{"id":46233,"date":"2022-07-15T15:02:01","date_gmt":"2022-07-15T13:02:01","guid":{"rendered":"https:\/\/pharma-trend.com\/en\/united-states-pharmacy-benefit-management-market-outlook-forecasts-report-2022-2027-featuring-key-companies-and-future-players-such-as-humana-pharmacy-solutions-medimpact-prime-therapeutics-re\/"},"modified":"2022-07-15T15:02:01","modified_gmt":"2022-07-15T13:02:01","slug":"united-states-pharmacy-benefit-management-market-outlook-forecasts-report-2022-2027-featuring-key-companies-and-future-players-such-as-humana-pharmacy-solutions-medimpact-prime-therapeutics-re","status":"publish","type":"post","link":"https:\/\/pharma-trend.com\/en\/united-states-pharmacy-benefit-management-market-outlook-forecasts-report-2022-2027-featuring-key-companies-and-future-players-such-as-humana-pharmacy-solutions-medimpact-prime-therapeutics-re\/","title":{"rendered":"United States Pharmacy Benefit Management Market Outlook &amp; Forecasts Report 2022-2027 Featuring Key Companies and Future Players Such as Humana Pharmacy Solutions, Medimpact, &amp; Prime Therapeutics &#8211; ResearchAndMarkets.com"},"content":{"rendered":"<div>\n<p>DUBLIN&#8211;(BUSINESS WIRE)&#8211;The <a target=\"_blank\" href=\"https:\/\/www.researchandmarkets.com\/reports\/5591819\/pharmacy-benefit-management-market-in-the-us?utm_source=BW&amp;utm_medium=PressRelease&amp;utm_code=hfrpfm&amp;utm_campaign=1726876+-+United+States+Pharmacy+Benefit+Management+Market+Outlook+%26+Forecasts+Report+2022-2027+Featuring+Key+Companies+and+Future+Players+Such+as+Humana+Pharmacy+Solutions%2C+Medimpact%2C+%26+Prime+Therapeutics&amp;utm_exec=chdo54prd\" rel=\"nofollow noopener\" shape=\"rect\">&#8220;Pharmacy Benefit Management Market in the US &#8211; Industry Outlook &amp; Forecast 2022-2027&#8221;<\/a> report has been added to <strong>ResearchAndMarkets.com&#8217;s<\/strong> offering.\n<\/p>\n<p><a href=\"https:\/\/mms.businesswire.com\/media\/20220715005265\/en\/1514984\/4\/logo.jpg\"><img decoding=\"async\" src=\"https:\/\/mms.businesswire.com\/media\/20220715005265\/en\/1514984\/21\/logo.jpg\"><\/a><\/p>\n<p>\nThe U.S. pharmacy benefit management market is expected to grow at a CAGR of 5.53% during 2022-2027\n<\/p>\n<p>\nThe study considers a detailed scenario of the present U.S. pharmacy benefit management market and its market dynamics. It covers a detailed overview of several industry growth enablers, restraints, and trends. The report offers both the demand and supply aspects of the market. It profiles and examines leading companies and other prominent ones operating in the market.\n<\/p>\n<p>\n<strong>MARKET INSIGHTS<\/strong>\n<\/p>\n<p>\nThe PBM industry refers to companies that act as intermediaries between insurance companies, pharmacies, and pharmaceutical companies. PBM is responsible for reducing insurers and their drug costs. They achieve this by negotiating with pharmacies and pharmaceutical companies. The pharmacy benefit management systems entered the pharmaceutical industry in the 1960s to meet the needs of employer-based health benefits. They soon became an important stakeholder in the entire pharmaceutical supply chain.\n<\/p>\n<p>\nPharmacy costs represent almost 32% of the total health care spending, and this expenditure is expected to grow more than two times during the forecast period. Currently, pharmacy benefit management plays a major role and acts as an intermediary between payers, drug manufacturers, and pharmacies.