Company profile: Express Scripts
1.1 - Company Overview
Company description
- Provider of pharmacy benefit management services in the United States and Canada, including clinical solutions, specialized pharmacy care, home delivery and specialty pharmacy, retail network pharmacy administration, benefit design consultation, drug utilization review, and drug formulary management. Offerings include Express Scripts Pharmacy home delivery, electronic prior authorization, TRICARE Home Delivery, National Preferred Formulary, and Medicare Part D formularies.
Products and services
- National Preferred Formulary (NPF): A national-scale formulary directing members to lowest-net-cost medications, offering access to nearly 4,000 drugs to optimize affordability and coverage decisions
- Express Scripts Pharmacy: A home-delivery pharmacy service enabling users to manage prescriptions online or via a mobile app, delivering prescription medications with free standard shipping for convenient at-home fulfillment
- Electronic Prior Authorization (ePA): An electronic system that facilitates submission and management of prior authorization requests for prescription drugs, streamlining the process for healthcare providers
Key contacts
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Financial details
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1.2 - Competitors and similar companies to Express Scripts
Genivity
HQ: United States
Website
- Description: Provider of an AI SaaS client engagement platform for financial advisors, offering HALO, a financial planning tool that predicts family and lifestyle-based health risks and delivers personalized projections on longevity, active and assisted years, and out-of-pocket care costs to support comprehensive, targeted advice and communication with next-generation heirs.
- Rationale: This competitor operates in a highly similar market segment with overlapping features.
- Company type: Private company
- Employees: ●●●●●
- Total funding raised: $●●●m
- Backers: ●●●●●●●●●●
- Acquisitions: ●●
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HealthHelp
HQ: United States
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- Description: Provider of specialty benefits management programs and consultative clinical decision support for payors and providers across Commercial, Medicaid, and Medicare. Offerings include a web-based authorization Consult platform; Scope to reduce unnecessary radiation and missed diagnoses; Direct for facility search and referral; and cardiology and radiology/diagnostic imaging programs to ensure evidence-based, appropriate, cost-efficient care.
- Rationale: This competitor operates in a highly similar market segment with overlapping features.
- Company type: Private company
- Employees: ●●●●●
- Total funding raised: $●●●m
- Backers: ●●●●●●●●●●
- Acquisitions: ●●
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Strenuus
HQ: United States
Website
- Description: Provider of healthcare provider network analysis and data management solutions, including the Network360 platform delivering actionable network intelligence services to payer clients nationwide with features for network analysis, reporting, and data validation, and TrueDisruption, an algorithm for matching healthcare providers with automated/manual matching, data validation, and comprehensive reporting.
- Rationale: This competitor operates in a highly similar market segment with overlapping features.
- Company type: Private company
- Employees: ●●●●●
- Total funding raised: $●●●m
- Backers: ●●●●●●●●●●
- Acquisitions: ●●
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Agadia
HQ: United States
Website
- Description: Provider of healthcare management technology.
- Rationale: This competitor operates in a highly similar market segment with overlapping features.
- Company type: Private company
- Employees: ●●●●●
- Total funding raised: $●●●m
- Backers: ●●●●●●●●●●
- Acquisitions: ●●
View full Agadia company profile →
HealthCare.com
HQ: United States
Website
- Description: Provider of a data-driven, online health insurance shopping platform helping consumers analyze and enroll in individual and Medicare plans; compare marketplace options; estimate ACA subsidies; manage member accounts; access short-term coverage and proprietary, direct-to-consumer health and supplemental products under Pivot Health; and a pharmacy service with prescription discounts up to 80%.
- Rationale: This competitor operates in a highly similar market segment with overlapping features.
- Company type: Private company
- Employees: ●●●●●
- Total funding raised: $●●●m
- Backers: ●●●●●●●●●●
- Acquisitions: ●●
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2.M&A buyers
2.1 Potential strategic acquirers in the sector
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2.2 - Strategic buyer groups for Express Scripts
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Buyer group 2: ████████ ████████
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Buyer group 3: ████████ ████████
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3. Investors and private equity firms
3.1 - Buyout funds investing in similar companies to Express Scripts
2.2 - Growth funds investing in similar companies to Express Scripts
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4 - Top valuation comps for Express Scripts
4.2 - Public trading comparable groups for Express Scripts
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