Pharmacy Benefit Manager Sofware Market by Type (Integrated, Standalone), Operataion (Benefit Plan Design & Consultation, Drug Formulary Management, Retail Pharmacy Services), End-User, Deployment - Global Forecast 2023-2030

Pharmacy Benefit Manager Sofware Market by Type (Integrated, Standalone), Operataion (Benefit Plan Design & Consultation, Drug Formulary Management, Retail Pharmacy Services), End-User, Deployment - Global Forecast 2023-2030


The Pharmacy Benefit Manager Sofware Market size was estimated at USD 1.45 billion in 2022 and expected to reach USD 1.66 billion in 2023, at a CAGR 14.59% to reach USD 4.33 billion by 2030.

Market Segmentation & Coverage:

This research report analyzes various sub-markets, forecasts revenues, and examines emerging trends in each category to provide a comprehensive outlook on the Pharmacy Benefit Manager Sofware Market.
  • Based on Type, market is studied across Integrated and Standalone. The Integrated is projected to witness significant market share during forecast period.
  • Based on Operataion, market is studied across Benefit Plan Design & Consultation, Drug Formulary Management, Retail Pharmacy Services, and Specialty Pharmacy Services. The Retail Pharmacy Services is projected to witness significant market share during forecast period.
  • Based on End-User, market is studied across Government, Insurance Providers, Patient, and Pharmacy. The Insurance Providers is projected to witness significant market share during forecast period.
  • Based on Deployment, market is studied across On-Cloud and On-Premise. The On-Cloud is projected to witness significant market share during forecast period.
  • Based on Region, market is studied across Americas, Asia-Pacific, and Europe, Middle East & Africa. The Americas is further studied across Argentina, Brazil, Canada, Mexico, and United States. The United States is further studied across California, Florida, Illinois, New York, Ohio, Pennsylvania, and Texas. The Asia-Pacific is further studied across Australia, China, India, Indonesia, Japan, Malaysia, Philippines, Singapore, South Korea, Taiwan, Thailand, and Vietnam. The Europe, Middle East & Africa is further studied across Denmark, Egypt, Finland, France, Germany, Israel, Italy, Netherlands, Nigeria, Norway, Poland, Qatar, Russia, Saudi Arabia, South Africa, Spain, Sweden, Switzerland, Turkey, United Arab Emirates, and United Kingdom. The Americas commanded largest market share of 38.75% in 2022, followed by Europe, Middle East & Africa.
Market Statistics:

The report provides market sizing and forecasts across 7 major currencies - USD, EUR, JPY, GBP, AUD, CAD, and CHF; multiple currency support helps organization leaders to make well-informed decisions. In this report, 2018 to 2021 are considered as historical years, 2022 is base year, 2023 is estimated year, and years from 2024 to 2030 are considered as forecast period.

FPNV Positioning Matrix:

The FPNV Positioning Matrix is an indispensable tool for assessing the Pharmacy Benefit Manager Sofware Market. It comprehensively evaluates vendors, analyzing key metrics related to Business Strategy and Product Satisfaction. This enables users to make informed decisions tailored to their specific needs. Through advanced analysis, vendors are categorized into four distinct quadrants, each representing a different level of success: Forefront (F), Pathfinder (P), Niche (N), or Vital (V). Be assured that this insightful framework empowers decision-makers to navigate the market with confidence.

Market Share Analysis:

The Market Share Analysis offers invaluable insights into the vendor landscape Pharmacy Benefit Manager Sofware Market. By evaluating their impact on overall revenue, customer base, and other key metrics, we provide companies with a comprehensive understanding of their performance and the competitive environment they confront. This analysis also uncovers the level of competition in terms of market share acquisition, fragmentation, dominance, and industry consolidation during the study period.

Key Company Profiles:

The report delves into recent significant developments in the Pharmacy Benefit Manager Sofware Market, highlighting leading vendors and their innovative profiles. These include Anthem Insurance Companies, Inc., Benecard Services, LLC, BioScrip, Inc., Cachet Pharmaceuticals Private Limited, CaptureRx, Change Healthcare, Inc., CVS Health Corporation, Elixir Rx Solutions LLC, Express Scripts Holding Company, HUB International Limited, Magellan Health, Inc., MedImpact Healthcare Systems, Inc., Prime Therapeutics LLC, Rite Aid Corporation, SS&C Technologies Holdings, Inc., and UnitedHealth Group Incorporated.

The report offers valuable insights on the following aspects:
  1. Market Penetration: It provides comprehensive information about key players' market dynamics and offerings.
  2. Market Development: In-depth analysis of emerging markets and penetration across mature market segments, highlighting lucrative opportunities.
  3. Market Diversification: Detailed information about new product launches, untapped geographies, recent developments, and investments.
  4. Competitive Assessment & Intelligence: Exhaustive assessment of market shares, strategies, products, certifications, regulatory approvals, patent landscape, and manufacturing capabilities of leading players.
  5. Product Development & Innovation: Intelligent insights on future technologies, R&D activities, and breakthrough product developments.
The report addresses key questions such as:
  1. What is the market size and forecast for the Pharmacy Benefit Manager Sofware Market?
  2. Which products, segments, applications, and areas hold the highest investment potential in the Pharmacy Benefit Manager Sofware Market?
  3. What is the competitive strategic window for identifying opportunities in the Pharmacy Benefit Manager Sofware Market?
  4. What are the latest technology trends and regulatory frameworks in the Pharmacy Benefit Manager Sofware Market?
  5. What is the market share of the leading vendors in the Pharmacy Benefit Manager Sofware Market?
  6. Which modes and strategic moves are suitable for entering the Pharmacy Benefit Manager Sofware Market?


