Global Pharmacy Benefit Management Market 2017-2021

  • ID: 4436069
  • Report
  • Region: Global
  • 119 pages
  • TechNavio
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FEATURED COMPANIES

  • Aetna
  • China Jo-Jo Drugstore
  • DST Systems
  • Kaiser Permanente
  • MedImpact
  • Prime Therapeutics
  • MORE
About Pharmacy Benefit Management

PBMs are responsible for processing prescriptions and claims for people or corporations that wish to provide insurance to their employees. The primary role of a PBM is to keep drug prices in control. This is achieved by negotiating a fair price, which consumers can afford, and is mutually agreed upon by the pharmacy, the manufacturer, and the insurance company. The global pharmacy benefit management market is a key segment of the global healthcare market. PBMs mediate between the key stakeholders in the healthcare system. As a concept, pharmacy benefit management originated in the US and has been adopted across the globe.

The analysts forecast the global pharmacy benefit management market to grow at a CAGR of 6.14% during the period 2017-2021.

Covered in this report
The report covers the present scenario and the growth prospects of the global pharmacy benefit management market for 2017-2021. The report presents a detailed picture of the market by way of study, synthesis, and summation of data from multiple sources.

The market is divided into the following segments based on geography:
  • Americas
  • APAC
  • EMEA
The report, Global Pharmacy Benefit Management Market 2017-2021, has been prepared based on an in-depth market analysis with inputs from industry experts. The report covers the market landscape and its growth prospects over the coming years. The report also includes a discussion of the key vendors operating in this market.

Key vendors
  • Aetna
  • Cigna
  • CVS Health
  • Express Scripts
  • UnitedHealth
Other prominent vendors
  • Anthem
  • Centene
  • China Jo-Jo Drugstore
  • DST Systems
  • Humana
  • Kaiser Permanente
  • Magellan Health
  • McKesson
  • MedImpact
  • OmedaRx
  • Prime Rx Pharmacy
  • Prime Therapeutics
  • Rite Aid
  • RxSolutions
  • Vidalink
  • Walgreens Boots Alliance
Market drivers
  • Increasing global healthcare expenditure
  • For a full, detailed list, view the full report
Market challenges
  • Unclear revenue models
  • For a full, detailed list, view the full report
Market trends
  • Disruption of key M&A
  • For a full, detailed list, view the full report
Key questions answered in this report
  • What will the market size be in 2021 and what will the growth rate be?
  • What are the key market trends?
  • What is driving this market?
  • What are the challenges to market growth?
  • Who are thekey vendors in this market space?
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FEATURED COMPANIES

  • Aetna
  • China Jo-Jo Drugstore
  • DST Systems
  • Kaiser Permanente
  • MedImpact
  • Prime Therapeutics
  • MORE
PART 01: EXECUTIVE SUMMARY

PART 02: SCOPE OF THE REPORT

PART 03: RESEARCH METHODOLOGY

PART 04: MARKET LANDSCAPE
  • Market ecosystem
  • Market characteristics
  • Market segmentation analysis
PART 05: MARKET SIZING
  • Market definition
  • Market sizing 2016
  • Market size and forecast
PART 06: FIVE FORCES ANALYSIS
  • Bargaining power of buyers
  • Bargaining power of suppliers
  • Threat of new entrants
  • Threat of substitutes
  • Threat of rivalry
  • Market condition
PART 07: CUSTOMER LANDSCAPE

PART 08: SEGMENTATION BY TYPE OF SERVICE
  • Overview
  • Comparison by type of service
  • Retail/mail-order pharmacy
  • Specialty pharmacy
  • Preferred network pharmacy
  • Other
  • Market opportunity by type of service
PART 09: REGIONAL LANDSCAPE
  • Overview
  • Regional comparison
  • Americas
  • EMEA
  • APAC
  • Key leading countries
  • Market opportunity
PART 10: DECISION FRAMEWORK