\n<\/p>\n<p>\nSince PBMs play a significant role in influencing out-of-pocket costs and patient access to medications owing to their management tools, formulary power, and price concessions. They are in a position of power to pass savings to customers. According to PBM lobby groups, between 2020 to 2029, PBM tools will reduce consumer and plan sponsors&#8217; spending by more than $1 trillion.\n<\/p>\n<p>\nThere is a growing criticism of PBMs with claims that they are driving up costs of drug prices, making huge gains via pharmacy spreads, rebates from manufacturers, and fees from the supply chain. This is being spurred by the opaqueness of the true cost of drugs to PBMs owing to the rules of engagement between manufacturers and PBMs.\n<\/p>\n<p>\nThe future of PBMs is going to be dictated by the implementation of state and national-level policies in terms of their revenue streams and business practices in the pharmaceutical space.\n<\/p>\n<p>\n<strong>U.S. Pharmacy Benefit Management Market Segmentations<\/strong>\n<\/p>\n<p>\nBased on services, specialty pharmacy services are the major contributor in the pharmacy benefit management market in the US, and it is likely to witness high incremental growth of $48.24 billion during the forecast period.\n<\/p>\n<p>\nBased on health plans, commercial health plans are the major contributor in the pharmacy benefit management market in the US, and it is likely to witness high absolute growth of 34.69% during the forecast period.\n<\/p>\n<p>\n<strong>VENDOR ANALYSIS<\/strong>\n<\/p>\n<p>\nThe presence of prominent market players, increasing favorable healthcare reforms, rising e-prescription, and growing adoption of healthcare plans by us residents are the primary factors for the significant market share in the country.\n<\/p>\n<p>\n<strong>Key Company Profiles<\/strong>\n<\/p>\n<ul>\n<li>\nCVS Health\n<\/li>\n<li>\nCigna\n<\/li>\n<li>\nUnitedHealth Group\n<\/li>\n<\/ul>\n<p>\n<strong>Key Companies to Watch<\/strong>\n<\/p>\n<ul>\n<li>\nHumana Pharmacy Solutions\n<\/li>\n<li>\nMedimpact\n<\/li>\n<li>\nPrime Therapeutics\n<\/li>\n<\/ul>\n<p>\n<strong>Other Prominent Vendors<\/strong>\n<\/p>\n<ul>\n<li>\nAbarca Health\n<\/li>\n<li>\nAscellaHealth\n<\/li>\n<li>\nBeneCard PBF\n<\/li>\n<li>\nCaptureRx\n<\/li>\n<li>\nCentene\n<\/li>\n<li>\nChange Healthcare\n<\/li>\n<li>\nCitizens Rx\n<\/li>\n<li>\nEnvisionRxOptions\n<\/li>\n<li>\nExcelera\n<\/li>\n<li>\nMagellan Rx Management\n<\/li>\n<li>\nMedalistRx\n<\/li>\n<li>\nMaxorPlus\n<\/li>\n<li>\nNavitus Health Solutions\n<\/li>\n<li>\nPerformRx\n<\/li>\n<li>\nProCare Rx\n<\/li>\n<li>\nRxAdvance\n<\/li>\n<li>\nRite Aid\n<\/li>\n<li>\nWellDyneRx\n<\/li>\n<li>\nWalgreens Boots Alliance\n<\/li>\n<\/ul>\n<p>\n<strong>Key Topics Covered:<\/strong>\n<\/p>\n<p>\n<strong>1 Research Methodology<\/strong>\n<\/p>\n<p>\n<strong>2 Research Objectives<\/strong>\n<\/p>\n<p>\n<strong>3 Research Process<\/strong>\n<\/p>\n<p>\n<strong>4 Scope &amp; Coverage<\/strong>\n<\/p>\n<p>\n4.1 Market Definition\n<\/p>\n<p>\n4.2 Base Year\n<\/p>\n<p>\n4.3 Scope of the Study\n<\/p>\n<p>\n4.4 Market Segmentation\n<\/p>\n<p>\n<strong>5 Report Assumptions &amp; Caveats<\/strong>\n<\/p>\n<p>\n5.1 Key Caveats\n<\/p>\n<p>\n5.2 Currency Conversion\n<\/p>\n<p>\n5.3 Market Derivation\n<\/p>\n<p>\n<strong>6 Market at a Glance<\/strong>\n<\/p>\n<p>\n<strong>7 Introduction<\/strong>\n<\/p>\n<p>\n7.1 Us Economy &amp; Healthcare Industry Landscape\n<\/p>\n<p>\n7.2 Pharmacy Benefit Management\n<\/p>\n<p>\n7.2.1 Role of PBMs in Money Spent on Prescription