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Pharmacy Benefit Management Market Size, Share & Industry Analysis, By Service (Specialty Pharmacy Services, Benefit Plan Design & Administration, Pharmacy Claims Processing, Formulary Management, and Others), By Service Provider (Insurance Companies, Retail Pharmacies, and Standalone PBMs), and Regional Forecast, 2025-2032

Last Updated: June 23, 2025 | Format: PDF | Report ID: FBI103496

 

  1. Introduction
    1. Research Scope
    2. Market Segmentation
    3. Research Methodology
    4. Definitions and Assumptions
  2. Executive Summary
  3. Market Dynamics
    1. Market Drivers
    2. Market Restraints
    3. Market Opportunities
    4. Market Trends
  4. Key Insights
    1. Strategies Adopted by Leading Market Players
    2. Impact of COVID-19 Outbreak on the Pharmaceutical Market
    3. Impact of COVID-19 on the PBM Market
    4. Snapshot of the Regulatory Scenario in the PBM Market
    5. Key Industry Developments – Mergers, Acquisitions, and Partnerships
  5. Global Pharmacy Benefit Management Market Analysis, Insights and Forecast, 2019-2032
    1. Market Analysis, Insights and Forecast – By Service
      1. Specialty Pharmacy Services
      2. Benefit Plan Design & Administration
      3. Pharmacy Claims Processing
      4. Formulary Management
      5. Others
    2. Market Analysis, Insights and Forecast – By Service Providers
      1. Insurance Companies
      2. Retail Pharmacies
      3. Standalone PBMs
    3. Market Analysis, Insights and Forecast – By Country/Region
      1. U.S.
      2. Canada
      3. Rest of the World
  6. U.S. Pharmacy Benefit Management Market Analysis, Insights and Forecast, 2019-2032
    1. Market Analysis, Insights and Forecast – By Service
      1. Specialty Pharmacy Services
      2. Benefit Plan Design & Administration
      3. Pharmacy Claims Processing
      4. Formulary Management
      5. Others
    2. Market Analysis, Insights and Forecast – By Service Providers
      1. Insurance Companies
      2. Retail Pharmacies
      3. Standalone PBMs
  7. Canada Pharmacy Benefit Management Market Analysis, Insights and Forecast, 2019-2032
    1. Market Analysis, Insights and Forecast – By Service
      1. Specialty Pharmacy Services
      2. Benefit Plan Design & Administration
      3. Pharmacy Claims Processing
      4. Formulary Management
      5. Others
    2. Market Analysis, Insights and Forecast – By Service Providers
      1. Insurance Companies
      2. Retail Pharmacies
      3. Standalone PBMs
  8. Rest of the World Pharmacy Benefit Management Market Analysis, Insights and Forecast, 2019-2032
    1. Market Analysis, Insights and Forecast – By Service
      1. Specialty Pharmacy Services
      2. Benefit Plan Design & Administration
      3. Pharmacy Claims Processing
      4. Formulary Management
      5. Others
    2. Market Analysis, Insights and Forecast – By Service Providers
      1. Insurance Companies
      2. Retail Pharmacies
      3. Standalone PBMs
  9. Competitive Analysis
    1. Global Market Share Analysis (2024)
    2. Company Profiles
      1. CVS HEALTH
        1. Overview
        2. Services
        3. SWOT Analysis
        4. Recent Developments
        5. Strategies
        6. Financials (Based on Availability)
      2. CIGNA
        1. Overview
        2. Services
        3. SWOT Analysis
        4. Recent Developments
        5. Strategies
        6. Financials (Based on Availability)
      3. OptumRx, Inc.
        1. Overview
        2. Services
        3. SWOT Analysis
        4. Recent Developments
        5. Strategies
        6. Financials (Based on Availability)
      4. Anthem, Inc.
        1. Overview
        2. Services
        3. SWOT Analysis
        4. Recent Developments
        5. Strategies
        6. Financials (Based on Availability)
      5. Centene Corporation
        1. Overview
        2. Services
        3. SWOT Analysis
        4. Recent Developments
        5. Strategies
        6. Financials (Based on Availability)
      6. Abarca Health LLC.
        1. Overview
        2. Services
        3. SWOT Analysis
        4. Recent Developments
        5. Strategies
        6. Financials (Based on Availability)
      7. MEDIMPACT HEALTHCARE SYSTEMS, INC.
        1. Overview
        2. Services
        3. SWOT Analysis
        4. Recent Developments
        5. Strategies
        6. Financials (Based on Availability)
    3. Brief Company Profiles, Key countries 
      1. The Canada Life Assurance Company
        1. Overview
        2. Services
        3. SWOT Analysis
        4. Recent Developments
        5. Strategies
        6. Financials (Based on Availability)
      2. Orizon
        1. Overview
        2. Services
        3. SWOT Analysis
        4. Recent Developments
        5. Strategies
        6. Financials (Based on Availability)
      3. Mediscor PBM
        1. Overview
        2. Services
        3. SWOT Analysis
        4. Recent Developments
        5. Strategies
        6. Financials (Based on Availability)
      4. AgilityHealth
        1. Overview
        2. Services
        3. SWOT Analysis
        4. Recent Developments
        5. Strategies
        6. Financials (Based on Availability)
      5. Scriptpharm (Pty) Ltd
        1. Overview
        2. Services
        3. SWOT Analysis
        4. Recent Developments
        5. Strategies
        6. Financials (Based on Availability)
      6. Nano Health Suite
        1. Overview
        2. Services
        3. SWOT Analysis
        4. Recent Developments
        5. Strategies
        6. Financials (Based on Availability)
Read Less

