TEHRAN, Young Journalists Club (YJC) -Activist investor Carl Icahn on Tuesday urged Cigna Corp (CI.N) shareholders to vote against the health insurer’s $52 billion purchase of Express Scripts Holding Co (ESRX.O), citing regulatory hurdles and the growing threat of Amazon.
The Cigna-Express Scripts deal has drawn investor skepticism over concerns that Amazon.com Inc’s (AMZN.O) entry into healthcare will upend the sector, which is already reeling from President Donald Trump’s push to lower drug prices.
“When Amazon starts to compete as we believe they will, with their 100 million Prime users and scale distribution system, they will have no trouble breaking into the so-called ecosystem,” Icahn wrote in a letter to Cigna shareholders.
“Competitive risk from Amazon, arguably the strongest competitor in the world, will be an existential threat to pharmacy benefit managers like Express Scripts, possibly challenging their very existence.”
Icahn also said the Trump administration’s push to scale back rebates that PBMs receive from drug manufacturers will hurt their profitability.
The billionaire investor, who has a long position on Cigna and a short position on Express Scripts, said in the letter titled "Cigna's $60 billion folly here" that the insurer was overpaying for Express Scripts.
Icahn said Cigna should instead repurchase its shares and pursue partnership with existing pharmacy benefit managers, including Express Scripts.
Icahn has not disclosed his stake in Cigna, but the Wall Street Journal reported on Monday that the investor and his affiliates own about 0.56 percent of the company.