US Pharmacy Benefit Management (PBM) Industry Key Trends, Size, Growth, Shares And Forecast Report 2014

Researchmoz added Most up-to-date research on "US Pharmacy Benefit Management (PBM) Industry Report: 2014 Edition" to its huge collection of research reports.

In the US, Pharmacy Benefit Management (PBM) deals with the management of prescription drug programs. It acts as an intermediary between health plans, drug companies, retail pharmacies and patients. Initially, PBMs used to process pharmaceutical claims for health plans. But nowadays in addition to this, PBMs have created more significant ‘pharmacy benefit’ by providing a system for reimbursement of drug claims, processing and cost control. The US prescription volume and pharmaceutical sales has witnessed an exceptional growth over the past few years and the same pattern is likely to continue in the near future. Therefore, through rebates from pharmaceutical manufacturers, price discounts from retails, and effective mail service pharmacies, the PBMs emphasis on enabling the plan sponsors and individuals to obtain prescribed drugs at lower prices.

The PBM providers control drug spending and utilization by virtue of their advanced tools and techniques, encouraging use of generics and other lower-cost medications. In the US, there are some independent PBM’s while some are owned by managed care organizations and retail pharmacies. Today, the
PBM industry has become more determined through a series of mergers and acquisitions.

To Get Sample Copy of Report visit @ http://www.researchmoz.us/enquiry.php?type=S&repid=242175

Some of the factors driving the growth of the PBM industry are: accelerating US aging population, increasing life expectancy rate and incidences of chronic and infectious diseases which further increase the healthcare expenditure and pharmaceutical sales in the US. The ongoing trends and development in the PBM industry include rising medicare enrollments and increased acceptance of specialty drugs.

This report assesses the US PBM industry in terms of both market volume and market value. The increasing competition in the PBM industry has been analyzed on number of factors: revenue, dispensing specialty pharmaceuticals, claims and PDP lives. The top three companies having a vicious competition with each other and dominating the PBM industry are- Express Script, CVS Health and Catamaran. These players are being profiled in the report along with their key financials and strategies for growth.

Table Of Content

1. Overview
1.1 Introduction
1.2 History of PBM
1.3 Retail Dispensing Process & Flow of Funds
1.4 Mail Dispensing Process and Flow of Funds

2. The US PBM Market
2.1 Rx Market

- Market Volume
- Growth Rate
- Market Segments
- Branded Vs Generic Growth
- Dispensing Channels

2.2 Pharmaceutical Sales

- Sales Growth
- Branded Vs Generic Market
- Dispensing Channels

2.3 Specialty Drugs

3. Market Dynamics
3.1 Growth Drivers
3.1.1 Increasing Life Expectancy Rate in the US
3.1.2 Rising Healthcare Expenditure in the US
3.1.3 Rising Pharmaceutical Sales
3.1.4 Accelerating US Aging Population
3.1.5 Ameliorating Economic Conditions
3.1.6 Rising Incidences of Chronic and Infectious Diseases
3.1.7 Rising Medicare Enrollments
3.2 Trends and Developments
3.2.1 PBM Mergers and Acquisitions
3.2.2 Trends in Drug Prices
3.2.3 Increased Acceptance of Specialty Drugs
3.2.4 Average Wholesale Price Trend
3.3 Challenges
3.3.1 Lack of Insurer Capabilities
3.3.2 Regulator Risk

4. Competitive Landscape

- Share by Revenue
- Share by Prescription Volume
- Share by Claims
- Share by PDP Lives

5. Company Profiles
5.1 Express Script
5.1.1 Business Overview
5.1.2 Financial Overview
5.1.3 Business Strategies

- Introduction of Programs
- Development through Acquisitions

5.2 CVS Health
5.2.1 Business Overview
5.2.2 Financial Overview
5.2.3 Business Strategies

- Strategic Acquisitions
- HealthCare Programs

5.3 Catamaran
5.3.1 Business Overview
5.3.2 Financial Overview
5.3.3 Business Strategies

- Mergers and Acquisitions
- Expansion of HealthCare Reforms

Make an Enquiry of this report @ http://www.researchmoz.us/enquiry.php?type=E&repid=242175

US Pharmacy Benefit Management (PBM) Industry Report: 2015 Edition | Now Available at Researchmoz.us

Researchmoz added Most up-to-date research on "US Pharmacy Benefit Management (PBM) Industry Report: 2015 Edition" to its huge collection of research reports.

