william A.
Incompetence and misaligned incentives.
Bottom Line: Misaligned Incentives and a scam to get you to switch to Express Scripts delivery service. Customers pay the price in terms of costs, time, and aggravation to repeatedly correct simple errors. Background: We are a retired military family and we've had the same insurance for over 20yrs. Since Express Scripts began working with Humana (Tricare) We've had 7 instances where prescriptions through our in-network pharmacy were blocked. They were blocked because Express Scripts put a flag on accounts to motivate users to call the help line to lift the flag. Once the call center has users on the line to lift the flag they use that opportunity to try to switch you over to their for-profit delivery service. ES gets a slice of the funding if they assume mail-based delivery. They don't get that slice if the citizen/customer goes to the pharmacy to pick up the prescription order. There is no incentive for Express Scripts to fix the system glitch that blocks customers from picking up prescriptions. Each time this occurs the conversation with Express Scripts customer service is the same. The problem is not fixed, and in the words of a customer service representative, "This happens to lots of people..." Sounds like something that Express Scripts should fix?

