April 11 (Reuters) -
Canada's Competition Bureau said on Friday it has started an
investigation into Cigna's ( CI ) pharmacy services unit Express
Scripts' alleged anti-competitive conduct that could prevent or
limit competition in the country's drug retail market.
The agency said it is looking into Express Scripts' alleged
"patient steering" to make people use pharmacies owned or
associated with its Canada unit, instead of a drugstore of the
patient's choice.
The bureau is also looking into practices that are
reducing the margins of its retail pharmacies.
Cigna ( CI ) did not immediately respond to a Reuters request
for comment.
Express Scripts has the largest pharmacy benefit
management operations in Canada, according to the Canadian
Pharmacists Association (CPhA).
The association had
last year
filed a complaint with the antitrust agency alleging
"longstanding and exploitative practices" by the company. It was
not clear if the probe was due to the CPhA's complaint.
Express Scripts provides prescription drug claim processing
and other services for insurance providers and pharmacists and
operates four mail-order pharmacies across Canada, except for
Quebec, according to the agency.
The agency said an order granted by the federal court
requires Express Scripts Canada to produce records and written
information, and provide oral testimony, that are relevant to
its investigation.
There is no conclusion of wrongdoing at this time, the
bureau said.