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Pharmacy Benefit Management (PBM)-Global Market Insights and Sales Trends 2025
Synopsis
The term pharmacy benefit management (PBM) industry refers to a group of companies that serve as the middlemen between insurance companies, pharmacies, and drug manufacturers. PBMs are responsible for securing lower drug costs for insurers and insurance companies. They accomplish this by negotiating with pharmacies and drug manufacturers. The discounts are then passed onto insurance companies. Profits are generated through the slight up-charging of drugs or retaining portions of rebates.
The global Pharmacy Benefit Management (PBM) market size is expected to reach US$ 683590 million by 2029, growing at a CAGR of 5.7% from 2023 to 2029. The market is mainly driven by the significant applications of Pharmacy Benefit Management (PBM) in various end use industries. The expanding demands from the Mail-order Pharmacy Services and Non-mail Pharmacy Services, are propelling Pharmacy Benefit Management (PBM) market. Government, one of the segments analysed in this report, is projected to record % CAGR and reach US$ million by the end of the analysis period. Growth in the Non-Government segment is estimated at % CAGR for the next seven-year period.
Three major PBMs maufacturters include Express Scripts, CVS Health, and OptumRx, which comprise 75% of the market.
America is enjoying the largest market share of pharmacy benefit management (PBM), with a market share nearly 97%. EU is the second place, enjoying market share nearly 2%.In terms of product, government is the largest segment, with a share over 70%. And in terms of application, the largest application is non-mail pharmacy services, followed by mail-order pharmacy services.
Report Objectives
This report provides market insight on the different segments, by players, by Type, by Application. Market size and forecast (2018-2029) has been provided in the report. The primary objectives of this report are to provide 1) global market size and forecasts, growth rates, market dynamics, industry structure and developments, market situation, trends; 2) global market share and ranking by company; 3) comprehensive presentation of the global market for Pharmacy Benefit Management (PBM), with both quantitative and qualitative analysis through detailed segmentation; 4) detailed value chain analysis and review of growth factors essential for the existing market players and new entrants; 5) emerging opportunities in the market and the future impact of major drivers and restraints of the market.
Key Features of The Study:
This report provides in-depth analysis of the global Pharmacy Benefit Management (PBM) market, and provides market size (US$ million) and CAGR for the forecast period (2023-2029), considering 2022 as the base year.
This report profiles key players in the global Pharmacy Benefit Management (PBM) market based on the following parameters - company details (found date, headquarters, manufacturing bases), products portfolio, Pharmacy Benefit Management (PBM) sales data, market share and ranking.
This report elucidates potential market opportunities across different segments and explains attractive investment proposition matrices for this market.
This report illustrates key insights about market drivers, restraints, opportunities, market trends, regional outlook.
Key companies of Pharmacy Benefit Management (PBM) covered in this report include CVS Health (CVS), Express Scripts, OptumRx (UnitedHealth), Humana Pharmacy Solutions, Prime Therapeutics, Medimpact Healthcare, Magellan Health, BC/BS and Vidalink, etc.
The global Pharmacy Benefit Management (PBM) market report caters to various stakeholders in this industry including investors, suppliers, product players, distributors, new entrants, and financial analysts.
Market Segmentation
Company Profiles:
CVS Health (CVS)
Express Scripts
OptumRx (UnitedHealth)
Humana Pharmacy Solutions
Prime Therapeutics
Medimpact Healthcare
Magellan Health
BC/BS
Vidalink
Sea Rainbow
Cachet
CRHMS
Global Pharmacy Benefit Management (PBM) market, by region:
North America (U.S., Canada, Mexico)
Europe (Germany, France, UK, Italy, etc.)
Asia Pacific (China, Japan, South Korea, Southeast Asia, India, etc.)
South America (Brazil, etc.)
Middle East and Africa (Turkey, GCC Countries, Africa, etc.)
Global Pharmacy Benefit Management (PBM) market, Segment by Type:
Government
Non-Government
Global Pharmacy Benefit Management (PBM) market, by Application
Mail-order Pharmacy Services
Non-mail Pharmacy Services
Core Chapters
Chapter One: Introduces the report scope of the report, executive summary of global and regional market size and CAGR for the history and forecast period (2018-2023, 2024-2029). It offers a high-level view of the current state of the market and its likely evolution in the short to mid-term, and long term.
