Global Pharmacy Benefit Management (PBM) Competitive Landscape Professional Research Report 2025
Description
Research Summary
Pharmacy Benefit Management (PBM) is a third-party service that administers and manages prescription drug benefits on behalf of health insurers, employers, and other payers. PBMs play a crucial role in the healthcare system by facilitating the procurement of medications, negotiating with drug manufacturers for favorable pricing, and processing prescription claims. They work to control healthcare costs by promoting the use of cost-effective medications, managing formularies, and implementing strategies like mail-order pharmacy services and generic drug substitution. PBMs also provide network management, working with pharmacies to establish contracts and ensure the availability of a broad range of prescription medications. Through these services, PBMs aim to enhance efficiency, control drug costs, and improve the overall quality of pharmaceutical care for plan beneficiaries.
According to DIResearch's in-depth investigation and research, the global Pharmacy Benefit Management (PBM) market size was valued at XX Million USD in 2024 and is projected to reach XX Million USD by 2032, with a CAGR of XX% (2025-2032). Notably, the China market has changed rapidly in the past few years. By 2024, China's market size is expected to be XX Million USD, representing approximately XX% of the global market share. By 2032, it is anticipated to grow further to XX Million USD, contributing XX% to the worldwide market share.
The major global manufacturers of Pharmacy Benefit Management (PBM) include CVS Health (CVS), Express Scripts, OptumRx (UnitedHealth), Humana Pharmacy Solutions, Prime Therapeutics, Medimpact Healthcare, Magellan Health, BC/BS, Vidalink, Sea Rainbow, Cachet, CRHMS etc. The global players competition landscape in this report is divided into three tiers. The first tier comprises global leading enterprises that command a substantial market share, hold a dominant industry position, possess strong competitiveness and influence, and generate significant revenue. The second tier includes companies with a notable market presence and reputation; these firms actively follow industry leaders in product, service, or technological innovation and maintain a moderate revenue scale. The third tier consists of smaller companies with limited market share and lower brand recognition, primarily focused on local markets and generating comparatively lower revenue.
This report studies the market size, price trends and future development prospects of Pharmacy Benefit Management (PBM). Focus on analysing the market share, product portfolio, prices, sales, revenue and gross profit margin of global major manufacturers, as well as the market status and trends of different product types and applications in the global Pharmacy Benefit Management (PBM) market. The report data covers historical data from 2020 to 2024, based year in 2025 and forecast data from 2026 to 2032.
The regions and countries in the report include North America, Europe, China, APAC (excl. China), Latin America and Middle East and Africa, covering the Pharmacy Benefit Management (PBM) market conditions and future development trends of key regions and countries, combined with industry-related policies and the latest technological developments, analyze the development characteristics of Pharmacy Benefit Management (PBM) industries in various regions and countries, help companies understand the development characteristics of each region, help companies formulate business strategies, and achieve the ultimate goal of the company's global development strategy.
The data sources of this report mainly include the National Bureau of Statistics, customs databases, industry associations, corporate financial reports, third-party databases, etc. Among them, macroeconomic data mainly comes from the National Bureau of Statistics, International Economic Research Organization; industry statistical data mainly come from industry associations; company data mainly comes from interviews, public information collection, third-party reliable databases, and price data mainly comes from various markets monitoring database.
