Pharmacy Benefit Management Services Market - Global Industry Analysis, Size, Share, Trends, Analysis, Growth, and Forecast 2017 - 2025

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Pharmacy Benefit Management Services Market - Global Industry Analysis, Size, Share, Trends, Analysis, Growth, and Forecast 2017 - 2025

Status : September, 2020 | Pharmaceutical | PPT format

Report Digest


Global Pharmacy Benefit Management Services Market: Snapshot

Serving as a middleman between drug manufacturers, pharmacies, and healthcare insurance companies, vendors operating in the global pharmacy benefit management services market could be advantaged by the rising costs of several drugs. Insurance companies and insurers are expected to heavily rely on pharmacy benefit management services to lower drug costs. Moreover, pharmacy benefit management services are considered as key players in the overall healthcare space, which could raise their value even more.

Vendors are recommended to cash in on the various revenue streams available to make profit in the global pharmacy benefit management services market. These could be service fees for operating mail-order pharmacies, processing prescriptions, and negotiating with drug manufacturers, insurance companies, and pharmacies. The negotiation power could be strengthened by establishing contracts with some of the largest insurance companies in healthcare. As a result, new contracts are anticipated to bolster the growth of pharmacy benefit management services with up to a double-digit boost to stock price.

As more number of pharmacy benefit management services enter into contracts with insurers, the competition in the global market is prognosticated to aggravate further. Since consolidation allows participants to fortify their negotiation power and increase in size, there could be a telling number of mergers and acquisitions in the global pharmacy benefit management services market. Owing to inherent synergies between them, pharmacy benefit management services and pharmacies could also enter into consolidation. Pharmacy benefit management services are prophesied to create a network of retail pharmacies for distributing drugs by negotiating contracts with different pharmacies.

Pharmacy Benefit Management Services Market: Brief Account

Pharmacy benefit management services play an integral role in the healthcare industry, with its unique function of administrating pharmacy products, and focusing on real time interaction between various entities. The key trends of this process are governed by laws and regulations. The various functions of pharmacy benefit management services are: process and payment of prescription drugs, development and maintenance of formulary, negotiation of discounts, contracting with pharmacies, and rebates with drug manufacturers. These services are provided with the help of different tools that help to target specific problems for intervention, and most of the times are customized on the basis of client’s requirement.

The different tools that are used in pharmacy benefit management services are: pharmacy networks, mail service pharmacies, formularies, electronic prescribing, manufacturer discounts, clinical management, and pharmacy discount cards. The factors driving the pharmacy benefit management services market are Medicare’s emerging models of care integrate pharmacy, and execution and escalation of drug benefit programs. Although high upfront cost and low awareness related to the system is restraining the growth of the pharmacy benefit management services market.

Pharmacy Benefit Management Services Market: Segment Analysis

The most integral and highly preferred applications of pharmacy benefit management services are member’s administration, formulary management, E-prescribing, and E-dispensing, accompanied with processing of claims. Thus, formulary management lists approved prescription medications that abide to specific protocols, and are arranged on the basis of served programs. E-prescribing and E-dispensing are highly important elements of pharmacy benefit management program, as most of the misplacements and drug abuse cases are a result of error in prescriptions and dispensing.

Pharmacy Benefit Management Services Market: Regional Overview

Geographically, North America is the largest market for pharmacy benefit management due to the availability of modern healthcare information technologies, government support, and efficient infrastructure. The high awareness about wellbeing, health, and high expenditure capacity of patients, would indirectly act as a driving factor for the growth of pharmacy benefit management services in the European and North American market.

One of the industry trends observed was the proliferation of healthcare facilities and institutes from Asia Pacific region, catering to clinics and institutions, particularly large hospitals. The increasing density of population in Asia demands well integrated, time-efficient, and accurate drug dispensing services, majorly focused in China, India, Japan, and South Korea. Hence, emerging economies such as China and India are the key regional markets in the overall Asia Pacific market.

The Rest of the World is also observed to be another potential market during the forecast period from 2014 to 2020. The potential economies such as South Africa, Argentina, Brazil and Middle-Eastern Countries, were observed to be the emerging untapped markets for the application of this technology.

Pharmacy Benefit Management Services Market: Key Players

The companies operating in the pharmacy benefit management services market are: Express Script, Cigna, CVS Health, and Catamaran among others.

CVS health is the only pharmacy chain with its own services arm and owned 30% share in the managed medicaid market in the year 2014, with an estimated growth of 40% through 2016. The applications of pharmacy benefit management services are expected to be the leading driving factor for overall development and rising market share of CVS Health in the U.S.

This study provides a particularized anatomy according to the L.E.A.P mechanism

  • Latest trends and cardinal growth prospects
  • Existing and future insights in growth
  • Ascensions in technology
  • Pain points

The regional analysis offers market assays across:

  • North America
  • Asia Pacific
  • Europe
  • Latin America
  • The Middle East and Africa

The study, prepared through the L.E.A.P mechanism adds a dimension of infallibility and assures precise information on all the growth dynamics.

Latest Trends and Cardinal Growth Prospects

The study assists in burnishing the knowledge of the stakeholder in terms of the emerging trends. The study provides an expansive coverage on the latest developments and novel profit-yielding sources that augur well with the market. A dedicated and determined team of experts conduct an out-and-out research on diverse aspects to offer ultimate breakthroughs in the market.

Existing and Future Insights in Growth

The interfusion of ubiquitous primary and secondary research through modern tools invites perfection and accuracy in every aspect. Primary research is circumspectly conducted through exhaustive interactions and interviews of experts. These valuable opinions are then neatly inducted in the report to allow the stakeholder for reaping the benefits. A treasure of secondary data is extracted via famed paid sources, yearly estimates and statements, renowned journals, and government documents. These sources assist in creating a robust database comprising existing and subsequent growth dynamics.

Ascensions in Technology

Diverse technological advancements and cutting-edge innovations in the market have been covered in this study to assist the stakeholder in research and development activities. Recent upgrades have also been added in the study, thus helping the stakeholder to paint the strokes of growth on the canvas of the market.

Pain Points

The study presents a plethora of challenges and obstacles that can hinder the growth of the market to allow the stakeholder to prepare their strategies accordingly.

The world ushered in the new decade with the shadow of the COVID-19 pandemic. The outbreak has damaged the growth prospects of several businesses and has crippled the entire economy. The study is in tandem with the changing dynamics of the market due to the SARS-CoV-2 outbreak. The study focuses on the coronavirus pandemic and analyses every aspect that impacts the growth positively or negatively.

An aerial perspective of the regions covered in this study enables the stakeholder to design strategies accordingly. The 360-degree assessment of every aspect associated with growth offers information on a rainbow of growth opportunities available across the market.

The exhaustive study motivates the stakeholder to take the 'LEAP' of faith and achieve success!

This report is the key to questions such as:

What are the prominent factors that will help in reshaping the market growth?

Which trends have the potential to bring expansive growth for the market?

What are the necessary strategies to overcome the ill-effects of the COVID-19 pandemic?

Which regions will emerge as champion growth contributors for the market?

Which aspects will serve as game-changers for the market?

What are the latest innovations in the market?

Which factors will hinder the growth of the market?