Chapter Two: Provides the analysis of various market segments by Type, covering the market size and development potential of each market segment, to help readers find the blue ocean market in different market segments.
Chapter Three: Provides the analysis of various market segments by Application, covering the market size and development potential of each market segment, to help readers find the blue ocean market in different downstream markets.
Chapter Four: Detailed analysis of Pharmacy Benefit Management (PBM) companies’ competitive landscape, revenue, market share and ranking, latest development plan, merger, and acquisition information, etc.
Chapter Five: Provides profiles of key players, introducing the basic situation of the main companies in the market in detail, including product introduction, revenue, recent development, etc.
Chapter Six, Seven, Eight, Nine and Ten: North America, Europe, Asia Pacific, Latin America, Middle East & Africa, revenue by country.
Chapter Eleven: this section also introduces the market dynamics, latest developments of the market, the driving factors and restrictive factors of the market, the challenges and risks faced by companies in the industry, and the analysis of relevant policies in the industry.
Chapter Twelve: Research Finding/Conclusion
The term pharmacy benefit management (PBM) industry refers to a group of companies that serve as the middlemen between insurance companies, pharmacies, and drug manufacturers. PBMs are responsible for securing lower drug costs for insurers and insurance companies. They accomplish this by negotiating with pharmacies and drug manufacturers. The discounts are then passed onto insurance companies. Profits are generated through the slight up-charging of drugs or retaining portions of rebates.
The global Pharmacy Benefit Management (PBM) market size is expected to reach US$ 683590 million by 2029, growing at a CAGR of 5.7% from 2023 to 2029. The market is mainly driven by the significant applications of Pharmacy Benefit Management (PBM) in various end use industries. The expanding demands from the Mail-order Pharmacy Services and Non-mail Pharmacy Services, are propelling Pharmacy Benefit Management (PBM) market. Government, one of the segments analysed in this report, is projected to record % CAGR and reach US$ million by the end of the analysis period. Growth in the Non-Government segment is estimated at % CAGR for the next seven-year period.
Three major PBMs maufacturters include Express Scripts, CVS Health, and OptumRx, which comprise 75% of the market.
America is enjoying the largest market share of pharmacy benefit management (PBM), with a market share nearly 97%. EU is the second place, enjoying market share nearly 2%.In terms of product, government is the largest segment, with a share over 70%. And in terms of application, the largest application is non-mail pharmacy services, followed by mail-order pharmacy services.
Report Objectives
This report provides market insight on the different segments, by players, by Type, by Application. Market size and forecast (2018-2029) has been provided in the report. The primary objectives of this report are to provide 1) global market size and forecasts, growth rates, market dynamics, industry structure and developments, market situation, trends; 2) global market share and ranking by company; 3) comprehensive presentation of the global market for Pharmacy Benefit Management (PBM), with both quantitative and qualitative analysis through detailed segmentation; 4) detailed value chain analysis and review of growth factors essential for the existing market players and new entrants; 5) emerging opportunities in the market and the future impact of major drivers and restraints of the market.
Key Features of The Study:
This report provides in-depth analysis of the global Pharmacy Benefit Management (PBM) market, and provides market size (US$ million) and CAGR for the forecast period (2023-2029), considering 2022 as the base year.
This report profiles key players in the global Pharmacy Benefit Management (PBM) market based on the following parameters - company details (found date, headquarters, manufacturing bases), products portfolio, Pharmacy Benefit Management (PBM) sales data, market share and ranking.
This report elucidates potential market opportunities across different segments and explains attractive investment proposition matrices for this market.
This report illustrates key insights about market drivers, restraints, opportunities, market trends, regional outlook.
Key companies of Pharmacy Benefit Management (PBM) covered in this report include CVS Health (CVS), Express Scripts, OptumRx (UnitedHealth), Humana Pharmacy Solutions, Prime Therapeutics, Medimpact Healthcare, Magellan Health, BC/BS and Vidalink, etc.
The global Pharmacy Benefit Management (PBM) market report caters to various stakeholders in this industry including investors, suppliers, product players, distributors, new entrants, and financial analysts.
Market Segmentation
Company Profiles:
CVS Health (CVS)
Express Scripts
OptumRx (UnitedHealth)
Humana Pharmacy Solutions
Prime Therapeutics
Medimpact Healthcare
Magellan Health
BC/BS
Vidalink
Sea Rainbow
Cachet
CRHMS
Global Pharmacy Benefit Management (PBM) market, by region:
North America (U.S., Canada, Mexico)
Europe (Germany, France, UK, Italy, etc.)
