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<!--Created on: 10/9/2009 5:30:06 PM-->
<!--Modified on: 10/25/2010 9:18:19 PM-->
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    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_CommonStockValue" xlink:label="us-gaap_CommonStockValue" />
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    <label xlink:type="resource" xlink:label="us-gaap_CommonStockValue_lbl" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Common Stock, Value, Issued</label>
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    <label xlink:type="resource" xlink:label="us-gaap_CommonStockValue_lbl" xlink:role="http://www.xbrl.org/2003/role/periodStartLabel" xml:lang="en-US">Common Stock, Value, Issued, Beginning Balance</label>
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    <label xlink:type="resource" xlink:label="us-gaap_CommonStockValue_lbl" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Common stock, 1,000,000,000 shares authorized, $0.01 par value per share; shares issued: 690,243,000 and 345,279,000, respectively; shares outstanding: 526,211,000 and 275,007,000, respectively</label>
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    <label xlink:type="resource" xlink:label="us-gaap_PreferredStockValue_lbl" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Preferred stock, 5,000,000 shares authorized, $0.01 par value per share; and no shares issued and outstanding</label>
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    <label xlink:type="resource" xlink:label="us-gaap_PreferredStockValue_lbl" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Preferred Stock, Value, Issued</label>
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    <label xlink:type="resource" xlink:label="us-gaap_LongTermDebtNoncurrent_lbl" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Long-term debt</label>
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    <label xlink:type="resource" xlink:label="us-gaap_LongTermDebtNoncurrent_lbl" xlink:role="http://www.xbrl.org/2003/role/totalLabel" xml:lang="en-US">Long-term debt</label>
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    <label xlink:type="resource" xlink:label="us-gaap_LiabilitiesCurrent_lbl" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Liabilities, Current</label>
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    <label xlink:type="resource" xlink:label="us-gaap_LiabilitiesCurrent_lbl" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Total current liabilities</label>
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    <label xlink:type="resource" xlink:label="us-gaap_LongTermDebtCurrent_lbl" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Long-term Debt, Current Maturities</label>
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    <label xlink:type="resource" xlink:label="us-gaap_LongTermDebtCurrent_lbl" xlink:role="http://xbrl.us/us-gaap/role/label/negatedTotal" xml:lang="en-US">Less current maturities</label>
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    <label xlink:type="resource" xlink:label="us-gaap_AccountsPayableCurrent_lbl" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Accounts payable</label>
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    <label xlink:type="resource" xlink:label="esrx_ClaimsAndRebatesPayable_lbl" xlink:role="http://www.xbrl.org/2003/role/documentation" xml:lang="en-US">Claims and Rebates Payable.</label>
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    <label xlink:type="resource" xlink:label="us-gaap_Assets_lbl" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Assets</label>
    <label xlink:type="resource" xlink:label="us-gaap_Assets_lbl" xlink:role="http://www.xbrl.org/2003/role/totalLabel" xml:lang="en-US">Total assets</label>
    <label xlink:type="resource" xlink:label="us-gaap_Assets_lbl" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Total assets</label>
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    <label xlink:type="resource" xlink:label="us-gaap_OtherAssetsNoncurrent_lbl" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Other Assets, Noncurrent</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_OtherAssetsNoncurrent" xlink:to="us-gaap_OtherAssetsNoncurrent_lbl" />
    <label xlink:type="resource" xlink:label="us-gaap_OtherAssetsNoncurrent_lbl" xlink:role="http://www.xbrl.org/2003/role/totalLabel" xml:lang="en-US">Other assets</label>
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    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_IntangibleAssetsNetExcludingGoodwill" xlink:label="us-gaap_IntangibleAssetsNetExcludingGoodwill" />
    <label xlink:type="resource" xlink:label="us-gaap_IntangibleAssetsNetExcludingGoodwill_lbl" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Other intangible assets, net</label>
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    <label xlink:type="resource" xlink:label="us-gaap_IntangibleAssetsNetExcludingGoodwill_lbl" xlink:role="http://www.xbrl.org/2003/role/totalLabel" xml:lang="en-US">Total other intangible assets</label>
    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_Goodwill" xlink:label="us-gaap_Goodwill" />
    <label xlink:type="resource" xlink:label="us-gaap_Goodwill_lbl" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Goodwill</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_Goodwill" xlink:to="us-gaap_Goodwill_lbl" />
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    <label xlink:type="resource" xlink:label="us-gaap_Goodwill_lbl" xlink:role="http://www.xbrl.org/2003/role/periodStartLabel" xml:lang="en-US">Beginning Balance</label>
    <label xlink:type="resource" xlink:label="us-gaap_Goodwill_lbl" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Goodwill</label>
    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_PropertyPlantAndEquipmentNet" xlink:label="us-gaap_PropertyPlantAndEquipmentNet" />
    <label xlink:type="resource" xlink:label="us-gaap_PropertyPlantAndEquipmentNet_lbl" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Property and equipment, net</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_PropertyPlantAndEquipmentNet" xlink:to="us-gaap_PropertyPlantAndEquipmentNet_lbl" />
    <label xlink:type="resource" xlink:label="us-gaap_PropertyPlantAndEquipmentNet_lbl" xlink:role="http://www.xbrl.org/2003/role/totalLabel" xml:lang="en-US">Property, Plant and Equipment, Net, Total</label>
    <label xlink:type="resource" xlink:label="us-gaap_PropertyPlantAndEquipmentNet_lbl" xlink:role="http://www.xbrl.org/2003/role/periodStartLabel" xml:lang="en-US">Property, Plant and Equipment, Net, Beginning Balance</label>
    <label xlink:type="resource" xlink:label="us-gaap_PropertyPlantAndEquipmentNet_lbl" xlink:role="http://www.xbrl.org/2003/role/periodEndLabel" xml:lang="en-US">Property, Plant and Equipment, Net, Ending Balance</label>
    <label xlink:type="resource" xlink:label="us-gaap_PropertyPlantAndEquipmentNet_lbl" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Property, Plant and Equipment, Net</label>
    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_AssetsCurrent" xlink:label="us-gaap_AssetsCurrent" />
    <label xlink:type="resource" xlink:label="us-gaap_AssetsCurrent_lbl" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Assets, Current</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_AssetsCurrent" xlink:to="us-gaap_AssetsCurrent_lbl" />
    <label xlink:type="resource" xlink:label="us-gaap_AssetsCurrent_lbl" xlink:role="http://www.xbrl.org/2003/role/totalLabel" xml:lang="en-US">Total current assets</label>
    <label xlink:type="resource" xlink:label="us-gaap_AssetsCurrent_lbl" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Total current assets</label>
    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_DeferredTaxAssetsNetCurrent" xlink:label="us-gaap_DeferredTaxAssetsNetCurrent" />
    <label xlink:type="resource" xlink:label="us-gaap_DeferredTaxAssetsNetCurrent_lbl" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Deferred taxes</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_DeferredTaxAssetsNetCurrent" xlink:to="us-gaap_DeferredTaxAssetsNetCurrent_lbl" />
    <label xlink:type="resource" xlink:label="us-gaap_DeferredTaxAssetsNetCurrent_lbl" xlink:role="http://www.xbrl.org/2003/role/totalLabel" xml:lang="en-US">Deferred Tax Assets, Net, Current, Total</label>
    <label xlink:type="resource" xlink:label="us-gaap_DeferredTaxAssetsNetCurrent_lbl" xlink:role="http://www.xbrl.org/2003/role/periodStartLabel" xml:lang="en-US">Deferred Tax Assets, Net, Current, Beginning Balance</label>
    <label xlink:type="resource" xlink:label="us-gaap_DeferredTaxAssetsNetCurrent_lbl" xlink:role="http://www.xbrl.org/2003/role/periodEndLabel" xml:lang="en-US">Deferred Tax Assets, Net, Current, Ending Balance</label>
    <label xlink:type="resource" xlink:label="us-gaap_DeferredTaxAssetsNetCurrent_lbl" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Deferred Tax Assets, Net, Current</label>
    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_InventoryNet" xlink:label="us-gaap_InventoryNet" />
    <label xlink:type="resource" xlink:label="us-gaap_InventoryNet_lbl" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Inventories</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_InventoryNet" xlink:to="us-gaap_InventoryNet_lbl" />
    <label xlink:type="resource" xlink:label="us-gaap_InventoryNet_lbl" xlink:role="http://www.xbrl.org/2003/role/totalLabel" xml:lang="en-US">Inventory, Net, Total</label>
    <label xlink:type="resource" xlink:label="us-gaap_InventoryNet_lbl" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Inventory, Net</label>
    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_ReceivablesNetCurrent" xlink:label="us-gaap_ReceivablesNetCurrent" />
    <label xlink:type="resource" xlink:label="us-gaap_ReceivablesNetCurrent_lbl" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Receivables, net</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_ReceivablesNetCurrent" xlink:to="us-gaap_ReceivablesNetCurrent_lbl" />
    <label xlink:type="resource" xlink:label="us-gaap_ReceivablesNetCurrent_lbl" xlink:role="http://www.xbrl.org/2003/role/totalLabel" xml:lang="en-US">Receivables, Net, Current, Total</label>
    <label xlink:type="resource" xlink:label="us-gaap_ReceivablesNetCurrent_lbl" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Receivables, Net, Current</label>
    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_RestrictedCashAndInvestmentsCurrent" xlink:label="us-gaap_RestrictedCashAndInvestmentsCurrent" />
    <label xlink:type="resource" xlink:label="us-gaap_RestrictedCashAndInvestmentsCurrent_lbl" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Restricted cash and investments</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_RestrictedCashAndInvestmentsCurrent" xlink:to="us-gaap_RestrictedCashAndInvestmentsCurrent_lbl" />
    <label xlink:type="resource" xlink:label="us-gaap_RestrictedCashAndInvestmentsCurrent_lbl" xlink:role="http://www.xbrl.org/2003/role/totalLabel" xml:lang="en-US">Restricted Cash and Investments, Current, Total</label>
    <label xlink:type="resource" xlink:label="us-gaap_RestrictedCashAndInvestmentsCurrent_lbl" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Restricted Cash and Investments, Current</label>
    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_CashAndCashEquivalentsAtCarryingValue" xlink:label="us-gaap_CashAndCashEquivalentsAtCarryingValue" />
    <label xlink:type="resource" xlink:label="us-gaap_CashAndCashEquivalentsAtCarryingValue_lbl" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Cash and cash equivalents</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_CashAndCashEquivalentsAtCarryingValue" xlink:to="us-gaap_CashAndCashEquivalentsAtCarryingValue_lbl" />
    <label xlink:type="resource" xlink:label="us-gaap_CashAndCashEquivalentsAtCarryingValue_lbl" xlink:role="http://www.xbrl.org/2003/role/totalLabel" xml:lang="en-US">Cash and Cash Equivalents, at Carrying Value, Total</label>
    <label xlink:type="resource" xlink:label="us-gaap_CashAndCashEquivalentsAtCarryingValue_lbl" xlink:role="http://www.xbrl.org/2003/role/periodStartLabel" xml:lang="en-US">Cash and cash equivalents at beginning of period</label>
    <label xlink:type="resource" xlink:label="us-gaap_CashAndCashEquivalentsAtCarryingValue_lbl" xlink:role="http://www.xbrl.org/2003/role/periodEndLabel" xml:lang="en-US">Cash and cash equivalents at end of period</label>
    <label xlink:type="resource" xlink:label="us-gaap_CashAndCashEquivalentsAtCarryingValue_lbl" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Cash and Cash Equivalents, at Carrying Value</label>
    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_CommonStockSharesOutstanding" xlink:label="us-gaap_CommonStockSharesOutstanding" />
    <label xlink:type="resource" xlink:label="us-gaap_CommonStockSharesOutstanding_lbl" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Common stock, shares outstanding</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_CommonStockSharesOutstanding" xlink:to="us-gaap_CommonStockSharesOutstanding_lbl" />
    <label xlink:type="resource" xlink:label="us-gaap_CommonStockSharesOutstanding_lbl" xlink:role="http://www.xbrl.org/2003/role/periodStartLabel" xml:lang="en-US">Beginning Balance, Shares</label>
    <label xlink:type="resource" xlink:label="us-gaap_CommonStockSharesOutstanding_lbl" xlink:role="http://www.xbrl.org/2003/role/periodEndLabel" xml:lang="en-US">Ending Balance, Shares</label>
    <label xlink:type="resource" xlink:label="us-gaap_CommonStockSharesOutstanding_lbl" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Common Stock, Shares, Outstanding</label>
    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_CommonStockSharesIssued" xlink:label="us-gaap_CommonStockSharesIssued" />
    <label xlink:type="resource" xlink:label="us-gaap_CommonStockSharesIssued_lbl" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Common stock, shares issued</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_CommonStockSharesIssued" xlink:to="us-gaap_CommonStockSharesIssued_lbl" />
    <label xlink:type="resource" xlink:label="us-gaap_CommonStockSharesIssued_lbl" xlink:role="http://www.xbrl.org/2003/role/totalLabel" xml:lang="en-US">Common Stock, Shares, Issued, Total</label>
    <label xlink:type="resource" xlink:label="us-gaap_CommonStockSharesIssued_lbl" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Common Stock, Shares, Issued</label>
    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_CommonStockSharesAuthorized" xlink:label="us-gaap_CommonStockSharesAuthorized" />
    <label xlink:type="resource" xlink:label="us-gaap_CommonStockSharesAuthorized_lbl" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Common stock, shares authorized</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_CommonStockSharesAuthorized" xlink:to="us-gaap_CommonStockSharesAuthorized_lbl" />
    <label xlink:type="resource" xlink:label="us-gaap_CommonStockSharesAuthorized_lbl" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Common Stock, Shares Authorized</label>
    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_CommonStockParOrStatedValuePerShare" xlink:label="us-gaap_CommonStockParOrStatedValuePerShare" />
    <label xlink:type="resource" xlink:label="us-gaap_CommonStockParOrStatedValuePerShare_lbl" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Common stock, par value per share</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_CommonStockParOrStatedValuePerShare" xlink:to="us-gaap_CommonStockParOrStatedValuePerShare_lbl" />
    <label xlink:type="resource" xlink:label="us-gaap_CommonStockParOrStatedValuePerShare_lbl" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Common Stock, Par or Stated Value Per Share</label>
    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_PreferredStockSharesOutstanding" xlink:label="us-gaap_PreferredStockSharesOutstanding" />
    <label xlink:type="resource" xlink:label="us-gaap_PreferredStockSharesOutstanding_lbl" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Preferred stock, shares outstanding</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_PreferredStockSharesOutstanding" xlink:to="us-gaap_PreferredStockSharesOutstanding_lbl" />
    <label xlink:type="resource" xlink:label="us-gaap_PreferredStockSharesOutstanding_lbl" xlink:role="http://www.xbrl.org/2003/role/periodStartLabel" xml:lang="en-US">Preferred Stock, Shares Outstanding, Beginning Balance</label>
    <label xlink:type="resource" xlink:label="us-gaap_PreferredStockSharesOutstanding_lbl" xlink:role="http://www.xbrl.org/2003/role/periodEndLabel" xml:lang="en-US">Preferred Stock, Shares Outstanding, Ending Balance</label>
    <label xlink:type="resource" xlink:label="us-gaap_PreferredStockSharesOutstanding_lbl" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Preferred Stock, Shares Outstanding</label>
    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_PreferredStockSharesIssued" xlink:label="us-gaap_PreferredStockSharesIssued" />
    <label xlink:type="resource" xlink:label="us-gaap_PreferredStockSharesIssued_lbl" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Preferred stock, shares issued</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_PreferredStockSharesIssued" xlink:to="us-gaap_PreferredStockSharesIssued_lbl" />
    <label xlink:type="resource" xlink:label="us-gaap_PreferredStockSharesIssued_lbl" xlink:role="http://www.xbrl.org/2003/role/totalLabel" xml:lang="en-US">Preferred Stock, Shares Issued, Total</label>
    <label xlink:type="resource" xlink:label="us-gaap_PreferredStockSharesIssued_lbl" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Preferred Stock, Shares Issued</label>
    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_PreferredStockSharesAuthorized" xlink:label="us-gaap_PreferredStockSharesAuthorized" />
    <label xlink:type="resource" xlink:label="us-gaap_PreferredStockSharesAuthorized_lbl" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Preferred stock, shares authorized</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_PreferredStockSharesAuthorized" xlink:to="us-gaap_PreferredStockSharesAuthorized_lbl" />
    <label xlink:type="resource" xlink:label="us-gaap_PreferredStockSharesAuthorized_lbl" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Preferred Stock, Shares Authorized</label>
    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_PreferredStockParOrStatedValuePerShare" xlink:label="us-gaap_PreferredStockParOrStatedValuePerShare" />
    <label xlink:type="resource" xlink:label="us-gaap_PreferredStockParOrStatedValuePerShare_lbl" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Preferred stock, par value per share</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_PreferredStockParOrStatedValuePerShare" xlink:to="us-gaap_PreferredStockParOrStatedValuePerShare_lbl" />
    <label xlink:type="resource" xlink:label="us-gaap_PreferredStockParOrStatedValuePerShare_lbl" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Preferred Stock, Par or Stated Value Per Share</label>
    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_IncomeStatementAbstract" xlink:label="us-gaap_IncomeStatementAbstract" />
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    <label xlink:type="resource" xlink:label="us-gaap_IncomeLossFromContinuingOperations_lbl" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Net income from continuing operations</label>
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    <label xlink:type="resource" xlink:label="us-gaap_NetIncomeLoss_lbl" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Net Income (Loss) Attributable to Parent</label>
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    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_NetCashProvidedByUsedInFinancingActivities" xlink:label="us-gaap_NetCashProvidedByUsedInFinancingActivities" />
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    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_PaymentsForRepurchaseOfCommonStock" xlink:label="us-gaap_PaymentsForRepurchaseOfCommonStock" />
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    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_ExcessTaxBenefitFromShareBasedCompensationFinancingActivities" xlink:label="us-gaap_ExcessTaxBenefitFromShareBasedCompensationFinancingActivities" />
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    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_RepaymentsOfLongTermDebt" xlink:to="us-gaap_RepaymentsOfLongTermDebt_lbl" />
    <label xlink:type="resource" xlink:label="us-gaap_RepaymentsOfLongTermDebt_lbl" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Repayments of Long-term Debt</label>
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    <label xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xlink:label="us-gaap_RepaymentsOfLongTermDebt_lbl" xml:lang="en-US">Repayment of long-term debt</label>
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    <label xlink:type="resource" xlink:label="us-gaap_ProceedsFromIssuanceOfLongTermDebt_lbl" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Proceeds on long-term debt, net of discounts</label>
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    <label xlink:type="resource" xlink:label="us-gaap_ProceedsFromIssuanceOfLongTermDebt_lbl" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Proceeds from Issuance of Long-term Debt</label>
    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_NetCashProvidedByUsedInFinancingActivitiesAbstract" xlink:label="us-gaap_NetCashProvidedByUsedInFinancingActivitiesAbstract" />
    <label xlink:type="resource" xlink:label="us-gaap_NetCashProvidedByUsedInFinancingActivitiesAbstract_lbl" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Cash flows from financing activities:</label>
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    <label xlink:type="resource" xlink:label="us-gaap_NetCashProvidedByUsedInFinancingActivitiesAbstract_lbl" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Net Cash Provided by (Used in) Financing Activities [Abstract]</label>
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    <label xlink:type="resource" xlink:label="us-gaap_NetCashProvidedByUsedInInvestingActivities_lbl" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Net Cash Provided by (Used in) Investing Activities</label>
    <label xlink:type="resource" xlink:label="us-gaap_NetCashProvidedByUsedInInvestingActivities_lbl" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xml:lang="en-US">Net cash (used in) provided by investing activities</label>
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    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_PaymentsForProceedsFromOtherInvestingActivities" xlink:label="us-gaap_PaymentsForProceedsFromOtherInvestingActivities" />
    <label xlink:type="resource" xlink:label="us-gaap_PaymentsForProceedsFromOtherInvestingActivities_lbl" xlink:role="http://www.xbrl.org/2003/role/totalLabel" xml:lang="en-US">Other</label>
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    <label xlink:type="resource" xlink:label="us-gaap_PaymentsToAcquireShortTermInvestments_lbl" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Payments to Acquire Short-term Investments</label>
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    <label xlink:type="resource" xlink:label="us-gaap_NetCashProvidedByUsedInInvestingActivitiesAbstract_lbl" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Cash flows from investing activities:</label>
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    <label xlink:type="resource" xlink:label="us-gaap_NetCashProvidedByUsedInInvestingActivitiesAbstract_lbl" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Net Cash Provided by (Used in) Investing Activities [Abstract]</label>
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    <label xlink:type="resource" xlink:label="us-gaap_NetCashProvidedByUsedInOperatingActivities_lbl" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Net Cash Provided by (Used in) Operating Activities</label>
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    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_CashProvidedByUsedInOperatingActivitiesDiscontinuedOperations" xlink:label="us-gaap_CashProvidedByUsedInOperatingActivitiesDiscontinuedOperations" />
    <label xlink:type="resource" xlink:label="us-gaap_CashProvidedByUsedInOperatingActivitiesDiscontinuedOperations_lbl" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Cash Provided by (Used in) Operating Activities, Discontinued Operations</label>
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    <label xlink:type="resource" xlink:label="us-gaap_CashProvidedByUsedInOperatingActivitiesDiscontinuedOperations_lbl" xlink:role="http://www.xbrl.org/2003/role/totalLabel" xml:lang="en-US">Net cash provided by operating activities-discontinued operations</label>
    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_NetCashProvidedByUsedInOperatingActivitiesContinuingOperations" xlink:label="us-gaap_NetCashProvidedByUsedInOperatingActivitiesContinuingOperations" />
    <label xlink:type="resource" xlink:label="us-gaap_NetCashProvidedByUsedInOperatingActivitiesContinuingOperations_lbl" xlink:role="http://www.xbrl.org/2003/role/totalLabel" xml:lang="en-US">Net cash provided by operating activities-continuing operations</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_NetCashProvidedByUsedInOperatingActivitiesContinuingOperations" xlink:to="us-gaap_NetCashProvidedByUsedInOperatingActivitiesContinuingOperations_lbl" />
    <label xlink:type="resource" xlink:label="us-gaap_NetCashProvidedByUsedInOperatingActivitiesContinuingOperations_lbl" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Net Cash Provided by (Used in) Operating Activities, Continuing Operations</label>
    <label xlink:type="resource" xlink:label="us-gaap_NetCashProvidedByUsedInOperatingActivitiesContinuingOperations_lbl" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Net cash provided by operating activities-continuing operations</label>
    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_IncreaseDecreaseInOtherOperatingCapitalNet" xlink:label="us-gaap_IncreaseDecreaseInOtherOperatingCapitalNet" />
    <label xlink:type="resource" xlink:label="us-gaap_IncreaseDecreaseInOtherOperatingCapitalNet_lbl" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Increase (Decrease) in Other Operating Assets and Liabilities, Net</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_IncreaseDecreaseInOtherOperatingCapitalNet" xlink:to="us-gaap_IncreaseDecreaseInOtherOperatingCapitalNet_lbl" />
    <label xlink:type="resource" xlink:label="us-gaap_IncreaseDecreaseInOtherOperatingCapitalNet_lbl" xlink:role="http://xbrl.us/us-gaap/role/label/negatedTotal" xml:lang="en-US">Other net changes in operating assets and liabilities</label>
    <label xlink:type="resource" xlink:label="us-gaap_IncreaseDecreaseInOtherOperatingCapitalNet_lbl" xlink:role="http://www.xbrl.org/2003/role/totalLabel" xml:lang="en-US">Other net changes in operating assets and liabilities</label>
    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_IncreaseDecreaseInOperatingCapitalAbstract" xlink:label="us-gaap_IncreaseDecreaseInOperatingCapitalAbstract" />
    <label xlink:type="resource" xlink:label="us-gaap_IncreaseDecreaseInOperatingCapitalAbstract_lbl" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Changes in operating assets and liabilities:</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_IncreaseDecreaseInOperatingCapitalAbstract" xlink:to="us-gaap_IncreaseDecreaseInOperatingCapitalAbstract_lbl" />
    <label xlink:type="resource" xlink:label="us-gaap_IncreaseDecreaseInOperatingCapitalAbstract_lbl" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Increase (Decrease) in Operating Capital [Abstract]</label>
    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_AdjustmentsNoncashItemsToReconcileNetIncomeLossToCashProvidedByUsedInOperatingActivities" xlink:label="us-gaap_AdjustmentsNoncashItemsToReconcileNetIncomeLossToCashProvidedByUsedInOperatingActivities" />
    <label xlink:type="resource" xlink:label="us-gaap_AdjustmentsNoncashItemsToReconcileNetIncomeLossToCashProvidedByUsedInOperatingActivities_lbl" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Non-cash adjustments to net income</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_AdjustmentsNoncashItemsToReconcileNetIncomeLossToCashProvidedByUsedInOperatingActivities" xlink:to="us-gaap_AdjustmentsNoncashItemsToReconcileNetIncomeLossToCashProvidedByUsedInOperatingActivities_lbl" />
    <label xlink:type="resource" xlink:label="us-gaap_AdjustmentsNoncashItemsToReconcileNetIncomeLossToCashProvidedByUsedInOperatingActivities_lbl" xlink:role="http://www.xbrl.org/2003/role/totalLabel" xml:lang="en-US">Adjustments, Noncash Items, to Reconcile Net Income (Loss) to Cash Provided by (Used in) Operating Activities, Total</label>
    <label xlink:type="resource" xlink:label="us-gaap_AdjustmentsNoncashItemsToReconcileNetIncomeLossToCashProvidedByUsedInOperatingActivities_lbl" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Adjustments, Noncash Items, to Reconcile Net Income (Loss) to Cash Provided by (Used in) Operating Activities</label>
    <loc xlink:type="locator" xlink:href="esrx-20100930.xsd#esrx_DeferredFinancingFees" xlink:label="esrx_DeferredFinancingFees" />
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="esrx_DeferredFinancingFees" xlink:to="esrx_DeferredFinancingFees_lbl" />
    <label xlink:type="resource" xlink:label="esrx_DeferredFinancingFees_lbl" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Deferred financing fees</label>
    <label xlink:type="resource" xlink:label="esrx_DeferredFinancingFees_lbl" xlink:role="http://xbrl.us/us-gaap/role/label/negated" xml:lang="en-US">Deferred financing fees</label>
    <label xlink:type="resource" xlink:label="esrx_DeferredFinancingFees_lbl" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Deferred financing fees</label>
    <label xlink:type="resource" xlink:label="esrx_DeferredFinancingFees_lbl" xlink:role="http://www.xbrl.org/2003/role/documentation" xml:lang="en-US">Deferred financing fees.</label>
    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_AdjustmentsToReconcileNetIncomeLossToCashProvidedByUsedInOperatingActivitiesAbstract" xlink:label="us-gaap_AdjustmentsToReconcileNetIncomeLossToCashProvidedByUsedInOperatingActivitiesAbstract" />
