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Pharmacy Benefit Management Market Size, Trends, Analysis, and Outlook By Service (Specialty Pharmacy Services, Mail Order Service, Drug Formulary Management, Benefit Plan Design and Consultation, Others), By Business model (Government Health Programs, Health Insurance Management, Employer-sponsored Programs), By End-User (Pharmacy Benefit Management Organization, Retail Pharmacies, Inpatient Pharmacies, Online), by Country, Segment, and Companies, 2024-2032

April 2024 | 205 pages | ID: P30C12F0B850EN
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The global Pharmacy Benefit Management market size is poised to register 6.3% growth from 2024 to 2032, presenting significant growth prospects for companies operating in the industry. The industry study analyzes the global Pharmacy Benefit Management market across By Service (Specialty Pharmacy Services, Mail Order Service, Drug Formulary Management, Benefit Plan Design and Consultation, Others), By Business model (Government Health Programs, Health Insurance Management, Employer-sponsored Programs), By End-User (Pharmacy Benefit Management Organization, Retail Pharmacies, Inpatient Pharmacies, Online)

The pharmacy benefit management (PBM) market is witnessing rapid growth due to the increasing complexity of healthcare benefits, rising prescription drug costs, and demand for cost containment strategies in healthcare payer organizations, employers, and government agencies, as well as advancements in PBM services, formulary management, and medication adherence programs that optimize drug utilization, enhance clinical outcomes, and improve financial performance for healthcare stakeholders while ensuring access to affordable, high-quality medications for patients. With innovations in PBM technology platforms, data analytics, and value-based contracting models, there is an opportunity for PBM companies and managed care organizations to offer integrated solutions that address the evolving needs and preferences of payers, providers, and patients, from pharmacy network management and prior authorization to specialty pharmacy services and medication therapy management, while promoting transparency, accountability, and value-based care in pharmacy benefit management practices. Further, the integration of telepharmacy services, digital health solutions, and population health management tools is expected to drive further market growth and facilitate the delivery of patient-centered pharmacy services and personalized medication management programs in today's dynamic healthcare landscape.

Pharmacy Benefit Management Market Drivers, Trends, Opportunities, and Growth Opportunities

This comprehensive study discusses the latest trends and the most pressing challenges for industry players and investors. The Pharmacy Benefit Management market research analyses the global market trends, key drivers, challenges, and opportunities in the industry. In addition, the latest Future of Pharmacy Benefit Management survey report provides the market size outlook across types, applications, and other segments across the world and regions. It provides data-driven insights and actionable recommendations for companies in the Pharmacy Benefit Management industry.

Key market trends defining the global Pharmacy Benefit Management demand in 2024 and Beyond

The industry continues to remain an attractive hub for opportunities for both domestic and global vendors. As the market evolves, factors such as emerging market dynamics, demand from end-user sectors, a growing patient base, changes in consumption patterns, and widening distribution channels continue to play a major role.

Pharmacy Benefit Management Market Segmentation- Industry Share, Market Size, and Outlook to 2032

The Pharmacy Benefit Management industry comprises a wide range of segments and sub-segments. The rising demand for these product types and applications is supporting companies to increase their investment levels across niche segments. Accordingly, leading companies plan to generate a large share of their future revenue growth from expansion into these niche segments. The report presents the market size outlook across segments to support Pharmacy Benefit Management companies scaling up production in these sub-segments with a focus on expanding into emerging countries.

Key strategies adopted by companies within the Pharmacy Benefit Management industry

Leading Pharmacy Benefit Management companies are boosting investments to capitalize on untapped potential and future possibilities across niche market segments and surging demand conditions in key regions. Further, companies are leveraging advanced technologies to unlock opportunities and achieve operational excellence. The report provides key strategies opted for by the top 10 Pharmacy Benefit Management companies.

Pharmacy Benefit Management Market Study- Strategic Analysis Review

The Pharmacy Benefit Management market research report dives deep into the qualitative factors shaping the market, empowering you to make informed decisions-
  • Industry Dynamics: Porter's Five Forces analysis to understand bargaining power, competitive rivalry, and threats that impact long-term strategy formulation.
  • Strategic Insights: Provides valuable perspectives on key players and their approaches based on comprehensive strategy analysis.
  • Internal Strengths and Weaknesses: Develop targeted strategies to leverage strengths, address weaknesses, and capitalize on market opportunities.
  • Future Possibilities: Prepare for diverse outcomes with in-depth scenario analysis. Explore potential market disruptions, technology advancements, and economic changes.
Pharmacy Benefit Management Market Size Outlook- Historic and Forecast Revenue in Three Cases

The Pharmacy Benefit Management industry report provides a detailed analysis and outlook of revenue generated by companies from 2018 to 2023. Further, with actual data for 2023, the report forecasts the market size outlook from 2024 to 2032 in three case scenarios- low case, reference case, and high case scenarios.