Drugs\n<\/p>\n<p>\n7.2.2 Reforms to Regulate PBMs\n<\/p>\n<p>\n<strong>8 Pharmaceutical Ecosystem<\/strong>\n<\/p>\n<p>\n8.1 Overview\n<\/p>\n<p>\n8.2 Evolution of PBM Ownership\n<\/p>\n<p>\n8.2.1 PBM Services Over Time\n<\/p>\n<p>\n8.2.2 PBMs &amp; Other Players in Pharmaceutical Ecosystem\n<\/p>\n<p>\n<strong>9 Impact of Covid-19 on PBM Market<\/strong>\n<\/p>\n<p>\n9.1 Overview\n<\/p>\n<p>\n9.1.1 PBMs Covid-19 Response Strategies\n<\/p>\n<p>\n<strong>10 Gaps in Information &amp; Care in Us Healthcare Industry<\/strong>\n<\/p>\n<p>\n10.1 Overview\n<\/p>\n<p>\n<strong>11 Market Opportunities &amp; Trends<\/strong>\n<\/p>\n<p>\n11.1 Increased Adoption of E-Prescription &amp; Mail Order Pharmacy\n<\/p>\n<p>\n11.2 Growing FDA Approvals of Biologics &amp; Biosimilars\n<\/p>\n<p>\n11.3 Market Entry of Payers Through M&amp;As\n<\/p>\n<p>\n11.4 Entry of Digital Health Solutions in PBM Industry\n<\/p>\n<p>\n<strong>12 Market Growth Enablers<\/strong>\n<\/p>\n<p>\n12.1 Favorable Healthcare Reforms\n<\/p>\n<p>\n12.2 Growing Adoption of Healthcare Plans by Us Residents\n<\/p>\n<p>\n12.3 Prevalence of Fraud, Waste &amp; Abuse in Healthcare\n<\/p>\n<p>\n12.4 Increased Demand for Personalized Medicines\n<\/p>\n<p>\n<strong>13 Market Restraints<\/strong>\n<\/p>\n<p>\n13.1 PBMs More Susceptible to Lawsuits &amp; Government Scrutiny\n<\/p>\n<p>\n13.2 Lack of Transparency in Services by PBMs\n<\/p>\n<p>\n13.3 Declining Growth from Generics\n<\/p>\n<p>\n13.4 Legal Uncertainty &amp; Impending Limitations on PBM Tools\n<\/p>\n<p>\n<strong>14 Market Landscape<\/strong>\n<\/p>\n<p>\n14.1 Market Overview\n<\/p>\n<p>\n14.2 Market Size &amp; Forecast\n<\/p>\n<p>\n14.2.1 Insight by Health Plans\n<\/p>\n<p>\n14.2.2 Insights by Services\n<\/p>\n<p>\n14.2.3 Insight by Business Model\n<\/p>\n<p>\n14.3 Five Forces Analysis\n<\/p>\n<p>\n<strong>15 Health Plans<\/strong>\n<\/p>\n<p>\n15.1 Market Snapshot &amp; Growth Engine\n<\/p>\n<p>\n15.2 Market Overview\n<\/p>\n<p>\n15.3 Commercial Health Plans\n<\/p>\n<p>\n15.3.1 Market Overview\n<\/p>\n<p>\n15.3.2 Market Size &amp; Forecast\n<\/p>\n<p>\n15.4 Medicare\n<\/p>\n<p>\n15.5 Medicaid\n<\/p>\n<p>\n15.6 Others\n<\/p>\n<p>\n<strong>16 Services<\/strong>\n<\/p>\n<p>\n16.1 Market Snapshot &amp; Growth Engine\n<\/p>\n<p>\n16.2 Market Overview\n<\/p>\n<p>\n16.3 Specialty Pharmacy Services\n<\/p>\n<p>\n16.4 Retail Pharmacy Networks\n<\/p>\n<p>\n16.5 Mail-Order Pharmacy Services\n<\/p>\n<p>\n16.6 Claims Processing\n<\/p>\n<p>\n16.7 Formulary Management\n<\/p>\n<p>\n16.8 Drug Utilization Review\n<\/p>\n<p>\n16.9 Price, Discount &amp; Rebate Negotiations\n<\/p>\n<p>\n16.10 Disease Management &amp; Adherence Initiatives\n<\/p>\n<p>\n<strong>17 Business Model<\/strong>\n<\/p>\n<p>\n17.1 Market Snapshot &amp; Growth Engine\n<\/p>\n<p>\n17.2 Market Overview\n<\/p>\n<p>\n17.3 Insurance Companies &amp; Retail Pharmacies\n<\/p>\n<p>\n17.4 Pure Play PBMs\n<\/p>\n<p>\n<strong>18 Competitive Landscape<\/strong>\n<\/p>\n<p>\n18.1 Competition Overview\n<\/p>\n<p>\n18.2 Market Share Analysis\n<\/p>\n<p>\n18.2.1 Cvs Health\n<\/p>\n<p>\n18.2.2 Cigna\n<\/p>\n<p>\n18.2.3 Unitedhealth Group\n<\/p>\n<p>\n18.2.4 Humana Pharmacy Solutions\n<\/p>\n<p>\n18.2.5 Medimpact\n<\/p>\n<p>\n18.2.6 Prime Therapeutics\n<\/p>\n<p>\n<strong>19 Key Company Profiles<\/strong>\n<\/p>\n<p>\n19.1 CVS Health\n<\/p>\n<p>\n19.2 Cigna\n<\/p>\n<p>\n19.3 Unitedhealth Group\n<\/p>\n<p>\n<strong>20 Key Companies to Watch<\/strong>\n<\/p>\n<p>\n20.1 Humana Pharmacy Solutions\n<\/p>\n<p>\n20.2 