In 2023, the top pharmacy benefit managers included CVS Health, Cigna, and OptumRx, to name a few. CVS Health had the largest share of the pharmacy benefit manager market in that year. In total, CVS Health held 34 percent of the market at that time. Pharmacy benefit managers are an important part of the prescription drug supply chain in the United States.
Pharmacy benefit managers
Pharmacy benefit managers are responsible for the operation and distribution of pharmaceuticals to patients and pharmacies. They are also responsible for the negotiation of rebates and processing of insurance claims from patients and pharmacies. Among pharmaceutical distributors in the U.S., chain stores distributed the largest value of pharmaceuticals recently. However, data suggests that pharmacy benefit managers have the highest gross profit among all actors in the U.S. drugs supply chain.
Market share based on total equivalent prescription claims. * Includes claims from Centene and Elevance Health that are managed by Caremark. ** Includes the portion of Prime Therapeutics network claims volume for which Express Scripts handles pharmacy network contracting. *** Excludes estimates of 2023 claims for which Express Scripts handles pharmacy network contracting. Includes pro forma annualized claims from Magellan Rx, which Prime acquired in December 2022. **** Figure includes some cash pay prescriptions that use a discount card processed by one of the 6 PBMs shown on the chart.
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Drug Channels Institute. (April 9, 2024). Market share of the top pharmacy benefit managers in the U.S. prescription market in 2023 [Graph]. In Statista. Retrieved September 10, 2024, from https://www.statista.com/statistics/239976/us-prescription-market-share-of-top-pharmacy-benefit-managers/
Drug Channels Institute. "Market share of the top pharmacy benefit managers in the U.S. prescription market in 2023." Chart. April 9, 2024. Statista. Accessed September 10, 2024. https://www.statista.com/statistics/239976/us-prescription-market-share-of-top-pharmacy-benefit-managers/
Drug Channels Institute. (2024). Market share of the top pharmacy benefit managers in the U.S. prescription market in 2023. Statista. Statista Inc.. Accessed: September 10, 2024. https://www.statista.com/statistics/239976/us-prescription-market-share-of-top-pharmacy-benefit-managers/
Drug Channels Institute. "Market Share of The Top Pharmacy Benefit Managers in The U.S. Prescription Market in 2023." Statista, Statista Inc., 9 Apr 2024, https://www.statista.com/statistics/239976/us-prescription-market-share-of-top-pharmacy-benefit-managers/
Drug Channels Institute, Market share of the top pharmacy benefit managers in the U.S. prescription market in 2023 Statista, https://www.statista.com/statistics/239976/us-prescription-market-share-of-top-pharmacy-benefit-managers/ (last visited September 10, 2024)
Market share of the top pharmacy benefit managers in the U.S. prescription market in 2023 [Graph], Drug Channels Institute, April 9, 2024. [Online]. Available: https://www.statista.com/statistics/239976/us-prescription-market-share-of-top-pharmacy-benefit-managers/