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Global Pharmacy Benefit Management (PBM) Market 2025 by Company, Regions, Type and Application, Forecast to 2031

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1 Market Overview

  • 1.1 Product Overview and Scope
  • 1.2 Market Estimation Caveats and Base Year
  • 1.3 Classification of Pharmacy Benefit Management (PBM) by Type
    • 1.3.1 Overview: Global Pharmacy Benefit Management (PBM) Market Size by Type: 2020 Versus 2024 Versus 2031
    • 1.3.2 Global Pharmacy Benefit Management (PBM) Consumption Value Market Share by Type in 2024
    • 1.3.3 Government
    • 1.3.4 Non-Government
  • 1.4 Global Pharmacy Benefit Management (PBM) Market by Application
    • 1.4.1 Overview: Global Pharmacy Benefit Management (PBM) Market Size by Application: 2020 Versus 2024 Versus 2031
    • 1.4.2 Mail-order Pharmacy Services
    • 1.4.3 Non-mail Pharmacy Services
  • 1.5 Global Pharmacy Benefit Management (PBM) Market Size & Forecast
  • 1.6 Global Pharmacy Benefit Management (PBM) Market Size and Forecast by Region
    • 1.6.1 Global Pharmacy Benefit Management (PBM) Market Size by Region: 2020 VS 2024 VS 2031
    • 1.6.2 Global Pharmacy Benefit Management (PBM) Market Size by Region, (2020-2031)
    • 1.6.3 North America Pharmacy Benefit Management (PBM) Market Size and Prospect (2020-2031)
    • 1.6.4 Europe Pharmacy Benefit Management (PBM) Market Size and Prospect (2020-2031)
    • 1.6.5 Asia-Pacific Pharmacy Benefit Management (PBM) Market Size and Prospect (2020-2031)
    • 1.6.6 South America Pharmacy Benefit Management (PBM) Market Size and Prospect (2020-2031)
    • 1.6.7 Middle East & Africa Pharmacy Benefit Management (PBM) Market Size and Prospect (2020-2031)

