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Beginning on Jan. 1, 2024, Cigna Corp.’s Express Scripts subsidiary will manage Centene Corp.’s pharmacy benefit services and will handle the more than $35 billion in annual prescription drug spend for about 20 million Centene members, Healthcare Dive reports. The move, which analysts described as “one of the biggest contracts that’s changed hands in a while,” means the insurer will break away from CVS Caremark, which was managing “$40 billion plus or minus” of gross pharmacy spend, the report says.