• Phone: +1-631-791-1145
  • Email: sales@imarcgroup.com

*As the coronavirus disease (COVID-19) crisis takes over the world, we are continuously tracking the changes in the markets, as well as the purchase behaviours of the consumers globally and our estimates about the latest market trends and forecasts are being done after considering the impact of this pandemic.

Pharmacy Benefit Management Market: Global Industry Trends, Share, Size, Growth, Opportunity and Forecast 2021-2026

Market Overview:

The global pharmacy benefit management market grew at a CAGR of around 6% during 2015-2020. Pharmacy benefit management (PBM) refers to a system wherein a third-party administrator manages prescription drug programs on behalf of health insurers, pharmacies, drug manufacturers, etc. This system performs significant operations at various levels in the supply chain of pharmaceutical products, from financing to setting dispensing policies. The PBM companies also conduct generic drug substitution, negotiate drug rebates with manufacturers and pharmacies, and participate in drug formulary development and management. As a result, they provide numerous services, including specialty pharmacy services, retail pharmacy services, drug formulary management, disease management services, benefit plan design and consultation, etc.

The global pharmacy benefit management market is primarily driven by the growing need for cost management services due to the increasing prevalence of chronic diseases and rising healthcare expenditures. Several consumers are getting inclined towards PBM systems for wider access to medications across multiple retail pharmacy networks. Additionally, the growing presence of similar drugs in the market with minimal difference in their APIs has resulted in the increasing price sensitivity of these drugs. As a result, there is a growing demand for PBM systems that release drug formularies for all drugs covered under their benefit plans, wherein manufacturers are receptive to offer discounts. Apart from this, the rising integration of PBMs with specialty pharmacies for better expertise and connections with pharmaceutical companies to establish drug contracts is also propelling the market growth. Additionally, the growing number of partnerships and alliances between pharmacy benefit management organizations and health insurance companies for improving affordability and personalization of health insurance plans is further driving the global market for PBMs. Moreover, the introduction of advanced benefit management services, including disease management, drug utilization programs, and pharmacy-medical integrated products, will continue to drive the market growth in the coming years. Looking forward, IMARC expects the global pharmacy benefit management market to exhibit continuous growth during the next five years.

Key Market Segmentation:

IMARC Group provides an analysis of the key trends in each sub-segment of the global pharmacy benefit management market report, along with forecasts for growth at the global, regional and country level from 2021-2026. Our report has categorized the market based on region, service, business model and end use.

Breakup by Service:

  • Specialty Pharmacy Services
  • Drug Formulary Management
  • Retail Pharmacy Services
  • Benefit Plan Design and Consultation
  • Disease Management Services
  • Others
     

Breakup by Business Model:

  • Health Insurance Management
  • Standalone PBMs
  • Retail Pharmacy
     

Breakup by End Use:

  • Federal
  • Commercial
     

Breakup by Region:

  • North America
    • United States
    • Canada
  • Europe
    • Germany
    • France
    • United Kingdom
    • Italy
    • Spain
    • Others
  • Asia Pacific
    • China
    • Japan
    • India
    • Australia
    • Others
  • Latin America
    • Brazil
    • Mexico
    • Others
  • Middle East and Africa
    • Saudi Arabia
    • South Africa
    • United Arab Emirates
    • Others
       

Competitive Landscape:

The competitive landscape of the industry has also been examined with some of the key players being Aetna, Inc., Centene Corporation, Cigna Corporation, CVS Health Corporation, Express Scripts Holding Company, Magellan Health, Inc., Medimpact Healthcare Systems, Inc., Optumrx, Inc., Prime Therapeutics LLC, ProCare Rx, and SS&c Technologies, Inc.

Key Questions Answered in This Report:

  • How has the global pharmacy benefit management market performed so far and how will it perform in the coming years?
  • What is the impact of COVID 19 on global pharmacy benefit management market?
  • What are the key regional markets?
  • What is the breakup of the market based on the service?
  • What is the breakup of the market based on the business model?
  • What is the breakup of the market based on the end use?
  • What are the various stages in the value chain of the industry?
  • What are the key driving factors and challenges in the market?
  • What is the structure of the global pharmacy benefit management market and who are the key players?
  • What is the degree of competition in the market?

