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

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US Pharmacy Benefit Management (PBM) Industry
Report -----------------------------------------
2015
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• 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.

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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
diseases.
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)
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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
(2009-2014)
The US Total Monthly Pharmaceutical Sales Growth
(Jan 2014-Aug 2015)
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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)
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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_at_konceptanalytics.com
Vikas Gupta BD Manager
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