Global Pharmacy Benefit Management (PBM) Market 2023 by Company, Regions, Type and Application, Forecast to 2029

Report ID: GIR2212250476 | Category: Medical Devices & Consumables | Pages: 104 | Format: PDF | Published Date: January 03,2023

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Report Summary

The term pharmacy benefit management (PBM) industry refers to a group of companies that serve as the middlemen between insurance companies, pharmacies, and drug manufacturers. PBMs are responsible for securing lower drug costs for insurers and insurance companies. They accomplish this by negotiating with pharmacies and drug manufacturers. The discounts are then passed onto insurance companies. Profits are generated through the slight up-charging of drugs or retaining portions of rebates.
According to our (Global Info Research) latest study, the global Pharmacy Benefit Management (PBM) market size was valued at USD 484140 million in 2022 and is forecast to a readjusted size of USD 702170 million by 2029 with a CAGR of 5.5% during review period. The influence of COVID-19 and the Russia-Ukraine War were considered while estimating market sizes.
Three major PBMs maufacturters include Express Scripts, CVS Health, and OptumRx, which comprise 75% of the market.
America is enjoying the largest market share of pharmacy benefit management (PBM), with a market share nearly 97%. EU is the second place, enjoying market share nearly 2%.In terms of product, government is the largest segment, with a share over 70%. And in terms of application, the largest application is non-mail pharmacy services, followed by mail-order pharmacy services.
This report is a detailed and comprehensive analysis for global Pharmacy Benefit Management (PBM) market. Both quantitative and qualitative analyses are presented by company, by region & country, by Type and by Application. As the market is constantly changing, this report explores the competition, supply and demand trends, as well as key factors that contribute to its changing demands across many markets. Company profiles and product examples of selected competitors, along with market share estimates of some of the selected leaders for the year 2023, are provided.
Key Features:
Global Pharmacy Benefit Management (PBM) market size and forecasts, in consumption value ($ Million), 2018-2029
Global Pharmacy Benefit Management (PBM) market size and forecasts by region and country, in consumption value ($ Million), 2018-2029
Global Pharmacy Benefit Management (PBM) market size and forecasts, by Type and by Application, in consumption value ($ Million), 2018-2029
Global Pharmacy Benefit Management (PBM) market shares of main players, in revenue ($ Million), 2018-2023
The Primary Objectives in This Report Are:
To determine the size of the total market opportunity of global and key countries
To assess the growth potential for Pharmacy Benefit Management (PBM)
To forecast future growth in each product and end-use market
To assess competitive factors affecting the marketplace
This report profiles key players in the global Pharmacy Benefit Management (PBM) market based on the following parameters - company overview, production, value, price, gross margin, product portfolio, geographical presence, and key developments. Key companies covered as a part of this study include CVS Health (CVS), Express Scripts, OptumRx (UnitedHealth), Humana Pharmacy Solutions and Prime Therapeutics, etc.
This report also provides key insights about market drivers, restraints, opportunities, new product launches or approvals, COVID-19 and Russia-Ukraine War Influence.
Market segmentation
Pharmacy Benefit Management (PBM) market is split by Type and by Application. For the period 2018-2029, the growth among segments provide accurate calculations and forecasts for consumption value by Type and by Application. This analysis can help you expand your business by targeting qualified niche markets.
Market segment by Type
    Government
    Non-Government
Market segment by Application
    Mail-order Pharmacy Services
    Non-mail Pharmacy Services
Market segment by players, this report covers
    CVS Health (CVS)
    Express Scripts
    OptumRx (UnitedHealth)
    Humana Pharmacy Solutions
    Prime Therapeutics
    Medimpact Healthcare
    Magellan Health
    BC/BS
    Vidalink
    Sea Rainbow
    Cachet
    CRHMS
Market segment by regions, regional analysis covers
    North America (United States, Canada, and Mexico)
    Europe (Germany, France, UK, Russia, Italy, and Rest of Europe)
    Asia-Pacific (China, Japan, South Korea, India, Southeast Asia, Australia and Rest of Asia-Pacific)
    South America (Brazil, Argentina and Rest of South America)
    Middle East & Africa (Turkey, Saudi Arabia, UAE, Rest of Middle East & Africa)
The content of the study subjects, includes a total of 13 chapters:
Chapter 1, to describe Pharmacy Benefit Management (PBM) product scope, market overview, market estimation caveats and base year.
