Pharmacy benefit managers - Statistics & Facts
Key insights
- Estimated global PBM market size in 2022
- 495bn USD
Detailed statistics
Pharmacy benefit management market size worldwide 2021-2029
- Combined market share of top 3 PBMs in the U.S. in 2022
- 79%
Detailed statistics
Market share of the largest pharmacy benefit manager by U.S. state 2022
- Number of Americans served by PBMS as of 2023
- 275m
Detailed statistics
Number of Americans served by PBMs by insurance type 2023
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Current statistics on this topic
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Overview
5
- Premium Statistic U.S. total medicine spending 2002-2022
- Basic Statistic Pharmacy benefit management market size worldwide 2021-2029
- Basic Statistic Distribution of Rx drug dollar retained among supply chain participants U.S. 2023
- Premium Statistic Number of Americans served by PBMs by insurance type 2023
- Basic Statistic Market access rebates and discounts for brand medicines by component U.S. 2013-2020
Overview
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Premium Statistic
U.S. total medicine spending 2002-2022
U.S. total medicine spending 2002-2022
Total nominal spending on medicines in the U.S. from 2002 to 2022 (in billion U.S. dollars)
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Basic Statistic
Pharmacy benefit management market size worldwide 2021-2029
Pharmacy benefit management market size worldwide 2021-2029
Size of the global pharmacy benefit management (PBM) market in 2021, 2022, and 2029 (in billion U.S. dollars)
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Basic Statistic
Distribution of Rx drug dollar retained among supply chain participants U.S. 2023
Distribution of Rx drug dollar retained among supply chain participants U.S. 2023
Share of Rx drug dollar retained by drug supply chain participants in the U.S. as of 2023
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Premium Statistic
Number of Americans served by PBMs by insurance type 2023
Number of Americans served by PBMs by insurance type 2023
Number of people in the U.S. served by Pharmacy Benefit Managers (PBMs) as of 2023, by insurance type (in millions)
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Basic Statistic
Market access rebates and discounts for brand medicines by component U.S. 2013-2020
Market access rebates and discounts for brand medicines by component U.S. 2013-2020
Market access rebates and discounts for brand medicines in the U.S. from 2013 to 2020, by component (in billion U.S. dollars)
Major players
5
- Premium Statistic U.S. prescription market: market share of pharmacy benefit managers 2022
- Basic Statistic CVS Health's revenue 2010-2023 by segment
- Premium Statistic Segment revenues of Cigna 2019-2023
- Premium Statistic Revenues generated by Optum 2013-2023 by business
- Basic Statistic Market share of the largest pharmacy benefit manager by U.S. state 2022
Major players
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Premium Statistic
U.S. prescription market: market share of pharmacy benefit managers 2022
U.S. prescription market: market share of pharmacy benefit managers 2022
Market share of the top pharmacy benefit managers in the U.S. prescription market in 2022
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Basic Statistic
CVS Health's revenue 2010-2023 by segment
CVS Health's revenue 2010-2023 by segment
CVS Health's revenue from 2010 to 2023, by segment (in billion U.S. dollars)
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Premium Statistic
Segment revenues of Cigna 2019-2023
Segment revenues of Cigna 2019-2023
Revenue of Cigna from 2019 to 2023, by segment (in million U.S. dollars)
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Premium Statistic
Revenues generated by Optum 2013-2023 by business
Revenues generated by Optum 2013-2023 by business
Revenues of UnitedHealth Group's Optum from 2013 to 2023, by business (in million U.S. dollars)
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Basic Statistic
Market share of the largest pharmacy benefit manager by U.S. state 2022
Market share of the largest pharmacy benefit manager by U.S. state 2022
Market share of the largest pharmacy benefit manager (PBM) in every U.S. state as of 2022
PBMs' view: savings
4
- Basic Statistic Amount saved by PBMs per person by payer U.S. 2022
- Basic Statistic Amount saved by PBMs annually per person by approach U.S. 2022
- Premium Statistic Average additional saving by PBMs in the U.S. by saving category 2023
- Premium Statistic Projected PBM savings in the U.S. 2023-2032, by payer
PBMs' view: savings
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Basic Statistic
Amount saved by PBMs per person by payer U.S. 2022
Amount saved by PBMs per person by payer U.S. 2022
Annual Pharmacy Benefit Manager (PBM) savings per person in 2022, by payer type (in U.S. dollars)
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Basic Statistic
Amount saved by PBMs annually per person by approach U.S. 2022
Amount saved by PBMs annually per person by approach U.S. 2022
Distribution of annual Pharmacy Benefit Manager (PBM) savings per person in 2022, by saving approach* (in U.S. dollars)
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Premium Statistic
Average additional saving by PBMs in the U.S. by saving category 2023
Average additional saving by PBMs in the U.S. by saving category 2023
Estimated average additional savings from Pharmacy Benefit Managers (PBMs) vs. limited use as of 2023, by saving category
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Premium Statistic
Projected PBM savings in the U.S. 2023-2032, by payer
Projected PBM savings in the U.S. 2023-2032, by payer
Projected savings due to Pharmacy Benefit Managers (PBMs) in the U.S. for the period 2023-2032, by payer (in million U.S. dollars)
External criticism: exclusions
4
- Basic Statistic Rx medicine exclusion from U.S. pharmacy formularies by company 2014-2022
- Basic Statistic Rx medicine exclusion from PBM formularies 2014-2022
- Basic Statistic Rx medicine exclusion growth rate from PBM formularies 2015-2022
- Premium Statistic Rx medicine exclusion from PBM formularies by therapy area 2014-2022
External criticism: exclusions
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Basic Statistic
Rx medicine exclusion from U.S. pharmacy formularies by company 2014-2022
Rx medicine exclusion from U.S. pharmacy formularies by company 2014-2022
Number of prescription medicines excluded from select U.S. pharmacy benefit manager (PBM) formularies from 2014 to 2022, by company
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Basic Statistic
Rx medicine exclusion from PBM formularies 2014-2022
Rx medicine exclusion from PBM formularies 2014-2022
Number of prescription medicines excluded from one or more pharmacy benefit manager (PBM) formulary from 2014 to 2022
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Basic Statistic
Rx medicine exclusion growth rate from PBM formularies 2015-2022
Rx medicine exclusion growth rate from PBM formularies 2015-2022
Growth rate of prescription medicines excluded from one or more pharmacy benefit manager (PBM) formulary from 2015 to 2022
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Premium Statistic
Rx medicine exclusion from PBM formularies by therapy area 2014-2022
Rx medicine exclusion from PBM formularies by therapy area 2014-2022
Number of prescription medicines excluded from one or more pharmacy benefit manager (PBM) formulary in 2014-2022, by therapy area
Public opinion
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Premium Statistic
Select concerns among Americans regarding pharmacy benefit managers 2023
Select concerns among Americans regarding pharmacy benefit managers 2023
Select concerns of U.S. adults regarding pharmacy benefit managers (PBMs) and their business practices as of 2023
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Basic Statistic
Americans' concerns regarding PBM overcharging by party affiliation 2023
Americans' concerns regarding PBM overcharging by party affiliation 2023
Level of concern among U.S. adults regarding pharmacy benefit managers' (PBMs) overcharging practices as of 2023, by party affiliation
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Basic Statistic
Concerns about middlemen holding medicines from patients by party affiliation 2023
Concerns about middlemen holding medicines from patients by party affiliation 2023
Level of concern among U.S. adults regarding the accountability of middlemen for keeping patients from medicines they need as of 2023, by party affiliation
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