Pharmacy Benefit Management in the US: Market Research Report

Market Research • Market Size • Industry Statistics • Industry Analysis • Industry Trends

Pharmacy Benefit Management Market Research Report | Life Sciences | Healthcare Services | Sep 2014

Healthy growth: Healthcare legislation will increase customer base and industry revenue

IBISWorld’s Pharmacy Benefit Management market research report can be used to help you: understand market size and growth potential; major companies; draft business plans and pitch books; and conduct benchmarking and SWOT analysis. Our industry analysis highlights macro industry trends in the overall sector and micro trends faced by companies that do business in the industry. The industry report also provides key industry statistics and 5-year forecasts to anticipate future industry prospects so you can decide with confidence.

Report Snapshot
Market Share of Companies
Catamaran Catamaran market share
CVS Caremark CVS Caremark market share
Express Scripts Express Scripts market share
UnitedHealth Group Inc. UnitedHealth Group Inc. market share
Industry Statistics & Market Size
Annual Growth 09-14
Annual Growth 14-19
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Industry Analysis & Industry Trends

Rising drug costs, higher consumer spending on healthcare and increasing prescription drug use drove up revenue for the Pharmacy Benefit Management industry over the five years to 2014. Rising drug costs caused health plan sponsors to increasingly turn to PBMs for cost management services. In turn, this trend drove industry operators to consolidate to better leverage larger retail pharmacies, customer networks and drug use data to negotiate better cost savings with drug manufacturers. Growth prospects for PBMs are strong. IBISWorld projects that industry revenue will expand steadily over the five years to 2019.... purchase to read more

Industry Report - Industry Key Buyers Chapter

The Pharmacy Benefit Management industry has a high level of concentration. The top four PBMs are expected to account for the vast majority of industry revenue, at about 90.3% in 2014. Over the past five years, major players have aggressively acquired smaller companies in an attempt to increase their retail pharmacy network, bargaining power with drug manufacturers and customer base. As a result, the number of enterprises has decreased at an annualized rate of 1.6% over the past five years. Furthermore, two of the largest PBMs at the time, Express Scripts and Medco Health Solutions agreed upon a merger agreement in 2011, and the Federal Trade Commission approved it in early 2012... purchase to read more


Industry ProductsRelated ReportsTable of Contents

What is the Pharmacy Benefit Management Industry?

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

Industry Products
Retail pharmacy servicesSpecialty pharmacy servicesBenefit plan design and consultationDrug formulary managementOther services
Industry Activities
Processing and paying prescription drug claimsManaging prescription drug plan costsPrescription drug plan design and administration

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