Global Key Manufacturers of Pharmacy Benefit Management (PBM) Include:
CVS Health (CVS)
Express Scripts
OptumRx (UnitedHealth)
Humana Pharmacy Solutions
Prime Therapeutics
Medimpact Healthcare
Magellan Health
BC/BS
Vidalink
Sea Rainbow
Cachet
CRHMS
Pharmacy Benefit Management (PBM) Product Segment Include:
Claims Processing
Drug Formulary Management
Negotiating Drug Prices
Network Management
Mail Order Pharmacy Services
Others
Pharmacy Benefit Management (PBM) Product Application Include:
Outpatient Pharmacy
Inpatient Pharmacy
Retail Pharmacy
Others
Chapter Scope
Chapter 1: Product Research Range, Product Types and Applications, Market Overview, Market Situation and Trends
Chapter 2: Global Pharmacy Benefit Management (PBM) Industry PESTEL Analysis
Chapter 3: Global Pharmacy Benefit Management (PBM) Industry Porter’s Five Forces Analysis
Chapter 4: Global Pharmacy Benefit Management (PBM) Major Regional Market Size and Forecast Analysis
Chapter 5: Global Pharmacy Benefit Management (PBM) Market Size and Forecast by Type and Application Analysis
Chapter 6: North America Passenger Pharmacy Benefit Management (PBM) Competitive Analysis (Market Size, Key Players and Market Share, Product Type and Application Segment Analysis, Countries Analysis)
Chapter 7: Europe Pharmacy Benefit Management (PBM) Competitive Analysis (Market Size, Key Players and Market Share, Product Type and Application Segment Analysis, Countries Analysis)
Chapter 8: China Pharmacy Benefit Management (PBM) Competitive Analysis (Market Size, Key Players and Market Share, Product Type and Application Segment Analysis, Countries Analysis)
Chapter 9: APAC (Excl. China) Pharmacy Benefit Management (PBM) Competitive Analysis (Market Size, Key Players and Market Share, Product Type and Application Segment Analysis, Countries Analysis)
Chapter 10: Latin America Pharmacy Benefit Management (PBM) Competitive Analysis (Market Size, Key Players and Market Share, Product Type and Application Segment Analysis, Countries Analysis)
Chapter 11: Middle East and Africa Pharmacy Benefit Management (PBM) Competitive Analysis (Market Size, Key Players and Market Share, Product Type and Application Segment Analysis, Countries Analysis)
Chapter 12: Global Pharmacy Benefit Management (PBM) Competitive Analysis of Key Manufacturers (Revenue, Market Share, Regional Distribution and Industry Concentration)
Chapter 13: Key Company Profiles (Product Portfolio, Revenue and Gross Margin)
Chapter 14: Industrial Chain Analysis, Include Raw Material Suppliers, Distributors and Customers
Chapter 15: Research Findings and Conclusion
Chapter 16: Methodology and Data Sources
Pharmacy Benefit Management (PBM) is a third-party service that administers and manages prescription drug benefits on behalf of health insurers, employers, and other payers. PBMs play a crucial role in the healthcare system by facilitating the procurement of medications, negotiating with drug manufacturers for favorable pricing, and processing prescription claims. They work to control healthcare costs by promoting the use of cost-effective medications, managing formularies, and implementing strategies like mail-order pharmacy services and generic drug substitution. PBMs also provide network management, working with pharmacies to establish contracts and ensure the availability of a broad range of prescription medications. Through these services, PBMs aim to enhance efficiency, control drug costs, and improve the overall quality of pharmaceutical care for plan beneficiaries.
According to DIResearch's in-depth investigation and research, the global Pharmacy Benefit Management (PBM) market size was valued at XX Million USD in 2024 and is projected to reach XX Million USD by 2032, with a CAGR of XX% (2025-2032). Notably, the China market has changed rapidly in the past few years. By 2024, China's market size is expected to be XX Million USD, representing approximately XX% of the global market share. By 2032, it is anticipated to grow further to XX Million USD, contributing XX% to the worldwide market share.
The major global manufacturers of Pharmacy Benefit Management (PBM) include CVS Health (CVS), Express Scripts, OptumRx (UnitedHealth), Humana Pharmacy Solutions, Prime Therapeutics, Medimpact Healthcare, Magellan Health, BC/BS, Vidalink, Sea Rainbow, Cachet, CRHMS etc. The global players competition landscape in this report is divided into three tiers. The first tier comprises global leading enterprises that command a substantial market share, hold a dominant industry position, possess strong competitiveness and influence, and generate significant revenue. The second tier includes companies with a notable market presence and reputation; these firms actively follow industry leaders in product, service, or technological innovation and maintain a moderate revenue scale. The third tier consists of smaller companies with limited market share and lower brand recognition, primarily focused on local markets and generating comparatively lower revenue.
