Anthem is the largest for-profit health insurer in the sprawling Blue Cross Blue Shield federation—a compendium that includes 36 independent and locally-operated companies. In 2019, the company seized on a growth opportunity by officially launching its new pharmacy benefits arm, IngenioRx. Anthem president and CEO Gail Boudreaux, who was appointed to the top perch in late 2017, has emphasized the importance of that move, citing it as the main driver for the firm’s nearly 13% increase in year-over-year operating revenue. However, as with most major health insurers, a special tax waiver for 2019 boosted Anthem’s numbers. The company has about 41 million insured members across more than two dozen states.