1    Preface
2    Scope and Methodology 

    2.1    Objectives of the Study
    2.2    Stakeholders
    2.3    Data Sources
        2.3.1    Primary Sources
        2.3.2    Secondary Sources
    2.4    Market Estimation
        2.4.1    Bottom-Up Approach
        2.4.2    Top-Down Approach
    2.5    Forecasting Methodology
3    Executive Summary
4    Introduction

    4.1    Overview
    4.2    Key Industry Trends
5    Global Pharmacy Benefit Management Market
    5.1    Market Overview
    5.2    Market Performance
    5.3    Impact of COVID-19
    5.4    Market Forecast
6    Market Breakup by Service
    6.1    Specialty Pharmacy Services
        6.1.1 Market Trends
        6.1.2 Market Forecast
    6.2    Drug Formulary Management
        6.2.1 Market Trends
        6.2.2 Market Forecast
    6.3    Retail Pharmacy Services
        6.3.1 Market Trends
        6.3.2 Market Forecast
    6.4    Benefit Plan Design and Consultation
        6.4.1 Market Trends
        6.4.2 Market Forecast
    6.5    Disease Management Services
        6.5.1 Market Trends
        6.5.2 Market Forecast
    6.6    Others
        6.6.1 Market Trends
        6.6.2 Market Forecast
7    Market Breakup by Business Model
    7.1    Health Insurance Management
        7.1.1 Market Trends
        7.1.2 Market Forecast
    7.2    Standalone PBMs
        7.2.1 Market Trends
        7.2.2 Market Forecast
    7.3    Retail Pharmacy
        7.3.1 Market Trends
        7.3.2 Market Forecast
8   Market Breakup by End Use
    8.1    Federal
        8.1.1 Market Trends
        8.1.2 Market Forecast
    8.2    Commercial
        8.2.1 Market Trends
        8.2.2 Market Forecast 
9    Market Breakup by Region
    9.1    North America
        9.1.1 United States
           9.1.1.1 Market Trends
           9.1.1.2 Market Forecast
        9.1.2 Canada
           9.1.2.1 Market Trends
           9.1.2.2 Market Forecast
    9.2    Europe
        9.2.1 Germany
           9.2.1.1 Market Trends
           9.2.1.2 Market Forecast
        9.2.2 France
           9.2.2.1 Market Trends
           9.2.2.2 Market Forecast
        9.2.3 United Kingdom
           9.2.3.1 Market Trends
           9.2.3.2 Market Forecast
        9.2.4 Italy
           9.2.4.1 Market Trends
           9.2.4.2 Market Forecast
        9.2.5 Spain
           9.2.5.1 Market Trends
           9.2.5.2 Market Forecast
        9.2.6 Others
           9.2.6.1 Market Trends
           9.2.6.2 Market Forecast
    9.3    Asia Pacific
        9.3.1 China
           9.3.1.1 Market Trends
           9.3.1.2 Market Forecast
        9.3.2 Japan
           9.3.2.1 Market Trends
           9.3.2.2 Market Forecast
        9.3.3 India
           9.3.3.1 Market Trends
           9.3.3.2 Market Forecast
        9.3.4 Australia
           9.3.4.1 Market Trends
           9.3.4.2 Market Forecast
        9.3.5 Others
           9.3.5.1 Market Trends
           9.3.5.2 Market Forecast
    9.4    Latin America
        9.4.1 Brazil
           9.4.1.1 Market Trends
           9.4.1.2 Market Forecast
        9.4.2 Mexico
           9.4.2.1 Market Trends
           9.4.2.2 Market Forecast
        9.4.3 Others
           9.4.3.1 Market Trends
           9.4.3.2 Market Forecast
    9.5    Middle East and Africa
        9.5.1 Saudi Arabia
           9.5.1.1 Market Trends
           9.5.1.2 Market Forecast
        9.5.2 South Africa
           9.5.2.1 Market Trends
           9.5.2.2 Market Forecast
        9.5.3 United Arab Emirates
           9.5.3.1 Market Trends
           9.5.3.2 Market Forecast
        9.5.4 Others
           9.5.4.1 Market Trends
           9.5.4.2 Market Forecast
10    SWOT Analysis
    10.1    Overview
    10.2    Strengths
    10.3    Weaknesses
    10.4    Opportunities
    10.5    Threats
11    Value Chain Analysis
12    Porters Five Forces Analysis

