The stockholder is the primary concern of Express Scripts, and the corporate behavior and values exemplified does not do much to hide that. All companies need to make money yes but, when the ultimate outcome of your business affects the overall health and well-being of your customer base to have a 100% fiscally-motivated decision process is morally questionable at best. Example: Express Scripts will not cover Omeprazole, even with prior authorization, even when presented with documentation from a Dr's office that it has already proven to be the most effective therapy for a patient, simply because they find the medication cost prohibitive. With prior authorization, they will cover a less-expensive medication, that does placate some of the symptoms associated with these particular medical condition(s) but, is only partially-effective therapy. Metrics are everything in the ESI culture, spending abnormal amounts of time extrapolating possible cost-effective measures. The emphasis on charts and percentages over customer care is disturbing. Bottom line is they don't value their employees: my last review ( a very positive one I might add) I was informed that I would not receive a raise, as I was already paid , "35% above my market value." Exact words. No consideration that maybe I was paid over the ' market value' because I consistently performed above market value. ESI is all-encompassed by miser politics. Legacy Medco management slowly dwindle, and those that stay become more and more Stepford Wive-like.
