US Pharmacy Benefit Management (PBM) Industry Report: 2015 Edition - New Report by Koncept Analytics - PowerPoint PPT Presentation

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US Pharmacy Benefit Management (PBM) Industry Report: 2015 Edition - New Report by Koncept Analytics


This report assesses the US PBM industry in terms of both market volume and market value. For more mail: – PowerPoint PPT presentation

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Title: US Pharmacy Benefit Management (PBM) Industry Report: 2015 Edition - New Report by Koncept Analytics

US Pharmacy Benefit Management (PBM) Industry
Report -----------------------------------------
View Report Details
View Report Details
  • Executive Summary
  • 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.
  • 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.

The pharmaceutical industry is one of the core
industries catering to the needs of the
hospitality and medical institutions for
treatment of all types of known and unknown
Global Pharmaceutical Market Revenue (2009-2014)
  • For the fiscal year 2014, the industry generated
    the revenue of USxx trillion, registering a YoY
    growth of xxx and a CAGR of xxx for the period
    spanning 2009-2014.
  • Nearly xx of global market revenues for the
    pharmaceutical industry was generated in the
    American region in the Americas, further
    segmented into North American and the Latin
    America with individual market shares of xx and
    xx respectively.
  • In terms of YoY growth rate, 2014 marked with
    highest registered growth in Latin America (1xx)
    followed by YoY change of xx2 in the North
    American pharmaceutical market and about xx in
    the Asia, Africa and Australasia.

Pharmaceutical Market Share by Region (2014)
Pharmaceutical Market Revenue YoY Change by
Region (2010-2014)
PBMs came up as leaders in the fields of claims
administration by developing and mastering the
process of data standardization and electronic
claims processing.
The US Pharmaceutical Market (2009-2014)
  • The pharmaceutical market in the US inclined by
    1x, reaching USxxx billion in the year ended
    2014, compared to US329.4 billion in 2013.
  • In 2014, the US annual pharmaceutical sales have
    grown by 1xx.6 as compared to 2013, where the
    growth recovered from negative territory due to
    expiry of patents and the continued sluggish
    economy in 2012.
  • In August 2015, the growth rate went down to x
    YoY, compared to xx.7 YoY in the previous month.

The US Annual Pharmaceutical Sales Growth
The US Total Monthly Pharmaceutical Sales Growth
(Jan 2014-Aug 2015)
The US pharmaceutical market has witnessed a
steady increase over the past couple of years
majorly driven by the rise in population,
increasing healthcare expenditure and
ameliorating economic conditions.
US Monthly Pharmaceutical Sales Growth by
Pharmaceutical Group (January 2014- August 2015)
  • In 2014-2015, mail-order served as the strongest
    dispensing channel while dispensing prescription
    through the food stores and the hospital channel
    slowed down. The other prescription providing
    channels observed a constant increase in the
    marked year.
  • The sales of the specialty pharmaceuticals
    increased to USxx billion in 2014. This
    represented a remarkable incline of nearly 2x,
    compared to USxxx billion during the prior year.
  • Out of the total pharmaceutical sales in the US
    during 2014, traditional pharmaceutical segment
    led the market with xx share while specialty
    pharmaceuticals accounted for remaining xx share.

The US Pharmaceutical Market by Type (2008-2014E)
Share of Traditional and Specialty
Pharmaceutical in the US (2014)
Contact Us
View Report Details
These are abridged and sanitized sample pages
from the comprehensive report on the US
Pharmacy Benefit Management (PBM) Industry
Report . To know more about this report or for
any customized research requirement, please
contact the following
Koncept Analytics CS-36, Second Floor, Ansal
Plaza Vaishali, Ghaziabad, U.P. 201010 T.
91-120-4130959 C 91-9811715635
Vikas Gupta BD Manager