2 Company Profiles

  • 2.1 CVS Health (CVS)
    • 2.1.1 CVS Health (CVS) Details
    • 2.1.2 CVS Health (CVS) Major Business
    • 2.1.3 CVS Health (CVS) Pharmacy Benefit Management (PBM) Product and Solutions
    • 2.1.4 CVS Health (CVS) Pharmacy Benefit Management (PBM) Revenue, Gross Margin and Market Share (2020-2025)
    • 2.1.5 CVS Health (CVS) Recent Developments and Future Plans
  • 2.2 Express Scripts
    • 2.2.1 Express Scripts Details
    • 2.2.2 Express Scripts Major Business
    • 2.2.3 Express Scripts Pharmacy Benefit Management (PBM) Product and Solutions
    • 2.2.4 Express Scripts Pharmacy Benefit Management (PBM) Revenue, Gross Margin and Market Share (2020-2025)
    • 2.2.5 Express Scripts Recent Developments and Future Plans
  • 2.3 OptumRx (UnitedHealth)
    • 2.3.1 OptumRx (UnitedHealth) Details
    • 2.3.2 OptumRx (UnitedHealth) Major Business
    • 2.3.3 OptumRx (UnitedHealth) Pharmacy Benefit Management (PBM) Product and Solutions
    • 2.3.4 OptumRx (UnitedHealth) Pharmacy Benefit Management (PBM) Revenue, Gross Margin and Market Share (2020-2025)
    • 2.3.5 OptumRx (UnitedHealth) Recent Developments and Future Plans
  • 2.4 Humana Pharmacy Solutions
    • 2.4.1 Humana Pharmacy Solutions Details
    • 2.4.2 Humana Pharmacy Solutions Major Business
    • 2.4.3 Humana Pharmacy Solutions Pharmacy Benefit Management (PBM) Product and Solutions
    • 2.4.4 Humana Pharmacy Solutions Pharmacy Benefit Management (PBM) Revenue, Gross Margin and Market Share (2020-2025)
    • 2.4.5 Humana Pharmacy Solutions Recent Developments and Future Plans
  • 2.5 Prime Therapeutics
    • 2.5.1 Prime Therapeutics Details
    • 2.5.2 Prime Therapeutics Major Business
    • 2.5.3 Prime Therapeutics Pharmacy Benefit Management (PBM) Product and Solutions
    • 2.5.4 Prime Therapeutics Pharmacy Benefit Management (PBM) Revenue, Gross Margin and Market Share (2020-2025)
    • 2.5.5 Prime Therapeutics Recent Developments and Future Plans
  • 2.6 Medimpact Healthcare
    • 2.6.1 Medimpact Healthcare Details
    • 2.6.2 Medimpact Healthcare Major Business
    • 2.6.3 Medimpact Healthcare Pharmacy Benefit Management (PBM) Product and Solutions
    • 2.6.4 Medimpact Healthcare Pharmacy Benefit Management (PBM) Revenue, Gross Margin and Market Share (2020-2025)
    • 2.6.5 Medimpact Healthcare Recent Developments and Future Plans
  • 2.7 Magellan Health
    • 2.7.1 Magellan Health Details
    • 2.7.2 Magellan Health Major Business
    • 2.7.3 Magellan Health Pharmacy Benefit Management (PBM) Product and Solutions
    • 2.7.4 Magellan Health Pharmacy Benefit Management (PBM) Revenue, Gross Margin and Market Share (2020-2025)
    • 2.7.5 Magellan Health Recent Developments and Future Plans
  • 2.8 BC/BS
    • 2.8.1 BC/BS Details
    • 2.8.2 BC/BS Major Business
    • 2.8.3 BC/BS Pharmacy Benefit Management (PBM) Product and Solutions
    • 2.8.4 BC/BS Pharmacy Benefit Management (PBM) Revenue, Gross Margin and Market Share (2020-2025)
    • 2.8.5 BC/BS Recent Developments and Future Plans
  • 2.9 Vidalink
    • 2.9.1 Vidalink Details
    • 2.9.2 Vidalink Major Business
    • 2.9.3 Vidalink Pharmacy Benefit Management (PBM) Product and Solutions
    • 2.9.4 Vidalink Pharmacy Benefit Management (PBM) Revenue, Gross Margin and Market Share (2020-2025)
    • 2.9.5 Vidalink Recent Developments and Future Plans
  • 2.10 Sea Rainbow
    • 2.10.1 Sea Rainbow Details
    • 2.10.2 Sea Rainbow Major Business
    • 2.10.3 Sea Rainbow Pharmacy Benefit Management (PBM) Product and Solutions
    • 2.10.4 Sea Rainbow Pharmacy Benefit Management (PBM) Revenue, Gross Margin and Market Share (2020-2025)
    • 2.10.5 Sea Rainbow Recent Developments and Future Plans
  • 2.11 Cachet
    • 2.11.1 Cachet Details
    • 2.11.2 Cachet Major Business
    • 2.11.3 Cachet Pharmacy Benefit Management (PBM) Product and Solutions
    • 2.11.4 Cachet Pharmacy Benefit Management (PBM) Revenue, Gross Margin and Market Share (2020-2025)
    • 2.11.5 Cachet Recent Developments and Future Plans
  • 2.12 CRHMS
    • 2.12.1 CRHMS Details
    • 2.12.2 CRHMS Major Business
    • 2.12.3 CRHMS Pharmacy Benefit Management (PBM) Product and Solutions
    • 2.12.4 CRHMS Pharmacy Benefit Management (PBM) Revenue, Gross Margin and Market Share (2020-2025)
    • 2.12.5 CRHMS Recent Developments and Future Plans

3 Market Competition, by Players

  • 3.1 Global Pharmacy Benefit Management (PBM) Revenue and Share by Players (2020-2025)
  • 3.2 Market Share Analysis (2024)
    • 3.2.1 Market Share of Pharmacy Benefit Management (PBM) by Company Revenue
    • 3.2.2 Top 3 Pharmacy Benefit Management (PBM) Players Market Share in 2024
    • 3.2.3 Top 6 Pharmacy Benefit Management (PBM) Players Market Share in 2024
  • 3.3 Pharmacy Benefit Management (PBM) Market: Overall Company Footprint Analysis
    • 3.3.1 Pharmacy Benefit Management (PBM) Market: Region Footprint
    • 3.3.2 Pharmacy Benefit Management (PBM) Market: Company Product Type Footprint
    • 3.3.3 Pharmacy Benefit Management (PBM) Market: Company Product Application Footprint
  • 3.4 New Market Entrants and Barriers to Market Entry
  • 3.5 Mergers, Acquisition, Agreements, and Collaborations

4 Market Size Segment by Type

  • 4.1 Global Pharmacy Benefit Management (PBM) Consumption Value and Market Share by Type (2020-2025)
  • 4.2 Global Pharmacy Benefit Management (PBM) Market Forecast by Type (2026-2031)

5 Market Size Segment by Application

  • 5.1 Global Pharmacy Benefit Management (PBM) Consumption Value Market Share by Application (2020-2025)
  • 5.2 Global Pharmacy Benefit Management (PBM) Market Forecast by Application (2026-2031)