    12.1    Overview
    12.2    Bargaining Power of Buyers
    12.3    Bargaining Power of Suppliers
    12.4    Degree of Competition
    12.5    Threat of New Entrants
    12.6    Threat of Substitutes
13    Competitive Landscape
    13.1    Market Structure
    13.2    Key Players
    13.3    Profiles of Key Players
        13.3.1    Aetna, Inc.
           13.3.1.1 Company Overview
           13.3.1.2 Product Portfolio
        13.3.2    Centene Corporation
           13.3.2.1 Company Overview
           13.3.2.2 Product Portfolio
           13.3.2.3 Financials
           13.3.2.4 SWOT Analysis
        13.3.3    Cigna Corporation
           13.3.3.1 Company Overview
           13.3.3.2 Product Portfolio
           13.3.3.3 Financials
           13.3.3.4 SWOT Analysis
        13.3.4    CVS Health Corporation
           13.3.4.1 Company Overview
           13.3.4.2 Product Portfolio
           13.3.4.3 Financials
           13.3.4.4 SWOT Analysis
        13.3.5    Express Scripts Holding Company
           13.3.5.1 Company Overview
           13.3.5.2 Product Portfolio
           13.3.5.3 Financials
        13.3.6    Magellan Health, Inc.
           13.3.6.1 Company Overview
           13.3.6.2 Product Portfolio
           13.3.6.3 Financials
           13.3.6.4 SWOT Analysis
        13.3.7    Medimpact Healthcare Systems, Inc.
           13.3.7.1 Company Overview
           13.3.7.2 Product Portfolio
        13.3.8    Optumrx, Inc.
           13.3.8.1 Company Overview
           13.3.8.2 Product Portfolio
        13.3.9    Prime Therapeutics LLC
           13.3.9.1 Company Overview
           13.3.9.2 Product Portfolio
        13.3.10    ProCare Rx
           13.3.10.1 Company Overview
           13.3.10.2 Product Portfolio
        13.3.11    SS&c Technologies, Inc.
           12.3.11.1 Company Overview
           12.3.11.2 Product Portfolio
           12.3.11.3 Financials

