Pharmacy Benefit Management Market Size, Share, Trends and Forecast by Service, Business Model, End Use, and Region, 2025-2033

Pharmacy Benefit Management Market Size, Share, Trends and Forecast by Service, Business Model, End Use, and Region, 2025-2033

Report Format: PDF+Excel | Report ID: SR112025A3086

1   Preface
2   Scope and Methodology 

    2.1    Objectives of the Study
    2.2    Stakeholders
    2.3    Data Sources
        2.3.1    Primary Sources
        2.3.2    Secondary Sources
    2.4    Market Estimation
        2.4.1    Bottom-Up Approach
        2.4.2    Top-Down Approach
    2.5    Forecasting Methodology
3   Executive Summary
4   Introduction

    4.1    Overview
    4.2    Key Industry Trends
5   Global Pharmacy Benefit Management Market
    5.1    Market Overview
    5.2    Market Performance
    5.3    Impact of COVID-19
    5.4    Market Forecast
6   Market Breakup by Service
    6.1    Specialty Pharmacy Services
        6.1.1 Market Trends
        6.1.2 Market Forecast
    6.2    Drug Formulary Management
        6.2.1 Market Trends
        6.2.2 Market Forecast
    6.3    Retail Pharmacy Services
        6.3.1 Market Trends
        6.3.2 Market Forecast
    6.4    Benefit Plan Design and Consultation
        6.4.1 Market Trends
        6.4.2 Market Forecast
    6.5    Disease Management Services
        6.5.1 Market Trends
        6.5.2 Market Forecast
    6.6    Others
        6.6.1 Market Trends
        6.6.2 Market Forecast
7   Market Breakup by Business Model
    7.1    Health Insurance Management
        7.1.1 Market Trends
        7.1.2 Market Forecast
    7.2    Standalone PBMs
        7.2.1 Market Trends
        7.2.2 Market Forecast
    7.3    Retail Pharmacy
        7.3.1 Market Trends
        7.3.2 Market Forecast
8   Market Breakup by End Use
    8.1    Federal
        8.1.1 Market Trends
        8.1.2 Market Forecast
    8.2    Commercial
        8.2.1 Market Trends
        8.2.2 Market Forecast 
9   Market Breakup by Region
    9.1    North America
        9.1.1 United States
           9.1.1.1 Market Trends
           9.1.1.2 Market Forecast
        9.1.2 Canada
           9.1.2.1 Market Trends
           9.1.2.2 Market Forecast
    9.2    Europe
        9.2.1 Germany
           9.2.1.1 Market Trends
           9.2.1.2 Market Forecast
        9.2.2 France
           9.2.2.1 Market Trends
           9.2.2.2 Market Forecast
        9.2.3 United Kingdom
           9.2.3.1 Market Trends
           9.2.3.2 Market Forecast
        9.2.4 Italy
           9.2.4.1 Market Trends
           9.2.4.2 Market Forecast
        9.2.5 Spain
           9.2.5.1 Market Trends
           9.2.5.2 Market Forecast
        9.2.6 Others
           9.2.6.1 Market Trends
           9.2.6.2 Market Forecast
    9.3    Asia Pacific
        9.3.1 China
           9.3.1.1 Market Trends
           9.3.1.2 Market Forecast
        9.3.2 Japan
           9.3.2.1 Market Trends
           9.3.2.2 Market Forecast
        9.3.3 India
           9.3.3.1 Market Trends
           9.3.3.2 Market Forecast
        9.3.4 Australia
           9.3.4.1 Market Trends
           9.3.4.2 Market Forecast
        9.3.5 Others
           9.3.5.1 Market Trends
           9.3.5.2 Market Forecast
    9.4    Latin America
        9.4.1 Brazil
           9.4.1.1 Market Trends
           9.4.1.2 Market Forecast
        9.4.2 Mexico
           9.4.2.1 Market Trends
           9.4.2.2 Market Forecast
        9.4.3 Others
           9.4.3.1 Market Trends
           9.4.3.2 Market Forecast
    9.5    Middle East and Africa
        9.5.1 Saudi Arabia
           9.5.1.1 Market Trends
           9.5.1.2 Market Forecast
        9.5.2 South Africa
           9.5.2.1 Market Trends
           9.5.2.2 Market Forecast
        9.5.3 United Arab Emirates
           9.5.3.1 Market Trends
           9.5.3.2 Market Forecast
        9.5.4 Others
           9.5.4.1 Market Trends
           9.5.4.2 Market Forecast
10  SWOT Analysis
    10.1    Overview
    10.2    Strengths
    10.3    Weaknesses
    10.4    Opportunities
    10.5    Threats
11   Value Chain Analysis
12  Porters Five Forces Analysis