Asia Pacific (China, Japan, South Korea, Southeast Asia, India, etc.)
South America (Brazil, etc.)
Middle East and Africa (Turkey, GCC Countries, Africa, etc.)
Global Pharmacy Benefit Management (PBM) market, Segment by Type:
Government
Non-Government
Global Pharmacy Benefit Management (PBM) market, by Application
Mail-order Pharmacy Services
Non-mail Pharmacy Services
Core Chapters
Chapter One: Introduces the report scope of the report, executive summary of global and regional market size and CAGR for the history and forecast period (2018-2023, 2024-2029). It offers a high-level view of the current state of the market and its likely evolution in the short to mid-term, and long term.
Chapter Two: Provides the analysis of various market segments by Type, covering the market size and development potential of each market segment, to help readers find the blue ocean market in different market segments.
Chapter Three: Provides the analysis of various market segments by Application, covering the market size and development potential of each market segment, to help readers find the blue ocean market in different downstream markets.
Chapter Four: Detailed analysis of Pharmacy Benefit Management (PBM) companies’ competitive landscape, revenue, market share and ranking, latest development plan, merger, and acquisition information, etc.
Chapter Five: Provides profiles of key players, introducing the basic situation of the main companies in the market in detail, including product introduction, revenue, recent development, etc.
Chapter Six, Seven, Eight, Nine and Ten: North America, Europe, Asia Pacific, Latin America, Middle East & Africa, revenue by country.
Chapter Eleven: this section also introduces the market dynamics, latest developments of the market, the driving factors and restrictive factors of the market, the challenges and risks faced by companies in the industry, and the analysis of relevant policies in the industry.
Chapter Twelve: Research Finding/Conclusion
Index1 Market Overview of Pharmacy Benefit Management (PBM)
1.1 Pharmacy Benefit Management (PBM) Market Overview
1.1.1 Pharmacy Benefit Management (PBM) Product Scope
1.1.2 Pharmacy Benefit Management (PBM) Market Status and Outlook
1.2 Global Pharmacy Benefit Management (PBM) Market Size Overview by Region 2018 VS 2022 VS 2029
1.3 Global Pharmacy Benefit Management (PBM) Market Size by Region (2018-2029)
1.4 Global Pharmacy Benefit Management (PBM) Historic Market Size by Region (2018-2023)
1.5 Global Pharmacy Benefit Management (PBM) Market Size Forecast by Region (2024-2029)
1.6 Key Regions, Pharmacy Benefit Management (PBM) Market Size (2018-2029)
1.6.1 North America Pharmacy Benefit Management (PBM) Market Size (2018-2029)
1.6.2 Europe Pharmacy Benefit Management (PBM) Market Size (2018-2029)
1.6.3 Asia-Pacific Pharmacy Benefit Management (PBM) Market Size (2018-2029)
1.6.4 Latin America Pharmacy Benefit Management (PBM) Market Size (2018-2029)
1.6.5 Middle East & Africa Pharmacy Benefit Management (PBM) Market Size (2018-2029)
2 Pharmacy Benefit Management (PBM) Market by Type
2.1 Introduction
2.1.1 Government
2.1.2 Non-Government
2.2 Global Pharmacy Benefit Management (PBM) Market Size by Type: 2018 VS 2022 VS 2029
2.2.1 Global Pharmacy Benefit Management (PBM) Historic Market Size by Type (2018-2023)
2.2.2 Global Pharmacy Benefit Management (PBM) Forecasted Market Size by Type (2024-2029)
2.3 Key Regions Market Size by Type
2.3.1 North America Pharmacy Benefit Management (PBM) Revenue Breakdown by Type (2018-2029)