This report studies the market size, price trends and future development prospects of Pharmacy Benefit Management (PBM). Focus on analysing the market share, product portfolio, prices, sales, revenue and gross profit margin of global major manufacturers, as well as the market status and trends of different product types and applications in the global Pharmacy Benefit Management (PBM) market. The report data covers historical data from 2020 to 2024, based year in 2025 and forecast data from 2026 to 2032.
The regions and countries in the report include North America, Europe, China, APAC (excl. China), Latin America and Middle East and Africa, covering the Pharmacy Benefit Management (PBM) market conditions and future development trends of key regions and countries, combined with industry-related policies and the latest technological developments, analyze the development characteristics of Pharmacy Benefit Management (PBM) industries in various regions and countries, help companies understand the development characteristics of each region, help companies formulate business strategies, and achieve the ultimate goal of the company's global development strategy.
The data sources of this report mainly include the National Bureau of Statistics, customs databases, industry associations, corporate financial reports, third-party databases, etc. Among them, macroeconomic data mainly comes from the National Bureau of Statistics, International Economic Research Organization; industry statistical data mainly come from industry associations; company data mainly comes from interviews, public information collection, third-party reliable databases, and price data mainly comes from various markets monitoring database.
Global Key Manufacturers of Pharmacy Benefit Management (PBM) Include:
CVS Health (CVS)
Express Scripts
OptumRx (UnitedHealth)
Humana Pharmacy Solutions
Prime Therapeutics
Medimpact Healthcare
Magellan Health
BC/BS
Vidalink
Sea Rainbow
Cachet
CRHMS
Pharmacy Benefit Management (PBM) Product Segment Include:
Claims Processing
Drug Formulary Management
Negotiating Drug Prices
Network Management
Mail Order Pharmacy Services
Others
Pharmacy Benefit Management (PBM) Product Application Include:
Outpatient Pharmacy
Inpatient Pharmacy
Retail Pharmacy
Others
Chapter Scope
Chapter 1: Product Research Range, Product Types and Applications, Market Overview, Market Situation and Trends
Chapter 2: Global Pharmacy Benefit Management (PBM) Industry PESTEL Analysis
Chapter 3: Global Pharmacy Benefit Management (PBM) Industry Porter’s Five Forces Analysis
Chapter 4: Global Pharmacy Benefit Management (PBM) Major Regional Market Size and Forecast Analysis
Chapter 5: Global Pharmacy Benefit Management (PBM) Market Size and Forecast by Type and Application Analysis
Chapter 6: North America Passenger Pharmacy Benefit Management (PBM) Competitive Analysis (Market Size, Key Players and Market Share, Product Type and Application Segment Analysis, Countries Analysis)
Chapter 7: Europe Pharmacy Benefit Management (PBM) Competitive Analysis (Market Size, Key Players and Market Share, Product Type and Application Segment Analysis, Countries Analysis)
Chapter 8: China Pharmacy Benefit Management (PBM) Competitive Analysis (Market Size, Key Players and Market Share, Product Type and Application Segment Analysis, Countries Analysis)
Chapter 9: APAC (Excl. China) Pharmacy Benefit Management (PBM) Competitive Analysis (Market Size, Key Players and Market Share, Product Type and Application Segment Analysis, Countries Analysis)