Chapter 2, to profile the top players of Pharmacy Benefit Management (PBM), with revenue, gross margin and global market share of Pharmacy Benefit Management (PBM) from 2018 to 2023.
Chapter 3, the Pharmacy Benefit Management (PBM) competitive situation, revenue and global market share of top players are analyzed emphatically by landscape contrast.
Chapter 4 and 5, to segment the market size by Type and application, with consumption value and growth rate by Type, application, from 2018 to 2029.
Chapter 6, 7, 8, 9, and 10, to break the market size data at the country level, with revenue and market share for key countries in the world, from 2018 to 2023.and Pharmacy Benefit Management (PBM) market forecast, by regions, type and application, with consumption value, from 2024 to 2029.
Chapter 11, market dynamics, drivers, restraints, trends, Porters Five Forces analysis, and Influence of COVID-19 and Russia-Ukraine War
Chapter 12, the key raw materials and key suppliers, and industry chain of Pharmacy Benefit Management (PBM).
Chapter 13, to describe Pharmacy Benefit Management (PBM) research findings and conclusion.

1 Market Overview
    1.1 Product Overview and Scope of Pharmacy Benefit Management (PBM)
    1.2 Market Estimation Caveats and Base Year
    1.3 Classification of Pharmacy Benefit Management (PBM) by Type
        1.3.1 Overview: Global Pharmacy Benefit Management (PBM) Market Size by Type: 2018 Versus 2022 Versus 2029
        1.3.2 Global Pharmacy Benefit Management (PBM) Consumption Value Market Share by Type in 2022
        1.3.3 Government
        1.3.4 Non-Government
    1.4 Global Pharmacy Benefit Management (PBM) Market by Application
        1.4.1 Overview: Global Pharmacy Benefit Management (PBM) Market Size by Application: 2018 Versus 2022 Versus 2029
        1.4.2 Mail-order Pharmacy Services
        1.4.3 Non-mail Pharmacy Services
    1.5 Global Pharmacy Benefit Management (PBM) Market Size & Forecast
    1.6 Global Pharmacy Benefit Management (PBM) Market Size and Forecast by Region
        1.6.1 Global Pharmacy Benefit Management (PBM) Market Size by Region: 2018 VS 2022 VS 2029
        1.6.2 Global Pharmacy Benefit Management (PBM) Market Size by Region, (2018-2029)
        1.6.3 North America Pharmacy Benefit Management (PBM) Market Size and Prospect (2018-2029)
        1.6.4 Europe Pharmacy Benefit Management (PBM) Market Size and Prospect (2018-2029)
        1.6.5 Asia-Pacific Pharmacy Benefit Management (PBM) Market Size and Prospect (2018-2029)
        1.6.6 South America Pharmacy Benefit Management (PBM) Market Size and Prospect (2018-2029)
        1.6.7 Middle East and Africa Pharmacy Benefit Management (PBM) Market Size and Prospect (2018-2029)
2 Company Profiles
    2.1 CVS Health (CVS)
        2.1.1 CVS Health (CVS) Details
        2.1.2 CVS Health (CVS) Major Business
        2.1.3 CVS Health (CVS) Pharmacy Benefit Management (PBM) Product and Solutions
        2.1.4 CVS Health (CVS) Pharmacy Benefit Management (PBM) Revenue, Gross Margin and Market Share (2018-2023)
        2.1.5 CVS Health (CVS) Recent Developments and Future Plans
    2.2 Express Scripts
        2.2.1 Express Scripts Details
        2.2.2 Express Scripts Major Business
        2.2.3 Express Scripts Pharmacy Benefit Management (PBM) Product and Solutions