    12.1    Overview
    12.2    Bargaining Power of Buyers
    12.3    Bargaining Power of Suppliers
    12.4    Degree of Competition
    12.5    Threat of New Entrants
    12.6    Threat of Substitutes
13  Competitive Landscape
    13.1    Market Structure
    13.2    Key Players
    13.3    Profiles of Key Players
        13.3.1    Aetna, Inc.
           13.3.1.1 Company Overview
           13.3.1.2 Product Portfolio
        13.3.2    Centene Corporation
           13.3.2.1 Company Overview
           13.3.2.2 Product Portfolio
           13.3.2.3 Financials
           13.3.2.4 SWOT Analysis
        13.3.3    Cigna Corporation
           13.3.3.1 Company Overview
           13.3.3.2 Product Portfolio
           13.3.3.3 Financials
           13.3.3.4 SWOT Analysis
        13.3.4    CVS Health Corporation
           13.3.4.1 Company Overview
           13.3.4.2 Product Portfolio
           13.3.4.3 Financials
           13.3.4.4 SWOT Analysis
        13.3.5    Express Scripts Holding Company
           13.3.5.1 Company Overview
           13.3.5.2 Product Portfolio
           13.3.5.3 Financials
        13.3.6    Magellan Health, Inc.
           13.3.6.1 Company Overview
           13.3.6.2 Product Portfolio
           13.3.6.3 Financials
           13.3.6.4 SWOT Analysis
        13.3.7    Medimpact Healthcare Systems, Inc.
           13.3.7.1 Company Overview
           13.3.7.2 Product Portfolio
        13.3.8    Optumrx, Inc.
           13.3.8.1 Company Overview
           13.3.8.2 Product Portfolio
        13.3.9    Prime Therapeutics LLC
           13.3.9.1 Company Overview
           13.3.9.2 Product Portfolio
        13.3.10    ProCare Rx
           13.3.10.1 Company Overview
           13.3.10.2 Product Portfolio
        13.3.11    SS&c Technologies, Inc.
           13.3.11.1 Company Overview
           13.3.11.2 Product Portfolio
           13.3.11.3 Financials