    <label xlink:type="resource" xlink:label="us-gaap_AdjustmentsToReconcileNetIncomeLossToCashProvidedByUsedInOperatingActivitiesAbstract_lbl" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Adjustments to reconcile net income to net cash provided by operating activities:</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_AdjustmentsToReconcileNetIncomeLossToCashProvidedByUsedInOperatingActivitiesAbstract" xlink:to="us-gaap_AdjustmentsToReconcileNetIncomeLossToCashProvidedByUsedInOperatingActivitiesAbstract_lbl" />
    <label xlink:type="resource" xlink:label="us-gaap_AdjustmentsToReconcileNetIncomeLossToCashProvidedByUsedInOperatingActivitiesAbstract_lbl" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Adjustments to Reconcile Net Income (Loss) to Cash Provided by (Used in) Operating Activities [Abstract]</label>
    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_NetCashProvidedByUsedInOperatingActivitiesAbstract" xlink:label="us-gaap_NetCashProvidedByUsedInOperatingActivitiesAbstract" />
    <label xlink:type="resource" xlink:label="us-gaap_NetCashProvidedByUsedInOperatingActivitiesAbstract_lbl" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Cash flows from operating activities:</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_NetCashProvidedByUsedInOperatingActivitiesAbstract" xlink:to="us-gaap_NetCashProvidedByUsedInOperatingActivitiesAbstract_lbl" />
    <label xlink:type="resource" xlink:label="us-gaap_NetCashProvidedByUsedInOperatingActivitiesAbstract_lbl" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Net Cash Provided by (Used in) Operating Activities [Abstract]</label>
    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_SharesIssued" xlink:label="us-gaap_SharesIssued" />
    <label xlink:type="resource" xlink:label="us-gaap_SharesIssued_lbl" xlink:role="http://www.xbrl.org/2003/role/periodStartLabel" xml:lang="en-US">Beginning Balance, Shares</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_SharesIssued" xlink:to="us-gaap_SharesIssued_lbl" />
    <label xlink:type="resource" xlink:label="us-gaap_SharesIssued_lbl" xlink:role="http://www.xbrl.org/2003/role/periodEndLabel" xml:lang="en-US">Ending Balance, Shares</label>
    <label xlink:type="resource" xlink:label="us-gaap_SharesIssued_lbl" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Shares, Issued</label>
    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_ComprehensiveIncomeNetOfTaxAbstract" xlink:label="us-gaap_ComprehensiveIncomeNetOfTaxAbstract" />
    <label xlink:type="resource" xlink:label="us-gaap_ComprehensiveIncomeNetOfTaxAbstract_lbl" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Comprehensive income:</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_ComprehensiveIncomeNetOfTaxAbstract" xlink:to="us-gaap_ComprehensiveIncomeNetOfTaxAbstract_lbl" />
    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_OtherComprehensiveIncomeLossBeforeTaxPortionAttributableToParentAbstract" xlink:label="us-gaap_OtherComprehensiveIncomeLossBeforeTaxPortionAttributableToParentAbstract" />
    <label xlink:type="resource" xlink:label="us-gaap_OtherComprehensiveIncomeLossBeforeTaxPortionAttributableToParentAbstract_lbl" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Other comprehensive income:</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_OtherComprehensiveIncomeLossBeforeTaxPortionAttributableToParentAbstract" xlink:to="us-gaap_OtherComprehensiveIncomeLossBeforeTaxPortionAttributableToParentAbstract_lbl" />
    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_OtherComprehensiveIncomeForeignCurrencyTransactionAndTranslationAdjustmentNetOfTaxPeriodIncreaseDecrease" xlink:label="us-gaap_OtherComprehensiveIncomeForeignCurrencyTransactionAndTranslationAdjustmentNetOfTaxPeriodIncreaseDecrease" />
    <label xlink:type="resource" xlink:label="us-gaap_OtherComprehensiveIncomeForeignCurrencyTransactionAndTranslationAdjustmentNetOfTaxPeriodIncreaseDecrease_lbl" xlink:role="http://www.xbrl.org/2003/role/totalLabel" xml:lang="en-US">Foreign currency translation adjustment</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_OtherComprehensiveIncomeForeignCurrencyTransactionAndTranslationAdjustmentNetOfTaxPeriodIncreaseDecrease" xlink:to="us-gaap_OtherComprehensiveIncomeForeignCurrencyTransactionAndTranslationAdjustmentNetOfTaxPeriodIncreaseDecrease_lbl" />
    <label xlink:type="resource" xlink:label="us-gaap_OtherComprehensiveIncomeForeignCurrencyTransactionAndTranslationAdjustmentNetOfTaxPeriodIncreaseDecrease_lbl" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Other Comprehensive Income, Foreign Currency Transaction and Translation Adjustment, Net of Tax</label>
    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_ComprehensiveIncomeNetOfTax" xlink:label="us-gaap_ComprehensiveIncomeNetOfTax" />
    <label xlink:type="resource" xlink:label="us-gaap_ComprehensiveIncomeNetOfTax_lbl" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Comprehensive income</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_ComprehensiveIncomeNetOfTax" xlink:to="us-gaap_ComprehensiveIncomeNetOfTax_lbl" />
    <label xlink:type="resource" xlink:label="us-gaap_ComprehensiveIncomeNetOfTax_lbl" xlink:role="http://www.xbrl.org/2003/role/totalLabel" xml:lang="en-US">Comprehensive Income, Net of Tax, Attributable to Parent, Total</label>
    <label xlink:type="resource" xlink:label="us-gaap_ComprehensiveIncomeNetOfTax_lbl" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Comprehensive Income, Net of Tax, Attributable to Parent</label>
    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_CommonStockMember" xlink:label="us-gaap_CommonStockMember" />
    <label xlink:type="resource" xlink:label="us-gaap_CommonStockMember_lbl" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Common Stock</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_CommonStockMember" xlink:to="us-gaap_CommonStockMember_lbl" />
    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_AdditionalPaidInCapitalMember" xlink:label="us-gaap_AdditionalPaidInCapitalMember" />
    <label xlink:type="resource" xlink:label="us-gaap_AdditionalPaidInCapitalMember_lbl" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Additional Paid-in Capital</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_AdditionalPaidInCapitalMember" xlink:to="us-gaap_AdditionalPaidInCapitalMember_lbl" />
    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_AccumulatedOtherComprehensiveIncomeMember" xlink:label="us-gaap_AccumulatedOtherComprehensiveIncomeMember" />
    <label xlink:type="resource" xlink:label="us-gaap_AccumulatedOtherComprehensiveIncomeMember_lbl" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Accumulated Other Comprehensive Income</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_AccumulatedOtherComprehensiveIncomeMember" xlink:to="us-gaap_AccumulatedOtherComprehensiveIncomeMember_lbl" />
    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_RetainedEarningsMember" xlink:label="us-gaap_RetainedEarningsMember" />
    <label xlink:type="resource" xlink:label="us-gaap_RetainedEarningsMember_lbl" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Retained Earnings</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_RetainedEarningsMember" xlink:to="us-gaap_RetainedEarningsMember_lbl" />
    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_TreasuryStockMember" xlink:label="us-gaap_TreasuryStockMember" />
    <label xlink:type="resource" xlink:label="us-gaap_TreasuryStockMember_lbl" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Treasury Stock</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_TreasuryStockMember" xlink:to="us-gaap_TreasuryStockMember_lbl" />
    <loc xlink:type="locator" xlink:href="esrx-20100930.xsd#esrx_FairValueMeasurementsAbstract" xlink:label="esrx_FairValueMeasurementsAbstract" />
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="esrx_FairValueMeasurementsAbstract" xlink:to="esrx_FairValueMeasurementsAbstract_lbl" />
    <label xlink:type="resource" xlink:label="esrx_FairValueMeasurementsAbstract_lbl" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Fair value measurements [Abstract]</label>
    <label xlink:type="resource" xlink:label="esrx_FairValueMeasurementsAbstract_lbl" xlink:role="http://www.xbrl.org/2003/role/documentation" xml:lang="en-US">Fair value measurements.</label>
    <label xlink:type="resource" xlink:label="esrx_FairValueMeasurementsAbstract_lbl" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Fair Value Measurements</label>
    <loc xlink:type="locator" xlink:href="esrx-20100930.xsd#esrx_ContingenciesAbstract" xlink:label="esrx_ContingenciesAbstract" />
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="esrx_ContingenciesAbstract" xlink:to="esrx_ContingenciesAbstract_lbl" />
    <label xlink:type="resource" xlink:label="esrx_ContingenciesAbstract_lbl" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Contingencies [Abstract]</label>
    <label xlink:type="resource" xlink:label="esrx_ContingenciesAbstract_lbl" xlink:role="http://www.xbrl.org/2003/role/documentation" xml:lang="en-US">Contingencies.</label>
    <loc xlink:type="locator" xlink:href="esrx-20100930.xsd#esrx_CondensedConsolidatingFinancialInformationAbstract" xlink:label="esrx_CondensedConsolidatingFinancialInformationAbstract" />
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="esrx_CondensedConsolidatingFinancialInformationAbstract" xlink:to="esrx_CondensedConsolidatingFinancialInformationAbstract_lbl" />
    <label xlink:type="resource" xlink:label="esrx_CondensedConsolidatingFinancialInformationAbstract_lbl" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Condensed consolidating financial information [Abstract]</label>
    <label xlink:type="resource" xlink:label="esrx_CondensedConsolidatingFinancialInformationAbstract_lbl" xlink:role="http://www.xbrl.org/2003/role/documentation" xml:lang="en-US">Condensed consolidating financial information.</label>
    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_SignificantAccountingPoliciesTextBlock" xlink:label="us-gaap_SignificantAccountingPoliciesTextBlock" />
    <label xlink:type="resource" xlink:label="us-gaap_SignificantAccountingPoliciesTextBlock_lbl" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Summary of significant accounting policies</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_SignificantAccountingPoliciesTextBlock" xlink:to="us-gaap_SignificantAccountingPoliciesTextBlock_lbl" />
    <label xlink:type="resource" xlink:label="us-gaap_SignificantAccountingPoliciesTextBlock_lbl" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Significant Accounting Policies [Text Block]</label>
    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_FairValueDisclosuresTextBlock" xlink:label="us-gaap_FairValueDisclosuresTextBlock" />
    <label xlink:type="resource" xlink:label="us-gaap_FairValueDisclosuresTextBlock_lbl" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Fair value measurements</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_FairValueDisclosuresTextBlock" xlink:to="us-gaap_FairValueDisclosuresTextBlock_lbl" />
    <label xlink:type="resource" xlink:label="us-gaap_FairValueDisclosuresTextBlock_lbl" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Fair Value Disclosures [Text Block]</label>
    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_EarningsPerShareTextBlock" xlink:label="us-gaap_EarningsPerShareTextBlock" />
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_EarningsPerShareTextBlock" xlink:to="us-gaap_EarningsPerShareTextBlock_lbl" />
    <label xlink:type="resource" xlink:label="us-gaap_EarningsPerShareTextBlock_lbl" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Earnings Per Share [Text Block]</label>
    <label xlink:type="resource" xlink:label="us-gaap_EarningsPerShareTextBlock_lbl" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Earnings per share (reflecting the two-for-one stock split effective June 8, 2010)</label>
    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_DebtDisclosureTextBlock" xlink:label="us-gaap_DebtDisclosureTextBlock" />
    <label xlink:type="resource" xlink:label="us-gaap_DebtDisclosureTextBlock_lbl" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Financing</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_DebtDisclosureTextBlock" xlink:to="us-gaap_DebtDisclosureTextBlock_lbl" />
    <label xlink:type="resource" xlink:label="us-gaap_DebtDisclosureTextBlock_lbl" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Debt Disclosure [Text Block]</label>
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    <label xlink:type="resource" xlink:label="dei_DocumentType_lbl" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Document Type</label>
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    <label xlink:type="resource" xlink:label="dei_DocumentPeriodEndDate_lbl" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Document Period End Date</label>
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    <label xlink:type="resource" xlink:label="dei_EntityVoluntaryFilers_lbl" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Entity Voluntary Filers</label>
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    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/non-gaap/dei-2009-01-31.xsd#dei_EntityCurrentReportingStatus" xlink:label="dei_EntityCurrentReportingStatus" />
    <label xlink:type="resource" xlink:label="dei_EntityCurrentReportingStatus_lbl" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Entity Current Reporting Status</label>
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    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/non-gaap/dei-2009-01-31.xsd#dei_EntityFilerCategory" xlink:label="dei_EntityFilerCategory" />
    <label xlink:type="resource" xlink:label="dei_EntityFilerCategory_lbl" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Entity Filer Category</label>
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    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/non-gaap/dei-2009-01-31.xsd#dei_EntityPublicFloat" xlink:label="dei_EntityPublicFloat" />
    <label xlink:type="resource" xlink:label="dei_EntityPublicFloat_lbl" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Entity Public Float</label>
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    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/non-gaap/dei-2009-01-31.xsd#dei_EntityCommonStockSharesOutstanding" xlink:label="dei_EntityCommonStockSharesOutstanding" />
    <label xlink:type="resource" xlink:label="dei_EntityCommonStockSharesOutstanding_lbl" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Entity Common Stock, Shares Outstanding</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="dei_EntityCommonStockSharesOutstanding" xlink:to="dei_EntityCommonStockSharesOutstanding_lbl" />
    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_StatementTable" xlink:label="us-gaap_StatementTable" />
    <label xlink:type="resource" xlink:label="us-gaap_StatementTable_lbl" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Statement [Table]</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_StatementTable" xlink:to="us-gaap_StatementTable_lbl" />
    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_StatementLineItems" xlink:label="us-gaap_StatementLineItems" />
    <label xlink:type="resource" xlink:label="us-gaap_StatementLineItems_lbl" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Statement [Line Items]</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_StatementLineItems" xlink:to="us-gaap_StatementLineItems_lbl" />
    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_StatementEquityComponentsAxis" xlink:label="us-gaap_StatementEquityComponentsAxis" />
    <label xlink:type="resource" xlink:label="us-gaap_StatementEquityComponentsAxis_lbl" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Statement, Equity Components [Axis]</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_StatementEquityComponentsAxis" xlink:to="us-gaap_StatementEquityComponentsAxis_lbl" />
    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_EquityComponentDomain" xlink:label="us-gaap_EquityComponentDomain" />
    <label xlink:type="resource" xlink:label="us-gaap_EquityComponentDomain_lbl" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Equity Component [Domain]</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_EquityComponentDomain" xlink:to="us-gaap_EquityComponentDomain_lbl" />
    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_ParentMember" xlink:label="us-gaap_ParentMember" />
    <label xlink:type="resource" xlink:label="us-gaap_ParentMember_lbl" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Parent [Member]</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_ParentMember" xlink:to="us-gaap_ParentMember_lbl" />
    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_StatementOfCashFlowsAbstract" xlink:label="us-gaap_StatementOfCashFlowsAbstract" />
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_StatementOfCashFlowsAbstract" xlink:to="us-gaap_StatementOfCashFlowsAbstract_lbl" />
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    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_BusinessAcquisitionEntityAcquiredAndReasonForAcquisitionAbstract" xlink:label="us-gaap_BusinessAcquisitionEntityAcquiredAndReasonForAcquisitionAbstract" />
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    <loc xlink:type="locator" xlink:href="esrx-20100930.xsd#esrx_SeniorNotesDueYearOneMember" xlink:label="esrx_SeniorNotesDueYearOneMember" />
    <label xlink:type="resource" xlink:label="esrx_SeniorNotesDueYearOneMember_lbl" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">5.25% senior notes due 2012, net of unamortized discount</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="esrx_SeniorNotesDueYearOneMember" xlink:to="esrx_SeniorNotesDueYearOneMember_lbl" />
    <label xlink:type="resource" xlink:label="esrx_SeniorNotesDueYearOneMember_lbl" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">5.25% senior notes due 2012, net of unamortized discount [Member]</label>
    <label xlink:type="resource" xlink:label="esrx_SeniorNotesDueYearOneMember_lbl" xlink:role="http://www.xbrl.org/2003/role/documentation" xml:lang="en-US">Senior notes due year one.</label>
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    <label xlink:type="resource" xlink:label="esrx_SeniorNotesDueYearTwoMember_lbl" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">6.25% senior notes due 2014, net of unamortized discount</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="esrx_SeniorNotesDueYearTwoMember" xlink:to="esrx_SeniorNotesDueYearTwoMember_lbl" />
    <label xlink:type="resource" xlink:label="esrx_SeniorNotesDueYearTwoMember_lbl" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">6.25% senior notes due 2014, net of unamortized discount [Member]</label>
    <label xlink:type="resource" xlink:label="esrx_SeniorNotesDueYearTwoMember_lbl" xlink:role="http://www.xbrl.org/2003/role/documentation" xml:lang="en-US">Senior notes due year two.</label>
    <loc xlink:type="locator" xlink:href="esrx-20100930.xsd#esrx_FairValueMeasurementsDetailsAbstract" xlink:label="esrx_FairValueMeasurementsDetailsAbstract" />
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="esrx_FairValueMeasurementsDetailsAbstract" xlink:to="esrx_FairValueMeasurementsDetailsAbstract_lbl" />
    <label xlink:type="resource" xlink:label="esrx_FairValueMeasurementsDetailsAbstract_lbl" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Fair value measurements (Details) [Abstract]</label>
    <label xlink:type="resource" xlink:label="esrx_FairValueMeasurementsDetailsAbstract_lbl" xlink:role="http://www.xbrl.org/2003/role/documentation" xml:lang="en-US">Fair Value Measurements.</label>
    <loc xlink:type="locator" xlink:href="esrx-20100930.xsd#esrx_FairValueMeasurementsTextualsAbstract" xlink:label="esrx_FairValueMeasurementsTextualsAbstract" />
    <label xlink:type="resource" xlink:label="esrx_FairValueMeasurementsTextualsAbstract_lbl" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Fair Value Measurements (Textuals)</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="esrx_FairValueMeasurementsTextualsAbstract" xlink:to="esrx_FairValueMeasurementsTextualsAbstract_lbl" />
    <label xlink:type="resource" xlink:label="esrx_FairValueMeasurementsTextualsAbstract_lbl" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Fair Value Measurements Textuals Abstract</label>
    <label xlink:type="resource" xlink:label="esrx_FairValueMeasurementsTextualsAbstract_lbl" xlink:role="http://www.xbrl.org/2003/role/documentation" xml:lang="en-US">Fair Value Measurements.</label>
    <loc xlink:type="locator" xlink:href="esrx-20100930.xsd#esrx_AverageMaturityPeriodOfInvestmentInMoneyMarketMutualFund" xlink:label="esrx_AverageMaturityPeriodOfInvestmentInMoneyMarketMutualFund" />
    <label xlink:type="resource" xlink:label="esrx_AverageMaturityPeriodOfInvestmentInMoneyMarketMutualFund_lbl" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Average Maturity period of investment in AAA-rated money market mutual funds, days</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="esrx_AverageMaturityPeriodOfInvestmentInMoneyMarketMutualFund" xlink:to="esrx_AverageMaturityPeriodOfInvestmentInMoneyMarketMutualFund_lbl" />
    <label xlink:type="resource" xlink:label="esrx_AverageMaturityPeriodOfInvestmentInMoneyMarketMutualFund_lbl" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Average Maturity period of investment in money market mutual fund</label>
    <label xlink:type="resource" xlink:label="esrx_AverageMaturityPeriodOfInvestmentInMoneyMarketMutualFund_lbl" xlink:role="http://www.xbrl.org/2003/role/documentation" xml:lang="en-US">Average Maturity period of investment in money market mutual fund.</label>
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    <label xlink:type="resource" xlink:label="esrx_AcquisitionDetailsAbstract_lbl" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Acquisition Details Abstract</label>
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    <label xlink:type="resource" xlink:label="esrx_AcquisitionDetailsAbstract_lbl" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Acquisition (Details) [Abstract]</label>
    <label xlink:type="resource" xlink:label="esrx_AcquisitionDetailsAbstract_lbl" xlink:role="http://www.xbrl.org/2003/role/documentation" xml:lang="en-US">Acquisition.</label>
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    <label xlink:type="resource" xlink:label="esrx_AcquisitionTextualsAbstract_lbl" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Acquisition (Textuals)</label>
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    <label xlink:type="resource" xlink:label="esrx_AcquisitionTextualsAbstract_lbl" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Acquisition Textuals Abstract</label>
    <label xlink:type="resource" xlink:label="esrx_AcquisitionTextualsAbstract_lbl" xlink:role="http://www.xbrl.org/2003/role/documentation" xml:lang="en-US">Acquisition.</label>
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    <label xlink:type="resource" xlink:label="lab_BusinessAcquisitionCostOfAcquiredEntityPurchasePrice" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Purchase price of acquisition</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_BusinessAcquisitionCostOfAcquiredEntityPurchasePrice" xlink:to="lab_BusinessAcquisitionCostOfAcquiredEntityPurchasePrice" />
    <label xlink:type="resource" xlink:label="lab_BusinessAcquisitionCostOfAcquiredEntityPurchasePrice" xlink:role="http://www.xbrl.org/2003/role/totalLabel" xml:lang="en-US">Business Acquisition, Cost of Acquired Entity, Purchase Price, Total</label>
    <label xlink:type="resource" xlink:label="lab_BusinessAcquisitionCostOfAcquiredEntityPurchasePrice" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Business Acquisition, Cost of Acquired Entity, Purchase Price</label>
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    <label xlink:type="resource" xlink:label="esrx_PeriodOfTaxDeductionForGoodwillGenerated_lbl" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Period of Tax deduction for goodwill generated</label>
    <label xlink:type="resource" xlink:label="esrx_PeriodOfTaxDeductionForGoodwillGenerated_lbl" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Period of tax deduction for goodwill and other intangibles generated, years</label>
    <label xlink:type="resource" xlink:label="esrx_PeriodOfTaxDeductionForGoodwillGenerated_lbl" xlink:role="http://www.xbrl.org/2003/role/documentation" xml:lang="en-US">Period of Tax deduction for goodwill generated.</label>
    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_BusinessAcquisitionPurchasePriceAllocationGoodwillAmount" xlink:label="us-gaap_BusinessAcquisitionPurchasePriceAllocationGoodwillAmount" />
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    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_FairValueByBalanceSheetGroupingTextBlock" xlink:to="lab_FairValueByBalanceSheetGroupingTextBlock" />
    <label xlink:type="resource" xlink:label="lab_FairValueByBalanceSheetGroupingTextBlock" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Fair Value, by Balance Sheet Grouping [Text Block]</label>
    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_SeniorLongtermNotesCurrentAndNoncurrentAbstract" xlink:label="us-gaap_SeniorLongtermNotesCurrentAndNoncurrentAbstract" />
    <label xlink:type="resource" xlink:label="lab_SeniorLongtermNotesCurrentAndNoncurrentAbstract" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Carrying values and the fair values of Senior Notes</label>
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    <label xlink:type="resource" xlink:label="lab_SeniorLongtermNotesCurrentAndNoncurrentAbstract" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Senior Notes [Abstract]</label>
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    <label xlink:type="resource" xlink:label="lab_FairValueAssetsMeasuredOnRecurringBasisCashAndCashEquivalents" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Cash equivalents</label>
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    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_FairValueAssetsMeasuredOnRecurringBasisTradingAccountAssets" xlink:label="us-gaap_FairValueAssetsMeasuredOnRecurringBasisTradingAccountAssets" />
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    <label xlink:type="resource" xlink:label="lab_FairValueAssetsMeasuredOnRecurringBasisTradingAccountAssets" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Fair Value, Assets Measured on Recurring Basis, Trading Account Assets</label>
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    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="esrx_SeniorNotesDueYearThreeMember" xlink:to="esrx_SeniorNotesDueYearThreeMember_lbl" />
    <label xlink:type="resource" xlink:label="esrx_SeniorNotesDueYearThreeMember_lbl" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">7.25% senior notes due 2019, net of unamortized discount [Member]</label>
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    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_FairValueInputsLevel1Member" xlink:label="us-gaap_FairValueInputsLevel1Member" />
    <label xlink:type="resource" xlink:label="lab_FairValueInputsLevel1Member" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Fair Value, Inputs, Level 1 [Member]</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_FairValueInputsLevel1Member" xlink:to="lab_FairValueInputsLevel1Member" />
    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/non-gaap/dei-2009-01-31.xsd#dei_DocumentFiscalYearFocus" xlink:label="dei_DocumentFiscalYearFocus" />
    <label xlink:type="resource" xlink:label="lab_DocumentFiscalYearFocus" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Document Fiscal Year Focus</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="dei_DocumentFiscalYearFocus" xlink:to="lab_DocumentFiscalYearFocus" />
    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/non-gaap/dei-2009-01-31.xsd#dei_DocumentFiscalPeriodFocus" xlink:label="dei_DocumentFiscalPeriodFocus" />
    <label xlink:type="resource" xlink:label="lab_DocumentFiscalPeriodFocus" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Document Fiscal Period Focus</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="dei_DocumentFiscalPeriodFocus" xlink:to="lab_DocumentFiscalPeriodFocus" />
    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_NotesPayableFairValueDisclosure" xlink:label="us-gaap_NotesPayableFairValueDisclosure" />
    <label xlink:type="resource" xlink:label="lab_NotesPayableFairValueDisclosure" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Fair Value</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_NotesPayableFairValueDisclosure" xlink:to="lab_NotesPayableFairValueDisclosure" />
    <label xlink:type="resource" xlink:label="lab_NotesPayableFairValueDisclosure" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Notes Payable, Fair Value Disclosure</label>
    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_FairValueAssetsMeasuredOnRecurringBasisDisclosureItemsAxis" xlink:label="us-gaap_FairValueAssetsMeasuredOnRecurringBasisDisclosureItemsAxis" />
    <label xlink:type="resource" xlink:label="lab_FairValueAssetsMeasuredOnRecurringBasisDisclosureItemsAxis" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Fair Value, Assets Measured on Recurring Basis, Disclosure Items [Axis]</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_FairValueAssetsMeasuredOnRecurringBasisDisclosureItemsAxis" xlink:to="lab_FairValueAssetsMeasuredOnRecurringBasisDisclosureItemsAxis" />
    <loc xlink:type="locator" xlink:href="esrx-20100930.xsd#esrx_EarningsPerShareTablesAbstract" xlink:label="esrx_EarningsPerShareTablesAbstract" />
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="esrx_EarningsPerShareTablesAbstract" xlink:to="esrx_EarningsPerShareTablesAbstract_lbl" />
    <label xlink:type="resource" xlink:label="esrx_EarningsPerShareTablesAbstract_lbl" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Earnings per share (reflecting the two-for-one stock split effective June 8, 2010) (Tables) [Abstract]</label>
    <label xlink:type="resource" xlink:label="esrx_EarningsPerShareTablesAbstract_lbl" xlink:role="http://www.xbrl.org/2003/role/documentation" xml:lang="en-US">Earnings per share.</label>
    <loc xlink:type="locator" xlink:href="esrx-20100930.xsd#esrx_NumberOfWeightedAverageSharesUsedInBasicAndDilutedEpsCalculationsTextBlock" xlink:label="esrx_NumberOfWeightedAverageSharesUsedInBasicAndDilutedEpsCalculationsTextBlock" />
