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

State, largest PBMMarket share in state
Alabama, Prime Therapeutics 86%
Alaska, Express Scripts 75%
Arizona, OptumRx 53%
Arkansas, CVS/Caremark 49%
California, Kaiser Pharmacy 48%
Colorado, Kaiser Pharmacy 26%
Connecticut, Express Scripts 36%
Delaware, Express Scripts 78%
District of Columbia, CVS/Caremark 35%
Florida, Prime Therapeutics 42%
Georgia, IngenioRx 30%
Hawaii, CVS/Caremark 64%
Idaho, CVS/Caremark 54%
Created with Highcharts 7.2.2State, largest PBMMarket share in state86%86%75%75%53%53%49%49%48%48%26%26%36%36%78%78%35%35%42%42%30%30%64%64%54%54%59%59%50%50%61%61%47%47%59%59%71%71%56%56%39%39%58%58%89%89%51%51%49%49%39%39%51%51%46%46%47%47%52%52%35%35%46%46%35%35%58%58%57%57%38%38%57%57%36%36%47%47%53%53%83%83%74%74%73%73%34%34%57%57%77%77%33%33%33%33%75%75%24%24%54%54%Alabama, Prime TherapeuticsAlaska, Express ScriptsArizona, OptumRxArkansas, CVS/CaremarkCalifornia, Kaiser PharmacyColorado, Kaiser PharmacyConnecticut, Express ScriptsDelaware, Express ScriptsDistrict of Columbia, CVS/CaremarkFlorida, Prime TherapeuticsGeorgia, IngenioRxHawaii, CVS/CaremarkIdaho, CVS/CaremarkIllinois, Prime TherapeuticsIndiana, IngenioRxIowa, CVS/CaremarkKansas, Prime TherapeuticsKentucky, IngenioRxLouisiana, Express ScriptsMaine, IngenioRxMaryland, CVS/CaremarkMassachusetts, CVS/CaremarkMichigan, Express ScriptsMinnesota, Prime TherapeuticsMississippi, Prime TherapeuticsMissouri, OptumRxMontana, Prime TherapeuticsNebraska, Prime TherapeuticsNevada, OptumRxNew Hampshire, IngenioRxNew Jersey, Prime TherapeuticsNew Mexico, Prime TherapeuticsNew York, Express ScriptsNorth Carolina, Prime TherapeuticsNorth Dakota, Prime TherapeuticsOhio, Express ScriptsOklahoma, Prime TherapeuticsOregon, Kaiser PharmacyPennsylvania, Express ScriptsRhode Island, Prime TherapeuticsSouth Carolina, OptumRxSouth Dakota, CVS/CaremarkTennessee, Express ScriptsTexas, Prime TherapeuticsUtah, SelectHealthVermont, Express ScriptsVirginia, IngenioRxWashington, Kaiser PharmacyWest Virginia, Express ScriptsWisconsin, MedImpactWyoming, Prime Therapeutics
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Release date

October 2022

Region

United States

Survey time period

as of October 2022

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Statistics on " Pharmacy benefit managers (PBMs) "

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Overview

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Major players

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PBMs' view: savings

4

External criticism: exclusions

4

Public opinion

3

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