PBMs initially enacted the role of a third-party administrator, administering the drug claims of health plans/employers. However, they widened the horizon by expanding into a wide variety of business functions, eventually resulting in better management of drug benefits for members and reducing the overall drug spending costs for plan sponsors. Some of the key functions performed by PBMs that have an impact on reducing drug expenditures are formulary and benefit plan designing, retail network management and operating mail order pharmacies. In the US, Pharmacy Benefit Management (PBM) deals with the management of prescription drug programs. It acts as an intermediary between health plans, drug companies, retail pharmacies and patients.

The PBM suppliers control medication spending and usage by the righteousness of their propelled apparatuses and strategies, empowering utilization of generics and other lower-cost pharmaceuticals. In the US, there are some autonomous PBM's while some are claimed by overseeing care associations and retail drug stores. Today, the PBM business has turned out to be more decided through a progression of mergers and acquisitions.

To Get Sample Copy of Report visit @ http://www.researchmoz.us/enquiry.php?type=S&repid=490615

Some of the factors driving the growth of the US PBM industry are: accelerating US aging population, increasing life expectancy rate and incidences of chronic and infectious diseases which further increase the healthcare expenditure and pharmaceutical sales in the US. The ongoing trends and developments in the PBM industry include rising medicare enrollments, rising number of exclusions on the formulary list and increased acceptance of specialty drugs.

This report assesses the US PBM industry in terms of both market volume and market value. The increasing competition in the PBM industry has been analyzed on a variety of factors: revenue, dispensing specialty pharmaceuticals and claims. The top three companies having a vicious competition with each other and dominating the PBM industry are- Express Script, CVS Health and Catamaran. These players are being profiled in the report along with their key financials and strategies for growth.

Table of Content

1. Overview1.1 Introduction-
1.2 PBM Timeline-
1.3 Retail Dispensing Process & Flow of Funds-
1.4 Mail Dispensing Process and Flow of Funds

2. Market Analysis
2.1 Global Pharmaceutical Market

- Market Value
- Regional Breakdown

2.2 The US
2.2.1 Pharmaceutical Market-

- Market Value
- Growth Rate
- Specialty Drugs

2.2.2 Rx Market-

- Market Volume
- Growth Rate
- Market Segments
- Branded Vs Generic Growth
- Dispensing Channels

3. Market Dynamics
3.1 Growth Drivers
3.1.1 Increasing Life Expectancy in the US-
3.1.2 Rising Healthcare Expenditure in the US-
3.1.3 Accelerating US Aging Population-
3.1.4 Ameliorating Economic Conditions-
3.1.5 Rising Incidences of Chronic and Infectious Diseases
3.2 Trends and Developments
3.2.1 Rising Medicare Enrollments-
3.2.2 Increasing Exclusions on PBM Formulary List-
3.2.3 Changes in Prescription Drug Use-
3.2.4 PBM Mergers and Acquisitions-
3.2.5 Trends in Drug Prices-
3.2.6 Increased Acceptance of the Specialty Drugs
3.3 Challenges
3.3.1 Lack of Insurer Capabilities-
3.3.2 Regulatory Risk

4. Competitive Landscape
4.1 Competition by Industry Trend

- By Drug Type
- By Membership
- By Total Equivalent Prescription
- By Claims

4.2 Competition by Financials

- By Revenue
- By Revenue Growth Rate
- By Revenue per Claim
- By EBITDA per Claim

Make an Enquiry of this report @ http://www.researchmoz.us/enquiry.php?type=E&repid=490615

Pharmacy Benefit Manager (PBM) Industry In The US Will Grow Steadily At A CAGR Of 7.16% During 2014-2019

Researchmoz added Most up-to-date research on "Pharmacy Benefit Manager (PBM) Market in the US 2015-2019" to its huge collection of research reports.