    <label xlink:type="resource" xlink:label="esrx_NumberOfWeightedAverageSharesUsedInBasicAndDilutedEpsCalculationsTextBlock_lbl" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Number of weighted average shares used in the basic and diluted EPS calculations</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="esrx_NumberOfWeightedAverageSharesUsedInBasicAndDilutedEpsCalculationsTextBlock" xlink:to="esrx_NumberOfWeightedAverageSharesUsedInBasicAndDilutedEpsCalculationsTextBlock_lbl" />
    <label xlink:type="resource" xlink:label="esrx_NumberOfWeightedAverageSharesUsedInBasicAndDilutedEpsCalculationsTextBlock_lbl" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Number Of Weighted Average Shares Used In The Basic And Diluted Eps Calculations Text Block</label>
    <label xlink:type="resource" xlink:label="esrx_NumberOfWeightedAverageSharesUsedInBasicAndDilutedEpsCalculationsTextBlock_lbl" xlink:role="http://www.xbrl.org/2003/role/documentation" xml:lang="en-US">Number of weighted average shares used in the basic and diluted EPS calculations.</label>
    <loc xlink:type="locator" xlink:href="esrx-20100930.xsd#esrx_EarningsPerShareDetailsAbstract" xlink:label="esrx_EarningsPerShareDetailsAbstract" />
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    <label xlink:type="resource" xlink:label="esrx_EarningsPerShareDetailsAbstract_lbl" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Earnings per share (reflecting the two-for-one stock split effective June 8, 2010) (Details) [Abstract]</label>
    <label xlink:type="resource" xlink:label="esrx_EarningsPerShareDetailsAbstract_lbl" xlink:role="http://www.xbrl.org/2003/role/documentation" xml:lang="en-US">Earnings per share.</label>
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    <label xlink:type="resource" xlink:label="esrx_NumberOfWeightedAverageSharesUsedInBasicAndDilutedEpsCalculationsAbstract_lbl" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Number of weighted average shares used in the basic and diluted EPS calculations</label>
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    <label xlink:type="resource" xlink:label="esrx_NumberOfWeightedAverageSharesUsedInBasicAndDilutedEpsCalculationsAbstract_lbl" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Number Of Weighted Average Shares Used In The Basic And Diluted Eps Calculations Abstract</label>
    <label xlink:type="resource" xlink:label="esrx_NumberOfWeightedAverageSharesUsedInBasicAndDilutedEpsCalculationsAbstract_lbl" xlink:role="http://www.xbrl.org/2003/role/documentation" xml:lang="en-US">Number of weighted average shares used in the basic and diluted EPS calculations.</label>
    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_WeightedAverageNumberDilutedSharesOutstandingAdjustmentAbstract" xlink:label="us-gaap_WeightedAverageNumberDilutedSharesOutstandingAdjustmentAbstract" />
    <label xlink:type="resource" xlink:label="lab_WeightedAverageNumberDilutedSharesOutstandingAdjustmentAbstract" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Dilutive common stock equivalents:</label>
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    <label xlink:type="resource" xlink:label="lab_IncrementalCommonSharesAttributableToShareBasedPaymentArrangements" xlink:role="http://www.xbrl.org/2003/role/totalLabel" xml:lang="en-US">Outstanding stock options, "stock-settled" stock appreciation rights ("SSRs"), restricted stock units, and executive deferred compensation units</label>
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    <label xlink:type="resource" xlink:label="lab_IncrementalCommonSharesAttributableToShareBasedPaymentArrangements" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Incremental Common Shares Attributable to Share-based Payment Arrangements</label>
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    <label xlink:type="resource" xlink:label="esrx_EarningsPerShareTextualsAbstract_lbl" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Earnings per share (reflecting the two-for-one stock split effective June 8, 2010) (Textuals)</label>
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    <label xlink:type="resource" xlink:label="esrx_EarningsPerShareTextualsAbstract_lbl" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Earnings Per Share Textuals Abstract</label>
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    <loc xlink:type="locator" xlink:href="esrx-20100930.xsd#esrx_FinancingTablesAbstract" xlink:label="esrx_FinancingTablesAbstract" />
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    <label xlink:type="resource" xlink:label="esrx_FinancingTablesAbstract_lbl" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Financing (Tables) [Abstract]</label>
    <label xlink:type="resource" xlink:label="esrx_FinancingTablesAbstract_lbl" xlink:role="http://www.xbrl.org/2003/role/documentation" xml:lang="en-US">Financing.</label>
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    <label xlink:type="resource" xlink:label="lab_LongTermDebtTextBlock" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Long-term debt</label>
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    <label xlink:type="resource" xlink:label="lab_LongTermDebtTextBlock" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Long-term Debt [Text Block]</label>
    <loc xlink:type="locator" xlink:href="esrx-20100930.xsd#esrx_FinancingDetailsAbstract" xlink:label="esrx_FinancingDetailsAbstract" />
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="esrx_FinancingDetailsAbstract" xlink:to="esrx_FinancingDetailsAbstract_lbl" />
    <label xlink:type="resource" xlink:label="esrx_FinancingDetailsAbstract_lbl" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Financing (Details) [Abstract]</label>
    <label xlink:type="resource" xlink:label="esrx_FinancingDetailsAbstract_lbl" xlink:role="http://www.xbrl.org/2003/role/documentation" xml:lang="en-US">Financing.</label>
    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_LongTermDebtByCurrentAndNoncurrentAbstract" xlink:label="us-gaap_LongTermDebtByCurrentAndNoncurrentAbstract" />
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    <label xlink:type="resource" xlink:label="lab_LongTermDebtByCurrentAndNoncurrentAbstract" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Long-term Debt, by Current and Noncurrent [Abstract]</label>
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    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_LongTermDebt" xlink:label="us-gaap_LongTermDebt" />
    <label xlink:type="resource" xlink:label="lab_LongTermDebt" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Total debt</label>
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    <label xlink:type="resource" xlink:label="lab_LongTermDebt" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Long-term Debt</label>
    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_OtherLongTermDebt" xlink:label="us-gaap_OtherLongTermDebt" />
    <label xlink:type="resource" xlink:label="lab_OtherLongTermDebt" xlink:role="http://www.xbrl.org/2003/role/totalLabel" xml:lang="en-US">Other</label>
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    <label xlink:type="resource" xlink:label="lab_OtherLongTermDebt" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Other Long-term Debt</label>
    <loc xlink:type="locator" xlink:href="esrx-20100930.xsd#esrx_Term1LoansMember" xlink:label="esrx_Term1LoansMember" />
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="esrx_Term1LoansMember" xlink:to="esrx_Term1LoansMember_lbl" />
    <label xlink:type="resource" xlink:label="esrx_Term1LoansMember_lbl" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Term 1 Loans [Member]</label>
    <label xlink:type="resource" xlink:label="esrx_Term1LoansMember_lbl" xlink:role="http://www.xbrl.org/2003/role/documentation" xml:lang="en-US">Term-1 loans.</label>
    <loc xlink:type="locator" xlink:href="esrx-20100930.xsd#esrx_TermALoansMember" xlink:label="esrx_TermALoansMember" />
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="esrx_TermALoansMember" xlink:to="esrx_TermALoansMember_lbl" />
    <label xlink:type="resource" xlink:label="esrx_TermALoansMember_lbl" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Term A Loans [Member]</label>
    <label xlink:type="resource" xlink:label="esrx_TermALoansMember_lbl" xlink:role="http://www.xbrl.org/2003/role/documentation" xml:lang="en-US">Term A loans.</label>
    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_LongTermLoansPayable" xlink:label="us-gaap_LongTermLoansPayable" />
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_LongTermLoansPayable" xlink:to="lab_LongTermLoansPayable" />
    <label xlink:type="resource" xlink:label="lab_LongTermLoansPayable" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Loans Payable, Noncurrent</label>
    <label xlink:type="resource" xlink:label="lab_LongTermLoansPayable" xlink:role="http://www.xbrl.org/2003/role/totalLabel" xml:lang="en-US">Loans Payable, Noncurrent, Total</label>
    <label xlink:type="resource" xlink:label="lab_LongTermLoansPayable" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Term loans due October 14, 2010</label>
    <loc xlink:type="locator" xlink:href="esrx-20100930.xsd#esrx_FinancingTextualsAbstract" xlink:label="esrx_FinancingTextualsAbstract" />
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="esrx_FinancingTextualsAbstract" xlink:to="esrx_FinancingTextualsAbstract_lbl" />
    <label xlink:type="resource" xlink:label="esrx_FinancingTextualsAbstract_lbl" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Financing (Textuals) [Abstract]</label>
    <label xlink:type="resource" xlink:label="esrx_FinancingTextualsAbstract_lbl" xlink:role="http://www.xbrl.org/2003/role/documentation" xml:lang="en-US">Financing.</label>
    <label xlink:type="resource" xlink:label="esrx_FinancingTextualsAbstract_lbl" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Financing (Textuals)</label>
    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_LineOfCreditFacilityAmountOutstanding" xlink:label="us-gaap_LineOfCreditFacilityAmountOutstanding" />
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_LineOfCreditFacilityAmountOutstanding" xlink:to="lab_LineOfCreditFacilityAmountOutstanding" />
    <label xlink:type="resource" xlink:label="lab_LineOfCreditFacilityAmountOutstanding" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Line of Credit Facility, Amount Outstanding</label>
    <label xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xlink:label="lab_LineOfCreditFacilityAmountOutstanding" xml:lang="en-US">Outstanding balance in revolving credit facility</label>
    <label xlink:type="resource" xlink:label="lab_LineOfCreditFacilityAmountOutstanding" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Revolving credit facility due</label>
    <loc xlink:type="locator" xlink:href="esrx-20100930.xsd#esrx_MarginOverLIBORMinimum" xlink:label="esrx_MarginOverLIBORMinimum" />
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="esrx_MarginOverLIBORMinimum" xlink:to="esrx_MarginOverLIBORMinimum_lbl" />
    <label xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label" xlink:label="esrx_MarginOverLIBORMinimum_lbl" xml:lang="en-US">Margin Over LIBOR Minimum</label>
    <label xlink:type="resource" xlink:label="esrx_MarginOverLIBORMinimum_lbl" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Minimum margin percentage over LIBOR interest rate</label>
    <label xlink:type="resource" xlink:label="esrx_MarginOverLIBORMinimum_lbl" xlink:role="http://www.xbrl.org/2003/role/documentation" xml:lang="en-US">LIBOR Margin Interest Rate Minimum.</label>
    <loc xlink:type="locator" xlink:href="esrx-20100930.xsd#esrx_MarginOverLIBORMaximum" xlink:label="esrx_MarginOverLIBORMaximum" />
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="esrx_MarginOverLIBORMaximum" xlink:to="esrx_MarginOverLIBORMaximum_lbl" />
    <label xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label" xlink:label="esrx_MarginOverLIBORMaximum_lbl" xml:lang="en-US">Margin Over LIBOR Maximum</label>
    <label xlink:type="resource" xlink:label="esrx_MarginOverLIBORMaximum_lbl" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Maximum margin percentage over LIBOR interest rate</label>
    <label xlink:type="resource" xlink:label="esrx_MarginOverLIBORMaximum_lbl" xlink:role="http://www.xbrl.org/2003/role/documentation" xml:lang="en-US">LIBOR margin interest rate maximum</label>
    <loc xlink:type="locator" xlink:href="esrx-20100930.xsd#esrx_InstrumentUnusedBorrowingCapacityFeeMinimum" xlink:label="esrx_InstrumentUnusedBorrowingCapacityFeeMinimum" />
    <label xlink:type="resource" xlink:label="esrx_InstrumentUnusedBorrowingCapacityFeeMinimum_lbl" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Minimum commitment fee on the unused portion of the revolving credit facility</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="esrx_InstrumentUnusedBorrowingCapacityFeeMinimum" xlink:to="esrx_InstrumentUnusedBorrowingCapacityFeeMinimum_lbl" />
    <label xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label" xlink:label="esrx_InstrumentUnusedBorrowingCapacityFeeMinimum_lbl" xml:lang="en-US">Instrument Unused Borrowing Capacity Fee Minimum</label>
    <label xlink:type="resource" xlink:label="esrx_InstrumentUnusedBorrowingCapacityFeeMinimum_lbl" xlink:role="http://www.xbrl.org/2003/role/documentation" xml:lang="en-US">Minimum commitment fee on the unused portion of the revolving credit facility.</label>
    <loc xlink:type="locator" xlink:href="esrx-20100930.xsd#esrx_InstrumentUnusedBorrowingCapacityFeeMaximum" xlink:label="esrx_InstrumentUnusedBorrowingCapacityFeeMaximum" />
    <label xlink:type="resource" xlink:label="esrx_InstrumentUnusedBorrowingCapacityFeeMaximum_lbl" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Maximum commitment fee on the unused portion of the revolving credit facility</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="esrx_InstrumentUnusedBorrowingCapacityFeeMaximum" xlink:to="esrx_InstrumentUnusedBorrowingCapacityFeeMaximum_lbl" />
    <label xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label" xlink:label="esrx_InstrumentUnusedBorrowingCapacityFeeMaximum_lbl" xml:lang="en-US">Instrument Unused Borrowing Capacity Fee Maximum</label>
    <label xlink:type="resource" xlink:label="esrx_InstrumentUnusedBorrowingCapacityFeeMaximum_lbl" xlink:role="http://www.xbrl.org/2003/role/documentation" xml:lang="en-US">Maximum commitment fee on the unused portion of the revolving credit facility.</label>
    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_LineOfCreditFacilityCurrentBorrowingCapacity" xlink:label="us-gaap_LineOfCreditFacilityCurrentBorrowingCapacity" />
    <label xlink:type="resource" xlink:label="lab_LineOfCreditFacilityCurrentBorrowingCapacity" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Revolving credit facility</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_LineOfCreditFacilityCurrentBorrowingCapacity" xlink:to="lab_LineOfCreditFacilityCurrentBorrowingCapacity" />
    <label xlink:type="resource" xlink:label="lab_LineOfCreditFacilityCurrentBorrowingCapacity" xlink:role="http://www.xbrl.org/2003/role/totalLabel" xml:lang="en-US">Long-term Line of Credit, Total</label>
    <label xlink:type="resource" xlink:label="lab_LineOfCreditFacilityCurrentBorrowingCapacity" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Long-term Line of Credit</label>
    <loc xlink:type="locator" xlink:href="esrx-20100930.xsd#esrx_CommonStockDetailsAbstract" xlink:label="esrx_CommonStockDetailsAbstract" />
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="esrx_CommonStockDetailsAbstract" xlink:to="esrx_CommonStockDetailsAbstract_lbl" />
    <label xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label" xlink:label="esrx_CommonStockDetailsAbstract_lbl" xml:lang="en-US">Common stock (Details) [Abstract]</label>
    <label xlink:type="resource" xlink:label="esrx_CommonStockDetailsAbstract_lbl" xlink:role="http://www.xbrl.org/2003/role/documentation" xml:lang="en-US">Common stock.</label>
    <loc xlink:type="locator" xlink:href="esrx-20100930.xsd#esrx_StockBasedCompensationPlansTablesAbstract" xlink:label="esrx_StockBasedCompensationPlansTablesAbstract" />
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="esrx_StockBasedCompensationPlansTablesAbstract" xlink:to="esrx_StockBasedCompensationPlansTablesAbstract_lbl" />
    <label xlink:type="resource" xlink:label="esrx_StockBasedCompensationPlansTablesAbstract_lbl" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Stock-based compensation plans (reflecting the two-for-one stock split effective June 8, 2010) (Tables) [Abstract]</label>
    <label xlink:type="resource" xlink:label="esrx_StockBasedCompensationPlansTablesAbstract_lbl" xlink:role="http://www.xbrl.org/2003/role/documentation" xml:lang="en-US">Stock-based compensation plans.</label>
    <loc xlink:type="locator" xlink:href="esrx-20100930.xsd#esrx_StockBasedCompensationPlansDetailsAbstract" xlink:label="esrx_StockBasedCompensationPlansDetailsAbstract" />
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="esrx_StockBasedCompensationPlansDetailsAbstract" xlink:to="esrx_StockBasedCompensationPlansDetailsAbstract_lbl" />
    <label xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label" xlink:label="esrx_StockBasedCompensationPlansDetailsAbstract_lbl" xml:lang="en-US">Stock-based compensation plans (reflecting the two-for-one stock split effective June 8, 2010) (Details) [Abstract]</label>
    <label xlink:type="resource" xlink:label="esrx_StockBasedCompensationPlansDetailsAbstract_lbl" xlink:role="http://www.xbrl.org/2003/role/documentation" xml:lang="en-US">Stock-based compensation plans.</label>
    <loc xlink:type="locator" xlink:href="esrx-20100930.xsd#esrx_CommonStockTextualsAbstract" xlink:label="esrx_CommonStockTextualsAbstract" />
    <label xlink:type="resource" xlink:label="esrx_CommonStockTextualsAbstract_lbl" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Common stock (Textuals)</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="esrx_CommonStockTextualsAbstract" xlink:to="esrx_CommonStockTextualsAbstract_lbl" />
    <label xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label" xlink:label="esrx_CommonStockTextualsAbstract_lbl" xml:lang="en-US">Common stock Textuals Abstract</label>
    <label xlink:type="resource" xlink:label="esrx_CommonStockTextualsAbstract_lbl" xlink:role="http://www.xbrl.org/2003/role/documentation" xml:lang="en-US">Common stock.</label>
    <loc xlink:type="locator" xlink:href="esrx-20100930.xsd#esrx_CommonStockSharesSoldAsResultOfUnderwritersExerciseOfOverallotmentOption" xlink:label="esrx_CommonStockSharesSoldAsResultOfUnderwritersExerciseOfOverallotmentOption" />
    <label xlink:type="resource" xlink:label="esrx_CommonStockSharesSoldAsResultOfUnderwritersExerciseOfOverallotmentOption_lbl" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Common stock shares sold as a result of the underwriter's exercise of overallotment option</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="esrx_CommonStockSharesSoldAsResultOfUnderwritersExerciseOfOverallotmentOption" xlink:to="esrx_CommonStockSharesSoldAsResultOfUnderwritersExerciseOfOverallotmentOption_lbl" />
    <label xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label" xlink:label="esrx_CommonStockSharesSoldAsResultOfUnderwritersExerciseOfOverallotmentOption_lbl" xml:lang="en-US">Common stock Shares sold as a result of the underwriter's exercise of overallotment option</label>
    <label xlink:type="resource" xlink:label="esrx_CommonStockSharesSoldAsResultOfUnderwritersExerciseOfOverallotmentOption_lbl" xlink:role="http://www.xbrl.org/2003/role/documentation" xml:lang="en-US">Common stock Shares sold as a result of the underwriters exercise of overallotment option.</label>
    <loc xlink:type="locator" xlink:href="esrx-20100930.xsd#esrx_UnderwritersExerciseOfCommonStockOverallotmentOptionInFullAtClosing" xlink:label="esrx_UnderwritersExerciseOfCommonStockOverallotmentOptionInFullAtClosing" />
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="esrx_UnderwritersExerciseOfCommonStockOverallotmentOptionInFullAtClosing" xlink:to="esrx_UnderwritersExerciseOfCommonStockOverallotmentOptionInFullAtClosing_lbl" />
    <label xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label" xlink:label="esrx_UnderwritersExerciseOfCommonStockOverallotmentOptionInFullAtClosing_lbl" xml:lang="en-US">Underwriters Exercise Of Common Stock Overallotment Option In Full At Closing</label>
    <label xlink:type="resource" xlink:label="esrx_UnderwritersExerciseOfCommonStockOverallotmentOptionInFullAtClosing_lbl" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Underwriter's exercise of common stock overallotment option in full at closing, per share</label>
    <label xlink:type="resource" xlink:label="esrx_UnderwritersExerciseOfCommonStockOverallotmentOptionInFullAtClosing_lbl" xlink:role="http://www.xbrl.org/2003/role/documentation" xml:lang="en-US">underwriter's exercise of common stock overallotment option in full at closing, per share.</label>
    <loc xlink:type="locator" xlink:href="esrx-20100930.xsd#esrx_MinimumMember" xlink:label="esrx_MinimumMember" />
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="esrx_MinimumMember" xlink:to="esrx_MinimumMember_lbl" />
    <label xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label" xlink:label="esrx_MinimumMember_lbl" xml:lang="en-US">Minimum [Member]</label>
    <label xlink:type="resource" xlink:label="esrx_MinimumMember_lbl" xlink:role="http://www.xbrl.org/2003/role/documentation" xml:lang="en-US">Minimum.</label>
    <loc xlink:type="locator" xlink:href="esrx-20100930.xsd#esrx_MaximumMember" xlink:label="esrx_MaximumMember" />
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="esrx_MaximumMember" xlink:to="esrx_MaximumMember_lbl" />
    <label xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label" xlink:label="esrx_MaximumMember_lbl" xml:lang="en-US">Maximum [Member]</label>
    <label xlink:type="resource" xlink:label="esrx_MaximumMember_lbl" xlink:role="http://www.xbrl.org/2003/role/documentation" xml:lang="en-US">Maximum.</label>
    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardFairValueAssumptionsExpectedDividendRate" xlink:label="us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardFairValueAssumptionsExpectedDividendRate" />
    <label xlink:type="resource" xlink:label="lab_ShareBasedCompensationArrangementByShareBasedPaymentAwardFairValueAssumptionsExpectedDividendRate" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Expected dividend yield</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardFairValueAssumptionsExpectedDividendRate" xlink:to="lab_ShareBasedCompensationArrangementByShareBasedPaymentAwardFairValueAssumptionsExpectedDividendRate" />
    <label xlink:type="resource" xlink:label="lab_ShareBasedCompensationArrangementByShareBasedPaymentAwardFairValueAssumptionsExpectedDividendRate" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Share-based Compensation Arrangement by Share-based Payment Award, Fair Value Assumptions, Expected Dividend Rate</label>
    <loc xlink:type="locator" xlink:href="esrx-20100930.xsd#esrx_WeightedAverageAssumptionsTextBlock" xlink:label="esrx_WeightedAverageAssumptionsTextBlock" />
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="esrx_WeightedAverageAssumptionsTextBlock" xlink:to="esrx_WeightedAverageAssumptionsTextBlock_lbl" />
    <label xlink:type="resource" xlink:label="esrx_WeightedAverageAssumptionsTextBlock_lbl" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Weighted Average Assumptions Text Block</label>
    <label xlink:type="resource" xlink:label="esrx_WeightedAverageAssumptionsTextBlock_lbl" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Weighted Average Assumptions to Value Options and SSRs Granted</label>
    <label xlink:type="resource" xlink:label="esrx_WeightedAverageAssumptionsTextBlock_lbl" xlink:role="http://www.xbrl.org/2003/role/documentation" xml:lang="en-US">Weighted average assumptions.</label>
    <loc xlink:type="locator" xlink:href="esrx-20100930.xsd#esrx_StockBasedCompensationPlansTextualsAbstract" xlink:label="esrx_StockBasedCompensationPlansTextualsAbstract" />
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="esrx_StockBasedCompensationPlansTextualsAbstract" xlink:to="esrx_StockBasedCompensationPlansTextualsAbstract_lbl" />
    <label xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label" xlink:label="esrx_StockBasedCompensationPlansTextualsAbstract_lbl" xml:lang="en-US">Stock based compensation plans Textuals Abstract</label>
    <label xlink:type="resource" xlink:label="esrx_StockBasedCompensationPlansTextualsAbstract_lbl" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Stock-based compensation plans (reflecting the two-for-one stock split effective June 8, 2010) (Textuals)</label>
    <label xlink:type="resource" xlink:label="esrx_StockBasedCompensationPlansTextualsAbstract_lbl" xlink:role="http://www.xbrl.org/2003/role/documentation" xml:lang="en-US">Stock-based compensation plans.</label>
    <loc xlink:type="locator" xlink:href="esrx-20100930.xsd#esrx_SegmentInformationTablesAbstract" xlink:label="esrx_SegmentInformationTablesAbstract" />
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="esrx_SegmentInformationTablesAbstract" xlink:to="esrx_SegmentInformationTablesAbstract_lbl" />
    <label xlink:type="resource" xlink:label="esrx_SegmentInformationTablesAbstract_lbl" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Segment information (Tables) [Abstract]</label>
    <label xlink:type="resource" xlink:label="esrx_SegmentInformationTablesAbstract_lbl" xlink:role="http://www.xbrl.org/2003/role/documentation" xml:lang="en-US">Segment Information.</label>
    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_ScheduleOfSegmentReportingInformationBySegmentTextBlock" xlink:label="us-gaap_ScheduleOfSegmentReportingInformationBySegmentTextBlock" />
    <label xlink:type="resource" xlink:label="lab_ScheduleOfSegmentReportingInformationBySegmentTextBlock" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Reportable Segments Information</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_ScheduleOfSegmentReportingInformationBySegmentTextBlock" xlink:to="lab_ScheduleOfSegmentReportingInformationBySegmentTextBlock" />
    <label xlink:type="resource" xlink:label="lab_ScheduleOfSegmentReportingInformationBySegmentTextBlock" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Schedule of Segment Reporting Information, by Segment [Text Block]</label>
    <loc xlink:type="locator" xlink:href="esrx-20100930.xsd#esrx_BalanceSheetInformationAboutReportableSegmentsTextBlock" xlink:label="esrx_BalanceSheetInformationAboutReportableSegmentsTextBlock" />
    <label xlink:type="resource" xlink:label="esrx_BalanceSheetInformationAboutReportableSegmentsTextBlock_lbl" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Balance sheet information about reportable segments</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="esrx_BalanceSheetInformationAboutReportableSegmentsTextBlock" xlink:to="esrx_BalanceSheetInformationAboutReportableSegmentsTextBlock_lbl" />
    <label xlink:type="resource" xlink:label="esrx_BalanceSheetInformationAboutReportableSegmentsTextBlock_lbl" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Balance sheet information about reportable segments Text Block</label>
    <label xlink:type="resource" xlink:label="esrx_BalanceSheetInformationAboutReportableSegmentsTextBlock_lbl" xlink:role="http://www.xbrl.org/2003/role/documentation" xml:lang="en-US">Balance sheet information about reportable segments.</label>
    <loc xlink:type="locator" xlink:href="esrx-20100930.xsd#esrx_SegmentInformationDetailsAbstract" xlink:label="esrx_SegmentInformationDetailsAbstract" />
    <label xlink:type="resource" xlink:label="esrx_SegmentInformationDetailsAbstract_lbl" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Segment Information</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="esrx_SegmentInformationDetailsAbstract" xlink:to="esrx_SegmentInformationDetailsAbstract_lbl" />
    <label xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label" xlink:label="esrx_SegmentInformationDetailsAbstract_lbl" xml:lang="en-US">Segment information (Details) [Abstract]</label>
    <label xlink:type="resource" xlink:label="esrx_SegmentInformationDetailsAbstract_lbl" xlink:role="http://www.xbrl.org/2003/role/documentation" xml:lang="en-US">Segment Information.</label>
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    <label xlink:type="resource" xlink:label="lab_SegmentReportingInformationOperatingIncomeLoss" xlink:role="http://www.xbrl.org/2003/role/totalLabel" xml:lang="en-US">Segment Reporting Information, Operating Income (Loss), Total</label>
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    <label xlink:type="resource" xlink:label="lab_SegmentReportingInformationAssets" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Total assets, by segment</label>
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    <label xlink:type="resource" xlink:label="lab_DebtInstrumentAxis" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Debt Instrument [Axis]</label>
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    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_DebtInstrumentNameDomain" xlink:to="lab_DebtInstrumentNameDomain" />
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    <label xlink:type="resource" xlink:label="lab_PaymentsOfStockIssuanceCosts" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Underwriting discount and issuance costs of common stock</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_PaymentsOfStockIssuanceCosts" xlink:to="lab_PaymentsOfStockIssuanceCosts" />
    <label xlink:type="resource" xlink:label="lab_PaymentsOfStockIssuanceCosts" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Payments of Stock Issuance Costs</label>
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    <label xlink:type="resource" xlink:label="lab_ShareBasedCompensationArrangementByShareBasedPaymentAwardFairValueAssumptionsAndMethodologyAbstract" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Share-based Compensation Arrangement by Share-based Payment Award, Fair Value Assumptions and Methodology [Abstract]</label>
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    <label xlink:type="resource" xlink:label="lab_ShareBasedCompensationArrangementByShareBasedPaymentAwardFairValueAssumptionsAndMethodologyAbstract" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Weighted Average Assumptions to Value Options and SSRs Granted</label>