PART 11: DRIVERS AND CHALLENGES
  • Market drivers
  • Market challenges
PART 12: MARKET TRENDS
  • Shift toward multi-tier prescription drug formulary
  • Disruption of key M&A
  • Growing focus on promotional activities
PART 13: VENDOR LANDSCAPE
  • Competitive scenario
PART 14: VENDOR ANALYSIS
  • Vendors covered
  • Vendor classification
  • Market positioning of vendors
  • Aetna
  • Cigna
  • CVS Health
  • Express Scripts
  • UnitedHealth
  • Other prominent vendors
PART 15: APPENDIX
  • List of abbreviations
List of Exhibits
Exhibit 01: Related market
Exhibit 02: Role of PBMs
Exhibit 03: Market characteristics
Exhibit 04: Market segments
Exhibit 05: Market definition: Inclusions and exclusions checklist
Exhibit 06: Market size 2016
Exhibit 07: Validation techniques employed for market sizing 2016
Exhibit 08: Global pharmacy benefit management market 2016-2021 ($ billions)
Exhibit 09: Global pharmacy benefit management market: Year-over-year growth 2017-2021 (%)
Exhibit 10: Five forces analysis 2016
Exhibit 11: Five forces analysis 2021
Exhibit 12: Bargaining power of buyers
Exhibit 13: Bargaining power of suppliers
Exhibit 14: Threat of new entrants
Exhibit 15: Threat of substitutes
Exhibit 16: Threat of rivalry
Exhibit 17: Market condition - Five forces 2016
Exhibit 18: Market condition: Five forces 2021
Exhibit 19: Customer landscape
Exhibit 20: Global pharmacy benefit management market: Segmentation by type of service 2016-2021 (% share)
Exhibit 21: Comparison by type of service
Exhibit 22: Global pharmacy benefit management market by retail/mail-order pharmacy 2016-2021 ($ millions)
Exhibit 23: Global pharmacy benefit management market by retail/mail-order pharmacy: Year-over-year growth 2017-2021 (%)
Exhibit 24: Global pharmacy benefit management market by specialty pharmacy 2016-2021 ($ millions)
Exhibit 25: Global pharmacy benefit management market by specialty pharmacy: Year-over-year growth 2017-2021 (%)
Exhibit 26: Global pharmacy benefit management market by preferred network pharmacy 2016-2021 ($ millions)
Exhibit 27: Global pharmacy benefit management market by preferred network pharmacy: Year-over-year growth 2017-2021 (%)
Exhibit 28: Global pharmacy benefit management market by other 2016-2021 ($ millions)
Exhibit 29: Global pharmacy benefit management market by other: Year-over-year growth 2017-2021 (%)
Exhibit 30: Market opportunity by type of service
Exhibit 31: Global pharmacy benefit management market: Segmentation by geography 2016-2021 (% share)
Exhibit 32: Regional comparison
Exhibit 33: Pharmacy benefit management market in Americas 2016-2021 ($ billions)
Exhibit 34: Pharmacy benefit management market in Americas: Year-over-year growth 2017-2021 (%)
Exhibit 35: Pharmacy benefit management market in EMEA 2016-2021 ($ billions)
Exhibit 36: Pharmacy benefit management market in EMEA: Year-over-year growth 2017-2021 (%)
Exhibit 37: Pharmacy benefit management market in APAC 2016-2021 ($ billions)
Exhibit 38: Pharmacy benefit management market in APAC: Year-over-year growth 2017-2021 (%)
Exhibit 39: Key leading countries
Exhibit 40: Growth of global geriatric population 2010-2016 (%)
Exhibit 41: List of products and services offered by Express Scripts exclusively for geriatric population
Exhibit 42: Global healthcare expenditure per capita 2008-2014 (in US$)
Exhibit 43: Key strategies employed by vendors to enhance adoption of specialty drugs
Exhibit 44: Percentage distribution of various types of formularies in 2008 and 2014
Exhibit 45: Proposed key mergers in pharmacy benefit management market and events that led to their termination
Exhibit 46: Digital reach of key vendors
Exhibit 47: Key growth strategies employed by leading vendors
Exhibit 48: Vendor classification
Exhibit 49: Market positioning of vendors
Exhibit 50: Aetna: Overview
Exhibit 51: Aetna: Business segments
Exhibit 52: Aetna: Organizational developments
Exhibit 53: Aetna: Geographical focus
Exhibit 54: Aetna: Segment focus
Exhibit 55: Aetna: Key offerings
Exhibit 56: Cigna: Overview
Exhibit 57: Cigna: Business segments
Exhibit 58: Cigna: Organizational developments
Exhibit 59: Cigna: Geographical focus
Exhibit 60: Cigna: Segment focus
Exhibit 61: Cigna: Key offerings
Exhibit 62: CVS Health overview
Exhibit 63: CVS Health: Business segments
Exhibit 64: CVS Health: Organizational developments
Exhibit 65: CVS Health: Geographical focus
Exhibit 66: CVS Health: Segment focus
Exhibit 67: CVS Health: Key offerings
Exhibit 68: Express Scripts: Overview
Exhibit 69: Express Scripts: Business segments
Exhibit 70: Express Scripts: Organizational developments
Exhibit 71: Express Scripts: Geographical focus
Exhibit 72: Express Scripts: Segment focus
Exhibit 73: Express Scripts: Key offerings
Exhibit 74: UnitedHealth: Overview
Exhibit 75: UnitedHealth: Business segments
Exhibit 76: UnitedHealth: Organizational developments
Exhibit 77: UnitedHealth: Geographical focus
Exhibit 78: UnitedHealth: Segment focus
Exhibit 79: UnitedHealth: Key offerings
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FEATURED COMPANIES