6 North America

  • 6.1 North America Pharmacy Benefit Management (PBM) Consumption Value by Type (2020-2031)
  • 6.2 North America Pharmacy Benefit Management (PBM) Market Size by Application (2020-2031)
  • 6.3 North America Pharmacy Benefit Management (PBM) Market Size by Country
    • 6.3.1 North America Pharmacy Benefit Management (PBM) Consumption Value by Country (2020-2031)
    • 6.3.2 United States Pharmacy Benefit Management (PBM) Market Size and Forecast (2020-2031)
    • 6.3.3 Canada Pharmacy Benefit Management (PBM) Market Size and Forecast (2020-2031)
    • 6.3.4 Mexico Pharmacy Benefit Management (PBM) Market Size and Forecast (2020-2031)

7 Europe

  • 7.1 Europe Pharmacy Benefit Management (PBM) Consumption Value by Type (2020-2031)
  • 7.2 Europe Pharmacy Benefit Management (PBM) Consumption Value by Application (2020-2031)
  • 7.3 Europe Pharmacy Benefit Management (PBM) Market Size by Country
    • 7.3.1 Europe Pharmacy Benefit Management (PBM) Consumption Value by Country (2020-2031)
    • 7.3.2 Germany Pharmacy Benefit Management (PBM) Market Size and Forecast (2020-2031)
    • 7.3.3 France Pharmacy Benefit Management (PBM) Market Size and Forecast (2020-2031)
    • 7.3.4 United Kingdom Pharmacy Benefit Management (PBM) Market Size and Forecast (2020-2031)
    • 7.3.5 Russia Pharmacy Benefit Management (PBM) Market Size and Forecast (2020-2031)
    • 7.3.6 Italy Pharmacy Benefit Management (PBM) Market Size and Forecast (2020-2031)

8 Asia-Pacific

  • 8.1 Asia-Pacific Pharmacy Benefit Management (PBM) Consumption Value by Type (2020-2031)
  • 8.2 Asia-Pacific Pharmacy Benefit Management (PBM) Consumption Value by Application (2020-2031)
  • 8.3 Asia-Pacific Pharmacy Benefit Management (PBM) Market Size by Region
    • 8.3.1 Asia-Pacific Pharmacy Benefit Management (PBM) Consumption Value by Region (2020-2031)
    • 8.3.2 China Pharmacy Benefit Management (PBM) Market Size and Forecast (2020-2031)
    • 8.3.3 Japan Pharmacy Benefit Management (PBM) Market Size and Forecast (2020-2031)
    • 8.3.4 South Korea Pharmacy Benefit Management (PBM) Market Size and Forecast (2020-2031)
    • 8.3.5 India Pharmacy Benefit Management (PBM) Market Size and Forecast (2020-2031)
    • 8.3.6 Southeast Asia Pharmacy Benefit Management (PBM) Market Size and Forecast (2020-2031)
    • 8.3.7 Australia Pharmacy Benefit Management (PBM) Market Size and Forecast (2020-2031)

9 South America

  • 9.1 South America Pharmacy Benefit Management (PBM) Consumption Value by Type (2020-2031)
  • 9.2 South America Pharmacy Benefit Management (PBM) Consumption Value by Application (2020-2031)
  • 9.3 South America Pharmacy Benefit Management (PBM) Market Size by Country
    • 9.3.1 South America Pharmacy Benefit Management (PBM) Consumption Value by Country (2020-2031)
    • 9.3.2 Brazil Pharmacy Benefit Management (PBM) Market Size and Forecast (2020-2031)
    • 9.3.3 Argentina Pharmacy Benefit Management (PBM) Market Size and Forecast (2020-2031)

10 Middle East & Africa

  • 10.1 Middle East & Africa Pharmacy Benefit Management (PBM) Consumption Value by Type (2020-2031)
  • 10.2 Middle East & Africa Pharmacy Benefit Management (PBM) Consumption Value by Application (2020-2031)
  • 10.3 Middle East & Africa Pharmacy Benefit Management (PBM) Market Size by Country
    • 10.3.1 Middle East & Africa Pharmacy Benefit Management (PBM) Consumption Value by Country (2020-2031)
    • 10.3.2 Turkey Pharmacy Benefit Management (PBM) Market Size and Forecast (2020-2031)
    • 10.3.3 Saudi Arabia Pharmacy Benefit Management (PBM) Market Size and Forecast (2020-2031)
    • 10.3.4 UAE Pharmacy Benefit Management (PBM) Market Size and Forecast (2020-2031)

11 Market Dynamics

  • 11.1 Pharmacy Benefit Management (PBM) Market Drivers
  • 11.2 Pharmacy Benefit Management (PBM) Market Restraints
  • 11.3 Pharmacy Benefit Management (PBM) Trends Analysis
  • 11.4 Porters Five Forces Analysis
    • 11.4.1 Threat of New Entrants
    • 11.4.2 Bargaining Power of Suppliers
    • 11.4.3 Bargaining Power of Buyers
    • 11.4.4 Threat of Substitutes
    • 11.4.5 Competitive Rivalry

