placed on hold for a supervisor for over 40+ mins. I'm actually still on hold for a supervisor.I know that Express Scripts is trying to force me to change this medication to a mail order. I refuse because the last time I tried to use the mail order, it was a nightmare. I was billed for stuff I never received and/or order. They would randomly just send medication whenever they wanted to without speaking with me first and then demand payment. It just got to be too much and they were trying to have pay for medication I wasn't even taking and I refused to continue paying for stuff I didn't order and didn't need.After my last experience with the horrible mail order service, I refused to ever attempt it again. Its really not worth the h*** they put people ********** right now before of this issue they can't seem to get resolved in a timely manner. They will be sending my daughter back to school on Monday without her ADHD meds. Way to go for very poor customer service for a medication that is a MUST for an ADHD patient.Business Response
Date: 04/01/2025
April 1, 2025
Better Business Bureau Serving **************** and *****************
***************************
***********, *******; 63102
Attn: Dispute Resolution Department
Tracking ID: ********
Complainant: *** ******
Dear ********************** is to advise you that Jan ******* concern has been resolved.
We contacted Mrs. ****** and discussed her concerns; however,we attempted a second outreach but have not been able to discuss this matter further. ****************** have additional questions or desire any further explanation or information, we can be contacted directly at **************.
At this time, this matter is considered closed.
Sincerely,
***** ******-*****
Senior Manager, Executive CorrespondenceCustomer Answer
Date: 04/02/2025
Complaint: 23093678
I have reviewed the business' response and am rejecting it because:
You never tried to reach out a 2nd time like you stated.
Sincerely,
*** ******Business Response
Date: 04/09/2025
April 9, 2025
Better Business Bureau Serving **************** and *****************
***************************
***********, *******; 63102
Attn: Dispute Resolution Department
Tracking ID: ********
Complainant: *** ******
Dear ********************** is to advise you that Jan ******* concern has been resolved.
We contacted Mrs. ****** and discussed her concerns. We attempted to notify Mrs. ****** of additional information but we had to leave a message. ****************** contact our office, we will be more than happy to discuss further.
At this time, this matter is considered resolved.
Sincerely,
***** ******-*****
Senior Manager, Executive CorrespondenceInitial Complaint
Date:03/20/2025
Type:Delivery IssuesStatus:AnsweredMore info
Complaint statuses
- Resolved:
- The complainant verified the issue was resolved to their satisfaction.
- Unresolved:
- The business responded to the dispute but failed to make a good faith effort to resolve it.
- Answered:
- The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
- Unanswered:
- The business failed to respond to the dispute.
- Unpursuable:
- BBB is unable to locate the business.
Accredo has been in possession of a prescription for roughly 7 weeks. The prescription was required 3 weeks ago. The prescription still has not been delivered. Despite repeated escalations, the company has been unresponsive, inconsistent in communications and negligent. Because of the delays, the recipient of the prescription is now suffering significant health issues.Business Response
Date: 04/09/2025
April 9, 2025
Better Business Bureau Serving **************** and *****************
************************************************************************************************; 63102
Attn: Dispute Resolution Department
Tracking ID: ********
Complainant: ****** ****
Dear *********************** you for bringing this matter to our attention. We have been in contact with Mr. **** and will continue to do so through completion.
Sincerely,
***** ******-*****
Senior Manager, Executive CorrespondenceInitial Complaint
Date:03/20/2025
Type:Service or Repair IssuesStatus:AnsweredMore info
Complaint statuses
- Resolved:
- The complainant verified the issue was resolved to their satisfaction.
- Unresolved:
- The business responded to the dispute but failed to make a good faith effort to resolve it.
- Answered:
- The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
- Unanswered:
- The business failed to respond to the dispute.
- Unpursuable:
- BBB is unable to locate the business.
I was seen in my doctor's office on March 10th and prescribed a medication to help with my weight, high blood pressure and pre-diabetes. I have Lupus and have found research that this medication will help with the inflammation as well for the Lupus. My doctor and I discussed this medication in detail and I have done plenty of research externally on this medication. The doctor submitted the medication to my pharmacy and it was denied. I was informed that a prior authorization was needed through Express Scripts. My doctor submitted the prior authorization and once again I was denied the medication. The reason Express Scripts gave was the following: Reason: Coverage is provided for patients after a trial of behavioral modification and dietary restriction for at least 3 months. Coverage cannot be authorized at this time. I started the gym in January 2025 and I am on Weight Watchers as well which is both behavioral modification and dietary restriction, yet I was denied for a second time by Express Scripts. My current weight is 278, my BMI is almost 45, my most recent A1C was 6.2, I have Hahimotos Hypothyroidism, and I have high blood pressure that I take medication for. Yet according to the Express Scripts reviewer I do not qualify for a medication that will assist with all of these medical conditions, that my primary care doctor *** I have seen for years feels that I should be on to assist with my medical conditions. How is it that I was denied when I check every single box for this medication? I am on medication, going to the gym and participating in Weight Watchers I have taken steps to correct the weight myself and it is not working. I am not lazy, I have medical conditions that prevent me from having a very active lifestyle especially when I have Lupus flares. So a medication that will help me is being denied cause a reviewer *** does not know me or anything about me made a decision that I haven't taken the proper steps to correct my weight myself. This is not ok!Business Response
Date: 04/01/2025
April 1, 2025
Better Business Bureau Serving **************** and *****************
************************************************************************************************; 63102
Attn: Dispute Resolution Department
Tracking ID: ********
Complainant: ******* ****
Dear ********************** is to advise you that ******* Leals concern has been resolved. We contacted *** ****,discussed her concerns and this matter is considered closed.
