Pharmacy Benefit Management in the US
Operators in the Pharmacy Benefit Management industry are third-party administrators of prescription drug programs under a variety of sponsors, such as employers, health insurance companies, unions, workers' compensation plans, local governments, federal and state government health programs, managed care organizations and other sponsors of health benefit plans. According to the Pharmaceutical Care Management Association (PCMA), pharmacy benefit managers (PBMs) implement prescription drug benefits for more than 250.0 million Americans, making them a vital part of managing costs and providing consumers with prescription medications in the US healthcare system. Over the five years to 2027, the Pharmacy Benefit Management industry is expected to grow. The expansion in public and private health insurance coverage, along with a relatively low unemployment rate, will likely raise the number of consumers covered under prescription drug programs. In turn, this is expected to increase demand from plan sponsors for pharmacy benefit management services to design, manage and process claims for these prescription drug programs, while bolstering revenue generated from sales of prescription drugs through pharmacy benefit management retail pharmacy networks and specialty pharmacy services.
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.
TABLE OF CONTENTS
ABOUT THIS INDUSTRY
Industry Definition
Main Activities
Similar Industries
Additional Resources
INDUSTRY AT A GLANCE
INDUSTRY PERFORMANCE
Executive Summary
Key External Drivers
Current Performance
Industry Outlook
Industry Life Cycle
PRODUCTS & MARKETS
Supply Chain
Products & Services
Demand Determinants
Major Markets
International Trade
Business Locations
COMPETITIVE LANDSCAPE
Market Share Concentration
Key Success Factors
Cost Structure Benchmarks
Basis of Competition
Barriers to Entry
Industry Globalization
MAJOR COMPANIES
OPERATING CONDITIONS
Capital Intensity
Technology & Systems
Revenue Volatility
Regulation & Policy
Industry Assistance
KEY STATISTICS
Industry Data
Annual Change
Key Ratios
JARGON & GLOSSARY
Research Assistance
Learn how to effectively navigate the market research process to help guide your organization on the journey to success.
Download eBook