
Elizabeth Warren
20:11 - 20:43
"Express Scripts both decides the reimbursement rates for its competitors and it provides its own pharmacy benefit services. All of it gets billed to TRICARE."
“Express Scripts both decides the reimbursement rates for its competitors and it provides its own pharmacy benefit services. All of it gets billed to TRICARE.”
They process pharmacy claims and they run a mail order program through Express Scripts subsidiaries, their own subsidiaries, called Express Scripts Pharmacy. And Accredo Specialty Pharmacy. Here's the kicker. Express Scripts both decides the reimbursement rates for its competitors and it provides its own pharmacy benefit services. All of it gets billed to TRICARE.
A Senate Armed Services subcommittee hearing Wednesday put Express Scripts' 23-year TRICARE contract under sharp scrutiny, with Sen. Warren citing DOD data showing the contractor's mail-order pharmacy costs 12.5% more than retail for generic drugs, and the company's president declining to voluntarily submit to an independent audit.