Medimpact\n<\/p>\n<p>\n20.3 Prime Therapeutics\n<\/p>\n<p>\nFor more information about this report visit <a target=\"_blank\" href=\"https:\/\/www.researchandmarkets.com\/reports\/5591819\/pharmacy-benefit-management-market-in-the-us?utm_source=BW&amp;utm_medium=PressRelease&amp;utm_code=hfrpfm&amp;utm_campaign=1726876+-+United+States+Pharmacy+Benefit+Management+Market+Outlook+%26+Forecasts+Report+2022-2027+Featuring+Key+Companies+and+Future+Players+Such+as+Humana+Pharmacy+Solutions%2C+Medimpact%2C+%26+Prime+Therapeutics&amp;utm_exec=chdo54prd\" rel=\"nofollow noopener\" shape=\"rect\">https:\/\/www.researchandmarkets.com\/r\/q2xejs<\/a>\n<\/p>\n<p> <b>Contacts<\/b> <\/p>\n<p>\nResearchAndMarkets.com<br \/>\n<br \/>Laura Wood, Senior Press Manager<br \/>\n<br \/><a target=\"_blank\" href=\"&#x6d;a&#x69;&#108;&#x74;&#111;:&#x70;r&#x65;&#115;&#x73;&#64;r&#x65;&#115;&#x65;&#97;r&#x63;h&#x61;&#110;&#x64;&#109;a&#x72;k&#x65;&#116;&#x73;&#x2e;c&#x6f;&#109;\" rel=\"nofollow noopener\" shape=\"rect\">&#x70;&#x72;&#101;s&#x73;&#x40;&#114;&#101;s&#x65;&#x61;&#114;&#99;h&#x61;&#x6e;&#100;ma&#x72;&#x6b;&#101;t&#x73;&#x2e;&#99;&#111;m<\/a><br \/>For E.S.T Office Hours Call 1-917-300-0470<br \/>\n<br \/>For U.S.\/CAN Toll Free Call 1-800-526-8630<br \/>\n<br \/>For GMT Office Hours Call +353-1-416-8900\n<\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>DUBLIN&#8211;(BUSINESS WIRE)&#8211;The &#8220;Pharmacy Benefit Management Market in the US &#8211; Industry Outlook &amp; Forecast 2022-2027&#8221; report has been added to ResearchAndMarkets.com&#8217;s offering. The U.S. pharmacy benefit management market is expected to grow at a CAGR of 5.53% during 2022-2027 The study considers a detailed scenario of the present U.S. pharmacy benefit management market and its &#8230; <span class=\"more\"><a class=\"more-link\" href=\"https:\/\/pharma-trend.com\/en\/united-states-pharmacy-benefit-management-market-outlook-forecasts-report-2022-2027-featuring-key-companies-and-future-players-such-as-humana-pharmacy-solutions-medimpact-prime-therapeutics-re\/\">[Read more&#8230;]<\/a><\/span><\/p>\n","protected":false},"author":4,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[13],"tags":[],"class_list":{"0":"entry","1":"post","2":"publish","3":"author-business","4":"post-46233","6":"format-standard","7":"category-industry"},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>United States Pharmacy Benefit Management Market Outlook &amp; Forecasts Report 2022-2027 Featuring Key Companies and Future Players Such as Humana Pharmacy Solutions, Medimpact, &amp; Prime Therapeutics - ResearchAndMarkets.com - Pharma Trend<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/pharma-trend.com\/en\/united-states-pharmacy-benefit-management-market-outlook-forecasts-report-2022-2027-featuring-key-companies-and-future-players-such-as-humana-pharmacy-solutions-medimpact-prime-therapeutics-re\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"United States Pharmacy Benefit Management Market Outlook &amp; Forecasts Report 2022-2027 Featuring Key Companies and Future Players Such as Humana Pharmacy Solutions, Medimpact, &amp; Prime Therapeutics - ResearchAndMarkets.com - Pharma Trend\" \/>\n<meta property=\"og:description\" content=\"DUBLIN&#8211;(BUSINESS WIRE)&#8211;The &#8220;Pharmacy Benefit Management Market in the US &#8211; Industry Outlook &amp; Forecast 2022-2027&#8221; report has been added to ResearchAndMarkets.com&#8217;s offering. 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