Pharmacy Benefit Management Country Analysis and Revenue Outlook to 2032

The report analyses 22 countries worldwide including the key driving forces and market size outlook from 2021 to 2032. In addition, region analysis across Asia Pacific, Europe, the Middle East, Africa, North America, and South America is included in the study. For each of the six regions, the market size outlook by segments is forecast for 2032.

North America Pharmacy Benefit Management Market Size Outlook- Companies plan for focused investments in a changing environment

The US continues to remain the market leader in North America, driven by a large consumer base, the presence of well-established providers, and a strong healthcare infrastructure. Leading companies focus on new product launches in the changing environment. The US healthcare expenditure is expected to grow to $4.8 trillion in 2024 (around 3.7% growth in 2024), potentially driving demand for various Pharmacy Benefit Management market segments. Similarly, Strong market demand is encouraging Canadian Pharmacy Benefit Management companies to invest in niche segments. Further, as Mexico continues to strengthen its relations and invest in technological advancements, the Mexico Pharmacy Benefit Management market is expected to experience significant expansion, offering lucrative opportunities for both domestic and international stakeholders.

Europe Pharmacy Benefit Management Market Size Outlook-Companies investing in assessing consumers, categories, competitors, and capabilities

The German industry remains the major market for companies in the European Pharmacy Benefit Management industry with consumers in Germany, France, the UK, Spain, Italy, and others anticipated to register a steady demand throughout the forecast period, driving the overall market prospects. In addition, the proactive approach of vendors in identifying and leveraging new growth prospects positions the European Pharmacy Benefit Management market for an upward trajectory, fostering both domestic and international interest. Leading brands operating in the industry are emphasizing effective marketing strategies, innovative product offerings, and a keen understanding of consumer preferences.

Asia Pacific Pharmacy Benefit Management Market Size Outlook- an attractive hub for opportunities for both local and global companies

The increasing prevalence of indications, robust healthcare expenditure, and increasing investments in healthcare infrastructure drive the demand for Pharmacy Benefit Management in Asia Pacific. In particular, China, India, and South East Asian Pharmacy Benefit Management markets present a compelling outlook for 2032, acting as a magnet for both domestic and multinational vendors seeking growth opportunities. Similarly, with a burgeoning population and a rising middle class, India offers a vast consumer market. Japanese and Korean companies are quickly aligning their strategies to navigate changes, explore new markets, and enhance their competitive edge. Our report utilizes in-depth interviews with industry experts and comprehensive data analysis to provide a comprehensive outlook of 6 major countries in the APAC region.

Latin America Pharmacy Benefit Management Market Size Outlook- Continued urbanization and rising income levels

Rising income levels contribute to greater purchasing power among consumers, spurring consumption and creating opportunities for market expansion. Continued urbanization and rising income levels are expected to sustainably drive consumption growth in the medium to long term.

Middle East and Africa Pharmacy Benefit Management Market Size Outlook- continues its upward trajectory across segments

Robust demand from Middle Eastern countries including Saudi Arabia, the UAE, Qatar, Kuwait, and other GCC countries supports the overall Middle East Pharmacy Benefit Management market potential. Fueled by increasing healthcare expenditure of individuals, growing population, and high prevalence across a few markets drives the demand for Pharmacy Benefit Management.

Pharmacy Benefit Management Market Company Profiles

The global Pharmacy Benefit Management market is characterized by intense competitive conditions with leading companies opting for aggressive marketing to gain market shares. The report presents business descriptions, SWOT analysis, growth strategies, and financial profiles. Leading companies included in the study are Abarca Health LLC, Anthem Inc, Benecard Services LLC, CaptureRx, Centene Corp, Change Healthcare Inc, Cigna Corp, CVS Health Corp, Elixir Rx Solutions LLC, Express Scripts Holding Company, Optum Inc, ProCare Rx, SS&C Technologies Holdings Inc.

Recent Pharmacy Benefit Management Market Developments

The global Pharmacy Benefit Management market study presents recent market news and developments including new product launches, mergers, acquisitions, expansions, product approvals, and other updates in the industry.

