Cigna Pharmacy and other service costs payable decreased by 15.1% to $25.76B in Q1 2026 compared to the prior quarter. Year-over-year, this metric declined by 9.9%, from $28.60B to $25.76B. Over 5 years (FY 2020 to FY 2025), Pharmacy and other service costs payable shows an upward trend with a 17.8% CAGR.
Changes reflect shifts in PBM contract terms, payment cycles, or the volume of pharmacy claims processed.
This represents obligations related to pharmacy benefit management services, including rebates owed to clients or paymen...
Specific to PBMs and integrated healthcare companies; peers with large PBM operations will show similar liability structures.
non_current_liabilities_pharmacy_and_service_costs_payable| Q2 '21 | Q3 '21 | Q4 '21 | Q1 '22 | Q2 '22 | Q3 '22 | Q4 '22 | Q1 '23 | Q2 '23 | Q3 '23 | Q4 '23 | Q1 '24 | Q2 '24 | Q3 '24 | Q4 '24 | Q1 '25 | Q2 '25 | Q3 '25 | Q4 '25 | Q1 '26 | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Value | $14.47B | $14.71B | $15.31B | $15.24B | $16.43B | $16.68B | $17.07B | $17.61B | $18.62B | $19.32B | $19.82B | $24.28B | $27.50B | $28.80B | $28.47B | $28.60B | $29.46B | $30.30B | $30.33B | $25.76B |
| QoQ Change | — | +1.6% | +4.1% | -0.5% | +7.9% | +1.5% | +2.4% | +3.2% | +5.7% | +3.8% | +2.6% | +22.6% | +13.3% | +4.7% | -1.2% | +0.5% | +3.0% | +2.9% | +0.1% | -15.1% |
| YoY Change | — | — | — | — | +13.6% | +13.4% | +11.5% | +15.6% | +13.3% | +15.9% | +16.1% | +37.9% | +47.7% | +49.1% | +43.7% | +17.8% | +7.1% | +5.2% | +6.6% | -9.9% |