This statistic shows the number of prescription medicines excluded from one or more formularies, by select leading U.S. pharmacy benefit managers (PBMs) from 2012 to 2024. In 2024, there were 762 such exclusions at Express Scripts and 644 at CVS Caremark. Only OptumRx managed to decrease its number of exclusions to just below 600.
Number of prescription medicines excluded from select U.S. pharmacy benefit manager (PBM) formularies from 2014 to 2024, by company
Characteristic
CVS Caremark
Express Scripts
OptumRx
2024
644
762
599
2023
598
623
615
2022
585
563
570
2021
419
448
520
2020
366
383
452
2019
218
299
216
2018
164
222
168
2017
157
92
90
2016
124
87
79
2015
95
70
0
2014
77
57
0
Created with Highcharts 7.2.2Number of medicines excluded777795951241241571571641642182183663664194195855855985986446445757707087879292222222299299383383448448563563623623762762000079799090168168216216452452520520570570615615599599CVS CaremarkExpress ScriptsOptumRx20142015201620172018201920202021202220232024
02004006008001,000
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Statista. (January 9, 2024). Number of prescription medicines excluded from select U.S. pharmacy benefit manager (PBM) formularies from 2014 to 2024, by company [Graph]. In Statista. Retrieved April 26, 2025, from https://www.statista.com/statistics/886425/pbm-formulary-exclusion-numbers-us-by-company/
Statista. "Number of prescription medicines excluded from select U.S. pharmacy benefit manager (PBM) formularies from 2014 to 2024, by company." Chart. January 9, 2024. Statista. Accessed April 26, 2025. https://www.statista.com/statistics/886425/pbm-formulary-exclusion-numbers-us-by-company/
Statista. (2024). Number of prescription medicines excluded from select U.S. pharmacy benefit manager (PBM) formularies from 2014 to 2024, by company. Statista. Statista Inc.. Accessed: April 26, 2025. https://www.statista.com/statistics/886425/pbm-formulary-exclusion-numbers-us-by-company/
Statista. "Number of Prescription Medicines Excluded from Select U.S. Pharmacy Benefit Manager (Pbm) Formularies from 2014 to 2024, by Company." Statista, Statista Inc., 9 Jan 2024, https://www.statista.com/statistics/886425/pbm-formulary-exclusion-numbers-us-by-company/
Statista, Number of prescription medicines excluded from select U.S. pharmacy benefit manager (PBM) formularies from 2014 to 2024, by company Statista, https://www.statista.com/statistics/886425/pbm-formulary-exclusion-numbers-us-by-company/ (last visited April 26, 2025)
Number of prescription medicines excluded from select U.S. pharmacy benefit manager (PBM) formularies from 2014 to 2024, by company [Graph], Statista, January 9, 2024. [Online]. Available: https://www.statista.com/statistics/886425/pbm-formulary-exclusion-numbers-us-by-company/
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