Cigna
Compare Cigna…Health insurance + Evernorth (PBM); sold Medicare Advantage book to HCSC 2024 for $3.3B; ~$240B 2024 revenue, mostly Express Scripts PBM.
SectorsInsurance
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CignaHealth insurance + Evernorth (PBM); sold Medicare Advantage book to HCSC 2024 for $3.3B; ~$240B 2024 revenue, mostly Express Scripts PBM.
Annual adjusted prescription volume processed through Evernorth's Express Scripts PBM (millions of scripts; 90-day fills counted as 3). The largest US PBM by volume — scale is the moat that drives drug-manufacturer rebate negotiation power.
2020 — 2024
Source: Cigna Group 10-K filings (Evernorth Health Services segment metrics, 2020-2024) (Updated: 2024-FY)
Segment revenue (pre-intersegment elimination). Evernorth — the Express Scripts PBM + Accredo specialty pharmacy + Evicore — has dwarfed the Cigna Healthcare insurance arm since the 2018 Express Scripts acquisition. The PBM is now the primary revenue and growth engine.
2020 — 2024
Source: Cigna Group 10-K filings (segment data, 2020-2024) (Updated: 2024-FY)
Quarterly breakdown of revenue by product line and service category
2021-Q2 — 2026-Q1
Data from SEC filings via FMP • 50 periods available