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Analysis

The Express Scripts story: super-pharmacies and the US drug industry

Express Scripts, the largest independent manager of pharmacy benefits in the United States, recently updated the formula it uses to decide which drugs to sell, a move that resulted in some surprises for big pharma. Analysts fear the move will hit some of the major drug companies where it hurts, but how do the mega pharmacies make these decisions and what does it tell us about the strategies that ultimately guide the US drug industry?

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