  • Aetna
  • China Jo-Jo Drugstore
  • DST Systems
  • Kaiser Permanente
  • MedImpact
  • Prime Therapeutics
  • MORE
New Report Released: – Global Pharmacy Benefit Management Market 2017-2021

The author of the report recognizes the following companies as the key players in the global pharmacy benefit management market: Aetna, Cigna, CVS Health, Express Scripts, and UnitedHealth.

Other Prominent Vendors in the market are: Anthem, Centene, China Jo-Jo Drugstore, DST Systems, Humana, Kaiser Permanente, Magellan Health, McKesson, MedImpact, OmedaRx, Prime Rx Pharmacy, Prime Therapeutics, Rite Aid, RxSolutions, Vidalink, and Walgreens Boots Alliance.

Commenting on the report, an analyst from the research team said: “One trend in the market is disruption of key M&A. The market is heavily reliant on key M&A as they can determine whether a new combined entity will emerge and threaten to occupy the larger market share. Key mergers between two mid-sized companies could also propel them to form a combined entity, which would command a greater market share.”

According to the report, one driver in the market is increasing global healthcare expenditure. The growing prevalence of generic and chronic diseases and low co-payment or co-insurance costs have resulted in the increase in healthcare expenditures across the world. Healthcare expenditure is the measure of the overall amount spent on healthcare products and services. This also includes personal healthcare such as rehabilitative care, long-term care, and ancillary services. Healthcare is financed through a mix of financing arrangements including government spending and compulsory health insurance as well as voluntary health insurance and private funds such as households’ out-of-pocket payments and private corporations.

Further, the report states that one challenge in the market is unclear revenue models. Pharmacy benefit management companies have faced criticism with regards to their revenue models and how they disclose limited information about their revenue sources. The lack of a global regulatory body has been cited in federal courts and senate meetings in the US as the root cause of unfair business practices being prevalent in the market. It has been alleged that the market lacks three essential elements that define a competitive market. They are transparency, choice, and lack of conflicts of interest. These aspects individually or in combination have prevailed in the market and have given rise to PBMs engaging in anticompetitive, deceptive, and fraudulent conduct.

The study was conducted using an objective combination of primary and secondary information including inputs from key participants in the industry. The report contains a comprehensive market and vendor landscape in addition to a SWOT analysis of the key vendors.
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  • Aetna
  • Cigna
  • CVS Health
  • Express Scripts
  • UnitedHealth
  • Anthem
  • Centene
  • China Jo-Jo Drugstore
  • DST Systems
  • Humana
  • Kaiser Permanente
  • Magellan Health
  • McKesson
  • MedImpact
  • OmedaRx
  • Prime Rx Pharmacy
  • Prime Therapeutics
  • Rite Aid
  • RxSolutions
  • Vidalink
  • Walgreens Boots Alliance
Note: Product cover images may vary from those shown
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Note: Product cover images may vary from those shown
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