Evernorth
Evernorth is an U.S.-based pharmacy benefit manager and health services provider.
What is a PBM and how does it work?
“A pharmacy benefit manager (PBM) administers prescription drug benefits for employers and health plans. PBMs manage the formulary, negotiate manufacturer rebates, process prescriptions, and work with pharmacies to control drug costs while maintaining access to needed medications.”
View in the company profileWhat conditions does specialty pharmacy cover?
“Specialty pharmacy supports complex, chronic, and rare conditions including oncology, autoimmune diseases (such as rheumatoid arthritis and multiple sclerosis), HIV, hepatitis C, and gene therapies. These conditions often require high-touch care, specialized medications, and dedicated clinical support.”
View in the company profileHow do integrated health services reduce costs?
“By coordinating pharmacy and medical care, integrated services reduce duplicative treatments, prevent avoidable ER visits through virtual care, improve medication adherence, and optimize where care is delivered. This helps lower total healthcare costs—often by 15-20%—while improving member outcomes.”
View in the company profileWhat’s the difference between pharmacy and medical benefits?
“Pharmacy benefits cover prescription medications dispensed through pharmacies, while medical benefits cover clinical services such as doctor visits, hospital care, and procedures. Evernorth manages both to ensure coordinated, cost-effective care across the full health journey.”
View in the company profileWho does Evernorth work with?
“Evernorth works with employers, health plans, and consultants to design and deliver pharmacy, specialty, and medical care solutions tailored to each organization’s needs.”
View in the company profile