List of Figures

Figure 1: Global: Pharmacy Benefit Management Market: Major Drivers and Challenges
Figure 2: Global: Pharmacy Benefit Management Market: Sales Value (in Billion US$), 2015-2020
Figure 3: Global: Pharmacy Benefit Management Market: Breakup by Service (in %), 2020
Figure 4: Global: Pharmacy Benefit Management Market: Breakup by Business Model (in %), 2020
Figure 5: Global: Pharmacy Benefit Management Market: Breakup by End Use (in %), 2020
Figure 6: Global: Pharmacy Benefit Management Market: Breakup by Region (in %), 2020
Figure 7: Global: Pharmacy Benefit Management Market Forecast: Sales Value (in Billion US$), 2021-2026
Figure 8: Global: Pharmacy Benefit Management (Specialty Pharmacy Services) Market: Sales Value (in Million US$), 2015 & 2020
Figure 9: Global: Pharmacy Benefit Management (Specialty Pharmacy Services) Market Forecast: Sales Value (in Million US$), 2021-2026
Figure 10: Global: Pharmacy Benefit Management (Drug Formulary Management) Market: Sales Value (in Million US$), 2015 & 2020
Figure 11: Global: Pharmacy Benefit Management (Drug Formulary Management) Market Forecast: Sales Value (in Million US$), 2021-2026
Figure 12: Global: Pharmacy Benefit Management (Retail Pharmacy Services) Market: Sales Value (in Million US$), 2015 & 2020
Figure 13: Global: Pharmacy Benefit Management (Retail Pharmacy Services) Market Forecast: Sales Value (in Million US$), 2021-2026
Figure 14: Global: Pharmacy Benefit Management (Benefit Plan Design and Consultation) Market: Sales Value (in Million US$), 2015 & 2020
Figure 15: Global: Pharmacy Benefit Management (Benefit Plan Design and Consultation) Market Forecast: Sales Value (in Million US$), 2021-2026
Figure 16: Global: Pharmacy Benefit Management (Disease Management Services) Market: Sales Value (in Million US$), 2015 & 2020
Figure 17: Global: Pharmacy Benefit Management (Disease Management Services) Market Forecast: Sales Value (in Million US$), 2021-2026
Figure 18: Global: Pharmacy Benefit Management (Other Services) Market: Sales Value (in Million US$), 2015 & 2020
Figure 19: Global: Pharmacy Benefit Management (Other Services) Market Forecast: Sales Value (in Million US$), 2021-2026
Figure 20: Global: Pharmacy Benefit Management (Health Insurance Management) Market: Sales Value (in Million US$), 2015 & 2020
Figure 21: Global: Pharmacy Benefit Management (Health Insurance Management) Market Forecast: Sales Value (in Million US$), 2021-2026
Figure 22: Global: Pharmacy Benefit Management (Standalone PBMs) Market: Sales Value (in Million US$), 2015 & 2020
Figure 23: Global: Pharmacy Benefit Management (Standalone PBMs) Market Forecast: Sales Value (in Million US$), 2021-2026
Figure 24: Global: Pharmacy Benefit Management (Retail Pharmacy) Market: Sales Value (in Million US$), 2015 & 2020
Figure 25: Global: Pharmacy Benefit Management (Retail Pharmacy) Market Forecast: Sales Value (in Million US$), 2021-2026
Figure 26: Global: Pharmacy Benefit Management (Federal) Market: Sales Value (in Million US$), 2015 & 2020
Figure 27: Global: Pharmacy Benefit Management (Federal) Market Forecast: Sales Value (in Million US$), 2021-2026
Figure 28: Global: Pharmacy Benefit Management (Commercial) Market: Sales Value (in Million US$), 2015 & 2020
Figure 29: Global: Pharmacy Benefit Management (Commercial) Market Forecast: Sales Value (in Million US$), 2021-2026
Figure 30: North America: Pharmacy Benefit Management Market: Sales Value (in Million US$), 2015 & 2020
Figure 31: North America: Pharmacy Benefit Management Market Forecast: Sales Value (in Million US$), 2021-2026
Figure 32: United States: Pharmacy Benefit Management Market: Sales Value (in Million US$), 2015 & 2020
Figure 33: United States: Pharmacy Benefit Management Market Forecast: Sales Value (in Million US$), 2021-2026
Figure 34: Canada: Pharmacy Benefit Management Market: Sales Value (in Million US$), 2015 & 2020
Figure 35: Canada: Pharmacy Benefit Management Market Forecast: Sales Value (in Million US$), 2021-2026  
Figure 36: Europe: Pharmacy Benefit Management Market: Sales Value (in Million US$), 2015 & 2020
Figure 37: Europe: Pharmacy Benefit Management Market Forecast: Sales Value (in Million US$), 2021-2026
Figure 38: Germany: Pharmacy Benefit Management Market: Sales Value (in Million US$), 2015 & 2020
Figure 39: Germany: Pharmacy Benefit Management Market Forecast: Sales Value (in Million US$), 2021-2026
Figure 40: France: Pharmacy Benefit Management Market: Sales Value (in Million US$), 2015 & 2020
Figure 41: France: Pharmacy Benefit Management Market Forecast: Sales Value (in Million US$), 2021-2026
Figure 42: United Kingdom: Pharmacy Benefit Management Market: Sales Value (in Million US$), 2015 & 2020
Figure 43: United Kingdom: Pharmacy Benefit Management Market Forecast: Sales Value (in Million US$), 2021-2026
Figure 44: Italy: Pharmacy Benefit Management Market: Sales Value (in Million US$), 2015 & 2020