Note: PDF & Excel + Online Access - 1 Year


1. Preface
1.1. Objectives of the Study
1.2. Market Segmentation & Coverage
1.3. Years Considered for the Study
1.4. Currency & Pricing
1.5. Language
1.6. Limitations
1.7. Assumptions
1.8. Stakeholders
2. Research Methodology
2.1. Define: Research Objective
2.2. Determine: Research Design
2.3. Prepare: Research Instrument
2.4. Collect: Data Source
2.5. Analyze: Data Interpretation
2.6. Formulate: Data Verification
2.7. Publish: Research Report
2.8. Repeat: Report Update
3. Executive Summary
4. Market Overview
4.1. Introduction
4.2. Pharmacy Benefit Manager Sofware Market, by Region
5. Market Insights
5.1. Market Dynamics
5.1.1. Drivers
5.1.1.1. Need to improves patient’s safety by avoiding the health risks associated with medication use
5.1.1.2. Improves the adherence to drug prescription reasoning and adaptation of drug formulations
5.1.1.3. Need to supports health professionals by providing the scientific evidence to improve the medication management
5.1.2. Restraints
5.1.2.1. Stringent regulations to cut back rebates
5.1.3. Opportunities
5.1.3.1. Rise in Value-based contracts with Pharma manufacturers
5.1.3.2. Big e-commerce vendors pharmacy distribution and reimbursement market
5.1.4. Challenges
5.1.4.1. Legal uncertainty surrounds the PBM industry
5.2. Market Segmentation Analysis
5.3. Market Trend Analysis
5.4. Cumulative Impact of COVID-19
5.5. Cumulative Impact of Russia-Ukraine Conflict
5.6. Cumulative Impact of High Inflation
5.7. Porter’s Five Forces Analysis
5.7.1. Threat of New Entrants
5.7.2. Threat of Substitutes
5.7.3. Bargaining Power of Customers
5.7.4. Bargaining Power of Suppliers
5.7.5. Industry Rivalry
5.8. Value Chain & Critical Path Analysis
5.9. Regulatory Framework
5.10. Client Customization
5.10.1. Adoption Trends
5.10.2. Product Capability Analysis
6. Pharmacy Benefit Manager Sofware Market, by Type
6.1. Introduction
6.2. Integrated
6.3. Standalone
7. Pharmacy Benefit Manager Sofware Market, by Operataion
7.1. Introduction
7.2. Benefit Plan Design & Consultation
7.3. Drug Formulary Management
7.4. Retail Pharmacy Services
7.5. Specialty Pharmacy Services
8. Pharmacy Benefit Manager Sofware Market, by End-User
8.1. Introduction
8.2. Government
8.3. Insurance Providers
8.4. Patient
8.5. Pharmacy
9. Pharmacy Benefit Manager Sofware Market, by Deployment
9.1. Introduction
9.2. On-Cloud
9.3. On-Premise
10. Americas Pharmacy Benefit Manager Sofware Market
10.1. Introduction
10.2. Argentina
10.3. Brazil
10.4. Canada
10.5. Mexico
10.6. United States
11. Asia-Pacific Pharmacy Benefit Manager Sofware Market
11.1. Introduction
11.2. Australia
11.3. China
11.4. India
11.5. Indonesia
11.6. Japan
11.7. Malaysia
11.8. Philippines
11.9. Singapore
11.10. South Korea
11.11. Taiwan
11.12. Thailand
11.13. Vietnam
12. Europe, Middle East & Africa Pharmacy Benefit Manager Sofware Market
12.1. Introduction
12.2. Denmark
12.3. Egypt
12.4. Finland
12.5. France
12.6. Germany
12.7. Israel
12.8. Italy
12.9. Netherlands
12.10. Nigeria
12.11. Norway
12.12. Poland
12.13. Qatar
12.14. Russia
12.15. Saudi Arabia
12.16. South Africa
12.17. Spain
12.18. Sweden
12.19. Switzerland
12.20. Turkey
12.21. United Arab Emirates
12.22. United Kingdom
13. Competitive Landscape
13.1. FPNV Positioning Matrix
13.2. Market Share Analysis, By Key Player
13.3. Competitive Scenario Analysis, By Key Player
14. Competitive Portfolio
14.1. Key Company Profiles
14.1.1. Anthem Insurance Companies, Inc.
14.1.2. Benecard Services, LLC
14.1.3. BioScrip, Inc.
14.1.4. Cachet Pharmaceuticals Private Limited
14.1.5. CaptureRx
14.1.6. Change Healthcare, Inc.
14.1.7. CVS Health Corporation
14.1.8. Elixir Rx Solutions LLC
14.1.9. Express Scripts Holding Company
14.1.10. HUB International Limited
14.1.11. Magellan Health, Inc.
14.1.12. MedImpact Healthcare Systems, Inc.
14.1.13. Prime Therapeutics LLC
14.1.14. Rite Aid Corporation
14.1.15. SS&C Technologies Holdings, Inc.
14.1.16. UnitedHealth Group Incorporated
14.2. Key Product Portfolio
15. Appendix
15.1. Discussion Guide
15.2. License & Pricing

Download our eBook: How to Succeed Using Market Research

Learn how to effectively navigate the market research process to help guide your organization on the journey to success.

Download eBook
Cookie Settings