Cigna Corporation

Express Scripts belongs to Cigna.

Cigna’s Evernorth and CVS Health’s Caremark have slashed their oncology specialty networks to six to eight pharmacies, a sharp cut from 15 in 2019.

Major PBMs, CVS, Cigna, the usual suspects, have already managed to wrest bigger rebates from Biogen late in Spinraza’s lifecycle.

Vertex and CRISPR Therapeutics embedded outcomes-based contracts from day one, bringing in major payers like Cigna and Blue Cross.

Word inside UnitedHealthcare’s OptumRx and Cigna’s Express Scripts is that comparable step protocols are on the table for 2027.

Some payers, like Cigna, have negotiated contracts requiring five full years of durable factor IX.