    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardFairValueAssumptionsExpectedTerm" xlink:label="us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardFairValueAssumptionsExpectedTerm" />
    <label xlink:type="resource" xlink:label="lab_ShareBasedCompensationArrangementByShareBasedPaymentAwardFairValueAssumptionsExpectedTerm" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Expected life of option, in years</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardFairValueAssumptionsExpectedTerm" xlink:to="lab_ShareBasedCompensationArrangementByShareBasedPaymentAwardFairValueAssumptionsExpectedTerm" />
    <label xlink:type="resource" xlink:label="lab_ShareBasedCompensationArrangementByShareBasedPaymentAwardFairValueAssumptionsExpectedTerm" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Share-based Compensation Arrangement by Share-based Payment Award, Fair Value Assumptions, Expected Term</label>
    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardFairValueAssumptionsRiskFreeInterestRate" xlink:label="us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardFairValueAssumptionsRiskFreeInterestRate" />
    <label xlink:type="resource" xlink:label="lab_ShareBasedCompensationArrangementByShareBasedPaymentAwardFairValueAssumptionsRiskFreeInterestRate" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Risk-free interest rate</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardFairValueAssumptionsRiskFreeInterestRate" xlink:to="lab_ShareBasedCompensationArrangementByShareBasedPaymentAwardFairValueAssumptionsRiskFreeInterestRate" />
    <label xlink:type="resource" xlink:label="lab_ShareBasedCompensationArrangementByShareBasedPaymentAwardFairValueAssumptionsRiskFreeInterestRate" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Share-based Compensation Arrangement by Share-based Payment Award, Fair Value Assumptions, Risk Free Interest Rate</label>
    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardFairValueAssumptionsExpectedVolatilityRate" xlink:label="us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardFairValueAssumptionsExpectedVolatilityRate" />
    <label xlink:type="resource" xlink:label="lab_ShareBasedCompensationArrangementByShareBasedPaymentAwardFairValueAssumptionsExpectedVolatilityRate" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Expected volatility of stock</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardFairValueAssumptionsExpectedVolatilityRate" xlink:to="lab_ShareBasedCompensationArrangementByShareBasedPaymentAwardFairValueAssumptionsExpectedVolatilityRate" />
    <label xlink:type="resource" xlink:label="lab_ShareBasedCompensationArrangementByShareBasedPaymentAwardFairValueAssumptionsExpectedVolatilityRate" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Share-based Compensation Arrangement by Share-based Payment Award, Fair Value Assumptions, Expected Volatility Rate</label>
    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsGrantsInPeriod" xlink:label="us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsGrantsInPeriod" />
    <label xlink:type="resource" xlink:label="lab_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsGrantsInPeriod" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Stock options granted</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsGrantsInPeriod" xlink:to="lab_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsGrantsInPeriod" />
    <label xlink:type="resource" xlink:label="lab_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsGrantsInPeriod" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Share-based Compensation Arrangement by Share-based Payment Award, Options, Grants in Period</label>
    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsGrantsInPeriodWeightedAverageGrantDateFairValue" xlink:label="us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsGrantsInPeriodWeightedAverageGrantDateFairValue" />
    <label xlink:type="resource" xlink:label="lab_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsGrantsInPeriodWeightedAverageGrantDateFairValue" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Weighted average fair market value of stock options</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsGrantsInPeriodWeightedAverageGrantDateFairValue" xlink:to="lab_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsGrantsInPeriodWeightedAverageGrantDateFairValue" />
    <label xlink:type="resource" xlink:label="lab_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsGrantsInPeriodWeightedAverageGrantDateFairValue" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Share-based Compensation Arrangement by Share-based Payment Award, Options, Grants in Period, Weighted Average Grant Date Fair Value</label>
    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsGrantsInPeriod" xlink:label="us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsGrantsInPeriod" />
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsGrantsInPeriod" xlink:to="lab_ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsGrantsInPeriod" />
    <label xlink:type="resource" xlink:label="lab_ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsGrantsInPeriod" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Share-based Compensation Arrangement by Share-based Payment Award, Equity Instruments Other than Options, Grants in Period</label>
    <label xlink:type="resource" xlink:label="lab_ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsGrantsInPeriod" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Restricted stock units and performance shares granted</label>
    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsGrantsInPeriodWeightedAverageGrantDateFairValue" xlink:label="us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsGrantsInPeriodWeightedAverageGrantDateFairValue" />
    <label xlink:type="resource" xlink:label="lab_ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsGrantsInPeriodWeightedAverageGrantDateFairValue" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Weighted average fair market value of restricted stock units and performance shares</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsGrantsInPeriodWeightedAverageGrantDateFairValue" xlink:to="lab_ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsGrantsInPeriodWeightedAverageGrantDateFairValue" />
    <label xlink:type="resource" xlink:label="lab_ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsGrantsInPeriodWeightedAverageGrantDateFairValue" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Share-based Compensation Arrangement by Share-based Payment Award, Equity Instruments Other than Options, Grants in Period, Weighted Average Grant Date Fair Value</label>
    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsNonvestedNumber" xlink:label="us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsNonvestedNumber" />
    <label xlink:type="resource" xlink:label="lab_ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsNonvestedNumber" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Total number of non-vested restricted stock and performance share awards</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsNonvestedNumber" xlink:to="lab_ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsNonvestedNumber" />
    <label xlink:type="resource" xlink:label="lab_ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsNonvestedNumber" xlink:role="http://www.xbrl.org/2003/role/periodStartLabel" xml:lang="en-US">Share-based Compensation Arrangement by Share-based Payment Award, Equity Instruments Other than Options, Nonvested, Number, Beginning Balance</label>
    <label xlink:type="resource" xlink:label="lab_ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsNonvestedNumber" xlink:role="http://www.xbrl.org/2003/role/periodEndLabel" xml:lang="en-US">Share-based Compensation Arrangement by Share-based Payment Award, Equity Instruments Other than Options, Nonvested, Number, Ending Balance</label>
    <label xlink:type="resource" xlink:label="lab_ShareBasedCompensationArrangementByShareBasedPaymentAwardEquityInstrumentsOtherThanOptionsNonvestedNumber" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Share-based Compensation Arrangement by Share-based Payment Award, Equity Instruments Other than Options, Nonvested, Number</label>
    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_AllocatedShareBasedCompensationExpense" xlink:label="us-gaap_AllocatedShareBasedCompensationExpense" />
    <label xlink:type="resource" xlink:label="lab_AllocatedShareBasedCompensationExpense" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Stock-based compensation expense</label>
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    <label xlink:type="resource" xlink:label="lab_AllocatedShareBasedCompensationExpense" xlink:role="http://www.xbrl.org/2003/role/totalLabel" xml:lang="en-US">Allocated Share-based Compensation Expense, Total</label>
    <label xlink:type="resource" xlink:label="lab_AllocatedShareBasedCompensationExpense" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Allocated Share-based Compensation Expense</label>
    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_EmployeeServiceShareBasedCompensationNonvestedAwardsTotalCompensationCostNotYetRecognized" xlink:label="us-gaap_EmployeeServiceShareBasedCompensationNonvestedAwardsTotalCompensationCostNotYetRecognized" />
    <label xlink:type="resource" xlink:label="lab_EmployeeServiceShareBasedCompensationNonvestedAwardsTotalCompensationCostNotYetRecognized" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Unamortized stock-based compensation for stock options and SSRs</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_EmployeeServiceShareBasedCompensationNonvestedAwardsTotalCompensationCostNotYetRecognized" xlink:to="lab_EmployeeServiceShareBasedCompensationNonvestedAwardsTotalCompensationCostNotYetRecognized" />
    <label xlink:type="resource" xlink:label="lab_EmployeeServiceShareBasedCompensationNonvestedAwardsTotalCompensationCostNotYetRecognized" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Employee Service Share-based Compensation, Nonvested Awards, Total Compensation Cost Not yet Recognized</label>
    <loc xlink:type="locator" xlink:href="esrx-20100930.xsd#esrx_PbmMember" xlink:label="esrx_PbmMember" />
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    <label xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label" xlink:label="esrx_PbmMember_lbl" xml:lang="en-US">PBM [Member]</label>
    <label xlink:type="resource" xlink:label="esrx_PbmMember_lbl" xlink:role="http://www.xbrl.org/2003/role/documentation" xml:lang="en-US">PBM.</label>
    <loc xlink:type="locator" xlink:href="esrx-20100930.xsd#esrx_EmMember" xlink:label="esrx_EmMember" />
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    <label xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label" xlink:label="esrx_EmMember_lbl" xml:lang="en-US">EM [Member]</label>
    <label xlink:type="resource" xlink:label="esrx_EmMember_lbl" xlink:role="http://www.xbrl.org/2003/role/documentation" xml:lang="en-US">EM.</label>
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    <label xlink:type="resource" xlink:label="lab_SegmentReportingSegmentRevenue" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Segment Reporting, Segment Revenue</label>
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    <label xlink:type="resource" xlink:label="lab_SegmentReportingSegmentRevenue" xlink:role="http://www.xbrl.org/2003/role/totalLabel" xml:lang="en-US">Total revenues</label>
    <label xlink:type="resource" xlink:label="lab_SegmentReportingSegmentRevenue" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Total revenue, by segment</label>
    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_EntityWideDisclosureOnGeographicAreasRevenueFromExternalCustomersAttributedToIndividualForeignCountriesAmount" xlink:label="us-gaap_EntityWideDisclosureOnGeographicAreasRevenueFromExternalCustomersAttributedToIndividualForeignCountriesAmount" />
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    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_SegmentReportingInformationBySegmentAxis" xlink:to="lab_SegmentReportingInformationBySegmentAxis" />
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    <label xlink:type="resource" xlink:label="lab_ReportingSegmentDomain" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Reporting Segment [Domain]</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_ReportingSegmentDomain" xlink:to="lab_ReportingSegmentDomain" />
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    <label xlink:type="resource" xlink:label="esrx_UnamortizedStockBasedCompensationForRestrictedStockAndPerformanceShares_lbl" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Unamortized stock-based compensation for restricted stock and performance shares</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="esrx_UnamortizedStockBasedCompensationForRestrictedStockAndPerformanceShares" xlink:to="esrx_UnamortizedStockBasedCompensationForRestrictedStockAndPerformanceShares_lbl" />
    <label xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label" xlink:label="esrx_UnamortizedStockBasedCompensationForRestrictedStockAndPerformanceShares_lbl" xml:lang="en-US">Unamortized stock based compensation for restricted stock and performance shares</label>
    <label xlink:type="resource" xlink:label="esrx_UnamortizedStockBasedCompensationForRestrictedStockAndPerformanceShares_lbl" xlink:role="http://www.xbrl.org/2003/role/documentation" xml:lang="en-US">Unamortized stock-based compensation for restricted stock and performance shares.</label>
    <loc xlink:type="locator" xlink:href="esrx-20100930.xsd#esrx_DocumentAndEntityInformationAbstract" xlink:label="esrx_DocumentAndEntityInformationAbstract" />
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="esrx_DocumentAndEntityInformationAbstract" xlink:to="esrx_DocumentAndEntityInformationAbstract_lbl" />
    <label xlink:type="resource" xlink:label="esrx_DocumentAndEntityInformationAbstract_lbl" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Document and Entity Information [Abstract]</label>
    <label xlink:type="resource" xlink:label="esrx_DocumentAndEntityInformationAbstract_lbl" xlink:role="http://www.xbrl.org/2003/role/documentation" xml:lang="en-US">Document and Entity Information.</label>
    <loc xlink:type="locator" xlink:href="esrx-20100930.xsd#esrx_MaximumContractualTermOfStockOptionsAndSsrsInYears" xlink:label="esrx_MaximumContractualTermOfStockOptionsAndSsrsInYears" />
    <label xlink:type="resource" xlink:label="esrx_MaximumContractualTermOfStockOptionsAndSsrsInYears_lbl" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Maximum contractual term of stock options and SSRs, years</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="esrx_MaximumContractualTermOfStockOptionsAndSsrsInYears" xlink:to="esrx_MaximumContractualTermOfStockOptionsAndSsrsInYears_lbl" />
    <label xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label" xlink:label="esrx_MaximumContractualTermOfStockOptionsAndSsrsInYears_lbl" xml:lang="en-US">Maximum contractual term of stock options and Ssrs in years</label>
    <label xlink:type="resource" xlink:label="esrx_MaximumContractualTermOfStockOptionsAndSsrsInYears_lbl" xlink:role="http://www.xbrl.org/2003/role/documentation" xml:lang="en-US">Maximum contractual term of stock options and SSRs in years.</label>
    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_ScheduleOfShareBasedCompensationArrangementByShareBasedPaymentAwardAwardTypeAndPlanNameAxis" xlink:label="us-gaap_ScheduleOfShareBasedCompensationArrangementByShareBasedPaymentAwardAwardTypeAndPlanNameAxis" />
    <label xlink:type="resource" xlink:label="lab_ScheduleOfShareBasedCompensationArrangementByShareBasedPaymentAwardAwardTypeAndPlanNameAxis" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Schedule of Share-based Compensation Arrangement by Share-based Payment Award, Award Type and Plan Name [Axis]</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_ScheduleOfShareBasedCompensationArrangementByShareBasedPaymentAwardAwardTypeAndPlanNameAxis" xlink:to="lab_ScheduleOfShareBasedCompensationArrangementByShareBasedPaymentAwardAwardTypeAndPlanNameAxis" />
    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_ShareBasedCompensationArrangementsByShareBasedPaymentAwardAwardTypeAndPlanNameDomain" xlink:label="us-gaap_ShareBasedCompensationArrangementsByShareBasedPaymentAwardAwardTypeAndPlanNameDomain" />
    <label xlink:type="resource" xlink:label="lab_ShareBasedCompensationArrangementsByShareBasedPaymentAwardAwardTypeAndPlanNameDomain" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Share-based Compensation Arrangements by Share-based Payment Award, Award Type and Plan Name [Domain]</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_ShareBasedCompensationArrangementsByShareBasedPaymentAwardAwardTypeAndPlanNameDomain" xlink:to="lab_ShareBasedCompensationArrangementsByShareBasedPaymentAwardAwardTypeAndPlanNameDomain" />
    <loc xlink:type="locator" xlink:href="esrx-20100930.xsd#esrx_ReportableSegmentsInformationAbstract" xlink:label="esrx_ReportableSegmentsInformationAbstract" />
    <label xlink:type="resource" xlink:label="esrx_ReportableSegmentsInformationAbstract_lbl" xlink:role="http://www.xbrl.org/2003/role/documentation" xml:lang="en-US">Reportable Segments Information Abstract.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="esrx_ReportableSegmentsInformationAbstract" xlink:to="esrx_ReportableSegmentsInformationAbstract_lbl" />
    <label xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label" xlink:label="esrx_ReportableSegmentsInformationAbstract_lbl" xml:lang="en-US">Reportable Segments Information Abstract</label>
    <label xlink:type="resource" xlink:label="esrx_ReportableSegmentsInformationAbstract_lbl" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Reportable Segments Information</label>
    <loc xlink:type="locator" xlink:href="esrx-20100930.xsd#esrx_NetworkRevenuesBySegment" xlink:label="esrx_NetworkRevenuesBySegment" />
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="esrx_NetworkRevenuesBySegment" xlink:to="esrx_NetworkRevenuesBySegment_lbl" />
    <label xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label" xlink:label="esrx_NetworkRevenuesBySegment_lbl" xml:lang="en-US">Network Revenues By Segment</label>
    <label xlink:type="resource" xlink:label="esrx_NetworkRevenuesBySegment_lbl" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Network revenues, by segment</label>
    <label xlink:type="resource" xlink:label="esrx_NetworkRevenuesBySegment_lbl" xlink:role="http://www.xbrl.org/2003/role/documentation" xml:lang="en-US">Network Revenues By Segment.</label>
    <loc xlink:type="locator" xlink:href="esrx-20100930.xsd#esrx_HomeDeliveryAndSpecialtyRevenuesBySegment" xlink:label="esrx_HomeDeliveryAndSpecialtyRevenuesBySegment" />
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="esrx_HomeDeliveryAndSpecialtyRevenuesBySegment" xlink:to="esrx_HomeDeliveryAndSpecialtyRevenuesBySegment_lbl" />
    <label xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label" xlink:label="esrx_HomeDeliveryAndSpecialtyRevenuesBySegment_lbl" xml:lang="en-US">Home Delivery And Specialty Revenues By Segment</label>
    <label xlink:type="resource" xlink:label="esrx_HomeDeliveryAndSpecialtyRevenuesBySegment_lbl" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Home delivery and specialty revenues, by segment</label>
    <label xlink:type="resource" xlink:label="esrx_HomeDeliveryAndSpecialtyRevenuesBySegment_lbl" xlink:role="http://www.xbrl.org/2003/role/documentation" xml:lang="en-US">Home Delivery And Specialty Revenues By Segment.</label>
    <loc xlink:type="locator" xlink:href="esrx-20100930.xsd#esrx_OtherRevenuesBySegment" xlink:label="esrx_OtherRevenuesBySegment" />
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="esrx_OtherRevenuesBySegment" xlink:to="esrx_OtherRevenuesBySegment_lbl" />
    <label xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label" xlink:label="esrx_OtherRevenuesBySegment_lbl" xml:lang="en-US">Other Revenues By Segment</label>
    <label xlink:type="resource" xlink:label="esrx_OtherRevenuesBySegment_lbl" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Other revenue, by segment</label>
    <label xlink:type="resource" xlink:label="esrx_OtherRevenuesBySegment_lbl" xlink:role="http://www.xbrl.org/2003/role/documentation" xml:lang="en-US">Other revenues.</label>
    <loc xlink:type="locator" xlink:href="esrx-20100930.xsd#esrx_ServiceRevenuesBySegment" xlink:label="esrx_ServiceRevenuesBySegment" />
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="esrx_ServiceRevenuesBySegment" xlink:to="esrx_ServiceRevenuesBySegment_lbl" />
    <label xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label" xlink:label="esrx_ServiceRevenuesBySegment_lbl" xml:lang="en-US">Service Revenues By Segment</label>
    <label xlink:type="resource" xlink:label="esrx_ServiceRevenuesBySegment_lbl" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Service revenue, by segment</label>
    <label xlink:type="resource" xlink:label="esrx_ServiceRevenuesBySegment_lbl" xlink:role="http://www.xbrl.org/2003/role/documentation" xml:lang="en-US">Service revenues.</label>
    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_SegmentReportingInformationDepreciationDepletionAndAmortizationExpense" xlink:label="us-gaap_SegmentReportingInformationDepreciationDepletionAndAmortizationExpense" />
    <label xlink:type="resource" xlink:label="lab_SegmentReportingInformationDepreciationDepletionAndAmortizationExpense" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Segment Reporting Information, Depreciation, Depletion, and Amortization Expense</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_SegmentReportingInformationDepreciationDepletionAndAmortizationExpense" xlink:to="lab_SegmentReportingInformationDepreciationDepletionAndAmortizationExpense" />
    <label xlink:type="resource" xlink:label="lab_SegmentReportingInformationDepreciationDepletionAndAmortizationExpense" xlink:role="http://www.xbrl.org/2003/role/totalLabel" xml:lang="en-US">Segment Reporting Information, Depreciation, Depletion, and Amortization Expense, Total</label>
    <label xlink:type="resource" xlink:label="lab_SegmentReportingInformationDepreciationDepletionAndAmortizationExpense" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Depreciation and amortization expense,by segment</label>
    <loc xlink:type="locator" xlink:href="esrx-20100930.xsd#esrx_CapitalExpendituresBySegment" xlink:label="esrx_CapitalExpendituresBySegment" />
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="esrx_CapitalExpendituresBySegment" xlink:to="esrx_CapitalExpendituresBySegment_lbl" />
    <label xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label" xlink:label="esrx_CapitalExpendituresBySegment_lbl" xml:lang="en-US">Capital Expenditures By Segment</label>
    <label xlink:type="resource" xlink:label="esrx_CapitalExpendituresBySegment_lbl" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Capital expenditures, by segment</label>
    <label xlink:type="resource" xlink:label="esrx_CapitalExpendituresBySegment_lbl" xlink:role="http://www.xbrl.org/2003/role/documentation" xml:lang="en-US">Capital expenditures.</label>
    <loc xlink:type="locator" xlink:href="esrx-20100930.xsd#esrx_TotalAmountsReportedInFinancialStatementsAbstract" xlink:label="esrx_TotalAmountsReportedInFinancialStatementsAbstract" />
    <label xlink:type="resource" xlink:label="esrx_TotalAmountsReportedInFinancialStatementsAbstract_lbl" xlink:role="http://www.xbrl.org/2003/role/documentation" xml:lang="en-US">Total amounts reported in Financial Statements Abstract.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="esrx_TotalAmountsReportedInFinancialStatementsAbstract" xlink:to="esrx_TotalAmountsReportedInFinancialStatementsAbstract_lbl" />
    <label xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label" xlink:label="esrx_TotalAmountsReportedInFinancialStatementsAbstract_lbl" xml:lang="en-US">Total Amounts Reported In Financial Statements Abstract</label>
    <label xlink:type="resource" xlink:label="esrx_TotalAmountsReportedInFinancialStatementsAbstract_lbl" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Total amounts reported in Financial Statements</label>
    <loc xlink:type="locator" xlink:href="esrx-20100930.xsd#esrx_SegmentInformationTextualsAbstract" xlink:label="esrx_SegmentInformationTextualsAbstract" />
    <label xlink:type="resource" xlink:label="esrx_SegmentInformationTextualsAbstract_lbl" xlink:role="http://www.xbrl.org/2003/role/documentation" xml:lang="en-US">Segment Information Textuals Abstract.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="esrx_SegmentInformationTextualsAbstract" xlink:to="esrx_SegmentInformationTextualsAbstract_lbl" />
    <label xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label" xlink:label="esrx_SegmentInformationTextualsAbstract_lbl" xml:lang="en-US">Segment Information Textuals Abstract</label>
    <label xlink:type="resource" xlink:label="esrx_SegmentInformationTextualsAbstract_lbl" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Segment information (Textuals)</label>
    <loc xlink:type="locator" xlink:href="esrx-20100930.xsd#esrx_RetailPharmacyCoPaymentsIncludedInNetworkRevenues" xlink:label="esrx_RetailPharmacyCoPaymentsIncludedInNetworkRevenues" />
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="esrx_RetailPharmacyCoPaymentsIncludedInNetworkRevenues" xlink:to="esrx_RetailPharmacyCoPaymentsIncludedInNetworkRevenues_lbl" />
    <label xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label" xlink:label="esrx_RetailPharmacyCoPaymentsIncludedInNetworkRevenues_lbl" xml:lang="en-US">Retail Pharmacy Co Payments Included In Network Revenues</label>
    <label xlink:type="resource" xlink:label="esrx_RetailPharmacyCoPaymentsIncludedInNetworkRevenues_lbl" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Retail pharmacy co-payments included in network revenues</label>
    <label xlink:type="resource" xlink:label="esrx_RetailPharmacyCoPaymentsIncludedInNetworkRevenues_lbl" xlink:role="http://www.xbrl.org/2003/role/documentation" xml:lang="en-US">Retail Pharmacy Co Payments Included In Network Revenues.</label>
    <loc xlink:type="locator" xlink:href="esrx-20100930.xsd#esrx_ServiceRevenues" xlink:label="esrx_ServiceRevenues" />
    <label xlink:type="resource" xlink:label="esrx_ServiceRevenues_lbl" xlink:role="http://www.xbrl.org/2003/role/documentation" xml:lang="en-US">Service Revenues.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="esrx_ServiceRevenues" xlink:to="esrx_ServiceRevenues_lbl" />
    <label xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label" xlink:label="esrx_ServiceRevenues_lbl" xml:lang="en-US">Service Revenues</label>
    <label xlink:type="resource" xlink:label="esrx_ServiceRevenues_lbl" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Service revenues</label>
    <loc xlink:type="locator" xlink:href="esrx-20100930.xsd#esrx_NetworkRevenues" xlink:label="esrx_NetworkRevenues" />
    <label xlink:type="resource" xlink:label="esrx_NetworkRevenues_lbl" xlink:role="http://www.xbrl.org/2003/role/documentation" xml:lang="en-US">Network Revenues.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="esrx_NetworkRevenues" xlink:to="esrx_NetworkRevenues_lbl" />
    <label xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label" xlink:label="esrx_NetworkRevenues_lbl" xml:lang="en-US">Network Revenues</label>
    <label xlink:type="resource" xlink:label="esrx_NetworkRevenues_lbl" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Network revenues</label>
    <loc xlink:type="locator" xlink:href="esrx-20100930.xsd#esrx_HomeDeliveryAndSpecialtyRevenues" xlink:label="esrx_HomeDeliveryAndSpecialtyRevenues" />
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="esrx_HomeDeliveryAndSpecialtyRevenues" xlink:to="esrx_HomeDeliveryAndSpecialtyRevenues_lbl" />
    <label xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label" xlink:label="esrx_HomeDeliveryAndSpecialtyRevenues_lbl" xml:lang="en-US">Home Delivery And Specialty Revenues</label>
    <label xlink:type="resource" xlink:label="esrx_HomeDeliveryAndSpecialtyRevenues_lbl" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Home delivery and specialty revenues</label>
    <label xlink:type="resource" xlink:label="esrx_HomeDeliveryAndSpecialtyRevenues_lbl" xlink:role="http://www.xbrl.org/2003/role/documentation" xml:lang="en-US">Home Delivery And Specialty Revenues.</label>
    <loc xlink:type="locator" xlink:href="esrx-20100930.xsd#esrx_OtherRevenues" xlink:label="esrx_OtherRevenues" />
    <label xlink:type="resource" xlink:label="esrx_OtherRevenues_lbl" xlink:role="http://www.xbrl.org/2003/role/documentation" xml:lang="en-US">Other Revenues.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="esrx_OtherRevenues" xlink:to="esrx_OtherRevenues_lbl" />
    <label xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label" xlink:label="esrx_OtherRevenues_lbl" xml:lang="en-US">Other Revenues</label>
    <label xlink:type="resource" xlink:label="esrx_OtherRevenues_lbl" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Other revenues</label>
    <loc xlink:type="locator" xlink:href="esrx-20100930.xsd#esrx_CondensedConsolidatingFinancialInformationDetailsAbstract" xlink:label="esrx_CondensedConsolidatingFinancialInformationDetailsAbstract" />
    <label xlink:type="resource" xlink:label="esrx_CondensedConsolidatingFinancialInformationDetailsAbstract_lbl" xlink:role="http://www.xbrl.org/2003/role/documentation" xml:lang="en-US">Condensed Consolidating Financial Information.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="esrx_CondensedConsolidatingFinancialInformationDetailsAbstract" xlink:to="esrx_CondensedConsolidatingFinancialInformationDetailsAbstract_lbl" />
    <label xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label" xlink:label="esrx_CondensedConsolidatingFinancialInformationDetailsAbstract_lbl" xml:lang="en-US">Condensed consolidating financial information (Details) [Abstract]</label>
    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_OtherAssetsCurrent" xlink:label="us-gaap_OtherAssetsCurrent" />
    <label xlink:type="resource" xlink:label="lab_OtherAssetsCurrent" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Other Assets, Current</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_OtherAssetsCurrent" xlink:to="lab_OtherAssetsCurrent" />