Sincerely,
***** ******-*****
Senior Manager, Executive CorrespondenceInitial Complaint
Date:03/19/2025
Type:Service or Repair IssuesStatus:AnsweredMore info
Complaint statuses
- Resolved:
- The complainant verified the issue was resolved to their satisfaction.
- Unresolved:
- The business responded to the dispute but failed to make a good faith effort to resolve it.
- Answered:
- The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
- Unanswered:
- The business failed to respond to the dispute.
- Unpursuable:
- BBB is unable to locate the business.
March 14, 2025 I called to place an order for a specialty medication. I asked how much the medication would cost. I was told that they couldnt provide a cost until the medication ships and they bill my insurance and copay assistance program. I felt like I had no choice but to go ahead with the order since this is a medication I need to help a serious medical condition. I expected I would be able to cancel the order if it was too expensive and hopefully be able to find an alternative medication. So the medication ships and on March 19, 2025 I find out that I will owe them $2,091+/-. I cannot afford that. I immediately called Accredo to cancel the order. I was told it couldnt be canceled since it has shipped. I said I will refuse the delivery. They said I can do what I want with the medication, but I will still be responsible for the amount due. This doesnt seem right that a consumer has to wait until something is shipped before knowing the price and then not being able to cancel after its shipped! I feel this is a scam to get the order placed so they can hook a consumer into paying. They recorded the conversation when I placed the order. They say I agreed to paying. Yes, I agreed to going ahead with the order this time since it was the first time I was getting the medication. I felt I had no choice but to place the order with their ridiculous only know how much it costs after its shipped policy. However, I fully expected I would be able to cancel the shipment if I found out it wasnt affordable. This is a deceptive, entrapment type scam and theyre preying on folks that need medication. I havent been billed yet, but know theyre going to bill me for approximately $2,091. I feel I shouldnt owe them anything and should have been allowed to cancel the order. They need to let consumers know the price BEFORE shipping so they have an opportunity to cancel the order before incurring a huge bill. And they need to make their cancellation policy known as well.Business Response
Date: 04/08/2025
April 8, 2025
Better Business Bureau Serving **************** and *****************
***************************
************ *******; 63102
Attn: Dispute Resolution Department
Tracking ID: ********
Complainant: ****** *******
Dear ********************** is to advise you that ****** Wetzlers concern has been addressed. We contacted Ms. ******** discussed her concerns, and this matter is considered closed.
Sincerely,
***** ******-*****
Executive CorrespondenceInitial Complaint
Date:03/19/2025
Type:Service or Repair IssuesStatus:ResolvedMore info
Complaint statuses
- Resolved:
- The complainant verified the issue was resolved to their satisfaction.
- Unresolved:
- The business responded to the dispute but failed to make a good faith effort to resolve it.
- Answered:
- The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
- Unanswered:
- The business failed to respond to the dispute.
- Unpursuable:
- BBB is unable to locate the business.
date medication called in by Dr ******* Accredos website says verification in process. Called third time Thursday 03/15/2025 was told waiting on insurance hung up called my insurance Molia while on phone with him he did a 3 way call advised prescription was approved and would be ready to ship come Monday, here it is Wed 19th I just called Accredo they no longer even show ****** as a perscription, not even showing verification in process any longer, customer service *** I spoke til did not know much I asked to speak to a supervisor she cam on the line said she did urgent ref#******** because she said my ****** info was not entered in the system which I find puzzling because they spoke with them on 3 way and got all that, I additional have copay assistance which we didnt even get to yet. The supervisor I spoke with said she put in an urgent and to have my insurance put in system would take 48 hrs, mind you im out of my medication and they knew all this a week ago. Im forced to go thru accredo I have nothing but problems with them I have had to use them for years now and its every single time when a new prescription comes in I know ima call 10 times and fight. Please help me get my medicationsBusiness Response
Date: 04/01/2025
April 1, 2025
Better Business Bureau Serving **************** and *****************
***************************
***********, ******** 63102
Attn: Dispute Resolution Department
Tracking ID: ********
Complainant: ***** ******
Dear ********************** is to advise you that ***** ******* concern has been resolved.
We made multiple attempts to reach Ms. ******* however, have not been able to discuss this matter with her. ***************** return our call, we will be happy to discuss her concerns.
At this time, the matter is considered closed.
Sincerely,
***** ******-*****
Senior Manager,Executive CorrespondenceCustomer Answer
Date: 04/02/2025
Better Business Bureau:
I have reviewed the business' response regarding complaint ID ******** and am satisfied with this resolution. I did not want to speak to anyone again, they just need to be aware of the issues that us customers are having with their company!
Sincerely,
***** ******
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