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Express Scripts Faces Unprecedented Scrutiny Amid 2026 Pharmacy Benefit Manager Reforms

"St. Louis, Mo. — Express Scripts, one of the nation's largest pharmacy benefit managers (PBMs), is confronting a massive wave of regulatory crackdowns, antitrust investigations, and consumer pushback as sweeping federal transparency mandates take effect this September. Observing the current market trend, industry analysts note that the Cigna-owned middleman is facing existential questions regarding its rebate-aggregation models, pricing opacity, and formulary exclusions that critics argue inflate prescription drug costs for millions of Americans. Quick Fact Detail Primary Entity Express Scripts (subsidiary of The Cigna Group) Current Focus PB..."

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