US Pharmacy Benefit Management (PBM) Industry Report: 2014 Edition
"US
Pharmacy Benefit Management (PBM) Industry Report: 2014 Edition"
The Report covers current Market Trends, Worldwide Analysis, Global
Forecast, Review, Share, Size, Growth, Effect.
Description-
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.
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.
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
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