        2.2.4 Express Scripts Pharmacy Benefit Management (PBM) Revenue, Gross Margin and Market Share (2018-2023)
        2.2.5 Express Scripts Recent Developments and Future Plans
    2.3 OptumRx (UnitedHealth)
        2.3.1 OptumRx (UnitedHealth) Details
        2.3.2 OptumRx (UnitedHealth) Major Business
        2.3.3 OptumRx (UnitedHealth) Pharmacy Benefit Management (PBM) Product and Solutions
        2.3.4 OptumRx (UnitedHealth) Pharmacy Benefit Management (PBM) Revenue, Gross Margin and Market Share (2018-2023)
        2.3.5 OptumRx (UnitedHealth) Recent Developments and Future Plans
    2.4 Humana Pharmacy Solutions
        2.4.1 Humana Pharmacy Solutions Details
        2.4.2 Humana Pharmacy Solutions Major Business
        2.4.3 Humana Pharmacy Solutions Pharmacy Benefit Management (PBM) Product and Solutions
        2.4.4 Humana Pharmacy Solutions Pharmacy Benefit Management (PBM) Revenue, Gross Margin and Market Share (2018-2023)
        2.4.5 Humana Pharmacy Solutions Recent Developments and Future Plans
    2.5 Prime Therapeutics
        2.5.1 Prime Therapeutics Details
        2.5.2 Prime Therapeutics Major Business
        2.5.3 Prime Therapeutics Pharmacy Benefit Management (PBM) Product and Solutions
        2.5.4 Prime Therapeutics Pharmacy Benefit Management (PBM) Revenue, Gross Margin and Market Share (2018-2023)
        2.5.5 Prime Therapeutics Recent Developments and Future Plans
    2.6 Medimpact Healthcare
        2.6.1 Medimpact Healthcare Details
        2.6.2 Medimpact Healthcare Major Business
        2.6.3 Medimpact Healthcare Pharmacy Benefit Management (PBM) Product and Solutions
        2.6.4 Medimpact Healthcare Pharmacy Benefit Management (PBM) Revenue, Gross Margin and Market Share (2018-2023)
        2.6.5 Medimpact Healthcare Recent Developments and Future Plans
    2.7 Magellan Health
        2.7.1 Magellan Health Details
        2.7.2 Magellan Health Major Business
        2.7.3 Magellan Health Pharmacy Benefit Management (PBM) Product and Solutions
        2.7.4 Magellan Health Pharmacy Benefit Management (PBM) Revenue, Gross Margin and Market Share (2018-2023)
        2.7.5 Magellan Health Recent Developments and Future Plans
    2.8 BC/BS
        2.8.1 BC/BS Details
        2.8.2 BC/BS Major Business
        2.8.3 BC/BS Pharmacy Benefit Management (PBM) Product and Solutions
        2.8.4 BC/BS Pharmacy Benefit Management (PBM) Revenue, Gross Margin and Market Share (2018-2023)
        2.8.5 BC/BS Recent Developments and Future Plans
    2.9 Vidalink
        2.9.1 Vidalink Details
        2.9.2 Vidalink Major Business
        2.9.3 Vidalink Pharmacy Benefit Management (PBM) Product and Solutions
        2.9.4 Vidalink Pharmacy Benefit Management (PBM) Revenue, Gross Margin and Market Share (2018-2023)
        2.9.5 Vidalink Recent Developments and Future Plans
    2.10 Sea Rainbow 
        2.10.1 Sea Rainbow Details
        2.10.2 Sea Rainbow Major Business
        2.10.3 Sea Rainbow Pharmacy Benefit Management (PBM) Product and Solutions
        2.10.4 Sea Rainbow Pharmacy Benefit Management (PBM) Revenue, Gross Margin and Market Share (2018-2023)
        2.10.5 Sea Rainbow Recent Developments and Future Plans
    2.11 Cachet
        2.11.1 Cachet Details
        2.11.2 Cachet Major Business
        2.11.3 Cachet Pharmacy Benefit Management (PBM) Product and Solutions