    <label xlink:type="resource" xlink:label="lab_OtherAssetsCurrent" xlink:role="http://www.xbrl.org/2003/role/totalLabel" xml:lang="en-US">Other current assets</label>
    <label xlink:type="resource" xlink:label="lab_OtherAssetsCurrent" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Other current assets</label>
    <loc xlink:type="locator" xlink:href="esrx-20100930.xsd#esrx_Intercompany" xlink:label="esrx_Intercompany" />
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="esrx_Intercompany" xlink:to="esrx_Intercompany_lbl" />
    <label xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label" xlink:label="esrx_Intercompany_lbl" xml:lang="en-US">Intercompany</label>
    <label xlink:type="resource" xlink:label="esrx_Intercompany_lbl" xlink:role="http://www.xbrl.org/2003/role/documentation" xml:lang="en-US">Intercompany.</label>
    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_ParentCompanyMember" xlink:label="us-gaap_ParentCompanyMember" />
    <label xlink:type="resource" xlink:label="lab_ParentCompanyMember" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Express Scripts, Inc. [Member]</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_ParentCompanyMember" xlink:to="lab_ParentCompanyMember" />
    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_ConsolidationEliminationsMember" xlink:label="us-gaap_ConsolidationEliminationsMember" />
    <label xlink:type="resource" xlink:label="lab_ConsolidationEliminationsMember" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Eliminations [Member]</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_ConsolidationEliminationsMember" xlink:to="lab_ConsolidationEliminationsMember" />
    <loc xlink:type="locator" xlink:href="esrx-20100930.xsd#esrx_EquityInEarningsOfSubsidiaries" xlink:label="esrx_EquityInEarningsOfSubsidiaries" />
    <label xlink:type="resource" xlink:label="esrx_EquityInEarningsOfSubsidiaries_lbl" xlink:role="http://www.xbrl.org/2003/role/documentation" xml:lang="en-US">Equity in earnings of subsidiaries.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="esrx_EquityInEarningsOfSubsidiaries" xlink:to="esrx_EquityInEarningsOfSubsidiaries_lbl" />
    <label xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label" xlink:label="esrx_EquityInEarningsOfSubsidiaries_lbl" xml:lang="en-US">Equity In Earnings Of Subsidiaries</label>
    <label xlink:type="resource" xlink:label="esrx_EquityInEarningsOfSubsidiaries_lbl" xlink:role="http://www.xbrl.org/2003/role/totalLabel" xml:lang="en-US">Equity in earnings of subsidiaries</label>
    <label xlink:type="resource" xlink:label="esrx_EquityInEarningsOfSubsidiaries_lbl" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Equity in earnings of subsidiaries</label>
    <loc xlink:type="locator" xlink:href="esrx-20100930.xsd#esrx_NetTransactionsWithParent" xlink:label="esrx_NetTransactionsWithParent" />
    <label xlink:type="resource" xlink:label="esrx_NetTransactionsWithParent_lbl" xlink:role="http://www.xbrl.org/2003/role/documentation" xml:lang="en-US">Net transactions with parent.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="esrx_NetTransactionsWithParent" xlink:to="esrx_NetTransactionsWithParent_lbl" />
    <label xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label" xlink:label="esrx_NetTransactionsWithParent_lbl" xml:lang="en-US">Net transactions with parent</label>
    <label xlink:type="resource" xlink:label="esrx_NetTransactionsWithParent_lbl" xlink:role="http://www.xbrl.org/2003/role/totalLabel" xml:lang="en-US">Net transactions with parent</label>
    <label xlink:type="resource" xlink:label="esrx_NetTransactionsWithParent_lbl" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Net transactions with parent</label>
    <loc xlink:type="locator" xlink:href="esrx-20100930.xsd#esrx_OwnershipInDomesticSubsidiaries" xlink:label="esrx_OwnershipInDomesticSubsidiaries" />
    <label xlink:type="resource" xlink:label="esrx_OwnershipInDomesticSubsidiaries_lbl" xlink:role="http://www.xbrl.org/2003/role/documentation" xml:lang="en-US">Ownership in domestic subsidiaries.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="esrx_OwnershipInDomesticSubsidiaries" xlink:to="esrx_OwnershipInDomesticSubsidiaries_lbl" />
    <label xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label" xlink:label="esrx_OwnershipInDomesticSubsidiaries_lbl" xml:lang="en-US">Ownership In Domestic Subsidiaries</label>
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    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/non-gaap/dei-2009-01-31.xsd#dei_LegalEntityAxis" xlink:label="dei_LegalEntityAxis" />
    <label xlink:type="resource" xlink:label="lab_LegalEntityAxis" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Legal Entity [Axis]</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="dei_LegalEntityAxis" xlink:to="lab_LegalEntityAxis" />
    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/non-gaap/dei-2009-01-31.xsd#dei_EntityDomain" xlink:label="dei_EntityDomain" />
    <label xlink:type="resource" xlink:label="lab_EntityDomain" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Entity [Domain]</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="dei_EntityDomain" xlink:to="lab_EntityDomain" />
    <loc xlink:type="locator" xlink:href="esrx-20100930.xsd#esrx_InvestmentsInSubsidiaries" xlink:label="esrx_InvestmentsInSubsidiaries" />
    <label xlink:type="resource" xlink:label="esrx_InvestmentsInSubsidiaries_lbl" xlink:role="http://www.xbrl.org/2003/role/documentation" xml:lang="en-US">Investments in subsidiaries.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="esrx_InvestmentsInSubsidiaries" xlink:to="esrx_InvestmentsInSubsidiaries_lbl" />
    <label xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label" xlink:label="esrx_InvestmentsInSubsidiaries_lbl" xml:lang="en-US">Investments In Subsidiaries</label>
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    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_CostsAndExpenses" xlink:label="us-gaap_CostsAndExpenses" />
    <label xlink:type="resource" xlink:label="lab_CostsAndExpenses" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Costs and Expenses</label>
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    <label xlink:type="resource" xlink:label="lab_CostsAndExpenses" xlink:role="http://www.xbrl.org/2003/role/totalLabel" xml:lang="en-US">Operating expenses</label>
    <loc xlink:type="locator" xlink:href="esrx-20100930.xsd#esrx_InterestExpenseNet" xlink:label="esrx_InterestExpenseNet" />
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="esrx_InterestExpenseNet" xlink:to="esrx_InterestExpenseNet_lbl" />
    <label xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label" xlink:label="esrx_InterestExpenseNet_lbl" xml:lang="en-US">Interest Expense Net</label>
    <label xlink:type="resource" xlink:label="esrx_InterestExpenseNet_lbl" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xml:lang="en-US">Interest expense, net</label>
    <label xlink:type="resource" xlink:label="esrx_InterestExpenseNet_lbl" xlink:role="http://www.xbrl.org/2003/role/totalLabel" xml:lang="en-US">Interest expense, net</label>
    <label xlink:type="resource" xlink:label="esrx_InterestExpenseNet_lbl" xlink:role="http://www.xbrl.org/2003/role/documentation" xml:lang="en-US">Interest expense, net.</label>
    <loc xlink:type="locator" xlink:href="esrx-20100930.xsd#esrx_CondensedConsolidatingFinancialInformationTablesAbstract" xlink:label="esrx_CondensedConsolidatingFinancialInformationTablesAbstract" />
    <label xlink:type="resource" xlink:label="esrx_CondensedConsolidatingFinancialInformationTablesAbstract_lbl" xlink:role="http://www.xbrl.org/2003/role/documentation" xml:lang="en-US">Condensed Consolidating Financial Information Tables.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="esrx_CondensedConsolidatingFinancialInformationTablesAbstract" xlink:to="esrx_CondensedConsolidatingFinancialInformationTablesAbstract_lbl" />
    <label xlink:type="resource" xlink:label="esrx_CondensedConsolidatingFinancialInformationTablesAbstract_lbl" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Condensed consolidating financial information (Tables) [Abstract]</label>
    <loc xlink:type="locator" xlink:href="esrx-20100930.xsd#esrx_BalanceSheetTextBlock" xlink:label="esrx_BalanceSheetTextBlock" />
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="esrx_BalanceSheetTextBlock" xlink:to="esrx_BalanceSheetTextBlock_lbl" />
    <label xlink:type="resource" xlink:label="esrx_BalanceSheetTextBlock_lbl" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Balance Sheet Text Block</label>
    <label xlink:type="resource" xlink:label="esrx_BalanceSheetTextBlock_lbl" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Condensed Consolidating Balance Sheet</label>
    <label xlink:type="resource" xlink:label="esrx_BalanceSheetTextBlock_lbl" xlink:role="http://www.xbrl.org/2003/role/documentation" xml:lang="en-US">Balance Sheet Text Block.</label>
    <loc xlink:type="locator" xlink:href="esrx-20100930.xsd#esrx_StatementOfOperationsTextBlock" xlink:label="esrx_StatementOfOperationsTextBlock" />
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="esrx_StatementOfOperationsTextBlock" xlink:to="esrx_StatementOfOperationsTextBlock_lbl" />
    <label xlink:type="resource" xlink:label="esrx_StatementOfOperationsTextBlock_lbl" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Statement of Operations Text Block</label>
    <label xlink:type="resource" xlink:label="esrx_StatementOfOperationsTextBlock_lbl" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Condensed Consolidating Statement of Operations</label>
    <label xlink:type="resource" xlink:label="esrx_StatementOfOperationsTextBlock_lbl" xlink:role="http://www.xbrl.org/2003/role/documentation" xml:lang="en-US">Statement of Operations Text Block.</label>
    <loc xlink:type="locator" xlink:href="esrx-20100930.xsd#esrx_StatementOfCashFlowsTextBlock" xlink:label="esrx_StatementOfCashFlowsTextBlock" />
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="esrx_StatementOfCashFlowsTextBlock" xlink:to="esrx_StatementOfCashFlowsTextBlock_lbl" />
    <label xlink:type="resource" xlink:label="esrx_StatementOfCashFlowsTextBlock_lbl" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Statement of Cash Flows Text Block</label>
    <label xlink:type="resource" xlink:label="esrx_StatementOfCashFlowsTextBlock_lbl" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Condensed Consolidating Statement of Cash Flows</label>
    <label xlink:type="resource" xlink:label="esrx_StatementOfCashFlowsTextBlock_lbl" xlink:role="http://www.xbrl.org/2003/role/documentation" xml:lang="en-US">Statement of Cash Flows Text Block.</label>
    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_GuarantorSubsidiariesMember" xlink:label="us-gaap_GuarantorSubsidiariesMember" />
    <label xlink:type="resource" xlink:label="lab_GuarantorSubsidiariesMember" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Guarantors [Member]</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_GuarantorSubsidiariesMember" xlink:to="lab_GuarantorSubsidiariesMember" />
    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_NonGuarantorSubsidiariesMember" xlink:label="us-gaap_NonGuarantorSubsidiariesMember" />
    <label xlink:type="resource" xlink:label="lab_NonGuarantorSubsidiariesMember" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Non-Guarantors [Member]</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_NonGuarantorSubsidiariesMember" xlink:to="lab_NonGuarantorSubsidiariesMember" />
    <loc xlink:type="locator" xlink:href="esrx-20100930.xsd#esrx_EstimatedValueOfSection338H10ElectionMinimum" xlink:label="esrx_EstimatedValueOfSection338H10ElectionMinimum" />
    <label xlink:type="resource" xlink:label="esrx_EstimatedValueOfSection338H10ElectionMinimum_lbl" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Estimated value of Section 338(h)(10) election, Minimum</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="esrx_EstimatedValueOfSection338H10ElectionMinimum" xlink:to="esrx_EstimatedValueOfSection338H10ElectionMinimum_lbl" />
    <label xlink:type="resource" xlink:label="esrx_EstimatedValueOfSection338H10ElectionMinimum_lbl" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Estimated value of Section 338 h 10 election Minimum</label>
    <label xlink:type="resource" xlink:label="esrx_EstimatedValueOfSection338H10ElectionMinimum_lbl" xlink:role="http://www.xbrl.org/2003/role/documentation" xml:lang="en-US">Estimated value of Section 338(h)(10) election, Minimum.</label>
    <loc xlink:type="locator" xlink:href="esrx-20100930.xsd#esrx_EstimatedValueOfSection338H10ElectionMaximum" xlink:label="esrx_EstimatedValueOfSection338H10ElectionMaximum" />
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="esrx_EstimatedValueOfSection338H10ElectionMaximum" xlink:to="esrx_EstimatedValueOfSection338H10ElectionMaximum_lbl" />
    <label xlink:type="resource" xlink:label="esrx_EstimatedValueOfSection338H10ElectionMaximum_lbl" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Estimated Value Of Section 338H10 Election Maximum</label>
    <label xlink:type="resource" xlink:label="esrx_EstimatedValueOfSection338H10ElectionMaximum_lbl" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Estimated value of Section 338(h)(10) election, Maximum</label>
    <label xlink:type="resource" xlink:label="esrx_EstimatedValueOfSection338H10ElectionMaximum_lbl" xlink:role="http://www.xbrl.org/2003/role/documentation" xml:lang="en-US">Estimated value of section 338(h)(10) election, Maximum.</label>
    <loc xlink:type="locator" xlink:href="esrx-20100930.xsd#esrx_CompletedSharePurchaseOfAcquisitionInPercent" xlink:label="esrx_CompletedSharePurchaseOfAcquisitionInPercent" />
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="esrx_CompletedSharePurchaseOfAcquisitionInPercent" xlink:to="esrx_CompletedSharePurchaseOfAcquisitionInPercent_lbl" />
    <label xlink:type="resource" xlink:label="esrx_CompletedSharePurchaseOfAcquisitionInPercent_lbl" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Completed Share Purchase Of Acquisition In Percent</label>
    <label xlink:type="resource" xlink:label="esrx_CompletedSharePurchaseOfAcquisitionInPercent_lbl" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Completed share purchase of WellPoint subsidiaries acquisition, in percent</label>
    <label xlink:type="resource" xlink:label="esrx_CompletedSharePurchaseOfAcquisitionInPercent_lbl" xlink:role="http://www.xbrl.org/2003/role/documentation" xml:lang="en-US">Completed Share purchase of WellPoint subsidiaries acquisition, in percent.</label>
    <loc xlink:type="locator" xlink:href="esrx-20100930.xsd#esrx_GoodwillAndOtherIntangibleAssetsAbstract" xlink:label="esrx_GoodwillAndOtherIntangibleAssetsAbstract" />
    <label xlink:type="resource" xlink:label="esrx_GoodwillAndOtherIntangibleAssetsAbstract_lbl" xlink:role="http://www.xbrl.org/2003/role/documentation" xml:lang="en-US">Goodwill and Other Intangible Assets.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="esrx_GoodwillAndOtherIntangibleAssetsAbstract" xlink:to="esrx_GoodwillAndOtherIntangibleAssetsAbstract_lbl" />
    <label xlink:type="resource" xlink:label="esrx_GoodwillAndOtherIntangibleAssetsAbstract_lbl" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Goodwill and other intangible assets [Abstract]</label>
    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_GoodwillAndIntangibleAssetsDisclosureTextBlock" xlink:label="us-gaap_GoodwillAndIntangibleAssetsDisclosureTextBlock" />
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_GoodwillAndIntangibleAssetsDisclosureTextBlock" xlink:to="lab_GoodwillAndIntangibleAssetsDisclosureTextBlock" />
    <label xlink:type="resource" xlink:label="lab_GoodwillAndIntangibleAssetsDisclosureTextBlock" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Goodwill and Intangible Assets Disclosure [Text Block]</label>
    <label xlink:type="resource" xlink:label="lab_GoodwillAndIntangibleAssetsDisclosureTextBlock" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Goodwill and other intangible assets</label>
    <loc xlink:type="locator" xlink:href="esrx-20100930.xsd#esrx_GoodwillAndOtherIntangibleAssetsTablesAbstract" xlink:label="esrx_GoodwillAndOtherIntangibleAssetsTablesAbstract" />
    <label xlink:type="resource" xlink:label="esrx_GoodwillAndOtherIntangibleAssetsTablesAbstract_lbl" xlink:role="http://www.xbrl.org/2003/role/documentation" xml:lang="en-US">Goodwill and Other Intangible Assets Tables.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="esrx_GoodwillAndOtherIntangibleAssetsTablesAbstract" xlink:to="esrx_GoodwillAndOtherIntangibleAssetsTablesAbstract_lbl" />
    <label xlink:type="resource" xlink:label="esrx_GoodwillAndOtherIntangibleAssetsTablesAbstract_lbl" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Goodwill and other intangible assets (Tables) [Abstract]</label>
    <loc xlink:type="locator" xlink:href="esrx-20100930.xsd#esrx_SummaryOfGoodwillAndOtherIntangibleAssetsTextBlock" xlink:label="esrx_SummaryOfGoodwillAndOtherIntangibleAssetsTextBlock" />
    <label xlink:type="resource" xlink:label="esrx_SummaryOfGoodwillAndOtherIntangibleAssetsTextBlock_lbl" xlink:role="http://www.xbrl.org/2003/role/documentation" xml:lang="en-US">Summary of goodwill and other intangible assets.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="esrx_SummaryOfGoodwillAndOtherIntangibleAssetsTextBlock" xlink:to="esrx_SummaryOfGoodwillAndOtherIntangibleAssetsTextBlock_lbl" />
    <label xlink:type="resource" xlink:label="esrx_SummaryOfGoodwillAndOtherIntangibleAssetsTextBlock_lbl" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Summary of goodwill and other intangible assets Text Block</label>
    <label xlink:type="resource" xlink:label="esrx_SummaryOfGoodwillAndOtherIntangibleAssetsTextBlock_lbl" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Summary of goodwill and other intangible assets</label>
    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_ScheduleOfGoodwillTextBlock" xlink:label="us-gaap_ScheduleOfGoodwillTextBlock" />
    <label xlink:type="resource" xlink:label="lab_ScheduleOfGoodwillTextBlock" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Schedule of Goodwill [Text Block]</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_ScheduleOfGoodwillTextBlock" xlink:to="lab_ScheduleOfGoodwillTextBlock" />
    <label xlink:type="resource" xlink:label="lab_ScheduleOfGoodwillTextBlock" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Summary of change in net carrying value of goodwill by business segment</label>
    <loc xlink:type="locator" xlink:href="esrx-20100930.xsd#esrx_GoodwillAndOtherIntangibleAssetsDetailsAbstract" xlink:label="esrx_GoodwillAndOtherIntangibleAssetsDetailsAbstract" />
    <label xlink:type="resource" xlink:label="esrx_GoodwillAndOtherIntangibleAssetsDetailsAbstract_lbl" xlink:role="http://www.xbrl.org/2003/role/documentation" xml:lang="en-US">Goodwill and Other Intangible Assets Details.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="esrx_GoodwillAndOtherIntangibleAssetsDetailsAbstract" xlink:to="esrx_GoodwillAndOtherIntangibleAssetsDetailsAbstract_lbl" />
    <label xlink:type="resource" xlink:label="esrx_GoodwillAndOtherIntangibleAssetsDetailsAbstract_lbl" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Goodwill and other intangible assets (Details) [Abstract]</label>
    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_GoodwillRollForward" xlink:label="us-gaap_GoodwillRollForward" />
    <label xlink:type="resource" xlink:label="lab_GoodwillRollForward" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Goodwill [Roll Forward]</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_GoodwillRollForward" xlink:to="lab_GoodwillRollForward" />
    <label xlink:type="resource" xlink:label="lab_GoodwillRollForward" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Summary of change in net carrying value of goodwill by business segment</label>
    <loc xlink:type="locator" xlink:href="esrx-20100930.xsd#esrx_OtherIntangibleAssetsMember" xlink:label="esrx_OtherIntangibleAssetsMember" />
    <label xlink:type="resource" xlink:label="esrx_OtherIntangibleAssetsMember_lbl" xlink:role="http://www.xbrl.org/2003/role/documentation" xml:lang="en-US">Other Intangible Assets.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="esrx_OtherIntangibleAssetsMember" xlink:to="esrx_OtherIntangibleAssetsMember_lbl" />
    <label xlink:type="resource" xlink:label="esrx_OtherIntangibleAssetsMember_lbl" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Other [Member]</label>
    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_GoodwillAllocationAdjustment" xlink:label="us-gaap_GoodwillAllocationAdjustment" />
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_GoodwillAllocationAdjustment" xlink:to="lab_GoodwillAllocationAdjustment" />
    <label xlink:type="resource" xlink:label="lab_GoodwillAllocationAdjustment" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Goodwill, Allocation Adjustment</label>
    <label xlink:type="resource" xlink:label="lab_GoodwillAllocationAdjustment" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Adjustment to purchase price allocation</label>
    <loc xlink:type="locator" xlink:href="esrx-20100930.xsd#esrx_GrossCarryingAmountOfGoodwill" xlink:label="esrx_GrossCarryingAmountOfGoodwill" />
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="esrx_GrossCarryingAmountOfGoodwill" xlink:to="esrx_GrossCarryingAmountOfGoodwill_lbl" />
    <label xlink:type="resource" xlink:label="esrx_GrossCarryingAmountOfGoodwill_lbl" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Gross Carrying Amount Of Goodwill</label>
    <label xlink:type="resource" xlink:label="esrx_GrossCarryingAmountOfGoodwill_lbl" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Gross carrying amount, goodwill</label>
    <label xlink:type="resource" xlink:label="esrx_GrossCarryingAmountOfGoodwill_lbl" xlink:role="http://www.xbrl.org/2003/role/documentation" xml:lang="en-US">Gross Carrying Amount.</label>
    <loc xlink:type="locator" xlink:href="esrx-20100930.xsd#esrx_AccumulatedAmortization" xlink:label="esrx_AccumulatedAmortization" />
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="esrx_AccumulatedAmortization" xlink:to="esrx_AccumulatedAmortization_lbl" />
    <label xlink:type="resource" xlink:label="esrx_AccumulatedAmortization_lbl" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Accumulated Amortization</label>
    <label xlink:type="resource" xlink:label="esrx_AccumulatedAmortization_lbl" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Accumulated amortization, goodwill</label>
    <label xlink:type="resource" xlink:label="esrx_AccumulatedAmortization_lbl" xlink:role="http://www.xbrl.org/2003/role/documentation" xml:lang="en-US">Accumulated Amortization.</label>
    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_FiniteLivedIntangibleAssetsAccumulatedAmortization" xlink:label="us-gaap_FiniteLivedIntangibleAssetsAccumulatedAmortization" />
    <label xlink:type="resource" xlink:label="lab_FiniteLivedIntangibleAssetsAccumulatedAmortization" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Finite-Lived Intangible Assets, Accumulated Amortization</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_FiniteLivedIntangibleAssetsAccumulatedAmortization" xlink:to="lab_FiniteLivedIntangibleAssetsAccumulatedAmortization" />
    <label xlink:type="resource" xlink:label="lab_FiniteLivedIntangibleAssetsAccumulatedAmortization" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Accumulated amortization, other intangible assets</label>
    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_FiniteLivedIntangibleAssetsAmortizationExpense" xlink:label="us-gaap_FiniteLivedIntangibleAssetsAmortizationExpense" />
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_FiniteLivedIntangibleAssetsAmortizationExpense" xlink:to="lab_FiniteLivedIntangibleAssetsAmortizationExpense" />
    <label xlink:type="resource" xlink:label="lab_FiniteLivedIntangibleAssetsAmortizationExpense" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Finite-Lived Intangible Assets, Amortization Expense</label>
    <label xlink:type="resource" xlink:label="lab_FiniteLivedIntangibleAssetsAmortizationExpense" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Amortization expense of other intangible assets</label>
    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_FutureAmortizationExpenseYearOne" xlink:label="us-gaap_FutureAmortizationExpenseYearOne" />
    <label xlink:type="resource" xlink:label="lab_FutureAmortizationExpenseYearOne" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Future Amortization Expense, Year One</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_FutureAmortizationExpenseYearOne" xlink:to="lab_FutureAmortizationExpenseYearOne" />
    <label xlink:type="resource" xlink:label="lab_FutureAmortizationExpenseYearOne" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Future aggregate amount of amortization expense of other intangible assets in 2010</label>
    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_FutureAmortizationExpenseYearTwo" xlink:label="us-gaap_FutureAmortizationExpenseYearTwo" />
    <label xlink:type="resource" xlink:label="lab_FutureAmortizationExpenseYearTwo" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Future Amortization Expense, Year Two</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_FutureAmortizationExpenseYearTwo" xlink:to="lab_FutureAmortizationExpenseYearTwo" />
    <label xlink:type="resource" xlink:label="lab_FutureAmortizationExpenseYearTwo" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Future aggregate amount of amortization expense of other intangible assets in 2011</label>
    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_FutureAmortizationExpenseYearThree" xlink:label="us-gaap_FutureAmortizationExpenseYearThree" />
    <label xlink:type="resource" xlink:label="lab_FutureAmortizationExpenseYearThree" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Future Amortization Expense, Year Three</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_FutureAmortizationExpenseYearThree" xlink:to="lab_FutureAmortizationExpenseYearThree" />
    <label xlink:type="resource" xlink:label="lab_FutureAmortizationExpenseYearThree" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Future aggregate amount of amortization expense of other intangible assets in 2012</label>
    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_FutureAmortizationExpenseYearFour" xlink:label="us-gaap_FutureAmortizationExpenseYearFour" />
    <label xlink:type="resource" xlink:label="lab_FutureAmortizationExpenseYearFour" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Future Amortization Expense, Year Four</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_FutureAmortizationExpenseYearFour" xlink:to="lab_FutureAmortizationExpenseYearFour" />
    <label xlink:type="resource" xlink:label="lab_FutureAmortizationExpenseYearFour" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Future aggregate amount of amortization expense of other intangible assets in 2013</label>
    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_FutureAmortizationExpenseYearFive" xlink:label="us-gaap_FutureAmortizationExpenseYearFive" />
    <label xlink:type="resource" xlink:label="lab_FutureAmortizationExpenseYearFive" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Future Amortization Expense, Year Five</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_FutureAmortizationExpenseYearFive" xlink:to="lab_FutureAmortizationExpenseYearFive" />
    <label xlink:type="resource" xlink:label="lab_FutureAmortizationExpenseYearFive" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Future aggregate amount of amortization expense of other intangible assets in 2014</label>
    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_FiniteLivedIntangibleAssetsWeightedAverageUsefulLife" xlink:label="us-gaap_FiniteLivedIntangibleAssetsWeightedAverageUsefulLife" />
    <label xlink:type="resource" xlink:label="lab_FiniteLivedIntangibleAssetsWeightedAverageUsefulLife" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Finite-Lived Intangible Assets, Weighted-Average Useful Life</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_FiniteLivedIntangibleAssetsWeightedAverageUsefulLife" xlink:to="lab_FiniteLivedIntangibleAssetsWeightedAverageUsefulLife" />
    <label xlink:type="resource" xlink:label="lab_FiniteLivedIntangibleAssetsWeightedAverageUsefulLife" xlink:role="http://www.xbrl.org/2003/role/totalLabel" xml:lang="en-US">Finite-Lived Intangible Assets, Weighted-Average Useful Life, Total</label>
    <label xlink:type="resource" xlink:label="lab_FiniteLivedIntangibleAssetsWeightedAverageUsefulLife" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Weighted average amortization period of intangible assets</label>
    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_AcquiredFiniteLivedIntangibleAssetsByMajorClassAxis" xlink:label="us-gaap_AcquiredFiniteLivedIntangibleAssetsByMajorClassAxis" />
    <label xlink:type="resource" xlink:label="lab_AcquiredFiniteLivedIntangibleAssetsByMajorClassAxis" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Acquired Finite-Lived Intangible Assets by Major Class [Axis]</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_AcquiredFiniteLivedIntangibleAssetsByMajorClassAxis" xlink:to="lab_AcquiredFiniteLivedIntangibleAssetsByMajorClassAxis" />
    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_FiniteLivedIntangibleAssetsMajorClassNameDomain" xlink:label="us-gaap_FiniteLivedIntangibleAssetsMajorClassNameDomain" />
    <label xlink:type="resource" xlink:label="lab_FiniteLivedIntangibleAssetsMajorClassNameDomain" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Finite-Lived Intangible Assets, Major Class Name [Domain]</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_FiniteLivedIntangibleAssetsMajorClassNameDomain" xlink:to="lab_FiniteLivedIntangibleAssetsMajorClassNameDomain" />
    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_CustomerContractsMember" xlink:label="us-gaap_CustomerContractsMember" />
    <label xlink:type="resource" xlink:label="lab_CustomerContractsMember" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Customer Contracts [Member]</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_CustomerContractsMember" xlink:to="lab_CustomerContractsMember" />
    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_CustomerRelationshipsMember" xlink:label="us-gaap_CustomerRelationshipsMember" />