2.3.2 Europe Pharmacy Benefit Management (PBM) Revenue Breakdown by Type (2018-2029)
2.3.3 Asia-Pacific Pharmacy Benefit Management (PBM) Revenue Breakdown by Type (2018-2029)
2.3.4 Latin America Pharmacy Benefit Management (PBM) Revenue Breakdown by Type (2018-2029)
2.3.5 Middle East and Africa Pharmacy Benefit Management (PBM) Revenue Breakdown by Type (2018-2029)
3 Pharmacy Benefit Management (PBM) Market Overview by Application
3.1 Introduction
3.1.1 Mail-order Pharmacy Services
3.1.2 Non-mail Pharmacy Services
3.2 Global Pharmacy Benefit Management (PBM) Market Size by Application: 2018 VS 2022 VS 2029
3.2.1 Global Pharmacy Benefit Management (PBM) Historic Market Size by Application (2018-2023)
3.2.2 Global Pharmacy Benefit Management (PBM) Forecasted Market Size by Application (2024-2029)
3.3 Key Regions Market Size by Application
3.3.1 North America Pharmacy Benefit Management (PBM) Revenue Breakdown by Application (2018-2029)
3.3.2 Europe Pharmacy Benefit Management (PBM) Revenue Breakdown by Application (2018-2029)
3.3.3 Asia-Pacific Pharmacy Benefit Management (PBM) Revenue Breakdown by Application (2018-2029)
3.3.4 Latin America Pharmacy Benefit Management (PBM) Revenue Breakdown by Application (2018-2029)
3.3.5 Middle East and Africa Pharmacy Benefit Management (PBM) Revenue Breakdown by Application (2018-2029)
4 Pharmacy Benefit Management (PBM) Competition Analysis by Players
4.1 Global Pharmacy Benefit Management (PBM) Market Size by Players (2018-2023)
4.2 Global Top Players by Company Type (Tier 1, Tier 2 and Tier 3) & (based on the Revenue in Pharmacy Benefit Management (PBM) as of 2022)
4.3 Date of Key Players Enter into Pharmacy Benefit Management (PBM) Market
4.4 Global Top Players Pharmacy Benefit Management (PBM) Headquarters and Area Served
4.5 Key Players Pharmacy Benefit Management (PBM) Product Solution and Service
4.6 Competitive Status
4.6.1 Pharmacy Benefit Management (PBM) Market Concentration Rate
4.6.2 Mergers & Acquisitions, Expansion Plans
5 Company (Top Players) Profiles
5.1 CVS Health (CVS)
5.1.1 CVS Health (CVS) Profile
5.1.2 CVS Health (CVS) Main Business
5.1.3 CVS Health (CVS) Pharmacy Benefit Management (PBM) Products, Services and Solutions
5.1.4 CVS Health (CVS) Pharmacy Benefit Management (PBM) Revenue (US$ Million) & (2018-2023)
5.1.5 CVS Health (CVS) Recent Developments
5.2 Express Scripts
5.2.1 Express Scripts Profile
5.2.2 Express Scripts Main Business
5.2.3 Express Scripts Pharmacy Benefit Management (PBM) Products, Services and Solutions
5.2.4 Express Scripts Pharmacy Benefit Management (PBM) Revenue (US$ Million) & (2018-2023)
5.2.5 Express Scripts Recent Developments
5.3 OptumRx (UnitedHealth)
5.3.1 OptumRx (UnitedHealth) Profile
5.3.2 OptumRx (UnitedHealth) Main Business
5.3.3 OptumRx (UnitedHealth) Pharmacy Benefit Management (PBM) Products, Services and Solutions
5.3.4 OptumRx (UnitedHealth) Pharmacy Benefit Management (PBM) Revenue (US$ Million) & (2018-2023)
5.3.5 Humana Pharmacy Solutions Recent Developments
5.4 Humana Pharmacy Solutions
5.4.1 Humana Pharmacy Solutions Profile
5.4.2 Humana Pharmacy Solutions Main Business
5.4.3 Humana Pharmacy Solutions Pharmacy Benefit Management (PBM) Products, Services and Solutions
5.4.4 Humana Pharmacy Solutions Pharmacy Benefit Management (PBM) Revenue (US$ Million) & (2018-2023)
5.4.5 Humana Pharmacy Solutions Recent Developments
5.5 Prime Therapeutics
5.5.1 Prime Therapeutics Profile
5.5.2 Prime Therapeutics Main Business
5.5.3 Prime Therapeutics Pharmacy Benefit Management (PBM) Products, Services and Solutions
