Max Nisen, Columnist

Express Scripts Needs to Get Vertical

Its standalone model and profitability aren't sustainable.

March 1, 2018 at 6:20 PM UTC

Max Nisen is a healthcare analyst at Bloomberg Intelligence. He previously wrote for Bloomberg Opinion, Quartz and Business Insider.

Express Scripts corporate headquarters in Earth City, in the suburbs of St. Louis, Missouri, on December 18, 2006.

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Pharmacy benefit manager Express Scripts Holding Co. will lose its biggest client, Anthem Inc., in 2020 -- and that is far from its only issue.

Express Scripts shares fell on Wednesday after the company offered disappointing earnings guidance for the fiscal first quarter. The PBM said its total adjusted claims declined in 2017 and that they could fall again this year.