Chapter 10: Latin America Pharmacy Benefit Management (PBM) Competitive Analysis (Market Size, Key Players and Market Share, Product Type and Application Segment Analysis, Countries Analysis)
Chapter 11: Middle East and Africa Pharmacy Benefit Management (PBM) Competitive Analysis (Market Size, Key Players and Market Share, Product Type and Application Segment Analysis, Countries Analysis)
Chapter 12: Global Pharmacy Benefit Management (PBM) Competitive Analysis of Key Manufacturers (Revenue, Market Share, Regional Distribution and Industry Concentration)
Chapter 13: Key Company Profiles (Product Portfolio, Revenue and Gross Margin)
Chapter 14: Industrial Chain Analysis, Include Raw Material Suppliers, Distributors and Customers
Chapter 15: Research Findings and Conclusion
Chapter 16: Methodology and Data Sources
Table of Contents
170 Pages
- 1 Pharmacy Benefit Management (PBM) Market Overview
- 1.1 Product Definition and Statistical Scope
- 1.2 Pharmacy Benefit Management (PBM) Product by Type
- 1.2.1 Claims Processing
- 1.2.2 Drug Formulary Management
- 1.2.3 Negotiating Drug Prices
- 1.2.4 Network Management
- 1.2.5 Mail Order Pharmacy Services
- 1.2.6 Others
- 1.3 Pharmacy Benefit Management (PBM) Product by Application
- 1.3.1 Outpatient Pharmacy
- 1.3.2 Inpatient Pharmacy
- 1.3.3 Retail Pharmacy
- 1.3.4 Others
- 1.4 Global Pharmacy Benefit Management (PBM) Market Size Analysis (2020-2032)
- 1.5 Pharmacy Benefit Management (PBM) Market Development Status and Trends
- 1.5.1 Pharmacy Benefit Management (PBM) Industry Development Status Analysis
- 1.5.2 Pharmacy Benefit Management (PBM) Industry Development Trends Analysis
- 2 Pharmacy Benefit Management (PBM) Market PESTEL Analysis
- 2.1 Political Factors Analysis
- 2.2 Economic Factors Analysis
- 2.3 Social Factors Analysis
- 2.4 Technological Factors Analysis
- 2.5 Environmental Factors Analysis
- 2.6 Legal Factors Analysis
- 3 Pharmacy Benefit Management (PBM) Market Porter's Five Forces Analysis
- 3.1 Competitive Rivalry
- 3.2 Threat of New Entrants
- 3.3 Bargaining Power of Suppliers
- 3.4 Bargaining Power of Buyers
- 3.5 Threat of Substitutes
- 4 Global Pharmacy Benefit Management (PBM) Market Analysis by Regions
- 4.1 Global Pharmacy Benefit Management (PBM) Overall Market: 2024 VS 2025 VS 2032
- 4.2 Global Pharmacy Benefit Management (PBM) Revenue and Forecast Analysis (2020-2032)
- 4.2.1 Global Pharmacy Benefit Management (PBM) Revenue and Market Share by Region (2020-2025)
- 4.2.2 Global Pharmacy Benefit Management (PBM) Revenue Forecast by Region (2026-2032)
- 5 Global Pharmacy Benefit Management (PBM) Market Size by Type and Application
- 5.1 Global Pharmacy Benefit Management (PBM) Market Size by Type (2020-2032)
- 5.2 Global Pharmacy Benefit Management (PBM) Market Size by Application (2020-2032)
- 6 North America
- 6.1 North America Pharmacy Benefit Management (PBM) Market Size and Growth Rate Analysis (2020-2032)
- 6.2 North America Key Manufacturers Analysis
- 6.3 North America Pharmacy Benefit Management (PBM) Market Size by Type
- 6.4 North America Pharmacy Benefit Management (PBM) Market Size by Application
- 6.5 North America Pharmacy Benefit Management (PBM) Market Size by Country
- 6.5.1 US
- 6.5.2 Canada
- 7 Europe
- 7.1 Europe Pharmacy Benefit Management (PBM) Market Size and Growth Rate Analysis (2020-2032)
- 7.2 Europe Key Manufacturers Analysis
- 7.3 Europe Pharmacy Benefit Management (PBM) Market Size by Type
- 7.4 Europe Pharmacy Benefit Management (PBM) Market Size by Application
- 7.5 Europe Pharmacy Benefit Management (PBM) Market Size by Country
