Pharmacy benefit managers (PBMs)

Statistics report on pharmacy benefit managers in the United States

Pharmacy benefit managers (PBMs)

This report provides an overview of the pharmacy benefit management (PBM) landscape in the United States. Included within are statistics and facts on the largest PBMs, their role in the U.S. pharmaceutcial market, problems with drug exclusions, as well as the public opinion about PBMs.

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Table of contents

Overview

5
  • Premium Statistic U.S. total medicine spending 2002-2022
  • Basic Statistic Pharmacy benefit management market size worldwide 2021-2029
  • Basic Statistic Distribution of Rx drug dollar retained among supply chain participants U.S. 2023
  • Premium Statistic Number of Americans served by PBMs by insurance type 2023
  • Basic Statistic Market access rebates and discounts for brand medicines by component U.S. 2013-2020

Major players

5
  • Premium Statistic U.S. prescription market: market share of pharmacy benefit managers 2022
  • Basic Statistic CVS Health's revenue 2010-2023 by segment
  • Premium Statistic Segment revenues of Cigna 2019-2023
  • Premium Statistic Revenues generated by Optum 2013-2023 by business
  • Basic Statistic Market share of the largest pharmacy benefit manager by U.S. state 2022

PBMs' view: savings

4
  • Basic Statistic Amount saved by PBMs per person by payer U.S. 2022
  • Basic Statistic Amount saved by PBMs annually per person by approach U.S. 2022
  • Premium Statistic Average additional saving by PBMs in the U.S. by saving category 2023
  • Premium Statistic Projected PBM savings in the U.S. 2023-2032, by payer

External criticism: exclusions

4
  • Basic Statistic Rx medicine exclusion from U.S. pharmacy formularies by company 2014-2022
  • Basic Statistic Rx medicine exclusion from PBM formularies 2014-2022
  • Basic Statistic Rx medicine exclusion growth rate from PBM formularies 2015-2022
  • Premium Statistic Rx medicine exclusion from PBM formularies by therapy area 2014-2022

Public opinion

3
  • Premium Statistic Select concerns among Americans regarding pharmacy benefit managers 2023
  • Basic Statistic Americans' concerns regarding PBM overcharging by party affiliation 2023
  • Basic Statistic Concerns about middlemen holding medicines from patients by party affiliation 2023
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FURTHER REPORTS

Recommended and recent reports

  • UnitedHealth Group
  • Cigna
  • Cigna - Form 10-K 2023
  • Drug prices in the U.S.
  • The Return on Investment (ROI) on PBM Services 2023
  • Pharmacy Benefit Managers (PBMs): Generating savings for plan sponsors and consumers 2023
  • Patented Medicine Prices Review Board - Annual Report 2022
  • The Controversey over Rising Drug Prices: The Public's View
  • A Painful Pill to Swallow: U.S. vs. International Prescription Drug Prices
  • CVS Health - 10-K Form 2023
  • McKesson - 2023 Form 10-K
  • Magellan Rx Management Medical Pharmacy Trend Report 2023
  • Prescription Drugs - U.S. Prices for Selected Brand Drugs Were Higher 2021
  • Overpatented, Overpriced Special Edition - Enbrel
  • Drug Pricing Investigation (2021)
  • Pharmacy landscape in the UK
  • CVS Health - 10-K Form 2022
  • Pharmaceutical market in Sweden
  • Drugs in the Netherlands
  • Pharmaceutical market in Norway

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