List of Figures

Figure 1: Global: Pharmacy Benefit Management Market: Major Drivers and Challenges
Figure 2: Global: Pharmacy Benefit Management Market: Sales Value (in Billion USD), 2019-2024
Figure 3: Global: Pharmacy Benefit Management Market: Breakup by Service (in %), 2024
Figure 4: Global: Pharmacy Benefit Management Market: Breakup by Business Model (in %), 2024
Figure 5: Global: Pharmacy Benefit Management Market: Breakup by End Use (in %), 2024
Figure 6: Global: Pharmacy Benefit Management Market: Breakup by Region (in %), 2024
Figure 7: Global: Pharmacy Benefit Management Market Forecast: Sales Value (in Billion USD), 2025-2033
Figure 8: Global: Pharmacy Benefit Management (Specialty Pharmacy Services) Market: Sales Value (in Million USD), 2019 & 2024
Figure 9: Global: Pharmacy Benefit Management (Specialty Pharmacy Services) Market Forecast: Sales Value (in Million USD), 2025-2033
Figure 10: Global: Pharmacy Benefit Management (Drug Formulary Management) Market: Sales Value (in Million USD), 2019 & 2024
Figure 11: Global: Pharmacy Benefit Management (Drug Formulary Management) Market Forecast: Sales Value (in Million USD), 2025-2033
Figure 12: Global: Pharmacy Benefit Management (Retail Pharmacy Services) Market: Sales Value (in Million USD), 2019 & 2024
Figure 13: Global: Pharmacy Benefit Management (Retail Pharmacy Services) Market Forecast: Sales Value (in Million USD), 2025-2033
Figure 14: Global: Pharmacy Benefit Management (Benefit Plan Design and Consultation) Market: Sales Value (in Million USD), 2019 & 2024
Figure 15: Global: Pharmacy Benefit Management (Benefit Plan Design and Consultation) Market Forecast: Sales Value (in Million USD), 2025-2033
Figure 16: Global: Pharmacy Benefit Management (Disease Management Services) Market: Sales Value (in Million USD), 2019 & 2024
Figure 17: Global: Pharmacy Benefit Management (Disease Management Services) Market Forecast: Sales Value (in Million USD), 2025-2033
Figure 18: Global: Pharmacy Benefit Management (Other Services) Market: Sales Value (in Million USD), 2019 & 2024
Figure 19: Global: Pharmacy Benefit Management (Other Services) Market Forecast: Sales Value (in Million USD), 2025-2033
Figure 20: Global: Pharmacy Benefit Management (Health Insurance Management) Market: Sales Value (in Million USD), 2019 & 2024
Figure 21: Global: Pharmacy Benefit Management (Health Insurance Management) Market Forecast: Sales Value (in Million USD), 2025-2033
Figure 22: Global: Pharmacy Benefit Management (Standalone PBMs) Market: Sales Value (in Million USD), 2019 & 2024
Figure 23: Global: Pharmacy Benefit Management (Standalone PBMs) Market Forecast: Sales Value (in Million USD), 2025-2033
Figure 24: Global: Pharmacy Benefit Management (Retail Pharmacy) Market: Sales Value (in Million USD), 2019 & 2024
Figure 25: Global: Pharmacy Benefit Management (Retail Pharmacy) Market Forecast: Sales Value (in Million USD), 2025-2033
Figure 26: Global: Pharmacy Benefit Management (Federal) Market: Sales Value (in Million USD), 2019 & 2024
Figure 27: Global: Pharmacy Benefit Management (Federal) Market Forecast: Sales Value (in Million USD), 2025-2033
Figure 28: Global: Pharmacy Benefit Management (Commercial) Market: Sales Value (in Million USD), 2019 & 2024
Figure 29: Global: Pharmacy Benefit Management (Commercial) Market Forecast: Sales Value (in Million USD), 2025-2033
Figure 30: North America: Pharmacy Benefit Management Market: Sales Value (in Million USD), 2019 & 2024
Figure 31: North America: Pharmacy Benefit Management Market Forecast: Sales Value (in Million USD), 2025-2033
Figure 32: United States: Pharmacy Benefit Management Market: Sales Value (in Million USD), 2019 & 2024
Figure 33: United States: Pharmacy Benefit Management Market Forecast: Sales Value (in Million USD), 2025-2033
Figure 34: Canada: Pharmacy Benefit Management Market: Sales Value (in Million USD), 2019 & 2024
Figure 35: Canada: Pharmacy Benefit Management Market Forecast: Sales Value (in Million USD), 2025-2033
Figure 36: Europe: Pharmacy Benefit Management Market: Sales Value (in Million USD), 2019 & 2024
Figure 37: Europe: Pharmacy Benefit Management Market Forecast: Sales Value (in Million USD), 2025-2033
Figure 38: Germany: Pharmacy Benefit Management Market: Sales Value (in Million USD), 2019 & 2024
Figure 39: Germany: Pharmacy Benefit Management Market Forecast: Sales Value (in Million USD), 2025-2033
Figure 40: France: Pharmacy Benefit Management Market: Sales Value (in Million USD), 2019 & 2024
Figure 41: France: Pharmacy Benefit Management Market Forecast: Sales Value (in Million USD), 2025-2033
Figure 42: United Kingdom: Pharmacy Benefit Management Market: Sales Value (in Million USD), 2019 & 2024
Figure 43: United Kingdom: Pharmacy Benefit Management Market Forecast: Sales Value (in Million USD), 2025-2033
