Organization
The Cigna Group
Owner of the Express Scripts pharmacy benefit manager.
See FTC insulin case against the three largest PBMs and Pharmacy benefit manager market shares, 2025.
Connections 2
involved in
- FTC insulin case against the three largest PBMs Express Scripts: agreed in February 2026 to a ten-year consent order Primary record 1
- Pharmacy benefit manager market shares, 2025 Express Scripts Scholarship & press 2
Proof 2 sources
-
Express Scripts, Inc., et al.; Analysis of Agreement Containing Consent Order To Aid Public Comment, Federal Register 91 FR (12 February 2026), U.S. Federal Trade Commission, 12 Feb 2026.
Primary record
The Proposed Order, which lasts ten years from the Implementation Date, contains the following provisions
-
The Top Pharmacy Benefit Managers of 2025: Market Share and Key Industry Developments (rerun), Drug Channels, 9 Jun 2026.
Scholarship & press
For 2025, 80% of all equivalent prescription claims were processed by three companies: the CVS Caremark business of CVS Health, the Express Scripts business of Cigna, and the Optum Rx business of UnitedHealth Group.
Page history 3 changes
- Second revision of Too Big to Fail: the FTC's 1917 finding, the 1952 report's seven firms, the 1984 hearing record, and corrected cards for Spirit, beef, tickets, Google and the final verdict05663c47
- Revise Too Big to Fail after the skeptic's review: read to 2 November 2026, a verdict card that separates findings from shares, the 1929 fight with its scandal and the board's stand, and sources for every cardc819f2cb
- Add the story Too Big to Fail: Standard Oil's stockholders, the phrase's origin in 1984, and market-by-market cases to November 2026aa9c434d
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