Figure 45: Italy: Pharmacy Benefit Management Market Forecast: Sales Value (in Million US$), 2021-2026
Figure 46: Spain: Pharmacy Benefit Management Market: Sales Value (in Million US$), 2015 & 2020
Figure 47: Spain: Pharmacy Benefit Management Market Forecast: Sales Value (in Million US$), 2021-2026
Figure 48: Others: Pharmacy Benefit Management Market: Sales Value (in Million US$), 2015 & 2020
Figure 49: Others: Pharmacy Benefit Management Market Forecast: Sales Value (in Million US$), 2021-2026
Figure 50: Asia Pacific: Pharmacy Benefit Management Market: Sales Value (in Million US$), 2015 & 2020
Figure 51: Asia Pacific: Pharmacy Benefit Management Market Forecast: Sales Value (in Million US$), 2021-2026
Figure 52: China: Pharmacy Benefit Management Market: Sales Value (in Million US$), 2015 & 2020
Figure 53: China: Pharmacy Benefit Management Market Forecast: Sales Value (in Million US$), 2021-2026
Figure 54: Japan: Pharmacy Benefit Management Market: Sales Value (in Million US$), 2015 & 2020
Figure 55: Japan: Pharmacy Benefit Management Market Forecast: Sales Value (in Million US$), 2021-2026
Figure 56: India: Pharmacy Benefit Management Market: Sales Value (in Million US$), 2015 & 2020
Figure 57: India: Pharmacy Benefit Management Market Forecast: Sales Value (in Million US$), 2021-2026
Figure 58: Australia: Pharmacy Benefit Management Market: Sales Value (in Million US$), 2015 & 2020
Figure 59: Australia: Pharmacy Benefit Management Market Forecast: Sales Value (in Million US$), 2021-2026
Figure 60: Others: Pharmacy Benefit Management Market: Sales Value (in Million US$), 2015 & 2020
Figure 61: Others: Pharmacy Benefit Management Market Forecast: Sales Value (in Million US$), 2021-2026
Figure 62: Latin America: Pharmacy Benefit Management Market: Sales Value (in Million US$), 2015 & 2020
Figure 63: Latin America: Pharmacy Benefit Management Market Forecast: Sales Value (in Million US$), 2021-2026
Figure 64: Brazil: Pharmacy Benefit Management Market: Sales Value (in Million US$), 2015 & 2020
Figure 65: Brazil: Pharmacy Benefit Management Market Forecast: Sales Value (in Million US$), 2021-2026
Figure 66: Mexico: Pharmacy Benefit Management Market: Sales Value (in Million US$), 2015 & 2020
Figure 67: Mexico: Pharmacy Benefit Management Market Forecast: Sales Value (in Million US$), 2021-2026
Figure 68: Others: Pharmacy Benefit Management Market: Sales Value (in Million US$), 2015 & 2020
Figure 69: Others: Pharmacy Benefit Management Market Forecast: Sales Value (in Million US$), 2021-2026
Figure 70: Middle East and Africa: Pharmacy Benefit Management Market: Sales Value (in Million US$), 2015 & 2020
Figure 71: Middle East and Africa: Pharmacy Benefit Management Market Forecast: Sales Value (in Million US$), 2021-2026
Figure 72: Saudi Arabia: Pharmacy Benefit Management Market: Sales Value (in Million US$), 2015 & 2020
Figure 73: Saudi Arabia: Pharmacy Benefit Management Market Forecast: Sales Value (in Million US$), 2021-2026
Figure 74: South Africa: Pharmacy Benefit Management Market: Sales Value (in Million US$), 2015 & 2020
Figure 75: South Africa: Pharmacy Benefit Management Market Forecast: Sales Value (in Million US$), 2021-2026
Figure 76: United Arab Emirates: Pharmacy Benefit Management Market: Sales Value (in Million US$), 2015 & 2020
Figure 77: United Arab Emirates: Pharmacy Benefit Management Market Forecast: Sales Value (in Million US$), 2021-2026
Figure 78: Others: Pharmacy Benefit Management Market: Sales Value (in Million US$), 2015 & 2020
Figure 79: Others: Pharmacy Benefit Management Market Forecast: Sales Value (in Million US$), 2021-2026
Figure 80: Global: Pharmacy Benefit Management Industry: SWOT Analysis
Figure 81: Global: Pharmacy Benefit Management Industry: Value Chain Analysis
Figure 82: Global: Pharmacy Benefit Management Industry: Porter’s Five Forces Analysis

List of Tables

Table 1: Global: Pharmacy Benefit Management Market: Key Industry Highlights, 2020 and 2026
Table 2: Global: Pharmacy Benefit Management Market Forecast: Breakup by Service (in Million US$), 2021-2026                                                                      
Table 3: Global: Pharmacy Benefit Management Market Forecast: Breakup by Business Model (in Million US$), 2021-2026
Table 4: Global: Pharmacy Benefit Management Market Forecast: Breakup by End Use (in Million US$), 2021-2026
Table 5: Global: Pharmacy Benefit Management Market Forecast: Breakup by Region (in Million US$), 2021-2026
Table 6: Global: Pharmacy Benefit Management Market: Competitive Structure
Table 7: Global: Pharmacy Benefit Management Market: Key Players

Note: We value your privacy and will never rent or sell your email address. Privacy policy

Purchase Options




$ 2299

REACH OUT TO US

Call us on

( US: +1-631-791-1145 )
( UK: +44-702-409-7331 )
( India: +91-120-433-0800 )


Drop us an email at

sales@imarcgroup.com

Social Links