PBMs are responsible for processing prescriptions for corporations or insurance companies. Earlier, their major role was administration and negotiation with drug pharmacies and manufacturers to get rebates on drug prices. Now they have evolved into entities taking over the drug benefit portion of health plans in the US. Recent healthcare reforms in the US have contributed significantly to increase their area of expertise. Increase in costs of drugs and other healthcare services has made PBM's services more desirable. PBMs act as an intermediary between the payer and other entities in a healthcare system. They generate revenue through service fees they charge from large customer contracts for activities such as operating mail-order pharmacies, processing prescriptions, and negotiating with drug manufacturers and pharmacies.

The analysts forecast the PBM market in the US to grow at a CAGR of 7.16% during 2014-2019.

To Get Sample Copy of Report visit @ http://www.researchmoz.us/enquiry.php?type=S&repid=489877

Covered in this report

The report covers the current scenario and the growth prospects of the PBM market in the US for the period of 2015-2019. To calculate the market size, the report considers revenue generated by PBMs by offering pharmacy benefit services to end-users in the healthcare market in the US.

The report, Pharmacy Benefit Manager (PBM) Market in the US 2015-2019, has been prepared based on an in-depth market analysis with inputs from industry experts. The report covers the PBM market landscape in the US and its growth prospects in the coming years. The report also includes a discussion of the key vendors operating in this market.

Key vendors

- Catamaran
- CVS Health (CVS Caremark)
- Express Scripts
- OptumRx
- Prime Therapeutics

Other prominent vendors

- Aetna
- Argus Health Systems
- Centene
- Cigna
- Humana
- Medlmpact
- Rite Aid

Market driver

- Increase in healthcare expenditure
- For a full, detailed list, view our report

Market challenge

- Criticisms of PBMs
- For a full, detailed list, view our report

Market trend

- Shift toward multi-tier prescription drug plans by employers
- For a full, detailed list, view our report

Key questions answered in this report

- What will the market size be in 2019 and what will the growth rate be?
- What are the key market trends?
- What is driving this market?
- What are the challenges to market growth?
- Who are the key vendors in this market space?
- What are the market opportunities and threats faced by the key vendors?
- What are the strengths and weaknesses of the key vendors?

Make an Enquiry of this report @ http://www.researchmoz.us/enquiry.php?type=E&repid=489877

US Pharmacy Benefit Management (PBM) Industry Analysis, Demand, Trend, Growth & Outlook (2016-2020) | Researchmoz

Researchmoz added Most up-to-date research on "The US Pharmacy Benefit Management (PBM) Market: Industry Analysis & Outlook (2016-2020)" to its huge collection of research reports.

A pharmacy benefit manager (PBM) is a third-party administrator (TPA) of prescription drug programs for commercial health plans, self-insured employer plans, and federal employee’s health benefits program in the US. Pharmacy benefit managers act as an intermediary between the payer and everyone else in the healthcare system. The healthcare system is very complex with many components working together to meet health needs. The pharmaceutical industry is growing rapidly owing to an increase in population and number of diseases. PBMs bring value through lower drug costs for insurers by negotiating with pharmacies and drug manufacturers.

The competition in the PBM market is quite concentrated with major market share divided between top three companies. The competition is expected to become severe in the future due to the emerging popularity of generics and biologics. The industry is also witnessing a lot of merger and acquisitions eyeing the growth in the market.

To Get Sample Copy of Report visit @ http://www.researchmoz.us/enquiry.php?type=S&repid=902712

The key factors driving the growth of the US PBM market are increase in ageing population, increase in healthcare expenditure, improving economic conditions, increase in Life expectancy rate and rising use of drugs. Some of the noteworthy trends and developments of this industry are increasing trend towards consumerism, increasing trend of specialty drugs, increase in the medical enrollments, rising prevalence of narrow network, growth in retail prescriptions, mail order penetration and claims, increasing mix of insured individuals and drug prices trend. However, the expansion of the US PBM market is hindered by high cost of drugs, reimbursement rate pressure and legal regulations.