Pharmacy Benefit Management Market Report Scope

Parameters: Revenue, Volume Price

Study Period: 2023 (Base Year); 2018- 2023 (Historic Period); 2024- 2032 (Forecast Period)

Currency: USD; (Upon request, can be provided in Euro, JPY, GBP, and other Local Currency)

Qualitative Analysis
  • Pricing Analysis
  • Value Chain Analysis
  • SWOT Profile
  • Market Dynamics- Trends, Drivers, Challenges
  • Porter’s Five Forces Analysis
  • Macroeconomic Impact Analysis
  • Case Scenarios- Low, Base, High
Market Segmentation:

By Service

Specialty Pharmacy Services

Mail Order Service

Drug Formulary Management

Benefit Plan Design and Consultation

Others

By Business model

Government Health Programs

Health Insurance Management

Employer-sponsored Programs

By End-User

Pharmacy Benefit Management Organization

Retail Pharmacies

Inpatient Pharmacies

Online

Geographical Segmentation:
  • North America (3 markets)
  • Europe (6 markets)
  • Asia Pacific (6 markets)
  • Latin America (3 markets)
  • Middle East Africa (5 markets)
Companies

Abarca Health LLC

Anthem Inc

Benecard Services LLC

CaptureRx

Centene Corp

Change Healthcare Inc

Cigna Corp

CVS Health Corp

Elixir Rx Solutions LLC

Express Scripts Holding Company

Optum Inc

ProCare Rx

SS&C Technologies Holdings Inc

Formats Available: Excel, PDF, and PPT
1. EXECUTIVE SUMMARY

1.1 Pharmacy Benefit Management Market Overview and Key Findings, 2024
1.2 Pharmacy Benefit Management Market Size and Growth Outlook, 2021- 2030
1.3 Pharmacy Benefit Management Market Growth Opportunities to 2030
1.4 Key Pharmacy Benefit Management Market Trends and Challenges
  1.4.1 Pharmacy Benefit Management Market Drivers and Trends
  1.4.2 Pharmacy Benefit Management Market Challenges
1.5 Competitive Landscape and Key Players
1.6 Competitive Analysis- Growth Strategies Adopted by Leading Pharmacy Benefit Management Companies

2. PHARMACY BENEFIT MANAGEMENT MARKET SIZE OUTLOOK TO 2030

2.1 Pharmacy Benefit Management Market Size Outlook, USD Million, 2021- 2030
2.2 Pharmacy Benefit Management Incremental Market Growth Outlook, %, 2021- 2030
2.3 Segment Snapshot, 2024

3. PHARMACY BENEFIT MANAGEMENT MARKET- STRATEGIC ANALYSIS REVIEW

3.1 Porter's Five Forces Analysis
* Threat of New Entrants
* Threat of Substitutes
* Intensity of Competitive Rivalry
* Bargaining Power of Buyers
* Bargaining Power of Suppliers
3.2 Value Chain Analysis
3.3 SWOT Analysis

4. PHARMACY BENEFIT MANAGEMENT MARKET SEGMENTATION ANALYSIS AND OUTLOOK

4.1 Market Segmentation and Scope
4.2 Market Breakdown by Type, Application, and Other Segments, 2021-2030
By Service
Specialty Pharmacy Services
Mail Order Service
Drug Formulary Management
Benefit Plan Design and Consultation
Others
By Business model
Government Health Programs
Health Insurance Management
Employer-sponsored Programs
By End-User
Pharmacy Benefit Management Organization
Retail Pharmacies
Inpatient Pharmacies
Online
4.3 Growth Prospects and Niche Opportunities, 2023- 2030
4.4 Regional comparison of Market Growth, CAGR, 2023-2030

5. REGION-WISE MARKET OUTLOOK TO 2030

5.1 Key Findings for Asia Pacific Pharmacy Benefit Management Market, 2025
5.2 Asia Pacific Pharmacy Benefit Management Market Size Outlook by Type, 2021- 2030
5.3 Asia Pacific Pharmacy Benefit Management Market Size Outlook by Application, 2021- 2030
5.4 Key Findings for Europe Pharmacy Benefit Management Market, 2025
5.5 Europe Pharmacy Benefit Management Market Size Outlook by Type, 2021- 2030
5.6 Europe Pharmacy Benefit Management Market Size Outlook by Application, 2021- 2030
5.7 Key Findings for North America Pharmacy Benefit Management Market, 2025
5.8 North America Pharmacy Benefit Management Market Size Outlook by Type, 2021- 2030
5.9 North America Pharmacy Benefit Management Market Size Outlook by Application, 2021- 2030
5.10 Key Findings for South America Pharmacy Benefit Management Market, 2025
5.11 South America Pacific Pharmacy Benefit Management Market Size Outlook by Type, 2021- 2030
5.12 South America Pharmacy Benefit Management Market Size Outlook by Application, 2021- 2030
5.13 Key Findings for Middle East and Africa Pharmacy Benefit Management Market, 2025
5.14 Middle East Africa Pharmacy Benefit Management Market Size Outlook by Type, 2021- 2030
5.15 Middle East Africa Pharmacy Benefit Management Market Size Outlook by Application, 2021- 2030