    <label xlink:type="resource" xlink:label="lab_CustomerRelationshipsMember" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Customer Relationships [Member]</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_CustomerRelationshipsMember" xlink:to="lab_CustomerRelationshipsMember" />
    <loc xlink:type="locator" xlink:href="esrx-20100930.xsd#esrx_PeriodOfContract" xlink:label="esrx_PeriodOfContract" />
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="esrx_PeriodOfContract" xlink:to="esrx_PeriodOfContract_lbl" />
    <label xlink:type="resource" xlink:label="esrx_PeriodOfContract_lbl" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Period of contract</label>
    <label xlink:type="resource" xlink:label="esrx_PeriodOfContract_lbl" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Period of contract with WellPoint, years</label>
    <label xlink:type="resource" xlink:label="esrx_PeriodOfContract_lbl" xlink:role="http://www.xbrl.org/2003/role/documentation" xml:lang="en-US">Period of contract.</label>
    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_OtherIndefiniteLivedIntangibleAssets" xlink:label="us-gaap_OtherIndefiniteLivedIntangibleAssets" />
    <label xlink:type="resource" xlink:label="lab_OtherIndefiniteLivedIntangibleAssets" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Other Indefinite-lived Intangible Assets</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_OtherIndefiniteLivedIntangibleAssets" xlink:to="lab_OtherIndefiniteLivedIntangibleAssets" />
    <label xlink:type="resource" xlink:label="lab_OtherIndefiniteLivedIntangibleAssets" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Other</label>
    <loc xlink:type="locator" xlink:href="esrx-20100930.xsd#esrx_IntangibleAssetsGross" xlink:label="esrx_IntangibleAssetsGross" />
    <label xlink:type="resource" xlink:label="esrx_IntangibleAssetsGross_lbl" xlink:role="http://www.xbrl.org/2003/role/documentation" xml:lang="en-US">Intangible assets gross.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="esrx_IntangibleAssetsGross" xlink:to="esrx_IntangibleAssetsGross_lbl" />
    <label xlink:type="resource" xlink:label="esrx_IntangibleAssetsGross_lbl" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Intangible assets gross</label>
    <label xlink:type="resource" xlink:label="esrx_IntangibleAssetsGross_lbl" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Gross carrying amount, other intangible assets</label>
    <label xlink:type="resource" xlink:label="esrx_IntangibleAssetsGross_lbl" xlink:role="http://www.xbrl.org/2003/role/totalLabel" xml:lang="en-US">Gross carrying amount, other intangible assets</label>
    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_FiniteLivedIntangibleAssetsNet" xlink:label="us-gaap_FiniteLivedIntangibleAssetsNet" />
    <label xlink:type="resource" xlink:label="lab_FiniteLivedIntangibleAssetsNet" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Finite-Lived Intangible Assets, Net</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_FiniteLivedIntangibleAssetsNet" xlink:to="lab_FiniteLivedIntangibleAssetsNet" />
    <label xlink:type="resource" xlink:label="lab_FiniteLivedIntangibleAssetsNet" xlink:role="http://www.xbrl.org/2003/role/totalLabel" xml:lang="en-US">Finite-Lived Intangible Assets, Net, Total</label>
    <label xlink:type="resource" xlink:label="lab_FiniteLivedIntangibleAssetsNet" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Finite-lived other intangible assets</label>
    <loc xlink:type="locator" xlink:href="esrx-20100930.xsd#esrx_PublicOfferingOfSeniorNotesGross" xlink:label="esrx_PublicOfferingOfSeniorNotesGross" />
    <label xlink:type="resource" xlink:label="esrx_PublicOfferingOfSeniorNotesGross_lbl" xlink:role="http://www.xbrl.org/2003/role/documentation" xml:lang="en-US">Public Offering Of Senior Notes Gross.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="esrx_PublicOfferingOfSeniorNotesGross" xlink:to="esrx_PublicOfferingOfSeniorNotesGross_lbl" />
    <label xlink:type="resource" xlink:label="esrx_PublicOfferingOfSeniorNotesGross_lbl" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Public Offering Of Senior Notes Gross</label>
    <label xlink:type="resource" xlink:label="esrx_PublicOfferingOfSeniorNotesGross_lbl" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Gross proceeds resulting from public offering of senior notes</label>
    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_ProceedsFromIssuanceOfSeniorLongTermDebt" xlink:label="us-gaap_ProceedsFromIssuanceOfSeniorLongTermDebt" />
    <label xlink:type="resource" xlink:label="lab_ProceedsFromIssuanceOfSeniorLongTermDebt" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Proceeds from Issuance of Senior Long-term Debt</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_ProceedsFromIssuanceOfSeniorLongTermDebt" xlink:to="lab_ProceedsFromIssuanceOfSeniorLongTermDebt" />
    <label xlink:type="resource" xlink:label="lab_ProceedsFromIssuanceOfSeniorLongTermDebt" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Net proceeds resulting from public offering of senior notes</label>
    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_ReconciliationOfAssetsFromSegmentToConsolidatedAbstract" xlink:label="us-gaap_ReconciliationOfAssetsFromSegmentToConsolidatedAbstract" />
    <label xlink:type="resource" xlink:label="lab_ReconciliationOfAssetsFromSegmentToConsolidatedAbstract" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Reconciliation of Assets from Segment to Consolidated [Abstract]</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_ReconciliationOfAssetsFromSegmentToConsolidatedAbstract" xlink:to="lab_ReconciliationOfAssetsFromSegmentToConsolidatedAbstract" />
    <label xlink:type="resource" xlink:label="lab_ReconciliationOfAssetsFromSegmentToConsolidatedAbstract" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Balance sheet information about reportable segments</label>
    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_SegmentReportingInformationInvestmentInEquityMethodInvestees" xlink:label="us-gaap_SegmentReportingInformationInvestmentInEquityMethodInvestees" />
    <label xlink:type="resource" xlink:label="lab_SegmentReportingInformationInvestmentInEquityMethodInvestees" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Segment Reporting Information, Investment in Equity Method Investees</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_SegmentReportingInformationInvestmentInEquityMethodInvestees" xlink:to="lab_SegmentReportingInformationInvestmentInEquityMethodInvestees" />
    <label xlink:type="resource" xlink:label="lab_SegmentReportingInformationInvestmentInEquityMethodInvestees" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xml:lang="en-US">Investment in equity method investees</label>
    <label xlink:type="resource" xlink:label="lab_SegmentReportingInformationInvestmentInEquityMethodInvestees" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Investment in equity method investees, by segment</label>
    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_DebtInstrumentInterestRateStatedPercentage" xlink:label="us-gaap_DebtInstrumentInterestRateStatedPercentage" />
    <label xlink:type="resource" xlink:label="lab_DebtInstrumentInterestRateStatedPercentage" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Debt Instrument, Interest Rate, Stated Percentage</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_DebtInstrumentInterestRateStatedPercentage" xlink:to="lab_DebtInstrumentInterestRateStatedPercentage" />
    <label xlink:type="resource" xlink:label="lab_DebtInstrumentInterestRateStatedPercentage" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xml:lang="en-US">Interest on senior notes</label>
    <label xlink:type="resource" xlink:label="lab_DebtInstrumentInterestRateStatedPercentage" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Interest rate on debt instruments</label>
    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_BusinessAcquisitionPurchasePriceAllocationAmortizableIntangibleAssets" xlink:label="us-gaap_BusinessAcquisitionPurchasePriceAllocationAmortizableIntangibleAssets" />
    <label xlink:type="resource" xlink:label="lab_BusinessAcquisitionPurchasePriceAllocationAmortizableIntangibleAssets" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Business Acquisition, Purchase Price Allocation, Amortizable Intangible Assets</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_BusinessAcquisitionPurchasePriceAllocationAmortizableIntangibleAssets" xlink:to="lab_BusinessAcquisitionPurchasePriceAllocationAmortizableIntangibleAssets" />
    <label xlink:type="resource" xlink:label="lab_BusinessAcquisitionPurchasePriceAllocationAmortizableIntangibleAssets" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xml:lang="en-US">Acquired intangible assets</label>
    <label xlink:type="resource" xlink:label="lab_BusinessAcquisitionPurchasePriceAllocationAmortizableIntangibleAssets" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Allocation of excess of purchase price to customer relationships, amount</label>
    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_FiniteLivedContractualRightsGross" xlink:label="us-gaap_FiniteLivedContractualRightsGross" />
    <label xlink:type="resource" xlink:label="lab_FiniteLivedContractualRightsGross" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Finite-Lived Contractual Rights, Gross</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_FiniteLivedContractualRightsGross" xlink:to="lab_FiniteLivedContractualRightsGross" />
    <label xlink:type="resource" xlink:label="lab_FiniteLivedContractualRightsGross" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Gross carrying amount, other intangible assets</label>
    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_FiniteLivedCustomerRelationshipsGross" xlink:label="us-gaap_FiniteLivedCustomerRelationshipsGross" />
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    <label xlink:type="resource" xlink:label="lab_FiniteLivedCustomerRelationshipsGross" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Gross carrying amount, other intangible assets</label>
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    <label xlink:type="resource" xlink:label="lab_BusinessAcquisitionPurchasePriceAllocationAbstract" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Business Acquisition, Purchase Price Allocation [Abstract]</label>
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    <label xlink:type="resource" xlink:label="lab_BusinessAcquisitionPurchasePriceAllocationAbstract" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Purchase price allocation</label>
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    <label xlink:type="resource" xlink:label="lab_BusinessAcquisitionPurchasePriceAllocationPropertyPlantAndEquipment" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Business Acquisition, Purchase Price Allocation, Property, Plant and Equipment</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_BusinessAcquisitionPurchasePriceAllocationPropertyPlantAndEquipment" xlink:to="lab_BusinessAcquisitionPurchasePriceAllocationPropertyPlantAndEquipment" />
    <label xlink:type="resource" xlink:label="lab_BusinessAcquisitionPurchasePriceAllocationPropertyPlantAndEquipment" xlink:role="http://www.xbrl.org/2003/role/totalLabel" xml:lang="en-US">Business Acquisition, Purchase Price Allocation, Property, Plant and Equipment, Total</label>
    <label xlink:type="resource" xlink:label="lab_BusinessAcquisitionPurchasePriceAllocationPropertyPlantAndEquipment" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Property and equipment</label>
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    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_BusinessAcquisitionPurchasePriceAllocationLiabilitiesAssumed" xlink:to="lab_BusinessAcquisitionPurchasePriceAllocationLiabilitiesAssumed" />
    <label xlink:type="resource" xlink:label="lab_BusinessAcquisitionPurchasePriceAllocationLiabilitiesAssumed" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Business Acquisition, Purchase Price Allocation, Liabilities Assumed</label>
    <label xlink:type="resource" xlink:label="lab_BusinessAcquisitionPurchasePriceAllocationLiabilitiesAssumed" xlink:role="http://xbrl.us/us-gaap/role/label/negated" xml:lang="en-US">Liabilities assumed are primarily comprised of rebates payable to clients</label>
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    <label xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xlink:label="lab_BusinessAcquisitionPurchasePriceAllocationLiabilitiesAssumed" xml:lang="en-US">Liabilities assumed are primarily comprised of rebates payable to clients</label>
    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_BusinessAcquisitionPurchasePriceAllocationAssetsAcquiredLiabilitiesAssumedNet" xlink:label="us-gaap_BusinessAcquisitionPurchasePriceAllocationAssetsAcquiredLiabilitiesAssumedNet" />
    <label xlink:type="resource" xlink:label="lab_BusinessAcquisitionPurchasePriceAllocationAssetsAcquiredLiabilitiesAssumedNet" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Business Acquisition, Purchase Price Allocation, Assets Acquired (Liabilities Assumed), Net</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_BusinessAcquisitionPurchasePriceAllocationAssetsAcquiredLiabilitiesAssumedNet" xlink:to="lab_BusinessAcquisitionPurchasePriceAllocationAssetsAcquiredLiabilitiesAssumedNet" />
    <label xlink:type="resource" xlink:label="lab_BusinessAcquisitionPurchasePriceAllocationAssetsAcquiredLiabilitiesAssumedNet" xlink:role="http://www.xbrl.org/2003/role/totalLabel" xml:lang="en-US">Total</label>
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    <label xlink:type="resource" xlink:label="esrx_AcquisitionTablesAbstract_lbl" xlink:role="http://www.xbrl.org/2003/role/documentation" xml:lang="en-US">Acquisition Tables Abstract.</label>
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    <label xlink:type="resource" xlink:label="esrx_AcquisitionTablesAbstract_lbl" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Acquisition (Tables) [Abstract]</label>
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    <label xlink:type="resource" xlink:label="esrx_PurchasePriceAllocationTextBlock_lbl" xlink:role="http://www.xbrl.org/2003/role/documentation" xml:lang="en-US">Purchase price allocation.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="esrx_PurchasePriceAllocationTextBlock" xlink:to="esrx_PurchasePriceAllocationTextBlock_lbl" />
    <label xlink:type="resource" xlink:label="esrx_PurchasePriceAllocationTextBlock_lbl" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Purchase Price Allocation Text Block</label>
    <label xlink:type="resource" xlink:label="esrx_PurchasePriceAllocationTextBlock_lbl" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Purchase price allocation</label>
    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_BusinessAcquisitionProFormaInformationAbstract" xlink:label="us-gaap_BusinessAcquisitionProFormaInformationAbstract" />
    <label xlink:type="resource" xlink:label="lab_BusinessAcquisitionProFormaInformationAbstract" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Business Acquisition, Pro Forma Information [Abstract]</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_BusinessAcquisitionProFormaInformationAbstract" xlink:to="lab_BusinessAcquisitionProFormaInformationAbstract" />
    <label xlink:type="resource" xlink:label="lab_BusinessAcquisitionProFormaInformationAbstract" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Summary of combined results of operations</label>
    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_BusinessAcquisitionProFormaRevenue" xlink:label="us-gaap_BusinessAcquisitionProFormaRevenue" />
    <label xlink:type="resource" xlink:label="lab_BusinessAcquisitionProFormaRevenue" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Business Acquisition, Pro Forma Revenue</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_BusinessAcquisitionProFormaRevenue" xlink:to="lab_BusinessAcquisitionProFormaRevenue" />
    <label xlink:type="resource" xlink:label="lab_BusinessAcquisitionProFormaRevenue" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Total revenues</label>
    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_BusinessAcquisitionProFormaIncomeLossFromContinuingOperationsBeforeChangesInAccountingAndExtraordinaryItemsNetOfTax" xlink:label="us-gaap_BusinessAcquisitionProFormaIncomeLossFromContinuingOperationsBeforeChangesInAccountingAndExtraordinaryItemsNetOfTax" />
    <label xlink:type="resource" xlink:label="lab_BusinessAcquisitionProFormaIncomeLossFromContinuingOperationsBeforeChangesInAccountingAndExtraordinaryItemsNetOfTax" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Business Acquisition, Pro Forma Income (Loss) from Continuing Operations before Changes in Accounting and Extraordinary Items, Net of Tax</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_BusinessAcquisitionProFormaIncomeLossFromContinuingOperationsBeforeChangesInAccountingAndExtraordinaryItemsNetOfTax" xlink:to="lab_BusinessAcquisitionProFormaIncomeLossFromContinuingOperationsBeforeChangesInAccountingAndExtraordinaryItemsNetOfTax" />
    <label xlink:type="resource" xlink:label="lab_BusinessAcquisitionProFormaIncomeLossFromContinuingOperationsBeforeChangesInAccountingAndExtraordinaryItemsNetOfTax" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Net income from continuing operations</label>
    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_BusinessAcquisitionProFormaIncomeLossFromContinuingOperationsBeforeChangesInAccountingAndExtraordinaryItemsNetOfTaxPerShareBasic" xlink:label="us-gaap_BusinessAcquisitionProFormaIncomeLossFromContinuingOperationsBeforeChangesInAccountingAndExtraordinaryItemsNetOfTaxPerShareBasic" />
    <label xlink:type="resource" xlink:label="lab_BusinessAcquisitionProFormaIncomeLossFromContinuingOperationsBeforeChangesInAccountingAndExtraordinaryItemsNetOfTaxPerShareBasic" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Business Acquisition, Pro Forma Income (Loss) from Continuing Operations before Changes in Accounting and Extraordinary Items, Net of Tax, Per Share, Basic</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_BusinessAcquisitionProFormaIncomeLossFromContinuingOperationsBeforeChangesInAccountingAndExtraordinaryItemsNetOfTaxPerShareBasic" xlink:to="lab_BusinessAcquisitionProFormaIncomeLossFromContinuingOperationsBeforeChangesInAccountingAndExtraordinaryItemsNetOfTaxPerShareBasic" />
    <label xlink:type="resource" xlink:label="lab_BusinessAcquisitionProFormaIncomeLossFromContinuingOperationsBeforeChangesInAccountingAndExtraordinaryItemsNetOfTaxPerShareBasic" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Basic earnings per share from continuing operations</label>
    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_BusinessAcquisitionProFormaIncomeLossFromContinuingOperationsBeforeChangesInAccountingAndExtraordinaryItemsNetOfTaxPerShareDiluted" xlink:label="us-gaap_BusinessAcquisitionProFormaIncomeLossFromContinuingOperationsBeforeChangesInAccountingAndExtraordinaryItemsNetOfTaxPerShareDiluted" />
    <label xlink:type="resource" xlink:label="lab_BusinessAcquisitionProFormaIncomeLossFromContinuingOperationsBeforeChangesInAccountingAndExtraordinaryItemsNetOfTaxPerShareDiluted" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Business Acquisition, Pro Forma Income (Loss) from Continuing Operations before Changes in Accounting and Extraordinary Items, Net of Tax, Per Share, Diluted</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_BusinessAcquisitionProFormaIncomeLossFromContinuingOperationsBeforeChangesInAccountingAndExtraordinaryItemsNetOfTaxPerShareDiluted" xlink:to="lab_BusinessAcquisitionProFormaIncomeLossFromContinuingOperationsBeforeChangesInAccountingAndExtraordinaryItemsNetOfTaxPerShareDiluted" />
    <label xlink:type="resource" xlink:label="lab_BusinessAcquisitionProFormaIncomeLossFromContinuingOperationsBeforeChangesInAccountingAndExtraordinaryItemsNetOfTaxPerShareDiluted" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Diluted earnings per share from continuing operations</label>
    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_BusinessAcquisitionPurchasePriceAllocationCurrentAssets" xlink:label="us-gaap_BusinessAcquisitionPurchasePriceAllocationCurrentAssets" />
    <label xlink:type="resource" xlink:label="lab_BusinessAcquisitionPurchasePriceAllocationCurrentAssets" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Business Acquisition, Purchase Price Allocation, Current Assets</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_BusinessAcquisitionPurchasePriceAllocationCurrentAssets" xlink:to="lab_BusinessAcquisitionPurchasePriceAllocationCurrentAssets" />
    <label xlink:type="resource" xlink:label="lab_BusinessAcquisitionPurchasePriceAllocationCurrentAssets" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xml:lang="en-US">Current assets are primarily comprised of pharmaceutical manufacturer rebate receivables</label>
    <label xlink:type="resource" xlink:label="lab_BusinessAcquisitionPurchasePriceAllocationCurrentAssets" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Current assets</label>
    <loc xlink:type="locator" xlink:href="esrx-20100930.xsd#esrx_MeasurementPeriod" xlink:label="esrx_MeasurementPeriod" />
    <label xlink:type="resource" xlink:label="esrx_MeasurementPeriod_lbl" xlink:role="http://www.xbrl.org/2003/role/documentation" xml:lang="en-US">Measurement period.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="esrx_MeasurementPeriod" xlink:to="esrx_MeasurementPeriod_lbl" />
    <label xlink:type="resource" xlink:label="esrx_MeasurementPeriod_lbl" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Measurement period</label>
    <label xlink:type="resource" xlink:label="esrx_MeasurementPeriod_lbl" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Measurement period</label>
    <loc xlink:type="locator" xlink:href="esrx-20100930.xsd#esrx_PurchasePriceAdjustmentForWorkingCapital" xlink:label="esrx_PurchasePriceAdjustmentForWorkingCapital" />
    <label xlink:type="resource" xlink:label="esrx_PurchasePriceAdjustmentForWorkingCapital_lbl" xlink:role="http://www.xbrl.org/2003/role/documentation" xml:lang="en-US">Purchase price adjustment for working capital.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="esrx_PurchasePriceAdjustmentForWorkingCapital" xlink:to="esrx_PurchasePriceAdjustmentForWorkingCapital_lbl" />
    <label xlink:type="resource" xlink:label="esrx_PurchasePriceAdjustmentForWorkingCapital_lbl" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Purchase price adjustment for working capital</label>
    <label xlink:type="resource" xlink:label="esrx_PurchasePriceAdjustmentForWorkingCapital_lbl" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Purchase price adjustment for working capital</label>
    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardAwardVestingPeriod" xlink:label="us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardAwardVestingPeriod" />
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardAwardVestingPeriod" xlink:to="lab_ShareBasedCompensationArrangementByShareBasedPaymentAwardAwardVestingPeriod" />
    <label xlink:type="resource" xlink:label="lab_ShareBasedCompensationArrangementByShareBasedPaymentAwardAwardVestingPeriod" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Share-based Compensation Arrangement by Share-based Payment Award, Award Vesting Period</label>
    <label xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xlink:label="lab_ShareBasedCompensationArrangementByShareBasedPaymentAwardAwardVestingPeriod" xml:lang="en-US">Vesting period of SSRs and stock options</label>
    <label xlink:type="resource" xlink:label="lab_ShareBasedCompensationArrangementByShareBasedPaymentAwardAwardVestingPeriod" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Vesting period of Restricted Stock and Perrformance share grants</label>
    <loc xlink:type="locator" xlink:href="esrx-20100930.xsd#esrx_PerformanceShareGrantsMultiplier" xlink:label="esrx_PerformanceShareGrantsMultiplier" />
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="esrx_PerformanceShareGrantsMultiplier" xlink:to="esrx_PerformanceShareGrantsMultiplier_lbl" />
    <label xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label" xlink:label="esrx_PerformanceShareGrantsMultiplier_lbl" xml:lang="en-US">Performance share grants multiplier</label>
    <label xlink:type="resource" xlink:label="esrx_PerformanceShareGrantsMultiplier_lbl" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Performance share grants multiplier</label>
    <label xlink:type="resource" xlink:label="esrx_PerformanceShareGrantsMultiplier_lbl" xlink:role="http://www.xbrl.org/2003/role/documentation" xml:lang="en-US">Performance share grants  multiplier.</label>
    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_AssetsCurrentAbstract" xlink:label="us-gaap_AssetsCurrentAbstract" />
    <label xlink:type="resource" xlink:label="lab_AssetsCurrentAbstract" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Assets, Current [Abstract]</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_AssetsCurrentAbstract" xlink:to="lab_AssetsCurrentAbstract" />
    <label xlink:type="resource" xlink:label="lab_AssetsCurrentAbstract" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Current assets:</label>
    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_LiabilitiesCurrentAbstract" xlink:label="us-gaap_LiabilitiesCurrentAbstract" />
    <label xlink:type="resource" xlink:label="lab_LiabilitiesCurrentAbstract" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Liabilities, Current [Abstract]</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_LiabilitiesCurrentAbstract" xlink:to="lab_LiabilitiesCurrentAbstract" />
    <label xlink:type="resource" xlink:label="lab_LiabilitiesCurrentAbstract" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Current liabilities:</label>
    <loc xlink:type="locator" xlink:href="esrx-20100930.xsd#esrx_DiscontinuedOperationsAbstract" xlink:label="esrx_DiscontinuedOperationsAbstract" />
    <label xlink:type="resource" xlink:label="esrx_DiscontinuedOperationsAbstract_lbl" xlink:role="http://www.xbrl.org/2003/role/documentation" xml:lang="en-US">Discontinued Operations.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="esrx_DiscontinuedOperationsAbstract" xlink:to="esrx_DiscontinuedOperationsAbstract_lbl" />
    <label xlink:type="resource" xlink:label="esrx_DiscontinuedOperationsAbstract_lbl" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Discontinued Operations [Abstract]</label>
    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_DisposalGroupsIncludingDiscontinuedOperationsDisclosureTextBlock" xlink:label="us-gaap_DisposalGroupsIncludingDiscontinuedOperationsDisclosureTextBlock" />
    <label xlink:type="resource" xlink:label="lab_DisposalGroupsIncludingDiscontinuedOperationsDisclosureTextBlock" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Disposal Groups, Including Discontinued Operations, Disclosure [Text Block]</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_DisposalGroupsIncludingDiscontinuedOperationsDisclosureTextBlock" xlink:to="lab_DisposalGroupsIncludingDiscontinuedOperationsDisclosureTextBlock" />
    <label xlink:type="resource" xlink:label="lab_DisposalGroupsIncludingDiscontinuedOperationsDisclosureTextBlock" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Discontinued Operations</label>
    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_DisposalGroupIncludingDiscontinuedOperationAdditionalDisclosuresAbstract" xlink:label="us-gaap_DisposalGroupIncludingDiscontinuedOperationAdditionalDisclosuresAbstract" />
    <label xlink:type="resource" xlink:label="lab_DisposalGroupIncludingDiscontinuedOperationAdditionalDisclosuresAbstract" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Disposal Group, Including Discontinued Operation, Additional Disclosures [Abstract]</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_DisposalGroupIncludingDiscontinuedOperationAdditionalDisclosuresAbstract" xlink:to="lab_DisposalGroupIncludingDiscontinuedOperationAdditionalDisclosuresAbstract" />
    <label xlink:type="resource" xlink:label="lab_DisposalGroupIncludingDiscontinuedOperationAdditionalDisclosuresAbstract" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Discontinued Operations</label>
    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_DisposalGroupIncludingDiscontinuedOperationRevenue" xlink:label="us-gaap_DisposalGroupIncludingDiscontinuedOperationRevenue" />
    <label xlink:type="resource" xlink:label="lab_DisposalGroupIncludingDiscontinuedOperationRevenue" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Disposal Group, Including Discontinued Operation, Revenue</label>
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    <label xlink:type="resource" xlink:label="lab_DisposalGroupIncludingDiscontinuedOperationRevenue" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Revenues</label>
    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_DiscontinuedOperationTaxEffectOfDiscontinuedOperation" xlink:label="us-gaap_DiscontinuedOperationTaxEffectOfDiscontinuedOperation" />
    <label xlink:type="resource" xlink:label="lab_DiscontinuedOperationTaxEffectOfDiscontinuedOperation" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Discontinued Operation, Tax Effect of Discontinued Operation</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_DiscontinuedOperationTaxEffectOfDiscontinuedOperation" xlink:to="lab_DiscontinuedOperationTaxEffectOfDiscontinuedOperation" />
    <label xlink:type="resource" xlink:label="lab_DiscontinuedOperationTaxEffectOfDiscontinuedOperation" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xml:lang="en-US">Income tax benefit from discontinued operations</label>
    <label xlink:type="resource" xlink:label="lab_DiscontinuedOperationTaxEffectOfDiscontinuedOperation" xlink:role="http://www.xbrl.org/2003/role/totalLabel" xml:lang="en-US">Discontinued Operation, Tax Effect of Discontinued Operation, Total</label>
    <label xlink:type="resource" xlink:label="lab_DiscontinuedOperationTaxEffectOfDiscontinuedOperation" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Income tax expense (benefit) from discontinued operations</label>
    <loc xlink:type="locator" xlink:href="esrx-20100930.xsd#esrx_DiscontinuedOperationsTextualsAbstract" xlink:label="esrx_DiscontinuedOperationsTextualsAbstract" />