Figure 1: Global Pharmacy Benefit Management Market Revenue Breakdown (USD billion, %) by Region, 2024 & 2032

Figure 2: Global Pharmacy Benefit Management Market Value Share (%), by Service, 2024 & 2032

Figure 3: Global Pharmacy Benefit Management Market Value Share (%), by Service Providers, 2024 & 2032

Figure 4: Global Pharmacy Benefit Management Market Value (USD billion), by Country/Region, 2024 & 2032

Figure 5: U.S. Pharmacy Benefit Management Market Value (USD billion), by Service, 2024 & 2032

Figure 6: U.S. Pharmacy Benefit Management Market Value Share (%), by Service, 2024

Figure 7: U.S. Pharmacy Benefit Management Market Value (USD billion), by Service Providers, 2024 & 2032

Figure 8: U.S. Pharmacy Benefit Management Market Value Share (%), by Service Providers, 2024

Figure 9: Canada Pharmacy Benefit Management Market Value (USD billion), by Service, 2024 & 2032

Figure 10: Canada Pharmacy Benefit Management Market Value Share (%), by Service, 2024

Figure 11: Canada Pharmacy Benefit Management Market Value (USD billion), by Service Providers, 2024 & 2032

Figure 12: Canada Pharmacy Benefit Management Market Value Share (%), by Service Providers, 2024

Figure 13: Rest of the World Pharmacy Benefit Management Market Value (USD billion), by Service, 2024 & 2032

Figure 14: Rest of the World Pharmacy Benefit Management Market Value Share (%), by Service, 2024

Figure 15: Rest of the World Pharmacy Benefit Management Market Value (USD billion), by Service Providers, 2024 & 2032

Figure 16: Rest of the World Pharmacy Benefit Management Market Value Share (%), by Service Providers, 2024

Figure 17: Global Pharmacy Benefit Management Market Share (%), By Company, 2024

Table 1: Global Pharmacy Benefit Management Market Revenue (USD billion) Forecast, by Service, 2019-2032

Table 2: Global Pharmacy Benefit Management Market Revenue (USD billion) Forecast, by Service Providers, 2019-2032

Table 3: Global Pharmacy Benefit Management Market Revenue (USD billion) Forecast, by Country/Region, 2019-2032

Table 4: U.S. Pharmacy Benefit Management Market Revenue (USD billion) Forecast, by Service, 2019-2032

Table 5: U.S. Pharmacy Benefit Management Market Revenue (USD billion) Forecast, by Service Providers, 2019-2032

Table 6: Canada Pharmacy Benefit Management Market Revenue (USD billion) Forecast, by Service, 2019-2032

Table 7: Canada Pharmacy Benefit Management Market Revenue (USD billion) Forecast, by Service Providers, 2019-2032

Table 8: Rest of the World Pharmacy Benefit Management Market Revenue (USD billion) Forecast, by Service, 2019-2032

Table 9: Rest of the World Pharmacy Benefit Management Market Revenue (USD billion) Forecast, by Service Providers, 2019-2032

Pharmacy Benefit Management (PBM) Market Size, Share and Global Industry Trend Forecast till 2032
  • 2019-2032
  • 2024
  • 2019-2023
  • 98
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