5.5.4 Prime Therapeutics Pharmacy Benefit Management (PBM) Revenue (US$ Million) & (2018-2023)
5.5.5 Prime Therapeutics Recent Developments
5.6 Medimpact Healthcare
5.6.1 Medimpact Healthcare Profile
5.6.2 Medimpact Healthcare Main Business
5.6.3 Medimpact Healthcare Pharmacy Benefit Management (PBM) Products, Services and Solutions
5.6.4 Medimpact Healthcare Pharmacy Benefit Management (PBM) Revenue (US$ Million) & (2018-2023)
5.6.5 Medimpact Healthcare Recent Developments
5.7 Magellan Health
5.7.1 Magellan Health Profile
5.7.2 Magellan Health Main Business
5.7.3 Magellan Health Pharmacy Benefit Management (PBM) Products, Services and Solutions
5.7.4 Magellan Health Pharmacy Benefit Management (PBM) Revenue (US$ Million) & (2018-2023)
5.7.5 Magellan Health Recent Developments
5.8 BC/BS
5.8.1 BC/BS Profile
5.8.2 BC/BS Main Business
5.8.3 BC/BS Pharmacy Benefit Management (PBM) Products, Services and Solutions
5.8.4 BC/BS Pharmacy Benefit Management (PBM) Revenue (US$ Million) & (2018-2023)
5.8.5 BC/BS Recent Developments
5.9 Vidalink
5.9.1 Vidalink Profile
5.9.2 Vidalink Main Business
5.9.3 Vidalink Pharmacy Benefit Management (PBM) Products, Services and Solutions
5.9.4 Vidalink Pharmacy Benefit Management (PBM) Revenue (US$ Million) & (2018-2023)
5.9.5 Vidalink Recent Developments
5.10 Sea Rainbow
5.10.1 Sea Rainbow Profile
5.10.2 Sea Rainbow Main Business
5.10.3 Sea Rainbow Pharmacy Benefit Management (PBM) Products, Services and Solutions
5.10.4 Sea Rainbow Pharmacy Benefit Management (PBM) Revenue (US$ Million) & (2018-2023)
5.10.5 Sea Rainbow Recent Developments
5.11 Cachet
5.11.1 Cachet Profile
5.11.2 Cachet Main Business
5.11.3 Cachet Pharmacy Benefit Management (PBM) Products, Services and Solutions
5.11.4 Cachet Pharmacy Benefit Management (PBM) Revenue (US$ Million) & (2018-2023)
5.11.5 Cachet Recent Developments
5.12 CRHMS
5.12.1 CRHMS Profile
5.12.2 CRHMS Main Business
5.12.3 CRHMS Pharmacy Benefit Management (PBM) Products, Services and Solutions
5.12.4 CRHMS Pharmacy Benefit Management (PBM) Revenue (US$ Million) & (2018-2023)
5.12.5 CRHMS Recent Developments
6 North America
6.1 North America Pharmacy Benefit Management (PBM) Market Size by Country (2018-2029)
6.2 U.S.
6.3 Canada
7 Europe
7.1 Europe Pharmacy Benefit Management (PBM) Market Size by Country (2018-2029)
7.2 Germany
7.3 France
7.4 U.K.
7.5 Italy
7.6 Russia
7.7 Nordic Countries
7.8 Rest of Europe
8 Asia-Pacific
8.1 Asia-Pacific Pharmacy Benefit Management (PBM) Market Size by Region (2018-2029)
8.2 China
8.3 Japan
8.4 South Korea
8.5 Southeast Asia
8.6 India
8.7 Australia
8.8 Rest of Asia-Pacific
9 Latin America
9.1 Latin America Pharmacy Benefit Management (PBM) Market Size by Country (2018-2029)
9.2 Mexico
9.3 Brazil
9.4 Rest of Latin America
10 Middle East & Africa
10.1 Middle East & Africa Pharmacy Benefit Management (PBM) Market Size by Country (2018-2029)
10.2 Turkey
10.3 Saudi Arabia
10.4 UAE
10.5 Rest of Middle East & Africa
11 Pharmacy Benefit Management (PBM) Market Dynamics
11.1 Pharmacy Benefit Management (PBM) Industry Trends
11.2 Pharmacy Benefit Management (PBM) Market Drivers
11.3 Pharmacy Benefit Management (PBM) Market Challenges
11.4 Pharmacy Benefit Management (PBM) Market Restraints
12 Research Finding /Conclusion
13 Methodology and Data Source
13.1 Methodology/Research Approach
13.1.1 Research Programs/Design
13.1.2 Market Size Estimation
13.1.3 Market Breakdown and Data Triangulation
13.2 Data Source
13.2.1 Secondary Sources
13.2.2 Primary Sources
13.3 Disclaimer
13.4 Author List
Published By : QY Research
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