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U.S. Pharmacy Benefit Management Market Size, Share & COVID-19 Impact 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 Country Forecast, 2023-2030

Last Updated: November 17, 2025 | Format: PDF | Report ID: FBI108748

 

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  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 Impact of COVID-19 on the market
    4. Snapshot of the Regulatory Scenario in the PBM Market
    5. Key Industry Developments – Mergers, Acquisitions, and Partnerships
  5. U.S. Pharmacy Benefit Management Market Analysis, Insights and Forecast, 2019-2030
    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
  6. Competitive Analysis
    1. U.S. Market Share Analysis (2022)
    2. OverviewCompany 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. Abarca Health LLC.
        1. Overview
        2. Services
        3. SWOT Analysis
        4. Recent Developments
        5. Strategies
        6. Financials (Based on Availability)
      6. Express Scripts
        1. Overview
        2. Services
        3. SWOT Analysis
        4. Recent Developments
        5. Strategies
        6. Financials (Based on Availability)
      7. Medimpact
        1. Overview
        2. Services
        3. SWOT Analysis
        4. Recent Developments
        5. Strategies
        6. Financials (Based on Availability)
  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 Impact of COVID-19 on the market
    4. Snapshot of the Regulatory Scenario in the PBM Market
    5. Key Industry Developments – Mergers, Acquisitions, and Partnerships
  5. U.S. Pharmacy Benefit Management Market Analysis, Insights and Forecast, 2019-2030
    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
  6. Competitive Analysis
    1. U.S. Market Share Analysis (2022)
    2. OverviewCompany 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. Abarca Health LLC.
        1. Overview
        2. Services
        3. SWOT Analysis
        4. Recent Developments
        5. Strategies
        6. Financials (Based on Availability)
      6. Express Scripts
        1. Overview
        2. Services
        3. SWOT Analysis
        4. Recent Developments
        5. Strategies
        6. Financials (Based on Availability)
      7. Medimpact
        1. Overview
        2. Services
        3. SWOT Analysis
        4. Recent Developments
        5. Strategies
        6. Financials (Based on Availability)
Read Less

Figure 1:  U.S. Pharmacy Benefit Management Market Revenue Breakdown (USD million, %) by Service, 2022 & 2030

Figure 2:  U.S. Pharmacy Benefit Management Market Value Share (%), by Service, 2022 & 2030

Figure 3:  U.S. Pharmacy Benefit Management Market Value Share (%), by Service Providers, 2022 & 2030

Figure 4:  U.S. Pharmacy Benefit Management Market Share (%), By Company, 2022

Table 1:  U.S. Pharmacy Benefit Management Market Revenue (USD million) Forecast, by Service, 2019-2030

Table 2:  U.S. Pharmacy Benefit Management Market Revenue (USD million) Forecast, by Service Providers, 2019-2030

U.S. Pharmacy Benefit Management Market
  • 2019-2030
  • 2022
  • 2019-2021
  • 60
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Clients
3M
Toshiba
Fresenius
Johnson
Siemens
Abbot
Allergan
American Medical Association
Becton, Dickinson and Company
Bristol-Myers Squibb Company
Henry Schein
Mckesson
Mindray
National Institutes of Health (NIH)
Nihon Kohden
Olympus
Quest Diagnostics
Sanofi
Smith & Nephew
Straumann