Delaware SpendingMedco Health Solutions Inc.
Delaware state vendor profile · FY2018–FY2026 · 400 payments on the state checkbook
Payments by Fiscal Year
Who Pays Them
What the Money Buys (categories)
Medco Health Solutions was one of the country's largest pharmacy benefit managers until it merged into Express Scripts in 2012.
Medco was the state's PBM before the CVS Caremark era — so the payments here are legacy prescription-claim dollars from earlier fiscal years. The same job is done today under the CVS Caremark line.
Medco Health Solutions Inc. received $1.23 billion from the State of Delaware between FY2018 and FY2026, across 400 payments — an average of $3,075,922 per payment. The largest payer was Department of Human Resources, accounting for 98% of the total. In the most recent year (FY2026), the state paid Medco Health Solutions Inc. $634. Annual payments fell 100% between FY2018 and FY2026 and peaked in FY2021 at $332.1 million.