        2.11.4 Cachet Pharmacy Benefit Management (PBM) Revenue, Gross Margin and Market Share (2018-2023)
        2.11.5 Cachet Recent Developments and Future Plans
    2.12 CRHMS
        2.12.1 CRHMS Details
        2.12.2 CRHMS Major Business
        2.12.3 CRHMS Pharmacy Benefit Management (PBM) Product and Solutions
        2.12.4 CRHMS Pharmacy Benefit Management (PBM) Revenue, Gross Margin and Market Share (2018-2023)
        2.12.5 CRHMS Recent Developments and Future Plans
3 Market Competition, by Players
    3.1 Global Pharmacy Benefit Management (PBM) Revenue and Share by Players (2018-2023)
    3.2 Market Share Analysis (2022)
        3.2.1 Market Share of Pharmacy Benefit Management (PBM) by Company Revenue
        3.2.2 Top 3 Pharmacy Benefit Management (PBM) Players Market Share in 2022
        3.2.3 Top 6 Pharmacy Benefit Management (PBM) Players Market Share in 2022
    3.3 Pharmacy Benefit Management (PBM) Market: Overall Company Footprint Analysis
        3.3.1 Pharmacy Benefit Management (PBM) Market: Region Footprint
        3.3.2 Pharmacy Benefit Management (PBM) Market: Company Product Type Footprint
        3.3.3 Pharmacy Benefit Management (PBM) Market: Company Product Application Footprint
    3.4 New Market Entrants and Barriers to Market Entry
    3.5 Mergers, Acquisition, Agreements, and Collaborations
4 Market Size Segment by Type
    4.1 Global Pharmacy Benefit Management (PBM) Consumption Value and Market Share by Type (2018-2023)
    4.2 Global Pharmacy Benefit Management (PBM) Market Forecast by Type (2024-2029)
5 Market Size Segment by Application
    5.1 Global Pharmacy Benefit Management (PBM) Consumption Value Market Share by Application (2018-2023)
    5.2 Global Pharmacy Benefit Management (PBM) Market Forecast by Application (2024-2029)
6 North America
    6.1 North America Pharmacy Benefit Management (PBM) Consumption Value by Type (2018-2029)
    6.2 North America Pharmacy Benefit Management (PBM) Consumption Value by Application (2018-2029)
    6.3 North America Pharmacy Benefit Management (PBM) Market Size by Country
        6.3.1 North America Pharmacy Benefit Management (PBM) Consumption Value by Country (2018-2029)
        6.3.2 United States Pharmacy Benefit Management (PBM) Market Size and Forecast (2018-2029)
        6.3.3 Canada Pharmacy Benefit Management (PBM) Market Size and Forecast (2018-2029)
        6.3.4 Mexico Pharmacy Benefit Management (PBM) Market Size and Forecast (2018-2029)
7 Europe
    7.1 Europe Pharmacy Benefit Management (PBM) Consumption Value by Type (2018-2029)
    7.2 Europe Pharmacy Benefit Management (PBM) Consumption Value by Application (2018-2029)
    7.3 Europe Pharmacy Benefit Management (PBM) Market Size by Country
        7.3.1 Europe Pharmacy Benefit Management (PBM) Consumption Value by Country (2018-2029)
        7.3.2 Germany Pharmacy Benefit Management (PBM) Market Size and Forecast (2018-2029)
        7.3.3 France Pharmacy Benefit Management (PBM) Market Size and Forecast (2018-2029)
        7.3.4 United Kingdom Pharmacy Benefit Management (PBM) Market Size and Forecast (2018-2029)
        7.3.5 Russia Pharmacy Benefit Management (PBM) Market Size and Forecast (2018-2029)
        7.3.6 Italy Pharmacy Benefit Management (PBM) Market Size and Forecast (2018-2029)
8 Asia-Pacific
    8.1 Asia-Pacific Pharmacy Benefit Management (PBM) Consumption Value by Type (2018-2029)