- 7.5.1 Germany
- 7.5.2 France
- 7.5.3 United Kingdom
- 7.5.4 Italy
- 7.5.5 Spain
- 7.5.6 Benelux
- 8 China
- 8.1 China Pharmacy Benefit Management (PBM) Market Size and Growth Rate Analysis (2020-2032)
- 8.2 China Key Manufacturers Analysis
- 8.3 China Pharmacy Benefit Management (PBM) Market Size by Type
- 8.4 China Pharmacy Benefit Management (PBM) Market Size by Application
- 9 APAC (excl. China)
- 9.1 APAC (excl. China) Pharmacy Benefit Management (PBM) Market Size and Growth Rate Analysis (2020-2032)
- 9.2 APAC (excl. China) Key Manufacturers Analysis
- 9.3 APAC (excl. China) Pharmacy Benefit Management (PBM) Market Size by Type
- 9.4 APAC (excl. China) Pharmacy Benefit Management (PBM) Market Size by Application
- 9.5 APAC (excl. China) Pharmacy Benefit Management (PBM) Market Size by Country
- 9.5.1 Japan
- 9.5.2 South Korea
- 9.5.3 India
- 9.5.4 Australia
- 9.5.5 Southeast Asia
- 10 Latin America
- 10.1 Latin America Pharmacy Benefit Management (PBM) Market Size and Growth Rate Analysis (2020-2032)
- 10.2 Latin America Key Manufacturers Analysis
- 10.3 Latin America Pharmacy Benefit Management (PBM) Market Size by Type
- 10.4 Latin America Pharmacy Benefit Management (PBM) Market Size by Application
- 10.5 Latin America Pharmacy Benefit Management (PBM) Market Size by Country
- 10.5.1 Mexico
- 10.5.2 Brazil
- 11 Middle East & Africa
- 11.1 Middle East & Africa Pharmacy Benefit Management (PBM) Market Size and Growth Rate Analysis (2020-2032)
- 11.2 Middle East & Africa Key Manufacturers Analysis
- 11.3 Middle East & Africa Pharmacy Benefit Management (PBM) Market Size by Type
- 11.4 Middle East & Africa Pharmacy Benefit Management (PBM) Market Size by Application
- 11.5 Middle East & Africa Pharmacy Benefit Management (PBM) Market Size by Country
- 11.5.1 Saudi Arabia
- 11.5.2 South Africa
- 12 Competition by Manufacturers
- 12.1 Global Pharmacy Benefit Management (PBM) Market Revenue by Key Manufacturers (2021-2025)
- 12.2 Pharmacy Benefit Management (PBM) Competitive Landscape Analysis and Market Dynamic
- 12.2.1 Pharmacy Benefit Management (PBM) Competitive Landscape Analysis
- 12.2.2 Global Key Manufacturers Headquarter Location and Key Area Sales
- 12.2.3 Market Dynamic
- 13 Key Companies Analysis
- 13.1 CVS Health (CVS)
- 13.1.1 CVS Health (CVS) Basic Company Profile (Employees, Areas Service, Competitors and Contact Information)
- 13.1.2 CVS Health (CVS) Pharmacy Benefit Management (PBM) Product Portfolio
- 13.1.3 CVS Health (CVS) Pharmacy Benefit Management (PBM) Market Data Analysis (Revenue, Gross Margin and Market Share) (2021-2025)
- 13.2 Express Scripts
- 13.2.1 Express Scripts Basic Company Profile (Employees, Areas Service, Competitors and Contact Information)
- 13.2.2 Express Scripts Pharmacy Benefit Management (PBM) Product Portfolio
- 13.2.3 Express Scripts Pharmacy Benefit Management (PBM) Market Data Analysis (Revenue, Gross Margin and Market Share) (2021-2025)
- 13.3 OptumRx (UnitedHealth)
- 13.3.1 OptumRx (UnitedHealth) Basic Company Profile (Employees, Areas Service, Competitors and Contact Information)
- 13.3.2 OptumRx (UnitedHealth) Pharmacy Benefit Management (PBM) Product Portfolio
- 13.3.3 OptumRx (UnitedHealth) Pharmacy Benefit Management (PBM) Market Data Analysis (Revenue, Gross Margin and Market Share) (2021-2025)
- 13.4 Humana Pharmacy Solutions
- 13.4.1 Humana Pharmacy Solutions Basic Company Profile (Employees, Areas Service, Competitors and Contact Information)
- 13.4.2 Humana Pharmacy Solutions Pharmacy Benefit Management (PBM) Product Portfolio
