Pharmacy Waste

For the past 25 years, Express Scripts has worked to develop ways to drive out—and hopefully one day eliminate—pharmacy waste. This is no simple task. Our goal at Express Scripts is to reach optimal clinical outcomes at financially sustainable costs…Read More

In a perfect world, patients would:

  • Take medications precisely as prescribed
  • Be prescribed the most affordable, most effective medication
  • Receive medications using the safest, most cost-effective delivery channel

But we know that these three things aren’t happening. And because of it, the system is weighed down in pharmacy waste.

The Size of the Pharmacy Waste Problem

In 2011, suboptimal pharmacy-related behaviors contributed to more than $408 billion in waste. That’s equal to more than $1,300 for each American. We’re just talking about pharmacy waste, which only includes costs that have resulted in no additional health benefits.

The Express Scripts Solution

Researchers at the Express Scripts Research & New Solutions Lab have pioneered more than 45 pilot studies to take on the main sources of pharmacy waste:

  • Whether they take their medications as prescribed (the importance of being adherent)
    • Potential pharmacy waste reduction: $317.4 billion*
  • Where people get their medications (the value of home delivery vs. retail pharmacy)
    • Potential pharmacy waste reduction: $96.3 billion*
  • Which medications they get (utilization of lower-cost, clinically equivalent generics)
    • Potential pharmacy waste reduction: $49.8 billion

* We estimate that approximately $55 billion of pharmacy waste is due to nonadherence that could be removed by patients receiving their medications through home delivery. Therefore, this amount is included in both the $317.4 billion and $96.3 billion, but not double-counted in the $408 billion of total waste.

In this section, we’ll talk about the insight we get from the Lab and Express Scripts’ proposed solutions. We’re looking forward to sharing and discussing our new ideas.

Pharmacy Waste

Make the Most of Your Medication Dollar

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When it comes to shopping, most consumers will want to know the price of a product and will often look for the best deal before making a purchase. That’s not always the case when buying prescription drugs, which means many people are paying more than they should for their medications. One sure way to save …

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Pharmacy Waste

Protect the Most Vulnerable From Rx Abuse

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As a member of the Fraud, Waste & Abuse Services team at Express Scripts, I am on the front lines of fighting prescription-drug fraud and abuse. After years of working on cases, sometimes they meld together. But then there are the ones that stand out. For me, those are the cases that involve the most …

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Pharmacy Waste

GigaOM Highlights Our Actionable Data

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GigaOM, a leading technology blog, published an article yesterday afternoon highlighting Express Scripts’ fight against two of healthcare’s most expensive challenges: medication nonadherence and prescription drug fraud and abuse. The writer Derrick Harris summarizes our strategy as being “all about data.” He goes on to describe several examples of abuse and misuse identified and investigated …

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Pharmacy Waste

MAP: Bad Rx Decisions Cost Poor US States Most

Per Capita Waste by State

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The U.S. wasted $418 billion in 2012 based on bad medication-related decisions, and the impact was most deeply felt in those states that could least afford it, according to new research Express Scripts released this morning. While these costly decisions impact the entire nation, our analysis shows that they have a disproportionate effect on the …

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Pharmacy Waste

Medical ID Theft Can Happen to Anyone

Protect yourself from Medical ID Theft

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A few days ago, I came across an article about yet another healthcare scam — this one related to the Affordable Care Act. Con artists posing as federal employees are calling consumers who have supposedly been selected to receive health insurance cards and asking for personal information — such as name, address and bank account number …

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