    <label xlink:type="resource" xlink:label="esrx_DiscontinuedOperationsTextualsAbstract_lbl" xlink:role="http://www.xbrl.org/2003/role/documentation" xml:lang="en-US">Discontinued Operations.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="esrx_DiscontinuedOperationsTextualsAbstract" xlink:to="esrx_DiscontinuedOperationsTextualsAbstract_lbl" />
    <label xlink:type="resource" xlink:label="esrx_DiscontinuedOperationsTextualsAbstract_lbl" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Discontinued Operations Textuals Abstract</label>
    <label xlink:type="resource" xlink:label="esrx_DiscontinuedOperationsTextualsAbstract_lbl" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Discontinued Operations (Textuals)</label>
    <loc xlink:type="locator" xlink:href="esrx-20100930.xsd#esrx_DiscontinuedOperationsDetailsAbstract" xlink:label="esrx_DiscontinuedOperationsDetailsAbstract" />
    <label xlink:type="resource" xlink:label="esrx_DiscontinuedOperationsDetailsAbstract_lbl" xlink:role="http://www.xbrl.org/2003/role/documentation" xml:lang="en-US">Discontinued Operations.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="esrx_DiscontinuedOperationsDetailsAbstract" xlink:to="esrx_DiscontinuedOperationsDetailsAbstract_lbl" />
    <label xlink:type="resource" xlink:label="esrx_DiscontinuedOperationsDetailsAbstract_lbl" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Discontinued Operations (Details) [Abstract]</label>
    <label xlink:type="resource" xlink:label="esrx_DiscontinuedOperationsDetailsAbstract_lbl" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Discontinued Operations (Details) [Abstract]</label>
    <loc xlink:type="locator" xlink:href="esrx-20100930.xsd#esrx_DiscontinuedOperationsTablesAbstract" xlink:label="esrx_DiscontinuedOperationsTablesAbstract" />
    <label xlink:type="resource" xlink:label="esrx_DiscontinuedOperationsTablesAbstract_lbl" xlink:role="http://www.xbrl.org/2003/role/documentation" xml:lang="en-US">Discontinued Operations.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="esrx_DiscontinuedOperationsTablesAbstract" xlink:to="esrx_DiscontinuedOperationsTablesAbstract_lbl" />
    <label xlink:type="resource" xlink:label="esrx_DiscontinuedOperationsTablesAbstract_lbl" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Discontinued Operations (Tables) [Abstract]</label>
    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_AssetsOfDisposalGroupIncludingDiscontinuedOperationCurrent" xlink:label="us-gaap_AssetsOfDisposalGroupIncludingDiscontinuedOperationCurrent" />
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_AssetsOfDisposalGroupIncludingDiscontinuedOperationCurrent" xlink:to="lab_AssetsOfDisposalGroupIncludingDiscontinuedOperationCurrent" />
    <label xlink:type="resource" xlink:label="lab_AssetsOfDisposalGroupIncludingDiscontinuedOperationCurrent" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Assets of Disposal Group, Including Discontinued Operation, Current</label>
    <label xlink:type="resource" xlink:label="lab_AssetsOfDisposalGroupIncludingDiscontinuedOperationCurrent" xlink:role="http://www.xbrl.org/2003/role/totalLabel" xml:lang="en-US">Current assets of discontinued operations</label>
    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_AssetsOfDisposalGroupIncludingDiscontinuedOperationNoncurrent" xlink:label="us-gaap_AssetsOfDisposalGroupIncludingDiscontinuedOperationNoncurrent" />
    <label xlink:type="resource" xlink:label="lab_AssetsOfDisposalGroupIncludingDiscontinuedOperationNoncurrent" xlink:role="http://www.xbrl.org/2003/role/totalLabel" xml:lang="en-US">Noncurrent assets of discontinued operations</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_AssetsOfDisposalGroupIncludingDiscontinuedOperationNoncurrent" xlink:to="lab_AssetsOfDisposalGroupIncludingDiscontinuedOperationNoncurrent" />
    <label xlink:type="resource" xlink:label="lab_AssetsOfDisposalGroupIncludingDiscontinuedOperationNoncurrent" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Assets of Disposal Group, Including Discontinued Operation, Noncurrent</label>
    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_StockIssuedDuringPeriodSharesStockDividend" xlink:label="us-gaap_StockIssuedDuringPeriodSharesStockDividend" />
    <label xlink:type="resource" xlink:label="lab_StockIssuedDuringPeriodSharesStockDividend" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Stock split in form of dividend, shares</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_StockIssuedDuringPeriodSharesStockDividend" xlink:to="lab_StockIssuedDuringPeriodSharesStockDividend" />
    <label xlink:type="resource" xlink:label="lab_StockIssuedDuringPeriodSharesStockDividend" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Stock Issued During Period, Shares, Stock Dividend</label>
    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_StockIssuedDuringPeriodValueStockDividend" xlink:label="us-gaap_StockIssuedDuringPeriodValueStockDividend" />
    <label xlink:type="resource" xlink:label="lab_StockIssuedDuringPeriodValueStockDividend" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Stock split in form of dividend</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_StockIssuedDuringPeriodValueStockDividend" xlink:to="lab_StockIssuedDuringPeriodValueStockDividend" />
    <label xlink:type="resource" xlink:label="lab_StockIssuedDuringPeriodValueStockDividend" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Stock Issued During Period, Value, Stock Dividend</label>
    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_NetCashProvidedByUsedInInvestingActivitiesContinuingOperations" xlink:label="us-gaap_NetCashProvidedByUsedInInvestingActivitiesContinuingOperations" />
    <label xlink:type="resource" xlink:label="lab_NetCashProvidedByUsedInInvestingActivitiesContinuingOperations" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Net Cash Provided by (Used in) Investing Activities, Continuing Operations</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_NetCashProvidedByUsedInInvestingActivitiesContinuingOperations" xlink:to="lab_NetCashProvidedByUsedInInvestingActivitiesContinuingOperations" />
    <label xlink:type="resource" xlink:label="lab_NetCashProvidedByUsedInInvestingActivitiesContinuingOperations" xlink:role="http://www.xbrl.org/2003/role/totalLabel" xml:lang="en-US">Net cash used in investing activities - continuing operations</label>
    <label xlink:type="resource" xlink:label="lab_NetCashProvidedByUsedInInvestingActivitiesContinuingOperations" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Net cash used in investing activities - continuing operations</label>
    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_CashProvidedByUsedInInvestingActivitiesDiscontinuedOperations" xlink:label="us-gaap_CashProvidedByUsedInInvestingActivitiesDiscontinuedOperations" />
    <label xlink:type="resource" xlink:label="lab_CashProvidedByUsedInInvestingActivitiesDiscontinuedOperations" xlink:role="http://www.xbrl.org/2003/role/totalLabel" xml:lang="en-US">Net cash used in investing activities - discontinued operations</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_CashProvidedByUsedInInvestingActivitiesDiscontinuedOperations" xlink:to="lab_CashProvidedByUsedInInvestingActivitiesDiscontinuedOperations" />
    <label xlink:type="resource" xlink:label="lab_CashProvidedByUsedInInvestingActivitiesDiscontinuedOperations" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xml:lang="en-US">Net cash used in investing activities - discontinued operations</label>
    <label xlink:type="resource" xlink:label="lab_CashProvidedByUsedInInvestingActivitiesDiscontinuedOperations" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Cash Provided by (Used in) Investing Activities, Discontinued Operations</label>
    <loc xlink:type="locator" xlink:href="esrx-20100930.xsd#esrx_DiscOpMember" xlink:label="esrx_DiscOpMember" />
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="esrx_DiscOpMember" xlink:to="esrx_DiscOpMember_lbl" />
    <label xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label" xlink:label="esrx_DiscOpMember_lbl" xml:lang="en-US">DISC OP [Member]</label>
    <label xlink:type="resource" xlink:label="esrx_DiscOpMember_lbl" xlink:role="http://www.xbrl.org/2003/role/documentation" xml:lang="en-US">DISC OP.</label>
    <loc xlink:type="locator" xlink:href="esrx-20100930.xsd#esrx_ContingenciesDetailsAbstract" xlink:label="esrx_ContingenciesDetailsAbstract" />
    <label xlink:type="resource" xlink:label="esrx_ContingenciesDetailsAbstract_lbl" xlink:role="http://www.xbrl.org/2003/role/documentation" xml:lang="en-US">Contingencies.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="esrx_ContingenciesDetailsAbstract" xlink:to="esrx_ContingenciesDetailsAbstract_lbl" />
    <label xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label" xlink:label="esrx_ContingenciesDetailsAbstract_lbl" xml:lang="en-US">Contingencies (Details) [Abstract]</label>
    <loc xlink:type="locator" xlink:href="esrx-20100930.xsd#esrx_ContingenciesTextualsAbstract" xlink:label="esrx_ContingenciesTextualsAbstract" />
    <label xlink:type="resource" xlink:label="esrx_ContingenciesTextualsAbstract_lbl" xlink:role="http://www.xbrl.org/2003/role/documentation" xml:lang="en-US">Contingencies.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="esrx_ContingenciesTextualsAbstract" xlink:to="esrx_ContingenciesTextualsAbstract_lbl" />
    <label xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label" xlink:label="esrx_ContingenciesTextualsAbstract_lbl" xml:lang="en-US">Contingencies Textuals Abstract</label>
    <label xlink:type="resource" xlink:label="esrx_ContingenciesTextualsAbstract_lbl" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Contingencies (Textuals)</label>
    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_BusinessAcquisitionCostOfAcquiredEntityCashPaid" xlink:label="us-gaap_BusinessAcquisitionCostOfAcquiredEntityCashPaid" />
    <label xlink:type="resource" xlink:label="lab_BusinessAcquisitionCostOfAcquiredEntityCashPaid" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Business Acquisition, Cost of Acquired Entity, Cash Paid</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_BusinessAcquisitionCostOfAcquiredEntityCashPaid" xlink:to="lab_BusinessAcquisitionCostOfAcquiredEntityCashPaid" />
    <label xlink:type="resource" xlink:label="lab_BusinessAcquisitionCostOfAcquiredEntityCashPaid" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Total consideration for pharmacy benefit management services</label>
    <loc xlink:type="locator" xlink:href="esrx-20100930.xsd#esrx_ImpairmentChargeOnClassificationDiscontinuedOperationMajorityIncludingGoodwillAndOtherIntangibleAssets" xlink:label="esrx_ImpairmentChargeOnClassificationDiscontinuedOperationMajorityIncludingGoodwillAndOtherIntangibleAssets" />
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="esrx_ImpairmentChargeOnClassificationDiscontinuedOperationMajorityIncludingGoodwillAndOtherIntangibleAssets" xlink:to="esrx_ImpairmentChargeOnClassificationDiscontinuedOperationMajorityIncludingGoodwillAndOtherIntangibleAssets_lbl" />
    <label xlink:type="resource" xlink:label="esrx_ImpairmentChargeOnClassificationDiscontinuedOperationMajorityIncludingGoodwillAndOtherIntangibleAssets_lbl" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Impairment charge on classification discontinued operation majority including goodwill and other intangible assets</label>
    <label xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xlink:label="esrx_ImpairmentChargeOnClassificationDiscontinuedOperationMajorityIncludingGoodwillAndOtherIntangibleAssets_lbl" xml:lang="en-US">Impairment charge to reflect goodwill and intangible asset impairment and the subsequent write-down of PMG assets to fair market value</label>
    <label xlink:type="resource" xlink:label="esrx_ImpairmentChargeOnClassificationDiscontinuedOperationMajorityIncludingGoodwillAndOtherIntangibleAssets_lbl" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Impairment charge on classification discontinued operation majority including goodwill and other intangible assets</label>
    <label xlink:type="resource" xlink:label="esrx_ImpairmentChargeOnClassificationDiscontinuedOperationMajorityIncludingGoodwillAndOtherIntangibleAssets_lbl" xlink:role="http://www.xbrl.org/2003/role/documentation" xml:lang="en-US">Impairment charge on classification discontinued operation majority including goodwill and other intangible assets.</label>
    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_EntityWideDisclosureOnGeographicAreasLongLivedAssetsInForeignCountries" xlink:label="us-gaap_EntityWideDisclosureOnGeographicAreasLongLivedAssetsInForeignCountries" />
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_EntityWideDisclosureOnGeographicAreasLongLivedAssetsInForeignCountries" xlink:to="lab_EntityWideDisclosureOnGeographicAreasLongLivedAssetsInForeignCountries" />
    <label xlink:type="resource" xlink:label="lab_EntityWideDisclosureOnGeographicAreasLongLivedAssetsInForeignCountries" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Entity-Wide Disclosure on Geographic Areas, Long-Lived Assets in Foreign Countries</label>
    <label xlink:type="resource" xlink:label="lab_EntityWideDisclosureOnGeographicAreasLongLivedAssetsInForeignCountries" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Long-lived assets of Canadian PBM</label>
    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_FairValueAssetsMeasuredOnRecurringBasisDisclosureItemsDomain" xlink:label="us-gaap_FairValueAssetsMeasuredOnRecurringBasisDisclosureItemsDomain" />
    <label xlink:type="resource" xlink:label="lab_FairValueAssetsMeasuredOnRecurringBasisDisclosureItemsDomain" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Fair Value, Assets Measured on Recurring Basis, Disclosure Items [Domain]</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_FairValueAssetsMeasuredOnRecurringBasisDisclosureItemsDomain" xlink:to="lab_FairValueAssetsMeasuredOnRecurringBasisDisclosureItemsDomain" />
    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_TreasuryStockSharesAcquired" xlink:label="us-gaap_TreasuryStockSharesAcquired" />
    <label xlink:type="resource" xlink:label="lab_TreasuryStockSharesAcquired" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Treasury Stock, Shares, Acquired</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_TreasuryStockSharesAcquired" xlink:to="lab_TreasuryStockSharesAcquired" />
    <label xlink:type="resource" xlink:label="lab_TreasuryStockSharesAcquired" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Treasury shares, repurchased</label>
    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_StockholdersEquityNoteStockSplit" xlink:label="us-gaap_StockholdersEquityNoteStockSplit" />
    <label xlink:type="resource" xlink:label="lab_StockholdersEquityNoteStockSplit" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Stockholders' Equity Note, Stock Split</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_StockholdersEquityNoteStockSplit" xlink:to="lab_StockholdersEquityNoteStockSplit" />
    <label xlink:type="resource" xlink:label="lab_StockholdersEquityNoteStockSplit" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Announcement regarding stock for stockholders</label>
    <loc xlink:type="locator" xlink:href="esrx-20100930.xsd#esrx_TaxBenefitRealizedPeriod" xlink:label="esrx_TaxBenefitRealizedPeriod" />
    <label xlink:type="resource" xlink:label="esrx_TaxBenefitRealizedPeriod_lbl" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Tax benefit realized period</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="esrx_TaxBenefitRealizedPeriod" xlink:to="esrx_TaxBenefitRealizedPeriod_lbl" />
    <label xlink:type="resource" xlink:label="esrx_TaxBenefitRealizedPeriod_lbl" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Tax Benefit realized period</label>
    <label xlink:type="resource" xlink:label="esrx_TaxBenefitRealizedPeriod_lbl" xlink:role="http://www.xbrl.org/2003/role/documentation" xml:lang="en-US">Tax Benefit realized period.</label>
    <loc xlink:type="locator" xlink:href="esrx-20100930.xsd#esrx_ConsolidatingFinancialInformationTextualsAbstract" xlink:label="esrx_ConsolidatingFinancialInformationTextualsAbstract" />
    <label xlink:type="resource" xlink:label="esrx_ConsolidatingFinancialInformationTextualsAbstract_lbl" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Condensed Consolidating Financial Information (Textuals)</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="esrx_ConsolidatingFinancialInformationTextualsAbstract" xlink:to="esrx_ConsolidatingFinancialInformationTextualsAbstract_lbl" />
    <label xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label" xlink:label="esrx_ConsolidatingFinancialInformationTextualsAbstract_lbl" xml:lang="en-US">Consolidating Financial Information Textuals Abstract</label>
    <label xlink:type="resource" xlink:label="esrx_ConsolidatingFinancialInformationTextualsAbstract_lbl" xlink:role="http://www.xbrl.org/2003/role/documentation" xml:lang="en-US">Consolidating Financial Information Textuals.</label>
    <loc xlink:type="locator" xlink:href="esrx-20100930.xsd#esrx_ActivityRelatedToDiscontinuedLineOfBusinessTextBlock" xlink:label="esrx_ActivityRelatedToDiscontinuedLineOfBusinessTextBlock" />
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="esrx_ActivityRelatedToDiscontinuedLineOfBusinessTextBlock" xlink:to="esrx_ActivityRelatedToDiscontinuedLineOfBusinessTextBlock_lbl" />
    <label xlink:type="resource" xlink:label="esrx_ActivityRelatedToDiscontinuedLineOfBusinessTextBlock_lbl" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Activity Related To Discontinued Line Of Business Text Block</label>
    <label xlink:type="resource" xlink:label="esrx_ActivityRelatedToDiscontinuedLineOfBusinessTextBlock_lbl" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Discontinued Operations</label>
    <label xlink:type="resource" xlink:label="esrx_ActivityRelatedToDiscontinuedLineOfBusinessTextBlock_lbl" xlink:role="http://www.xbrl.org/2003/role/documentation" xml:lang="en-US">Activity related to discontinued line of business.</label>
    <loc xlink:type="locator" xlink:href="esrx-20100930.xsd#esrx_BenefitsRelatedToAmendmentOfClientContract" xlink:label="esrx_BenefitsRelatedToAmendmentOfClientContract" />
    <label xlink:type="resource" xlink:label="esrx_BenefitsRelatedToAmendmentOfClientContract_lbl" xlink:role="http://www.xbrl.org/2003/role/documentation" xml:lang="en-US">Benefits related to amendment of client contract.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="esrx_BenefitsRelatedToAmendmentOfClientContract" xlink:to="esrx_BenefitsRelatedToAmendmentOfClientContract_lbl" />
    <label xlink:type="resource" xlink:label="esrx_BenefitsRelatedToAmendmentOfClientContract_lbl" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Benefits related to amendment of client contract</label>
    <label xlink:type="resource" xlink:label="esrx_BenefitsRelatedToAmendmentOfClientContract_lbl" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Benefits related to amendment of client contract</label>
    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_InsuranceRecoveries" xlink:label="us-gaap_InsuranceRecoveries" />
    <label xlink:type="resource" xlink:label="lab_InsuranceRecoveries" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Insurance Recoveries</label>
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    <label xlink:type="resource" xlink:label="lab_InsuranceRecoveries" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Insurance recovery for previously incurred litigation costs</label>
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    <label xlink:type="resource" xlink:label="lab_TreasuryStockValueAcquiredCostMethod" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Treasury Stock, Value, Acquired, Cost Method</label>
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    <label xlink:type="resource" xlink:label="lab_TreasuryStockValueAcquiredCostMethod" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Treasury stock acquired</label>
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    <label xlink:type="resource" xlink:label="esrx_StockIssuedDuringPeriodValueIncludesEsppShareBasedCompensationRestrictedStockForfeituresAndStockRedeemedForTaxes_lbl" xlink:role="http://www.xbrl.org/2003/role/label" xml:lang="en-US">Stock Issued During Period Value Includes Espp Share Based Compensation Restricted Stock Forfeitures And Stock Redeemed For Taxes</label>
    <label xlink:type="resource" xlink:label="esrx_StockIssuedDuringPeriodValueIncludesEsppShareBasedCompensationRestrictedStockForfeituresAndStockRedeemedForTaxes_lbl" xlink:role="http://www.xbrl.org/2003/role/totalLabel" xml:lang="en-US">Changes in stockholders' equity related to employee stock plans</label>
    <label xlink:type="resource" xlink:label="esrx_StockIssuedDuringPeriodValueIncludesEsppShareBasedCompensationRestrictedStockForfeituresAndStockRedeemedForTaxes_lbl" xlink:role="http://www.xbrl.org/2003/role/documentation" xml:lang="en-US">Stock Issued During Period Value Includes Espp Share Based Compensation Restricted Stock Forfeitures And Stock Redeemed For Taxes.</label>
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    <label xlink:type="resource" xlink:label="esrx_NoneOfClientRepresentedConsolidatedRevenue_lbl" xlink:role="http://www.xbrl.org/2003/role/documentation" xml:lang="en-US">None of the client represented consolidated revenue.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="esrx_NoneOfClientRepresentedConsolidatedRevenue" xlink:to="esrx_NoneOfClientRepresentedConsolidatedRevenue_lbl" />
    <label xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label" xlink:label="esrx_NoneOfClientRepresentedConsolidatedRevenue_lbl" xml:lang="en-US">None of the client represented consolidated revenue</label>
    <label xlink:type="resource" xlink:label="esrx_NoneOfClientRepresentedConsolidatedRevenue_lbl" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">None of the client represented consolidated revenue</label>
    <loc xlink:type="locator" xlink:href="esrx-20100930.xsd#esrx_ClientOneMember" xlink:label="esrx_ClientOneMember" />
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="esrx_ClientOneMember" xlink:to="esrx_ClientOneMember_lbl" />
    <label xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label" xlink:label="esrx_ClientOneMember_lbl" xml:lang="en-US">WellPoint [Member]</label>
    <label xlink:type="resource" xlink:label="esrx_ClientOneMember_lbl" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">WellPoint [Member]</label>
    <label xlink:type="resource" xlink:label="esrx_ClientOneMember_lbl" xlink:role="http://www.xbrl.org/2003/role/documentation" xml:lang="en-US">Client One Member.</label>
    <loc xlink:type="locator" xlink:href="esrx-20100930.xsd#esrx_ClientTwoMember" xlink:label="esrx_ClientTwoMember" />
    <label xlink:type="resource" xlink:label="esrx_ClientTwoMember_lbl" xlink:role="http://www.xbrl.org/2003/role/documentation" xml:lang="en-US">Client Two Member.</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="esrx_ClientTwoMember" xlink:to="esrx_ClientTwoMember_lbl" />
    <label xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label" xlink:label="esrx_ClientTwoMember_lbl" xml:lang="en-US">DoD [Member]</label>
    <label xlink:type="resource" xlink:label="esrx_ClientTwoMember_lbl" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xml:lang="en-US">Client Two Member</label>
    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardLineItems" xlink:label="ShareBasedCompensationArrangementByShareBasedPaymentAwardLineItems" xlink:title="ShareBasedCompensationArrangementByShareBasedPaymentAwardLineItems" />
    <label xlink:type="resource" xlink:label="label_ShareBasedCompensationArrangementByShareBasedPaymentAwardLineItems" xlink:role="http://www.xbrl.org/2003/role/label" xlink:title="label_ShareBasedCompensationArrangementByShareBasedPaymentAwardLineItems" xml:lang="en-US" id="label_ShareBasedCompensationArrangementByShareBasedPaymentAwardLineItems">Share-based Compensation Arrangement by Share-based Payment Award [Line Items]</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="ShareBasedCompensationArrangementByShareBasedPaymentAwardLineItems" xlink:to="label_ShareBasedCompensationArrangementByShareBasedPaymentAwardLineItems" xlink:title="label: ShareBasedCompensationArrangementByShareBasedPaymentAwardLineItems to label_ShareBasedCompensationArrangementByShareBasedPaymentAwardLineItems" />
    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_ScheduleOfShareBasedCompensationArrangementsByShareBasedPaymentAwardTable" xlink:label="ScheduleOfShareBasedCompensationArrangementsByShareBasedPaymentAwardTable" xlink:title="ScheduleOfShareBasedCompensationArrangementsByShareBasedPaymentAwardTable" />
    <label xlink:type="resource" xlink:label="label_ScheduleOfShareBasedCompensationArrangementsByShareBasedPaymentAwardTable" xlink:role="http://www.xbrl.org/2003/role/label" xlink:title="label_ScheduleOfShareBasedCompensationArrangementsByShareBasedPaymentAwardTable" xml:lang="en-US" id="label_ScheduleOfShareBasedCompensationArrangementsByShareBasedPaymentAwardTable">Schedule of Share-based Compensation Arrangements by Share-based Payment Award [Table]</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="ScheduleOfShareBasedCompensationArrangementsByShareBasedPaymentAwardTable" xlink:to="label_ScheduleOfShareBasedCompensationArrangementsByShareBasedPaymentAwardTable" xlink:title="label: ScheduleOfShareBasedCompensationArrangementsByShareBasedPaymentAwardTable to label_ScheduleOfShareBasedCompensationArrangementsByShareBasedPaymentAwardTable" />
    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_SegmentReportingInformationLineItems" xlink:label="SegmentReportingInformationLineItems" xlink:title="SegmentReportingInformationLineItems" />
    <label xlink:type="resource" xlink:label="label_SegmentReportingInformationLineItems" xlink:role="http://www.xbrl.org/2003/role/label" xlink:title="label_SegmentReportingInformationLineItems" xml:lang="en-US" id="label_SegmentReportingInformationLineItems">Segment Reporting Information [Line Items]</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="SegmentReportingInformationLineItems" xlink:to="label_SegmentReportingInformationLineItems" xlink:title="label: SegmentReportingInformationLineItems to label_SegmentReportingInformationLineItems" />
    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_ScheduleOfSegmentReportingInformationBySegmentTable" xlink:label="ScheduleOfSegmentReportingInformationBySegmentTable" xlink:title="ScheduleOfSegmentReportingInformationBySegmentTable" />
    <label xlink:type="resource" xlink:label="label_ScheduleOfSegmentReportingInformationBySegmentTable" xlink:role="http://www.xbrl.org/2003/role/label" xlink:title="label_ScheduleOfSegmentReportingInformationBySegmentTable" xml:lang="en-US" id="label_ScheduleOfSegmentReportingInformationBySegmentTable">Schedule of Segment Reporting Information, by Segment [Table]</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="ScheduleOfSegmentReportingInformationBySegmentTable" xlink:to="label_ScheduleOfSegmentReportingInformationBySegmentTable" xlink:title="label: ScheduleOfSegmentReportingInformationBySegmentTable to label_ScheduleOfSegmentReportingInformationBySegmentTable" />
    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_AcquiredFiniteLivedIntangibleAssetsLineItems" xlink:label="AcquiredFiniteLivedIntangibleAssetsLineItems" xlink:title="AcquiredFiniteLivedIntangibleAssetsLineItems" />
    <label xlink:type="resource" xlink:label="label_AcquiredFiniteLivedIntangibleAssetsLineItems" xlink:role="http://www.xbrl.org/2003/role/label" xlink:title="label_AcquiredFiniteLivedIntangibleAssetsLineItems" xml:lang="en-US" id="label_AcquiredFiniteLivedIntangibleAssetsLineItems">Acquired Finite-Lived Intangible Assets [Line Items]</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="AcquiredFiniteLivedIntangibleAssetsLineItems" xlink:to="label_AcquiredFiniteLivedIntangibleAssetsLineItems" xlink:title="label: AcquiredFiniteLivedIntangibleAssetsLineItems to label_AcquiredFiniteLivedIntangibleAssetsLineItems" />
    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_ScheduleOfAcquiredFiniteLivedIntangibleAssetByMajorClassTable" xlink:label="ScheduleOfAcquiredFiniteLivedIntangibleAssetByMajorClassTable" xlink:title="ScheduleOfAcquiredFiniteLivedIntangibleAssetByMajorClassTable" />
    <label xlink:type="resource" xlink:label="label_ScheduleOfAcquiredFiniteLivedIntangibleAssetByMajorClassTable" xlink:role="http://www.xbrl.org/2003/role/label" xlink:title="label_ScheduleOfAcquiredFiniteLivedIntangibleAssetByMajorClassTable" xml:lang="en-US" id="label_ScheduleOfAcquiredFiniteLivedIntangibleAssetByMajorClassTable">Schedule of Acquired Finite-Lived Intangible Asset by Major Class [Table]</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="ScheduleOfAcquiredFiniteLivedIntangibleAssetByMajorClassTable" xlink:to="label_ScheduleOfAcquiredFiniteLivedIntangibleAssetByMajorClassTable" xlink:title="label: ScheduleOfAcquiredFiniteLivedIntangibleAssetByMajorClassTable to label_ScheduleOfAcquiredFiniteLivedIntangibleAssetByMajorClassTable" />
    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_FairValueAssetsMeasuredOnRecurringBasisTable" xlink:label="FairValueAssetsMeasuredOnRecurringBasisTable" xlink:title="FairValueAssetsMeasuredOnRecurringBasisTable" />
    <label xlink:type="resource" xlink:label="label_FairValueAssetsMeasuredOnRecurringBasisTable" xlink:role="http://www.xbrl.org/2003/role/label" xlink:title="label_FairValueAssetsMeasuredOnRecurringBasisTable" xml:lang="en-US" id="label_FairValueAssetsMeasuredOnRecurringBasisTable">Fair Value, Assets Measured on Recurring Basis [Table]</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="FairValueAssetsMeasuredOnRecurringBasisTable" xlink:to="label_FairValueAssetsMeasuredOnRecurringBasisTable" xlink:title="label: FairValueAssetsMeasuredOnRecurringBasisTable to label_FairValueAssetsMeasuredOnRecurringBasisTable" />
    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_FairValueAssetsMeasuredOnRecurringBasisFinancialStatementCaptionsLineItems" xlink:label="FairValueAssetsMeasuredOnRecurringBasisFinancialStatementCaptionsLineItems" xlink:title="FairValueAssetsMeasuredOnRecurringBasisFinancialStatementCaptionsLineItems" />