12 Industry Chain Analysis

  • 12.1 Pharmacy Benefit Management (PBM) Industry Chain
  • 12.2 Pharmacy Benefit Management (PBM) Upstream Analysis
  • 12.3 Pharmacy Benefit Management (PBM) Midstream Analysis
  • 12.4 Pharmacy Benefit Management (PBM) Downstream Analysis

13 Research Findings and Conclusion

    14 Appendix

    • 14.1 Methodology
    • 14.2 Research Process and Data Source

    According to our (Global Info Research) latest study, the global Pharmacy Benefit Management (PBM) market size was valued at US$ 530240 million in 2024 and is forecast to a readjusted size of USD 771510 million by 2031 with a CAGR of 5.6% during review period.
    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.
    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.
    This report is a detailed and comprehensive analysis for global Pharmacy Benefit Management (PBM) market. Both quantitative and qualitative analyses are presented by company, by region & country, by Type and by Application. As the market is constantly changing, this report explores the competition, supply and demand trends, as well as key factors that contribute to its changing demands across many markets. Company profiles and product examples of selected competitors, along with market share estimates of some of the selected leaders for the year 2025, are provided.
    Key Features:
    Global Pharmacy Benefit Management (PBM) market size and forecasts, in consumption value ($ Million), 2020-2031
    Global Pharmacy Benefit Management (PBM) market size and forecasts by region and country, in consumption value ($ Million), 2020-2031
    Global Pharmacy Benefit Management (PBM) market size and forecasts, by Type and by Application, in consumption value ($ Million), 2020-2031
    Global Pharmacy Benefit Management (PBM) market shares of main players, in revenue ($ Million), 2020-2025
    The Primary Objectives in This Report Are:
    To determine the size of the total market opportunity of global and key countries
    To assess the growth potential for Pharmacy Benefit Management (PBM)
    To forecast future growth in each product and end-use market
    To assess competitive factors affecting the marketplace
    This report profiles key players in the global Pharmacy Benefit Management (PBM) market based on the following parameters - company overview, revenue, gross margin, product portfolio, geographical presence, and key developments. Key companies covered as a part of this study include CVS Health (CVS), Express Scripts, OptumRx (UnitedHealth), Humana Pharmacy Solutions, Prime Therapeutics, Medimpact Healthcare, Magellan Health, BC/BS, Vidalink, Sea Rainbow, etc.
    This report also provides key insights about market drivers, restraints, opportunities, new product launches or approvals.
    Market segmentation
    Pharmacy Benefit Management (PBM) market is split by Type and by Application. For the period 2020-2031, the growth among segments provides accurate calculations and forecasts for Consumption Value by Type and by Application. This analysis can help you expand your business by targeting qualified niche markets.
    Market segment by Type
    Government
    Non-Government
    Market segment by Application
    Mail-order Pharmacy Services
    Non-mail Pharmacy Services
    Market segment by players, this report covers
    CVS Health (CVS)
    Express Scripts
    OptumRx (UnitedHealth)
    Humana Pharmacy Solutions
    Prime Therapeutics
    Medimpact Healthcare
    Magellan Health
    BC/BS
    Vidalink
    Sea Rainbow
    Cachet
    CRHMS
    Market segment by regions, regional analysis covers
    North America (United States, Canada and Mexico)
    Europe (Germany, France, UK, Russia, Italy and Rest of Europe)
    Asia-Pacific (China, Japan, South Korea, India, Southeast Asia and Rest of Asia-Pacific)
    South America (Brazil, Rest of South America)
    Middle East & Africa (Turkey, Saudi Arabia, UAE, Rest of Middle East & Africa)
    The content of the study subjects, includes a total of 13 chapters:
    Chapter 1, to describe Pharmacy Benefit Management (PBM) product scope, market overview, market estimation caveats and base year.
    Chapter 2, to profile the top players of Pharmacy Benefit Management (PBM), with revenue, gross margin, and global market share of Pharmacy Benefit Management (PBM) from 2020 to 2025.
    Chapter 3, the Pharmacy Benefit Management (PBM) competitive situation, revenue, and global market share of top players are analyzed emphatically by landscape contrast.
    Chapter 4 and 5, to segment the market size by Type and by Application, with consumption value and growth rate by Type, by Application, from 2020 to 2031
    Chapter 6, 7, 8, 9, and 10, to break the market size data at the country level, with revenue and market share for key countries in the world, from 2020 to 2025.and Pharmacy Benefit Management (PBM) market forecast, by regions, by Type and by Application, with consumption value, from 2026 to 2031.
    Chapter 11, market dynamics, drivers, restraints, trends, Porters Five Forces analysis.
    Chapter 12, the key raw materials and key suppliers, and industry chain of Pharmacy Benefit Management (PBM).
    Chapter 13, to describe Pharmacy Benefit Management (PBM) research findings and conclusion.

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