    8.2 Asia-Pacific Pharmacy Benefit Management (PBM) Consumption Value by Application (2018-2029)
    8.3 Asia-Pacific Pharmacy Benefit Management (PBM) Market Size by Region
        8.3.1 Asia-Pacific Pharmacy Benefit Management (PBM) Consumption Value by Region (2018-2029)
        8.3.2 China Pharmacy Benefit Management (PBM) Market Size and Forecast (2018-2029)
        8.3.3 Japan Pharmacy Benefit Management (PBM) Market Size and Forecast (2018-2029)
        8.3.4 South Korea Pharmacy Benefit Management (PBM) Market Size and Forecast (2018-2029)
        8.3.5 India Pharmacy Benefit Management (PBM) Market Size and Forecast (2018-2029)
        8.3.6 Southeast Asia Pharmacy Benefit Management (PBM) Market Size and Forecast (2018-2029)
        8.3.7 Australia Pharmacy Benefit Management (PBM) Market Size and Forecast (2018-2029)
9 South America
    9.1 South America Pharmacy Benefit Management (PBM) Consumption Value by Type (2018-2029)
    9.2 South America Pharmacy Benefit Management (PBM) Consumption Value by Application (2018-2029)
    9.3 South America Pharmacy Benefit Management (PBM) Market Size by Country
        9.3.1 South America Pharmacy Benefit Management (PBM) Consumption Value by Country (2018-2029)
        9.3.2 Brazil Pharmacy Benefit Management (PBM) Market Size and Forecast (2018-2029)
        9.3.3 Argentina Pharmacy Benefit Management (PBM) Market Size and Forecast (2018-2029)
10 Middle East & Africa
    10.1 Middle East & Africa Pharmacy Benefit Management (PBM) Consumption Value by Type (2018-2029)
    10.2 Middle East & Africa Pharmacy Benefit Management (PBM) Consumption Value by Application (2018-2029)
    10.3 Middle East & Africa Pharmacy Benefit Management (PBM) Market Size by Country
        10.3.1 Middle East & Africa Pharmacy Benefit Management (PBM) Consumption Value by Country (2018-2029)
        10.3.2 Turkey Pharmacy Benefit Management (PBM) Market Size and Forecast (2018-2029)
        10.3.3 Saudi Arabia Pharmacy Benefit Management (PBM) Market Size and Forecast (2018-2029)
        10.3.4 UAE Pharmacy Benefit Management (PBM) Market Size and Forecast (2018-2029)
11 Market Dynamics
    11.1 Pharmacy Benefit Management (PBM) Market Drivers
    11.2 Pharmacy Benefit Management (PBM) Market Restraints
    11.3 Pharmacy Benefit Management (PBM) Trends Analysis
    11.4 Porters Five Forces Analysis
        11.4.1 Threat of New Entrants
        11.4.2 Bargaining Power of Suppliers
        11.4.3 Bargaining Power of Buyers
        11.4.4 Threat of Substitutes
        11.4.5 Competitive Rivalry
    11.5 Influence of COVID-19 and Russia-Ukraine War
        11.5.1 Influence of COVID-19
        11.5.2 Influence of Russia-Ukraine War
12 Industry Chain Analysis
    12.1 Pharmacy Benefit Management (PBM) Industry Chain
    12.2 Pharmacy Benefit Management (PBM) Upstream Analysis
    12.3 Pharmacy Benefit Management (PBM) Midstream Analysis
    12.4 Pharmacy Benefit Management (PBM) Downstream Analysis
13 Research Findings and Conclusion
14 Appendix
    14.1 Methodology
    14.2 Research Process and Data Source
    14.3 Disclaimer

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Global Pharmacy Benefit Management (PBM) Market 2023 by Company, Regions, Type and Application, Forecast to 2029

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