Express Scripts Tightens Commercial Formulary Control With “Not Covered” List
The excluded drug list encompasses 44 drugs across a range of classes and applies to Express Scripts’ 2014 recommended national formulary for employers and health plans.
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The number of drugs included on formulary exclusion lists in the US has surpassed more than 400 at the top three PBMs, representing dramatic growth from just five years ago. Express Scripts recently revealed its 2022 exclusions.
Pharmacy benefit manager Express Scripts plans to shake up the asthma/pulmonary and multiple sclerosis categories in 2018 with new contracting programs.
National formulary exclusions continue in 2017, with CVS aggressively expanding its list of “not covered” drugs. Express Scripts currently excludes slightly fewer drugs than last year but may still add to its list.