Figure 44: Italy: Pharmacy Benefit Management Market: Sales Value (in Million USD), 2019 & 2024
Figure 45: Italy: Pharmacy Benefit Management Market Forecast: Sales Value (in Million USD), 2025-2033
Figure 46: Spain: Pharmacy Benefit Management Market: Sales Value (in Million USD), 2019 & 2024
Figure 47: Spain: Pharmacy Benefit Management Market Forecast: Sales Value (in Million USD), 2025-2033
Figure 48: Others: Pharmacy Benefit Management Market: Sales Value (in Million USD), 2019 & 2024
Figure 49: Others: Pharmacy Benefit Management Market Forecast: Sales Value (in Million USD), 2025-2033
Figure 50: Asia Pacific: Pharmacy Benefit Management Market: Sales Value (in Million USD), 2019 & 2024
Figure 51: Asia Pacific: Pharmacy Benefit Management Market Forecast: Sales Value (in Million USD), 2025-2033
Figure 52: China: Pharmacy Benefit Management Market: Sales Value (in Million USD), 2019 & 2024
Figure 53: China: Pharmacy Benefit Management Market Forecast: Sales Value (in Million USD), 2025-2033
Figure 54: Japan: Pharmacy Benefit Management Market: Sales Value (in Million USD), 2019 & 2024
Figure 55: Japan: Pharmacy Benefit Management Market Forecast: Sales Value (in Million USD), 2025-2033
Figure 56: India: Pharmacy Benefit Management Market: Sales Value (in Million USD), 2019 & 2024
Figure 57: India: Pharmacy Benefit Management Market Forecast: Sales Value (in Million USD), 2025-2033
Figure 58: Australia: Pharmacy Benefit Management Market: Sales Value (in Million USD), 2019 & 2024
Figure 59: Australia: Pharmacy Benefit Management Market Forecast: Sales Value (in Million USD), 2025-2033
Figure 60: Others: Pharmacy Benefit Management Market: Sales Value (in Million USD), 2019 & 2024
Figure 61: Others: Pharmacy Benefit Management Market Forecast: Sales Value (in Million USD), 2025-2033
Figure 62: Latin America: Pharmacy Benefit Management Market: Sales Value (in Million USD), 2019 & 2024
Figure 63: Latin America: Pharmacy Benefit Management Market Forecast: Sales Value (in Million USD), 2025-2033
Figure 64: Brazil: Pharmacy Benefit Management Market: Sales Value (in Million USD), 2019 & 2024
Figure 65: Brazil: Pharmacy Benefit Management Market Forecast: Sales Value (in Million USD), 2025-2033
Figure 66: Mexico: Pharmacy Benefit Management Market: Sales Value (in Million USD), 2019 & 2024
Figure 67: Mexico: Pharmacy Benefit Management Market Forecast: Sales Value (in Million USD), 2025-2033
Figure 68: Others: Pharmacy Benefit Management Market: Sales Value (in Million USD), 2019 & 2024
Figure 69: Others: Pharmacy Benefit Management Market Forecast: Sales Value (in Million USD), 2025-2033
Figure 70: Middle East and Africa: Pharmacy Benefit Management Market: Sales Value (in Million USD), 2019 & 2024
Figure 71: Middle East and Africa: Pharmacy Benefit Management Market Forecast: Sales Value (in Million USD), 2025-2033
Figure 72: Saudi Arabia: Pharmacy Benefit Management Market: Sales Value (in Million USD), 2019 & 2024
Figure 73: Saudi Arabia: Pharmacy Benefit Management Market Forecast: Sales Value (in Million USD), 2025-2033
Figure 74: South Africa: Pharmacy Benefit Management Market: Sales Value (in Million USD), 2019 & 2024
Figure 75: South Africa: Pharmacy Benefit Management Market Forecast: Sales Value (in Million USD), 2025-2033
Figure 76: United Arab Emirates: Pharmacy Benefit Management Market: Sales Value (in Million USD), 2019 & 2024
Figure 77: United Arab Emirates: Pharmacy Benefit Management Market Forecast: Sales Value (in Million USD), 2025-2033
Figure 78: Others: Pharmacy Benefit Management Market: Sales Value (in Million USD), 2019 & 2024
Figure 79: Others: Pharmacy Benefit Management Market Forecast: Sales Value (in Million USD), 2025-2033
Figure 80: Global: Pharmacy Benefit Management Industry: SWOT Analysis
Figure 81: Global: Pharmacy Benefit Management Industry: Value Chain Analysis
Figure 82: Global: Pharmacy Benefit Management Industry: Porter’s Five Forces Analysis

List of Tables

Table 1: Global: Pharmacy Benefit Management Market: Key Industry Highlights, 2024 and 2033
Table 2: Global: Pharmacy Benefit Management Market Forecast: Breakup by Service (in Million USD), 2025-2033                                                      
Table 3: Global: Pharmacy Benefit Management Market Forecast: Breakup by Business Model (in Million USD), 2025-2033
Table 4: Global: Pharmacy Benefit Management Market Forecast: Breakup by End Use (in Million USD), 2025-2033
Table 5: Global: Pharmacy Benefit Management Market Forecast: Breakup by Region (in Million USD), 2025-2033
Table 6: Global: Pharmacy Benefit Management Market: Competitive Structure
Table 7: Global: Pharmacy Benefit Management Market: Key Players

Pharmacy Benefit Management Market Size, Share, Trends and Forecast by Service, Business Model, End Use, and Region, 2025-2033
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