6. COUNTRY-WISE MARKET SIZE OUTLOOK TO 2030

6.1 US Pharmacy Benefit Management Market Size Outlook and Revenue Growth Forecasts
6.2 US Pharmacy Benefit Management Industry Drivers and Opportunities
6.3 Canada Market Size Outlook and Revenue Growth Forecasts
6.4 Canada Pharmacy Benefit Management Industry Drivers and Opportunities
6.6 Mexico Market Size Outlook and Revenue Growth Forecasts
6.6 Mexico Pharmacy Benefit Management Industry Drivers and Opportunities
6.7 Germany Market Size Outlook and Revenue Growth Forecasts
6.8 Germany Pharmacy Benefit Management Industry Drivers and Opportunities
6.9 France Market Size Outlook and Revenue Growth Forecasts
6.10 France Pharmacy Benefit Management Industry Drivers and Opportunities
6.11 UK Market Size Outlook and Revenue Growth Forecasts
6.12 UK Pharmacy Benefit Management Industry Drivers and Opportunities
6.13 Spain Market Size Outlook and Revenue Growth Forecasts
6.14 Spain Pharmacy Benefit Management Industry Drivers and Opportunities
6.16 Italy Market Size Outlook and Revenue Growth Forecasts
6.16 Italy Pharmacy Benefit Management Industry Drivers and Opportunities
6.17 Rest of Europe Market Size Outlook and Revenue Growth Forecasts
6.18 Rest of Europe Pharmacy Benefit Management Industry Drivers and Opportunities
6.19 China Market Size Outlook and Revenue Growth Forecasts
6.20 China Pharmacy Benefit Management Industry Drivers and Opportunities
6.21 India Market Size Outlook and Revenue Growth Forecasts
6.22 India Pharmacy Benefit Management Industry Drivers and Opportunities
6.23 Japan Market Size Outlook and Revenue Growth Forecasts
6.24 Japan Pharmacy Benefit Management Industry Drivers and Opportunities
6.26 South Korea Market Size Outlook and Revenue Growth Forecasts
6.26 South Korea Pharmacy Benefit Management Industry Drivers and Opportunities
6.27 Australia Market Size Outlook and Revenue Growth Forecasts
6.28 Australia Pharmacy Benefit Management Industry Drivers and Opportunities
6.29 South East Asia Market Size Outlook and Revenue Growth Forecasts
6.30 South East Asia Pharmacy Benefit Management Industry Drivers and Opportunities
6.31 Rest of Asia Pacific Market Size Outlook and Revenue Growth Forecasts
6.32 Rest of Asia Pacific Pharmacy Benefit Management Industry Drivers and Opportunities
6.33 Brazil Market Size Outlook and Revenue Growth Forecasts
6.34 Brazil Pharmacy Benefit Management Industry Drivers and Opportunities
6.36 Argentina Market Size Outlook and Revenue Growth Forecasts
6.36 Argentina Pharmacy Benefit Management Industry Drivers and Opportunities
6.37 Rest of South America Market Size Outlook and Revenue Growth Forecasts
6.38 Rest of South America Pharmacy Benefit Management Industry Drivers and Opportunities
6.39 Middle East Market Size Outlook and Revenue Growth Forecasts
6.40 Middle East Pharmacy Benefit Management Industry Drivers and Opportunities
6.41 Africa Market Size Outlook and Revenue Growth Forecasts
6.42 Africa Pharmacy Benefit Management Industry Drivers and Opportunities

7. PHARMACY BENEFIT MANAGEMENT MARKET OUTLOOK ACROSS SCENARIOS

7.1 Low Growth Case
7.2 Reference Growth Case
7.3 High Growth Case

8. PHARMACY BENEFIT MANAGEMENT COMPANY PROFILES

8.1 Profiles of Leading Pharmacy Benefit Management Companies in the Market
8.2 Business Descriptions, SWOT Analysis, and Growth Strategies
8.3 Financial Performance and Key Metrics
Abarca Health LLC
Anthem Inc
Benecard Services LLC
CaptureRx
Centene Corp
Change Healthcare Inc
Cigna Corp
CVS Health Corp
Elixir Rx Solutions LLC
Express Scripts Holding Company
Optum Inc
ProCare Rx
SS&C Technologies Holdings Inc.

9. APPENDIX

9.1 Scope of the Report
9.2 Research Methodology and Data Sources
9.3 Glossary of Terms
9.4 Market Definitions
9.5 Contact Information


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