Express Scripts Canada
- Company typePrivate
- Founded1996
- HeadquartersMississauga, Canada
- Headcount101–250
- GTM typeB2B
- OfferingServices
Express Scripts Canada firmographics
Firmographics- Name
- Express Scripts Canada
- Legal name
- ESI Canada
- Website
- https://express-scripts.ca
- Company type
- Private
- Founded year
- 1996
- Operating status
- Operating
- Headcount range
- 101–250 employees
- Ownership category
- akta.pro rank
Express Scripts Canada industry classification
Industry- Product category
- Pharmacy Benefit Management
- NAICS
- Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds (524292)
- SIC
- Hospital & Medical Service Plans (6324), Retail-Drug Stores And Proprietary Stores (5912)
- akta.pro primary industry
- PBM Technology Platforms (ePA/eRx/Real-Time Benefit Tools) (HLAEAKAL)
- akta.pro secondary industries
- Pharmacy Benefit Analytics, Reporting & Employer Consulting (HLAEAKAK), Group Pharmacy Benefit (Rx) Coverage & PBM-Integrated Plans (FSAIAFAN)
Keywords
Where Express Scripts Canada is headquartered
LocationHeadquarters
- HQ city
- Mississauga
- HQ country
- Canada
- HQ region
- North America
Offices5 records
Markets served
Express Scripts Canada business model
Business model- GTM type
- B2B
- Offering type
- Services
- Cost components
- Personnel, Operations, Supply Chain, Technology or R&D, Marketing or Sales, Infrastructure
Revenue model
- Pharmacy Benefit Management Services: Express Scripts Canada provides comprehensive pharmacy benefit management services including claims processing, drug utilization review, formulary management, and data analytics to insurance carriers, third-party administrators, plan sponsors, and the public sector. The company earns fees for these administrative and management services.
- Home Delivery Pharmacy: The company's pharmacy delivers prescription medications directly to members' homes, offering 90-day supplies of maintenance medications for chronic conditions like asthma, diabetes, high cholesterol, and hypertension. Revenue is generated through prescription dispensing fees and professional fees.
Go-to-market motion2 records
Distribution channels5 records
Marketing channels11 records
Express Scripts Canada product offering
Product offeringCore offering
Express Scripts Canada is a health benefits manager that adjudicates pharmacy, dental, and extended health claims for insurance carriers, third-party administrators, plan sponsors, and public-sector clients using a proprietary technology platform. It complements claims administration with home delivery of maintenance prescription medications from provincially licensed pharmacies and offers related services including drug utilization review, formulary management, disease management programs, and drug trend analytics.
Product overview
Express Scripts Canada is a health benefits manager offering a unified platform of pharmacy benefit management services that extends beyond traditional claims adjudication. The core offering consists of Pharmacy Benefit Management Services, supported by the Express Scripts Canada Pharmacy sub-brand for home delivery, the Online Prescription Manager for digital access, and specialized modules including Disease Management Programs, Cost Containment Programs, Formulary Management, Digital Services, and Data Insights. The company also publishes Drug Trend Reports and Thought Leadership content as part of its thought leadership initiatives. A Member Contact Centre provides telephonic support, completing the integrated service ecosystem.
Differentiator
Problem solved
Functional benefit
Products and services
- Pharmacy Benefit Management Services End-to-end PBM offering for insurance carriers, TPAs, plan sponsors, and the public sector, including claims adjudication for pharmacy, dental, and extended health benefits, drug utilization review, formulary management, and cost containment programs.
- Express Scripts Canada Pharmacy (Home Delivery Pharmacy) Home delivery prescription pharmacy offering 90-day supplies of maintenance medications for chronic conditions such as asthma, diabetes, high cholesterol, and hypertension, with pharmacist consultation available 24/7 and delivery across all ten provinces and three territories through Canada Post and Purolator.
- Online Prescription Manager Secure member-facing web portal for registering for home delivery, transferring prescriptions, ordering medications, paying for orders, and tracking delivery status.
- Medication Nonadherence Early Detection Solution Analytics product that uses claims and clinical data to identify plan members who are not adhering to their prescription regimens at the earliest opportunity, enabling proactive intervention by plan sponsors and clinicians.
- Drug Trend Report Annual prescription drug trend report providing comprehensive research and insights on the use of prescription medications in the Canadian private sector, used by insurers, TPAs, plan sponsors, and advisors for strategic planning.
Quantifiable outcome
- Home delivery of 90-day medication supplies reduces professional fees and dispensing costs for members
- +1 more outcomes
Companies that use Express Scripts Canada
Customer profileNamed customers4 records
Segments5 records
Ideal customer profiles4 records
Express Scripts Canada technology and API
TechnologyTechnology focussed Yes
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Feature5 records
Express Scripts Canada partnerships and signals
Strategic signalPartnerships
Seven partnerships are on record, tiered core and minor.
- iA Financial GroupcoreiA Financial Group renewed its contract with Express Scripts Canada for pharmacy benefit management services. iA Financial Group is one of Canada's largest insurance and financial services companies, providing life and health insurance products.
- SCI Logistics Ltd. (Logistique SCI)coreExpress Scripts Canada established a strategic supply chain relationship with SCI Logistics Ltd. for managing its prescription drug delivery supply chain. SCI Logistics provides warehouse, distribution, contract logistics, and transportation services. They manage delivery partners including Canada Post and Purolator to enable secure, reliable delivery of prescription medications across all ten provinces and three territories, including remote areas.
- Canada Post (Postes Canada)coreCanada Post provides Xpresspost delivery services for prescription medications from Express Scripts Canada pharmacies to plan members nationwide. The partnership enables reliable, secure delivery of maintenance medications across Canada.
