Global Pharmacy Benefit Management (PBM) Competitive Landscape Professional Research Report 2024

Global Pharmacy Benefit Management (PBM) Competitive Landscape Professional Research Report 2024



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 will reach XX US$ Million in 2024, and is expected to reach XX US$ Million in 2030, with a CAGR of XX% (2025-2030). Among them, the China market has changed rapidly in the past few years. The market size in 2024 will be XX US$ Million, accounting for approximately XX% of the world. It is expected to reach XX US$ Million in 2030, and the global share will reach XX%.

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, 海虹控股, 嘉事堂, CRHMS etc. The global players competition landscape in this report is divided into three tiers. The first tiers is the global leading enterprise, which occupies a major market share, is in a leading position in the industry, has strong competitiveness and influence, and has a large revenue scale; the second tiers has a certain share and popularity in the market, actively follows the industry leaders in product, service or technological innovation, and has a medium revenue scale; the third tiers has a smaller share in the market, has a lower brand awareness, mainly focuses on the local market, and has a relatively small revenue scale.

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, 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 2019 to 2023, base year in 2024 and forecast data from 2025 to 2030.

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

海虹控股

嘉事堂

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 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


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 Global Pharmacy Benefit Management (PBM) Market Size by Type, 2023 VS 2024 VS 2030
1.2.2 Claims Processing
1.2.3 Drug Formulary Management
1.2.4 Negotiating Drug Prices
1.2.5 Network Management
1.2.6 Mail Order Pharmacy Services
1.2.7 Others
1.3 Pharmacy Benefit Management (PBM) Product by Application
1.3.1 Global Pharmacy Benefit Management (PBM) Market Size by Application, 2023 VS 2024 VS 2030
1.3.2 Outpatient Pharmacy
1.3.3 Inpatient Pharmacy
1.3.4 Retail Pharmacy
1.3.5 Others
1.4 Global Pharmacy Benefit Management (PBM) Market Revenue Analysis (2019-2030)
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 Pharmacy Benefit Management (PBM) Overall Market: 2023 VS 2024 VS 2030
4.2 Global Pharmacy Benefit Management (PBM) Revenue and Forecast Analysis (2019-2030)
4.2.1 Global Pharmacy Benefit Management (PBM) Revenue and Market Share by Region (2019-2024)
4.2.2 Global Pharmacy Benefit Management (PBM) Revenue Forecast by Region (2025-2030)
5 Global Pharmacy Benefit Management (PBM) Market Size by Type and Application
5.1 Global Pharmacy Benefit Management (PBM) Market Size by Type
5.2 Global Pharmacy Benefit Management (PBM) Market Size by Application
6 North America
6.1 North America Pharmacy Benefit Management (PBM) Market Size and Growth Rate Analysis (2019-2030)
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 (2019-2030)
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 (2019-2030)
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 (2019-2030)
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 Indonesia
9.5.6 Vietnam
9.5.7 Malaysia
9.5.8 Thailand
10 Latin America
10.1 Latin America Pharmacy Benefit Management (PBM) Market Size and Growth Rate Analysis (2019-2030)
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 Mecixo
10.5.2 Brazil
11 Middle East & Africa
11.1 Middle East & Africa Pharmacy Benefit Management (PBM) Market Size and Growth Rate Analysis (2019-2030)
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 Market Competition by Manufacturers
12.1 Global Pharmacy Benefit Management (PBM) Market Revenue by Key Manufacturers (2020-2024)
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 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) (2020-2024)
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) (2020-2024)
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) (2020-2024)
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) (2020-2024)
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) (2020-2024)
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) (2020-2024)
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) (2020-2024)
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) (2020-2024)
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) (2020-2024)
13.10 海虹控股
13.10.1 海虹控股 Basic Company Profile (Employees, Areas Service, Competitors and Contact Information)
13.10.2 海虹控股 Pharmacy Benefit Management (PBM) Product Portfolio
13.10.3 海虹控股 Pharmacy Benefit Management (PBM) Market Data Analysis (Revenue, Gross Margin and Market Share) (2020-2024)
13.11 嘉事堂
13.11.1 嘉事堂 Basic Company Profile (Employees, Areas Service, Competitors and Contact Information)
13.11.2 嘉事堂 Pharmacy Benefit Management (PBM) Product Portfolio
13.11.3 嘉事堂 Pharmacy Benefit Management (PBM) Market Data Analysis (Revenue, Gross Margin and Market Share) (2020-2024)
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) (2020-2024)
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 Upstream 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

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