Express Scripts, one of the largest pharmacy benefit managers in the country, is officially part of Cigna, the companies said today. The deal is valued at $67 billion, including Express Scripts' debt.
Why it matters: The three biggest PBMs in the country — Express Scripts, CVS Caremark and OptumRx — are now all housed within a bigger parent company that includes a health insurer (pending CVS' last-minute survival in court). Each conglomerate says combining a PBM and an insurer will save people money on drug costs, but there's room for skepticism.