- PurolatorcorePurolator serves as a delivery partner for Express Scripts Canada pharmacies, providing secure and reliable prescription medication delivery services to Canadians nationwide.
- Gordie Downie Chanie Wenjack FundminorExpress Scripts Canada partnered with the Gordie Downie Chanie Wenjack Fund, an organization dedicated to supporting Indigenous reconciliation and helping improve the lives of Indigenous peoples in Canada.
- Indigenous WorksminorExpress Scripts Canada collaborates with Indigenous Works, an organization focused on Indigenous health issues and career development opportunities for Indigenous peoples.
- Desjardins InsurancecoreDesjardins Insurance introduced new integrated active pharmacy services through Express Scripts Canada, demonstrating a partnership for delivering innovative health benefits solutions.
Scale indicators3 records
Recent moves9 records
Expansion highlights5 records
Express Scripts Canada competitors and assessment
Company assessmentDirect peers
- GreenShield Canada: GreenShield is a Canadian not-for-profit health and dental benefits manager that administers drug claims and operates its own payer and PBM-adjacent capabilities, positioning it as a direct competitor for carrier and TPA accounts in Canada.
- Telus Health: Telus Health is a leading Canadian health services provider offering pharmacy benefit management, claims adjudication and virtual care; it competes directly with Express Scripts Canada for the same insurance carrier and employer plan sponsor RFPs in Canada.
- Innomar Strategies: Innomar Strategies is a Canadian specialty pharmacy and patient support provider; its specialty drug distribution and reimbursement services overlap directly with Express Scripts Canada Pharmacy's chronic disease and specialty medication offerings.
- MedImpact Healthcare Systems: MedImpact is a US-based PBM with Canadian plan sponsor reach; it provides claims adjudication, formulary management and specialty drug management that compete with Express Scripts Canada for cross-border Canadian employer and carrier contracts.
- Cubic Health: Cubic Health is a Canadian pharmacy benefit manager providing claims adjudication, formulary management and clinical programs to insurers and plan sponsors, competing head-to-head with Express Scripts Canada for similar mid-market and enterprise Canadian accounts.
Emerging players
- Bayshore HealthCare: Bayshore HealthCare is a Canadian home and community health services provider with specialty pharmacy and patient support programs; it overlaps with Express Scripts Canada's home delivery and chronic disease management offerings on a more regional scale.
- Well Health Technologies: Well Health operates a Canadian network of clinics and digital health assets including pharmacy and asynchronous care, and is building PBM-adjacent capabilities; it represents an emerging competitive threat to Express Scripts Canada's carrier and employer digital health strategy.
Broad incumbents
- The Cigna Group: The Cigna Group acquired Express Scripts, Inc. in 2018 and is the ultimate parent of Express Scripts Canada; its broader portfolio of US and international health services shapes the parent's Canadian competitive positioning and is the closest large-incumbent analogue to Express Scripts Canada's offering.
- OptumRx: OptumRx is one of the largest US PBMs and part of UnitedHealth Group; it competes indirectly in Canada by serving global employers and US-headquartered plans with Canadian populations, benchmarking against Express Scripts Canada's pricing and clinical programs.
- Shoppers Drug Mart (Specialty Health Network): Shoppers Drug Mart, owned by Loblaw, operates Canada's largest retail pharmacy network plus a Specialty Health Network for chronic and specialty medications; it competes with Express Scripts Canada Pharmacy on home delivery and competes loosely on PBM-adjacent services through its PC Health platform.
Market position
Strengths5 records
Weaknesses5 records
Competitive moat5 records
Key risks6 records
Key highlights7 records
Customer concentration
Express Scripts Canada social profiles
Digital presenceExpress Scripts Canada financial estimates
Financial estimateRevenue estimate
Valuation estimate
Express Scripts Canada leadership team
Management profileNumber of profiles
Profiles3 records
Express Scripts Canada subsidiaries and ownership
Company hierarchySubsidiaries2 records
Express Scripts Canada funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
Express Scripts Canada M&A and investment
M&A and investmentM&A
Investments
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about Express Scripts Canada
What does Express Scripts Canada do?
Express Scripts Canada is a health benefits manager that adjudicates pharmacy, dental, and extended health claims for insurance carriers, third-party administrators, plan sponsors, and public-sector clients using a proprietary technology platform. It complements claims administration with home delivery of maintenance prescription medications from provincially licensed pharmacies and offers related services including drug utilization review, formulary management, disease management programs, and drug trend analytics.
Is Express Scripts Canada a public or private company?
Express Scripts Canada is a private company. It is classified as corporate owned and is currently operating.
When was Express Scripts Canada founded?
Express Scripts Canada was founded in 1996. It employs 101 to 250 people.
Where is Express Scripts Canada based?
Express Scripts Canada is headquartered in Mississauga, Canada, in the North America region.
How does Express Scripts Canada make money?
Two revenue lines are on record. Pharmacy Benefit Management Services are the primary driver. The others are home Delivery Pharmacy.
Who are Express Scripts Canada's main competitors?
Direct peers on record are GreenShield Canada, Telus Health, Innomar Strategies, MedImpact Healthcare Systems and Cubic Health. Emerging players are Bayshore HealthCare and Well Health Technologies. Broad incumbents are The Cigna Group, OptumRx and Shoppers Drug Mart (Specialty Health Network).
Does Express Scripts Canada have an API?
No public API is recorded for Express Scripts Canada.
What industry is Express Scripts Canada in?
Express Scripts Canada's product category is Pharmacy Benefit Management. Its primary akta.pro industry code is HLAEAKAL, PBM Technology Platforms (ePA/eRx/Real-Time Benefit Tools), with a secondary code of HLAEAKAK, Pharmacy Benefit Analytics, Reporting & Employer Consulting. Its NAICS code is 524292 and its SIC code is 6324.