- 13.4.3 Humana Pharmacy Solutions Pharmacy Benefit Management (PBM) Market Data Analysis (Revenue, Gross Margin and Market Share) (2021-2025)
- 13.5 Prime Therapeutics
- 13.5.1 Prime Therapeutics Basic Company Profile (Employees, Areas Service, Competitors and Contact Information)
- 13.5.2 Prime Therapeutics Pharmacy Benefit Management (PBM) Product Portfolio
- 13.5.3 Prime Therapeutics Pharmacy Benefit Management (PBM) Market Data Analysis (Revenue, Gross Margin and Market Share) (2021-2025)
- 13.6 Medimpact Healthcare
- 13.6.1 Medimpact Healthcare Basic Company Profile (Employees, Areas Service, Competitors and Contact Information)
- 13.6.2 Medimpact Healthcare Pharmacy Benefit Management (PBM) Product Portfolio
- 13.6.3 Medimpact Healthcare Pharmacy Benefit Management (PBM) Market Data Analysis (Revenue, Gross Margin and Market Share) (2021-2025)
- 13.7 Magellan Health
- 13.7.1 Magellan Health Basic Company Profile (Employees, Areas Service, Competitors and Contact Information)
- 13.7.2 Magellan Health Pharmacy Benefit Management (PBM) Product Portfolio
- 13.7.3 Magellan Health Pharmacy Benefit Management (PBM) Market Data Analysis (Revenue, Gross Margin and Market Share) (2021-2025)
- 13.8 BC/BS
- 13.8.1 BC/BS Basic Company Profile (Employees, Areas Service, Competitors and Contact Information)
- 13.8.2 BC/BS Pharmacy Benefit Management (PBM) Product Portfolio
- 13.8.3 BC/BS Pharmacy Benefit Management (PBM) Market Data Analysis (Revenue, Gross Margin and Market Share) (2021-2025)
- 13.9 Vidalink
- 13.9.1 Vidalink Basic Company Profile (Employees, Areas Service, Competitors and Contact Information)
- 13.9.2 Vidalink Pharmacy Benefit Management (PBM) Product Portfolio
- 13.9.3 Vidalink Pharmacy Benefit Management (PBM) Market Data Analysis (Revenue, Gross Margin and Market Share) (2021-2025)
- 13.10 Sea Rainbow
- 13.10.1 Sea Rainbow Basic Company Profile (Employees, Areas Service, Competitors and Contact Information)
- 13.10.2 Sea Rainbow Pharmacy Benefit Management (PBM) Product Portfolio
- 13.10.3 Sea Rainbow Pharmacy Benefit Management (PBM) Market Data Analysis (Revenue, Gross Margin and Market Share) (2021-2025)
- 13.11 Cachet
- 13.11.1 Cachet Basic Company Profile (Employees, Areas Service, Competitors and Contact Information)
- 13.11.2 Cachet Pharmacy Benefit Management (PBM) Product Portfolio
- 13.11.3 Cachet Pharmacy Benefit Management (PBM) Market Data Analysis (Revenue, Gross Margin and Market Share) (2021-2025)
- 13.12 CRHMS
- 13.12.1 CRHMS Basic Company Profile (Employees, Areas Service, Competitors and Contact Information)
- 13.12.2 CRHMS Pharmacy Benefit Management (PBM) Product Portfolio
- 13.12.3 CRHMS Pharmacy Benefit Management (PBM) Market Data Analysis (Revenue, Gross Margin and Market Share) (2021-2025)
- 14 Industry Chain Analysis
- 14.1 Pharmacy Benefit Management (PBM) Industry Chain Analysis
- 14.2 Pharmacy Benefit Management (PBM) Industry Raw Material and Suppliers Analysis
- 14.2.1 Pharmacy Benefit Management (PBM) Key Raw Material Supply Analysis
- 14.2.2 Raw Material Suppliers and Contact Information
- 14.3 Pharmacy Benefit Management (PBM) Typical Downstream Customers
- 14.4 Pharmacy Benefit Management (PBM) Sales Channel Analysis
- 15 Research Findings and Conclusion
- 16 Methodology and Data Source
- 16.1 Methodology/Research Approach
- 16.2 Research Scope
- 16.3 Benchmarks and Assumptions
- 16.4 Date Source
- 16.4.1 Primary Sources
- 16.4.2 Secondary Sources
- 16.5 Data Cross Validation
- 16.6 Disclaimer
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