The global demand for Pharmacy Benefit Management Market is presumed to reach the market size of nearly USD 1097.02 BN by 2030 from USD 627.6 BN in 2022 with a CAGR of 7.23% under the study period 2023 - 2030.
Pharmacy benefit management (PBM) is a service or industry that plays a critical role in the management of prescription drug benefits for health insurance plans, self-insured employers, and government programs. These are third-party entities that act as intermediaries between insurers, pharmaceutical manufacturers, pharmacies, and patients. They aim to optimize the cost, safety, and effectiveness of prescription drug programs while ensuring access to necessary medications.
The Pharmacy benefit management market is experiencing significant growth driven by several key factors. One of the primary drivers is the ever-increasing cost of prescription medications, prompting insurers and employers to seek the expertise of PBMs in negotiating discounts and rebates to control drug expenses. With the expansion of health insurance coverage, including government programs, more individuals now have access to prescription drug benefits, amplifying the demand for PBM services. These play a crucial role in managing the complex landscape of drug formularies, ensuring that prescription medications are efficiently included and categorized. This is particularly important in the context of the growing prevalence of chronic diseases and specialty pharmaceuticals, which require specialized PBM services. The development of healthcare policies, advances in technology, and the push for greater pricing transparency in the industry further contribute to the demand for PBM services.
The research report covers Porter’s Five Forces Model, Market Attractiveness Analysis, and Value Chain analysis. These tools help to get a clear picture of the industry’s structure and evaluate the competition attractiveness at a global level. Additionally, these tools also give an inclusive assessment of each segment in the global market of pharmacy benefit management. The growth and trends of pharmacy benefit management industry provide a holistic approach to this study.
This section of the pharmacy benefit management market report provides detailed data on the segments at country and regional level, thereby assisting the strategist in identifying the target demographics for the respective product or services with the upcoming opportunities.
By Service
By Service Provider
This section covers the regional outlook, which accentuates current and future demand for the Pharmacy Benefit Management market across North America, Europe, Asia-Pacific, Latin America, and Middle East & Africa. Further, the report focuses on demand, estimation, and forecast for individual application segments across all the prominent regions.
The research report also covers the comprehensive profiles of the key players in the market and an in-depth view of the competitive landscape worldwide. The major players in the Pharmacy Benefit Management market include CVS Health (U.S.), Cigna (U.S, OptumRx, Inc. (U.S.), Anthem, Inc. (U.S.), Centene Corporation (U.S.), Abarca Health LLC. (U.S.), Medimpact (U.S.). This section consists of a holistic view of the competitive landscape that includes various strategic developments such as key mergers & acquisitions, future capacities, partnerships, financial overviews, collaborations, new product developments, new product launches, and other developments.
1 . PREFACE
1.1. Report Description
1.1.1. Objective
1.1.2. Target Audience
1.1.3. Unique Selling Proposition (USP) & offerings
1.2. Research Scope
1.3. Research Methodology
1.3.1. Market Research Process
1.3.2. Market Research Methodology
2 . EXECUTIVE SUMMARY
2.1. Highlights of Market
2.2. Global Market Snapshot
3 . PHARMACY BENEFIT MANAGEMENT – INDUSTRY ANALYSIS
3.1. Introduction - Market Dynamics
3.2. Market Drivers
3.3. Market Restraints
3.4. Opportunities
3.5. Industry Trends
3.6. Porter’s Five Force Analysis
3.7. Market Attractiveness Analysis
3.7.1 Market Attractiveness Analysis By Service
3.7.2 Market Attractiveness Analysis By Service Provider
3.7.3 Market Attractiveness Analysis By Region
4 . VALUE CHAIN ANALYSIS
4.1. Value Chain Analysis
4.2. Raw Material Analysis
4.2.1. List of Raw Materials
4.2.2. Raw Material Manufactures List
4.2.3. Price Trend of Key Raw Materials
4.3. List of Potential Buyers
4.4. Marketing Channel
4.4.1. Direct Marketing
4.4.2. Indirect Marketing
4.4.3. Marketing Channel Development Trend
5 . GLOBAL PHARMACY BENEFIT MANAGEMENT MARKET ANALYSIS BY SERVICE
5.1 Overview by Service
5.2 Historical and Forecast Data
5.3 Analysis by Service
5.4 Specialty Pharmacy Services Historic and Forecast Sales by Regions
5.5 Benefit Plan Design & Administration Historic and Forecast Sales by Regions
5.6 Pharmacy Claims Processing Historic and Forecast Sales by Regions
5.7 Formulary Management Historic and Forecast Sales by Regions
5.8 Others Historic and Forecast Sales by Regions
6 . GLOBAL PHARMACY BENEFIT MANAGEMENT MARKET ANALYSIS BY SERVICE PROVIDER
6.1 Overview by Service Provider
6.2 Historical and Forecast Data
6.3 Analysis by Service Provider
6.4 Insurance Companies Historic and Forecast Sales by Regions
6.5 Re ...