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The DOJ just approved Cigna's $67 billion merger with Express Scripts

Cigna CEO David Cordani
Cigna CEO David Cordani. REuters
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The US Department of Justice just cleared Cigna's $67 billion merger with Express Scripts.

Cigna, one of the US's largest health insurers, announced the deal in March, offering $48.75 per share in cash for Express Scripts. The $54 billion price tag was a 31% premium to Express Scripts' stock price at the time, and included about $15 billion worth of Express Scripts' debt.

The deal combines a health insurer and a company that helps negotiate lower prices for prescription drugs in the form of rebates on behalf of health plans, and is aimed at cutting soaring healthcare costs.

Express Scripts is one of three massive pharmacy benefit managers. When the deal closes, which is expected to happen by the end of 2018, it will end the days of a standalone PBM.

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"We are pleased that the Department of Justice has cleared our transaction and that we are another step closer to completing our merger and delivering greater affordability, choice, and predictability to our customers and clients as a combined company," Cigna CEO David Cordani said in a release Monday.

The sign-off by the DOJ was the last major hurdle the merger had to clear, after passing a shareholder vote at the end of August. The companies still need to get the OK from state insurance agencies, of which they've gotten 16 so far, the companies said in a release Monday.

On September 5, The Wall Street Journal reported the DOJ was close to approving the Cigna-Express Scripts deal as well as CVS Health's $69 billion merger with the insurer Aetna, though that deal might require the divestiture of certain businesses related to Medicare drug coverage before it can go through.

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Lydia was a senior editor for the healthcare team at Insider. She joined Insider in 2015 after graduating from Northwestern University. At Insider, she covered everything from healthcare mega-mergers, to drug-pricing debates, to pharmacy disruptors, to private healthcare startups that rack up high valuations (including Theranos of course), and the new ways people are going to the doctor. That included the changing footprint of the hospital and how they fared in the early months of the coronavirus pandemic.