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Pharmacy Benefit Management Market Overview 2006
Knowledge Source Inc., April 2006, Pages: 270


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The Pharmacy Benefit Management (PBM) industry has developed and grown in response to the increased utilization of pharmaceuticals, increased unit costs and broader application of prescription drugs to various conditions. These factors have combined to create a significant and recurring escalation in the cost of drug coverage offered by managed-care organizations, self-insured employers and TPAs. In order to understand, manage and mitigate these trends, many of these payor organizations have contracted for the specialized services offered by PBMs. Overall pharmacy expenditures in the United States are expected to be approximately $250 billion in 2006, an 11.5% increase over 2005. PBMs are responsible for implementing and administering benefit plans that seek to lower overall prescription spending by encouraging generic utilization, increasing the proportion of brand drugs dispensed from the preferred category and encouraging, where appropriate, non-prescription therapy and treatment alternatives. These objectives are accomplished through a combination of administrative, educational and technology initiatives directed towards pharmacies, physicians and members. Two recent developments -- transparency, and the increased pressure and awareness resulting from PBM investigations and lawsuits -- stand to change forever the manner in which PBMs conduct business, how the courts view PBMs, and how PBMs are able to influence consumer pharmaceutical use and pricing. These same developments have spurred the strong growth of small PBMs. The 2006 Pharmacy Benefit Management Market Overview, 270 pages in length, provides insight into the trends and issues affecting the PBM market. The Pharmacy Benefit Management Market Overview also identifies more than 50 of the leading market participants and provides a brief profile on each company, which includes (when available): the company background, strategy, products and services, financial and statistical information, and recent activities.


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