Express Scripts, Centene lead 10 Missouri companies on Fortune 500 list

Express Scripts Holding and Centene led a group of 10 companies from Missouri and two more from just across the border in suburban Kansas City that appeared on the annual Fortune 500 list published Monday.

Express Scripts, the St. Louis-based pharmacy benefits manager, was again the top Missouri-based company on the list at No. 22, the same spot it occupied last year.

Express Scripts had revenue of more than $101.7 billion, making it the largest pharmacy manager benefits manager in the U.S and giving it more revenue than Missouri’s next eight largest companies combined. Express Scripts has made the Fortune list 17 years in a row, but Forbes reports the company’s dominance could be threatened by a contract dispute with its biggest customer, insurance company Anthem.

Centene, the fast-growing managed care provider from St. Louis, was the next Missouri company on the list, at No. 124. It rose 62 spots from No. 184 on last year’s list and ranked No. 4 on Fortune’s list of fastest-growing companies.

Walmart, Exxon Mobil, Apple, Berkshire Hathaway and McKesson were the top five on Forbes’ list, which is compiled based on companies’ revenue in the last fiscal year.

Ten more companies based in Missouri or suburban Kansas City made the list:

128. Emerson Electric
189. Monsanto
271. Reinsurance Group of America
342. O’Reilly Automotive
382. Jones Financial
423. Graybar Electric
425. Ameren
458. Peabody Energy
460. Seaboard
463. Lansing Trade Group

Missouri ranked 17th among the 50 states by number of Fortune 500 companies headquartered in the state.


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