    <label xlink:type="resource" xlink:label="label_FairValueAssetsMeasuredOnRecurringBasisFinancialStatementCaptionsLineItems" xlink:role="http://www.xbrl.org/2003/role/label" xlink:title="label_FairValueAssetsMeasuredOnRecurringBasisFinancialStatementCaptionsLineItems" xml:lang="en-US" id="label_FairValueAssetsMeasuredOnRecurringBasisFinancialStatementCaptionsLineItems">Fair Value, Assets Measured on Recurring Basis, Financial Statement Captions [Line Items]</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="FairValueAssetsMeasuredOnRecurringBasisFinancialStatementCaptionsLineItems" xlink:to="label_FairValueAssetsMeasuredOnRecurringBasisFinancialStatementCaptionsLineItems" xlink:title="label: FairValueAssetsMeasuredOnRecurringBasisFinancialStatementCaptionsLineItems to label_FairValueAssetsMeasuredOnRecurringBasisFinancialStatementCaptionsLineItems" />
    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_AssetsSoldUnderAgreementsToRepurchaseLineItems" xlink:label="AssetsSoldUnderAgreementsToRepurchaseLineItems" xlink:title="AssetsSoldUnderAgreementsToRepurchaseLineItems" />
    <label xlink:type="resource" xlink:label="label_AssetsSoldUnderAgreementsToRepurchaseLineItems" xlink:role="http://www.xbrl.org/2003/role/label" xlink:title="label_AssetsSoldUnderAgreementsToRepurchaseLineItems" xml:lang="en-US" id="label_AssetsSoldUnderAgreementsToRepurchaseLineItems">Assets Sold under Agreements to Repurchase [Line Items]</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="AssetsSoldUnderAgreementsToRepurchaseLineItems" xlink:to="label_AssetsSoldUnderAgreementsToRepurchaseLineItems" xlink:title="label: AssetsSoldUnderAgreementsToRepurchaseLineItems to label_AssetsSoldUnderAgreementsToRepurchaseLineItems" />
    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_ScheduleOfAssetsSoldUnderAgreementsToRepurchaseTable" xlink:label="ScheduleOfAssetsSoldUnderAgreementsToRepurchaseTable" xlink:title="ScheduleOfAssetsSoldUnderAgreementsToRepurchaseTable" />
    <label xlink:type="resource" xlink:label="label_ScheduleOfAssetsSoldUnderAgreementsToRepurchaseTable" xlink:role="http://www.xbrl.org/2003/role/label" xlink:title="label_ScheduleOfAssetsSoldUnderAgreementsToRepurchaseTable" xml:lang="en-US" id="label_ScheduleOfAssetsSoldUnderAgreementsToRepurchaseTable">Schedule of Assets Sold under Agreements to Repurchase [Table]</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="ScheduleOfAssetsSoldUnderAgreementsToRepurchaseTable" xlink:to="label_ScheduleOfAssetsSoldUnderAgreementsToRepurchaseTable" xlink:title="label: ScheduleOfAssetsSoldUnderAgreementsToRepurchaseTable to label_ScheduleOfAssetsSoldUnderAgreementsToRepurchaseTable" />
    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_DebtInstrumentLineItems" xlink:label="DebtInstrumentLineItems" xlink:title="DebtInstrumentLineItems" />
    <label xlink:type="resource" xlink:label="label_DebtInstrumentLineItems" xlink:role="http://www.xbrl.org/2003/role/label" xlink:title="label_DebtInstrumentLineItems" xml:lang="en-US" id="label_DebtInstrumentLineItems">Debt Instrument [Line Items]</label>
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="DebtInstrumentLineItems" xlink:to="label_DebtInstrumentLineItems" xlink:title="label: DebtInstrumentLineItems to label_DebtInstrumentLineItems" />
    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_DebtInstrumentTable" xlink:label="us-gaap_DebtInstrumentTable" />
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_DebtInstrumentTable" xlink:to="us-gaap_DebtInstrumentTable_lbl" />
    <label xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label" xlink:label="us-gaap_DebtInstrumentTable_lbl" xml:lang="en-US">Schedule of Long-term Debt Instruments [Table]</label>
    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_ScheduleOfGoodwillTable" xlink:label="us-gaap_ScheduleOfGoodwillTable" />
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_ScheduleOfGoodwillTable" xlink:to="us-gaap_ScheduleOfGoodwillTable_lbl" />
    <label xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label" xlink:label="us-gaap_ScheduleOfGoodwillTable_lbl" xml:lang="en-US">Schedule of Goodwill [Table]</label>
    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_GoodwillBySegmentAxis" xlink:label="us-gaap_GoodwillBySegmentAxis" />
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_GoodwillBySegmentAxis" xlink:to="us-gaap_GoodwillBySegmentAxis_lbl" />
    <label xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label" xlink:label="us-gaap_GoodwillBySegmentAxis_lbl" xml:lang="en-US">Goodwill by Segment [Axis]</label>
    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_GoodwillSegmentDomain" xlink:label="us-gaap_GoodwillSegmentDomain" />
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_GoodwillSegmentDomain" xlink:to="us-gaap_GoodwillSegmentDomain_lbl" />
    <label xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label" xlink:label="us-gaap_GoodwillSegmentDomain_lbl" xml:lang="en-US">Goodwill, Segment [Domain]</label>
    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_GoodwillLineItems" xlink:label="us-gaap_GoodwillLineItems" />
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_GoodwillLineItems" xlink:to="us-gaap_GoodwillLineItems_lbl" />
    <label xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label" xlink:label="us-gaap_GoodwillLineItems_lbl" xml:lang="en-US">Goodwill [Line Items]</label>
    <label xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xlink:label="us-gaap_GoodwillLineItems_lbl" xml:lang="en-US">Summary of Goodwill</label>
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    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_FiniteLivedIntangibleAssetsAbstract" xlink:to="us-gaap_FiniteLivedIntangibleAssetsAbstract_lbl" />
    <label xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label" xlink:label="us-gaap_FiniteLivedIntangibleAssetsAbstract_lbl" xml:lang="en-US">Finite-Lived Intangible Assets [Abstract]</label>
    <label xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xlink:label="us-gaap_FiniteLivedIntangibleAssetsAbstract_lbl" xml:lang="en-US">Other intangible assets</label>
    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_CondensedFinancialStatementsCaptionsLineItems" xlink:label="us-gaap_CondensedFinancialStatementsCaptionsLineItems" />
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_CondensedFinancialStatementsCaptionsLineItems" xlink:to="us-gaap_CondensedFinancialStatementsCaptionsLineItems_lbl" />
    <label xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label" xlink:label="us-gaap_CondensedFinancialStatementsCaptionsLineItems_lbl" xml:lang="en-US">Condensed Financial Statements, Captions [Line Items]</label>
    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_ScheduleOfCondensedFinancialStatementsTable" xlink:label="us-gaap_ScheduleOfCondensedFinancialStatementsTable" />
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_ScheduleOfCondensedFinancialStatementsTable" xlink:to="us-gaap_ScheduleOfCondensedFinancialStatementsTable_lbl" />
    <label xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label" xlink:label="us-gaap_ScheduleOfCondensedFinancialStatementsTable_lbl" xml:lang="en-US">Schedule of Condensed Financial Statements [Table]</label>
    <loc xlink:type="locator" xlink:href="esrx-20100930.xsd#esrx_PerformanceSharesGrantedToCertainOfficersExceedingCertainPerformanceMeasures" xlink:label="esrx_PerformanceSharesGrantedToCertainOfficersExceedingCertainPerformanceMeasures" />
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="esrx_PerformanceSharesGrantedToCertainOfficersExceedingCertainPerformanceMeasures" xlink:to="esrx_PerformanceSharesGrantedToCertainOfficersExceedingCertainPerformanceMeasures_lbl" />
    <label xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label" xlink:label="esrx_PerformanceSharesGrantedToCertainOfficersExceedingCertainPerformanceMeasures_lbl" xml:lang="en-US">Performance shares granted to certain officers exceeding certain performance measures</label>
    <label xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation" xlink:label="esrx_PerformanceSharesGrantedToCertainOfficersExceedingCertainPerformanceMeasures_lbl" xml:lang="en-US">Performance shares granted to certain officers exceeding certain performance measures.</label>
    <label xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xlink:label="esrx_PerformanceSharesGrantedToCertainOfficersExceedingCertainPerformanceMeasures_lbl" xml:lang="en-US">Performance shares granted to certain officers exceeding certain performance measures</label>
    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_IncreaseDecreaseInReceivables" xlink:label="us-gaap_IncreaseDecreaseInReceivables" />
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_IncreaseDecreaseInReceivables" xlink:to="lab_IncreaseDecreaseInReceivables" />
    <label xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label" xlink:label="lab_IncreaseDecreaseInReceivables" xml:lang="en-US">Increase (Decrease) in Receivables</label>
    <label xlink:type="resource" xlink:role="http://xbrl.us/us-gaap/role/label/negated" xlink:label="lab_IncreaseDecreaseInReceivables" xml:lang="en-US">Accounts receivable</label>
    <label xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/totalLabel" xlink:label="lab_IncreaseDecreaseInReceivables" xml:lang="en-US">Increase (Decrease) in Receivables, Total</label>
    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_GoodwillTranslationAndPurchaseAccountingAdjustments" xlink:label="us-gaap_GoodwillTranslationAndPurchaseAccountingAdjustments" />
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_GoodwillTranslationAndPurchaseAccountingAdjustments" xlink:to="lab_GoodwillTranslationAndPurchaseAccountingAdjustments" />
    <label xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label" xlink:label="lab_GoodwillTranslationAndPurchaseAccountingAdjustments" xml:lang="en-US">Goodwill, Translation and Purchase Accounting Adjustments</label>
    <label xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/totalLabel" xlink:label="lab_GoodwillTranslationAndPurchaseAccountingAdjustments" xml:lang="en-US">Foreign currency translation and other</label>
    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_DiscontinuedOperationGainLossFromDisposalOfDiscontinuedOperationBeforeIncomeTax" xlink:label="us-gaap_DiscontinuedOperationGainLossFromDisposalOfDiscontinuedOperationBeforeIncomeTax" />
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_DiscontinuedOperationGainLossFromDisposalOfDiscontinuedOperationBeforeIncomeTax" xlink:to="lab_DiscontinuedOperationGainLossFromDisposalOfDiscontinuedOperationBeforeIncomeTax" />
    <label xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label" xlink:label="lab_DiscontinuedOperationGainLossFromDisposalOfDiscontinuedOperationBeforeIncomeTax" xml:lang="en-US">Discontinued Operation, Gain (Loss) from Disposal of Discontinued Operation, before Income Tax</label>
    <label xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/totalLabel" xlink:label="lab_DiscontinuedOperationGainLossFromDisposalOfDiscontinuedOperationBeforeIncomeTax" xml:lang="en-US">Discontinued Operation, Gain (Loss) from Disposal of Discontinued Operation, before Income Tax, Total</label>
    <label xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xlink:label="lab_DiscontinuedOperationGainLossFromDisposalOfDiscontinuedOperationBeforeIncomeTax" xml:lang="en-US">Loss on the sale of PMG line of business</label>
    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_WriteOffOfDeferredDebtIssuanceCost" xlink:label="us-gaap_WriteOffOfDeferredDebtIssuanceCost" />
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_WriteOffOfDeferredDebtIssuanceCost" xlink:to="lab_WriteOffOfDeferredDebtIssuanceCost" />
    <label xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label" xlink:label="lab_WriteOffOfDeferredDebtIssuanceCost" xml:lang="en-US">Write off of Deferred Debt Issuance Cost</label>
    <label xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xlink:label="lab_WriteOffOfDeferredDebtIssuanceCost" xml:lang="en-US">Line of credit facility deferred financing fees, written off</label>
    <loc xlink:type="locator" xlink:href="esrx-20100930.xsd#esrx_GoodwillAndOtherIntangibleAssetsTextualsAbstract" xlink:label="esrx_GoodwillAndOtherIntangibleAssetsTextualsAbstract" />
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="esrx_GoodwillAndOtherIntangibleAssetsTextualsAbstract" xlink:to="esrx_GoodwillAndOtherIntangibleAssetsTextualsAbstract_lbl" />
    <label xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label" xlink:label="esrx_GoodwillAndOtherIntangibleAssetsTextualsAbstract_lbl" xml:lang="en-US">Goodwill and other intangible assets (Textuals) [Abstract]</label>
    <label xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xlink:label="esrx_GoodwillAndOtherIntangibleAssetsTextualsAbstract_lbl" xml:lang="en-US">Goodwill and other intangible assets (Textuals)</label>
    <label xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation" xlink:label="esrx_GoodwillAndOtherIntangibleAssetsTextualsAbstract_lbl" xml:lang="en-US">Goodwill and other intangible assets.</label>
    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_SeniorLongTermNotes" xlink:label="us-gaap_SeniorLongTermNotes" />
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_SeniorLongTermNotes" xlink:to="lab_SeniorLongTermNotes" />
    <label xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label" xlink:label="lab_SeniorLongTermNotes" xml:lang="en-US">Senior Notes, Noncurrent</label>
    <label xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xlink:label="lab_SeniorLongTermNotes" xml:lang="en-US">Senior notes</label>
    <label xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xlink:label="lab_SeniorLongTermNotes" xml:lang="en-US">Carrying Amount</label>
    <loc xlink:type="locator" xlink:href="esrx-20100930.xsd#esrx_AmortizationForCustomerContractsRelatedToPBMAgreementRecordedAsOffsetToRevenue" xlink:label="esrx_AmortizationForCustomerContractsRelatedToPBMAgreementRecordedAsOffsetToRevenue" />
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="esrx_AmortizationForCustomerContractsRelatedToPBMAgreementRecordedAsOffsetToRevenue" xlink:to="esrx_AmortizationForCustomerContractsRelatedToPBMAgreementRecordedAsOffsetToRevenue_lbl" />
    <label xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label" xlink:label="esrx_AmortizationForCustomerContractsRelatedToPBMAgreementRecordedAsOffsetToRevenue_lbl" xml:lang="en-US">Amortization For Customer Contracts Related To PBM Agreement Recorded As Offset To Revenue</label>
    <label xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xlink:label="esrx_AmortizationForCustomerContractsRelatedToPBMAgreementRecordedAsOffsetToRevenue_lbl" xml:lang="en-US">Amortization for customer contracts related to the PBM agreement recorded as an offset to revenue</label>
    <label xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation" xlink:label="esrx_AmortizationForCustomerContractsRelatedToPBMAgreementRecordedAsOffsetToRevenue_lbl" xml:lang="en-US">Amortization for customer contracts related to the PBM agreement recorded as an offset to revenue.</label>
    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_FiniteLivedIntangibleAssetsUsefulLifeMinimum" xlink:label="us-gaap_FiniteLivedIntangibleAssetsUsefulLifeMinimum" />
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_FiniteLivedIntangibleAssetsUsefulLifeMinimum" xlink:to="lab_FiniteLivedIntangibleAssetsUsefulLifeMinimum" />
    <label xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label" xlink:label="lab_FiniteLivedIntangibleAssetsUsefulLifeMinimum" xml:lang="en-US">Finite-Lived Intangible Assets, Useful Life, Minimum</label>
    <label xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xlink:label="lab_FiniteLivedIntangibleAssetsUsefulLifeMinimum" xml:lang="en-US">Weighted average amortization period, Minimum</label>
    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_FiniteLivedIntangibleAssetsUsefulLifeMaximum" xlink:label="us-gaap_FiniteLivedIntangibleAssetsUsefulLifeMaximum" />
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_FiniteLivedIntangibleAssetsUsefulLifeMaximum" xlink:to="lab_FiniteLivedIntangibleAssetsUsefulLifeMaximum" />
    <label xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label" xlink:label="lab_FiniteLivedIntangibleAssetsUsefulLifeMaximum" xml:lang="en-US">Finite-Lived Intangible Assets, Useful Life, Maximum</label>
    <label xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xlink:label="lab_FiniteLivedIntangibleAssetsUsefulLifeMaximum" xml:lang="en-US">Weighted average amortization period, Maximum</label>
    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_StockIssuedDuringPeriodSharesNewIssues" xlink:label="us-gaap_StockIssuedDuringPeriodSharesNewIssues" />
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_StockIssuedDuringPeriodSharesNewIssues" xlink:to="lab_StockIssuedDuringPeriodSharesNewIssues" />
    <label xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label" xlink:label="lab_StockIssuedDuringPeriodSharesNewIssues" xml:lang="en-US">Stock Issued During Period, Shares, New Issues</label>
    <label xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xlink:label="lab_StockIssuedDuringPeriodSharesNewIssues" xml:lang="en-US">Public offering, shares of common stock, unadjusted</label>
    <label xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xlink:label="lab_StockIssuedDuringPeriodSharesNewIssues" xml:lang="en-US">Public offering of common stock shares</label>
    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_DisclosureOfCompensationRelatedCostsShareBasedPaymentsTextBlock" xlink:label="us-gaap_DisclosureOfCompensationRelatedCostsShareBasedPaymentsTextBlock" />
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_DisclosureOfCompensationRelatedCostsShareBasedPaymentsTextBlock" xlink:to="lab_DisclosureOfCompensationRelatedCostsShareBasedPaymentsTextBlock" />
    <label xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label" xlink:label="lab_DisclosureOfCompensationRelatedCostsShareBasedPaymentsTextBlock" xml:lang="en-US">Disclosure of Compensation Related Costs, Share-based Payments [Text Block]</label>
    <label xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xlink:label="lab_DisclosureOfCompensationRelatedCostsShareBasedPaymentsTextBlock" xml:lang="en-US">Stock-based compensation plans (reflecting the two-for-one stock split effective June 8, 2010)</label>
    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_BusinessAcquisitionProFormaInformationTextBlock" xlink:label="us-gaap_BusinessAcquisitionProFormaInformationTextBlock" />
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_BusinessAcquisitionProFormaInformationTextBlock" xlink:to="lab_BusinessAcquisitionProFormaInformationTextBlock" />
    <label xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label" xlink:label="lab_BusinessAcquisitionProFormaInformationTextBlock" xml:lang="en-US">Business Acquisition, Pro Forma Information [Text Block]</label>
    <label xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xlink:label="lab_BusinessAcquisitionProFormaInformationTextBlock" xml:lang="en-US">Summary of combined results of operations</label>
    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_SeniorNotesMember" xlink:label="us-gaap_SeniorNotesMember" />
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_SeniorNotesMember" xlink:to="lab_SeniorNotesMember" />
    <label xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label" xlink:label="lab_SeniorNotesMember" xml:lang="en-US">Senior Notes [Member]</label>
    <loc xlink:type="locator" xlink:href="esrx-20100930.xsd#esrx_PbmSegmentMember" xlink:label="esrx_PbmSegmentMember" />
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="esrx_PbmSegmentMember" xlink:to="esrx_PbmSegmentMember_lbl" />
    <label xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label" xlink:label="esrx_PbmSegmentMember_lbl" xml:lang="en-US">PBM Segment [Member]</label>
    <label xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation" xlink:label="esrx_PbmSegmentMember_lbl" xml:lang="en-US">Pbm Segment.</label>
    <loc xlink:type="locator" xlink:href="esrx-20100930.xsd#esrx_EmSegmentMember" xlink:label="esrx_EmSegmentMember" />
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="esrx_EmSegmentMember" xlink:to="esrx_EmSegmentMember_lbl" />
    <label xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label" xlink:label="esrx_EmSegmentMember_lbl" xml:lang="en-US">EM Segment [Member]</label>
    <label xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation" xlink:label="esrx_EmSegmentMember_lbl" xml:lang="en-US">Em Segment.</label>
    <loc xlink:type="locator" xlink:href="esrx-20100930.xsd#esrx_DiscOpSegmentMember" xlink:label="esrx_DiscOpSegmentMember" />
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="esrx_DiscOpSegmentMember" xlink:to="esrx_DiscOpSegmentMember_lbl" />
    <label xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label" xlink:label="esrx_DiscOpSegmentMember_lbl" xml:lang="en-US">DISC OP Segment [Member]</label>
    <label xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation" xlink:label="esrx_DiscOpSegmentMember_lbl" xml:lang="en-US">Disc Op Segment.</label>
    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_FiniteLivedIntangibleAssetsGross" xlink:label="us-gaap_FiniteLivedIntangibleAssetsGross" />
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_FiniteLivedIntangibleAssetsGross" xlink:to="lab_FiniteLivedIntangibleAssetsGross" />
    <label xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label" xlink:label="lab_FiniteLivedIntangibleAssetsGross" xml:lang="en-US">Finite-Lived Intangible Assets, Gross</label>
    <label xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/totalLabel" xlink:label="lab_FiniteLivedIntangibleAssetsGross" xml:lang="en-US">Finite-Lived Intangible Assets, Gross, Total</label>
    <label xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xlink:label="lab_FiniteLivedIntangibleAssetsGross" xml:lang="en-US">Gross Carrying amount, other Intangible asset</label>
    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_LineOfCreditFacilityLineItems" xlink:label="us-gaap_LineOfCreditFacilityLineItems" />
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_LineOfCreditFacilityLineItems" xlink:to="lab_LineOfCreditFacilityLineItems" />
    <label xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label" xlink:label="lab_LineOfCreditFacilityLineItems" xml:lang="en-US">Line of Credit Facility [Line Items]</label>
    <label xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xlink:label="lab_LineOfCreditFacilityLineItems" xml:lang="en-US">Line of Credit Facility Disclosure (includes textual data)</label>
    <loc xlink:type="locator" xlink:href="esrx-20100930.xsd#esrx_LineOfCreditFacilityTwoMember" xlink:label="esrx_LineOfCreditFacilityTwoMember" />
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="esrx_LineOfCreditFacilityTwoMember" xlink:to="esrx_LineOfCreditFacilityTwoMember_lbl" />
    <label xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label" xlink:label="esrx_LineOfCreditFacilityTwoMember_lbl" xml:lang="en-US">Revolving credit facility due in 2013 [Member]</label>
    <label xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xlink:label="esrx_LineOfCreditFacilityTwoMember_lbl" xml:lang="en-US">Revolving credit facility due in 2013 [Member]</label>
    <label xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation" xlink:label="esrx_LineOfCreditFacilityTwoMember_lbl" xml:lang="en-US">Line of credit facility two member.</label>
    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_LineOfCreditFacilityTable" xlink:label="us-gaap_LineOfCreditFacilityTable" />
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_LineOfCreditFacilityTable" xlink:to="lab_LineOfCreditFacilityTable" />
    <label xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label" xlink:label="lab_LineOfCreditFacilityTable" xml:lang="en-US">Line of Credit Facility [Table]</label>
    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_LineOfCreditFacilityAxis" xlink:label="us-gaap_LineOfCreditFacilityAxis" />
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_LineOfCreditFacilityAxis" xlink:to="lab_LineOfCreditFacilityAxis" />
    <label xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label" xlink:label="lab_LineOfCreditFacilityAxis" xml:lang="en-US">Line of Credit Facility [Axis]</label>
    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_LineOfCreditFacilityLenderDomain" xlink:label="us-gaap_LineOfCreditFacilityLenderDomain" />
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="us-gaap_LineOfCreditFacilityLenderDomain" xlink:to="lab_LineOfCreditFacilityLenderDomain" />
    <label xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label" xlink:label="lab_LineOfCreditFacilityLenderDomain" xml:lang="en-US">Line of Credit Facility, Lender [Domain]</label>
    <loc xlink:type="locator" xlink:href="esrx-20100930.xsd#esrx_LineOfCreditFacilityOneMember" xlink:label="esrx_LineOfCreditFacilityOneMember" />
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="esrx_LineOfCreditFacilityOneMember" xlink:to="esrx_LineOfCreditFacilityOneMember_lbl" />
    <label xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label" xlink:label="esrx_LineOfCreditFacilityOneMember_lbl" xml:lang="en-US">Revolving credit facility due in 2010 [Member]</label>
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    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_DeferredFinanceCostsNoncurrentGross" xlink:label="us-gaap_DeferredFinanceCostsNoncurrentGross" />
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    <label xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label" xlink:label="lab_DeferredFinanceCostsNoncurrentGross" xml:lang="en-US">Deferred Finance Costs, Noncurrent, Gross</label>
    <label xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xlink:label="lab_DeferredFinanceCostsNoncurrentGross" xml:lang="en-US">Line of credit facility deferred financing fees, capitalized</label>
    <label xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xlink:label="lab_DeferredFinanceCostsNoncurrentGross" xml:lang="en-US">Line of credit facility deferred financing costs</label>
    <loc xlink:type="locator" xlink:href="esrx-20100930.xsd#esrx_LineOfCreditFacilityDuration" xlink:label="esrx_LineOfCreditFacilityDuration" />
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="esrx_LineOfCreditFacilityDuration" xlink:to="esrx_LineOfCreditFacilityDuration_lbl" />
    <label xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label" xlink:label="esrx_LineOfCreditFacilityDuration_lbl" xml:lang="en-US">Line of Credit facility Duration</label>
    <label xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation" xlink:label="esrx_LineOfCreditFacilityDuration_lbl" xml:lang="en-US">Revolving credit facility duration.</label>
    <label xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xlink:label="esrx_LineOfCreditFacilityDuration_lbl" xml:lang="en-US">Revolving credit facility duration</label>
    <loc xlink:type="locator" xlink:href="esrx-20100930.xsd#esrx_IntercompanyLiabilities" xlink:label="esrx_IntercompanyLiabilities" />
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="esrx_IntercompanyLiabilities" xlink:to="esrx_IntercompanyLiabilities_lbl" />
    <label xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label" xlink:label="esrx_IntercompanyLiabilities_lbl" xml:lang="en-US">Intercompany Liabilities</label>
    <label xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation" xlink:label="esrx_IntercompanyLiabilities_lbl" xml:lang="en-US">Intercompany Liabilities.</label>
    <label xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xlink:label="esrx_IntercompanyLiabilities_lbl" xml:lang="en-US">Intercompany</label>
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    <label xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label" xlink:label="esrx_RevenuePercentageRepresentedByFiveTopClients_lbl" xml:lang="en-US">Revenue percentage represented by five top clients</label>
    <label xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation" xlink:label="esrx_RevenuePercentageRepresentedByFiveTopClients_lbl" xml:lang="en-US">Revenue percentage represented by five top clients.</label>
    <label xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xlink:label="esrx_RevenuePercentageRepresentedByFiveTopClients_lbl" xml:lang="en-US">Revenue percentage represented by five top clients</label>
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    <label xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label" xlink:label="esrx_RevenuePercentageRepresentedByLargestClients_lbl" xml:lang="en-US">Revenue percentage represented by largest clients</label>
    <label xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation" xlink:label="esrx_RevenuePercentageRepresentedByLargestClients_lbl" xml:lang="en-US">Revenue percentage represented by largest clients.</label>
    <label xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xlink:label="esrx_RevenuePercentageRepresentedByLargestClients_lbl" xml:lang="en-US">Revenue percentage represented by largest clients</label>
    <loc xlink:type="locator" xlink:href="http://taxonomies.xbrl.us/us-gaap/2009/elts/us-gaap-2009-01-31.xsd#us-gaap_LitigationSettlementExpense" xlink:label="us-gaap_LitigationSettlementExpense" />
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    <label xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xlink:label="lab_LitigationSettlementExpense" xml:lang="en-US">Litigation settlement expense</label>
    <label xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label" xlink:label="lab_LitigationSettlementExpense" xml:lang="en-US">Litigation Settlement, Expense</label>
    <loc xlink:type="locator" xlink:href="esrx-20100930.xsd#esrx_RepaymentOfTermLoans" xlink:label="esrx_RepaymentOfTermLoans" />
    <labelArc xlink:type="arc" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="esrx_RepaymentOfTermLoans" xlink:to="esrx_RepaymentOfTermLoans_lbl" />
    <label xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/label" xlink:label="esrx_RepaymentOfTermLoans_lbl" xml:lang="en-US">Repayment of Term Loans</label>
    <label xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xlink:label="esrx_RepaymentOfTermLoans_lbl" xml:lang="en-US">Repayment of long-term debt</label>
    <label xlink:type="resource" xlink:role="http://www.xbrl.org/2003/role/documentation" xlink:label="esrx_RepaymentOfTermLoans_lbl" xml:lang="en-US">Repayment of Term Loans.</label>
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