The report “The US Pharmacy Benefit Management (PBM) Market: Industry Analysis & Outlook (2016-2020)” provides an in-depth analysis of the market. The major trends, growth drivers as well as issues being faced by the industry are being presented in this report. The industry comprises large players such as CVS, Express Scripts, Optum Rx Humana. All these companies have been profiled in the present report highlighting their key financials and business strategies for growth.

Table of Content

1. PBM Overview
1.1 An Introduction
1.2 Types of PBM Services
1.3 PBM Managers Formulary Structure
1.4 PBM Timeline
1.5 Retail Dispensing Process & Flow of Funds
1.6 Mail Dispensing Process & Flow of Funds

2. Global Pharmaceutical Market Analysis
2.1 Global Pharmaceutical Market by Value
2.2 Global Pharmaceutical Market Forecast by Value
2.3 Global Pharmaceutical Market Share by Region

3. The US Pharmaceutical Market Analysis
3.1 The US Pharmaceutical Market
3.1.1 The US Pharmaceutical Market by Value
3.1.2 The US Pharmaceutical Market Forecast by Value
3.1.3 The US Annual Pharmaceutical Market Sales by Dispensing Channel
3.1.4 The US Pharmaceutical Market by Segments
3.1.5 The US Pharmaceutical Market Channel Type by Value
3.1.6 The US Pharmaceutical Market Types by Value
3.1.7 The US Pharmaceutical Market Share by Types
3.2 The US Prescription (Rx) Market
3.2.1 The US Prescription Market by Volume
3.2.2 The US Prescription Market Forecast by Volume
3.2.3 The US Prescription Market Volume by Category
3.2.4 The US Prescription Market Volume Forecast by Category
3.2.5 The US Prescription Market Share by Channel Type
3.2.6 The US Pharmaceutical Market Quarterly Prescriptions
3.2.7 The US Pharmaceutical Generic Market Quarterly Prescriptions
3.2.8 The US Pharmaceutical Branded Market Quarterly Prescriptions
3.2.9 The US Generic Market Penetration Rate

4. Market Dynamics
4.1 Growth Drivers
4.1.1 Growth in Ageing Population
4.1.2 Increasing Healthcare Expenditure
4.1.3 Improving Economic Conditions
4.1.4 Increasing Life Expectancy Rate
4.1.5 Rising Use of Drugs
4.2 Market Trends
4.2.1 Increasing Trend towards Consumerism
4.2.2 Growing Trend of Specialty Drugs
4.2.3 Rising Prevalence of Narrow Networks
4.2.4 Increase in the Medicare Enrollments
4.2.5 Drug Prices Trend
4.2.6 Growth in Retail Prescriptions
4.2.7 Declining Claims and Mail Order Penetration
4.2.8 Increasing Mix of Insured Individuals
4.3 Challenges
4.3.1 High Drug Prices
4.3.2 Reimbursement Rate Pressure
4.3.3 Legal Regulations

5. Competitive Landscape
5.1 The US PBM Market Share by Prescription Claim
5.2 The US PBM Market Share Forecast by Prescription Claim
5.3 The US PBM Market by Annual Script Volume
5.4 The US Specialty Pharmacy Market Share by Company
5.5 The US PBM Drug Cost Trend by Company
5.6 The US PBM Specialty Drug Cost Trend by Company

6. Company Profiles
6.1 Express Scripts
6.1.1 Business Overview
6.1.2 Financial Overview
6.1.3 Business Strategies
6.2 CVS Health
6.2.1 Business Overview
6.2.2 Financial Overview
6.2.3 Business Strategies
6.3 OptumRx
6.3.1 Business Overview
6.3.2 Financial Overview
6.3.3 Business Strategies
6.4 Humana
6.4.1 Business Overview
6.4.2 Financial Overview
6.4.3 Business Strategies

Make an Enquiry of this report @ http://www.researchmoz.us/enquiry.php?type=E&repid=902712