Express Scripts by Evernorth Members Paid Less for Prescriptions in 2023 Despite Drug Price Increases

Core Insights - Members with employer-sponsored insurance experienced a 1% decrease in out-of-pocket costs for prescription medicines in 2023, averaging $15.10 for a 30-day supply [1][4][7] - Despite 60% of branded drugs seeing price increases, Express Scripts managed to lower out-of-pocket costs through negotiations with pharmaceutical manufacturers and innovative solutions [7][8] - The median annual list price for new drugs rose to $300,000 in 2023, up from $222,000 the previous year, yet 81% of Express Scripts members spent less than $250 out of pocket for their medicines [4][7] Cost Management Initiatives - Express Scripts' Patient Assurance Program allows over 11 million members with diabetes to access insulin and other medications for $25 for a 34-day supply or $75 for a 90-day supply, resulting in $92 million in savings last year [5] - The average cost share for commercial members has increased by no more than 1.1% year over year since 2020, even amid rising consumer prices [8] Membership Statistics - In 2023, 81% of members spent less than $250 on out-of-pocket costs for prescriptions, with nearly 65% spending less than $100 [8]