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Pharmacy Benefit Management - Industry Market Research Report

Pharmacy Benefit Management

Major merger and acquisition activity has continued to increase the market share of the largest PBMs in the Pharmacy Benefit Management industry. Overall, rising total health expenditure and prescription drug use drove demand for industry services during the five-year period to 2018. Additionally, many brand-name drugs lost their patent exclusivity, giving more consumers access to lower-priced generic drugs. Over the five years to 2023, industry revenue is forecast to grow. PBMs will help cut healthcare costs by ensuring patient adherence, compliance and drug utilization. However, PBMs will endure mounting price pressures from insurers to keep prescription prices low, limiting industry revenue growth.

This industry includes operators that provide pharmacy benefit management services. Industry operators are third-party administrators of government and employer-sponsored prescription drug programs. They are primarily responsible for processing and paying prescription drug claims.

This report covers the scope, size, disposition and growth of the industry including the key sensitivities and success factors. Also included are five year industry forecasts, growth rates and an analysis of the industry key players and their market shares.


  • About this Industry
  • Industry at a Glance
    • Table Key Statistics Snapshot
    • Table Revenue vs. employment growth
    • Table Products and services segmentation (2018)
    • Table Industry Structure
  • Industry Performance
    • Table Total health expenditure
    • Table Industry revenue
    • Table Life Cycle Stage
  • Products & Markets
    • Table KEY BUYING INDUSTRIES
    • Table KEY SELLING INDUSTRIES
    • Table Products and services segmentation (2018)
    • Table Major market segmentation (2018)
    • Table Business Locations 2018
    • Table Distribution of establishments vs. population
  • Competitive Landscape
    • Table Sector vs. Industry Costs
    • Table Barriers to Entry checklist
  • Major Companies
    • Table Major players
    • Table CVS Health Corporation (pharmacy services segment) - financial performance*
    • Table Express Scripts Holding Company (PBM segment) - financial performance*
    • Table UnitedHealth Group Inc. (Optum) - financial performance*
    • Table Humana Inc. (Humana Pharmacy Solutions) - financial performance*
  • Operating Conditions
    • Table Capital Intensity
    • Table Tools of the Trade: Growth Strategies for Success
    • Table Volatility vs. growth
  • Key Statistics
    • Table Industry Data
    • Table Annual Change
    • Table Key Ratios
  • Jargon & Glossary

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