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表紙：薬局給付管理（PBM）の世界市場：規模・予測 - サービス別、サービス提供者別、地域別分析（2023年～2030年）
市場調査レポート
商品コード
1407966

薬局給付管理（PBM）の世界市場：規模・予測 - サービス別、サービス提供者別、地域別分析（2023年～2030年）

Global Pharmacy Benefit Management Market Size Study & Forecast, by Service, by Service Provider, and Regional Analysis, 2023-2030

出版日
ページ情報
英文
納期
2～3営業日
カスタマイズ可能
価格
価格表記: USDを日本円(税抜)に換算
本日の銀行送金レート: 1USD=144.06円
薬局給付管理（PBM）の世界市場：規模・予測 - サービス別、サービス提供者別、地域別分析（2023年～2030年）
出版日: 2023年12月20日
発行: Bizwit Research & Consulting LLP
ページ情報: 英文
納期: 2～3営業日
GIIご利用のメリット
  • 全表示
  • 概要
  • 図表
  • 目次
概要

世界の薬局給付管理（PBM）の市場規模は、2022年に約5,139億8,000万米ドルにし、予測期間2023年～2030年に6.0％超の健全な成長率で成長すると予測されています。 薬局給付管理（PBM）とは、医療保険者、雇用者、その他の支払者のために処方薬給付を管理するプロセスです。

PBMは医薬品の処方設計と管理、メーカーとの薬価交渉、処方薬の請求処理と決済を行います。PBMは、患者、薬剤師、医薬品メーカー、保険会社など、医療システムに関わる多くの関係者の仲介役として活動しています。PBMの主な目的は、患者が必要な治療を受けられるようにしながら、処方薬の支出や使用量の削減をサポートすることです。薬局給付管理（PBM）市場が拡大している背景には、ワークフローを円滑化するための機械学習や人工知能の採用の増加、慢性疾患の有病率の増加、データ分析、服薬アドヒアランスと健康アウトカムへの注目の高まり、処方薬利用の拡大といった要因があります。また、薬局給付管理を重視する傾向が強まっていることから、薬局業務の精度、安全性、効率性が強化され、最終的に患者の健康状態の改善につながると期待されています。この動向は、予測期間を通じて市場の拡大を促すと予測されます。

さらに、世界の医療支出の急増は、薬剤在庫・供給管理や患者への費用対効果の高い薬剤提供のための先進的なソフトウェアやソリューションの採用を促進するものと思われます。このことは、今後数年間の市場拡大に拍車をかけると予想されます。メディケア・メディケイド・サービスセンター（Centers for Medicare and Medicaid Services）が発表した2021年のデータによると、国民医療支出は2.7%増加し、2021年には4兆3,000億米ドル（国民1人当たり12,914米ドルに相当）に達し、GDPの18.3%を占めます。さらに、民間医療保険支出は5.8％増の1兆2,114億米ドル、処方薬支出は7.8％増の3,780億米ドルに2021年に達しました。したがって、これらの前述の要因は、予測期間中に薬局給付管理（PBM）市場の成長を加速させる見通しです。さらに、先進的なソフトウェアやソリューションの開発に重点が置かれるようになり、処方箋製品に対する旺盛な需要とともに、予測期間中にさまざまな有利な機会がもたらされます。しかし、厳しい政府規制と薬価の上昇は、2023年～2030年の予測期間を通じて市場成長に課題となっています。

世界の薬局給付管理（PBM）市場の調査で考慮された主要地域には、アジア太平洋、北米、欧州、ラテンアメリカ、中東・アフリカが含まれています。北米は、投薬ミスの増加、薬局給付管理の導入の増加、医療支出の増加により、2022年の市場を独占しました。例えば、オックスフォード大学出版局が2022年7月に発表した調査では、米国の処方薬支出は前年の4%から2022年には6%に増加すると予測されています。この支出の増加は、同地域における処方薬への旺盛な需要を裏付けており、これが薬局管理システムの需要を促進し、市場成長に寄与すると予想されます。また、医療保険が適用される人口が多いこと、薬局給付管理者に対する政府の規制が充実していること、薬局給付管理企業の数が増加していることも、この地域の優位性を高めています。一方、世界のその他の地域は、予測期間中に大きなCAGRで成長すると予想されます。健康意識向上への取り組みの普及と保険業者による医療プランの選択肢の拡大は、薬局サービスの利用を刺激すると予想され、また医療制度の複雑化も地域全体の市場需要を大きく促進しています。

本調査の目的は、近年におけるさまざまなセグメントと国の市場規模を明らかにし、今後数年間の市場規模を予測することです。本レポートは、調査対象国における産業の質的・量的側面を盛り込むよう設計されています。

また、市場の将来的な成長を規定する促進要因や課題などの重要な側面に関する詳細情報も提供しています。さらに、主要企業の競合情勢や製品提供の詳細な分析とともに、利害関係者が投資するためのミクロ市場における潜在的な機会も組み込んでいます。

目次

第1章 エグゼクティブサマリー

第2章 世界の薬局給付管理（PBM）市場の定義と範囲

  • 調査目的
  • 市場の定義と範囲
    • 業界の進化
    • 調査範囲
  • 調査対象年
  • 通貨換算レート

第3章 世界の薬局給付管理（PBM）市場力学

  • 薬局給付管理（PBM）市場の影響分析（2020年～2030年）
    • 市場促進要因
      • ワークフローを円滑化するための機械学習と人工知能の採用増加
      • 世界の医療支出の急増
    • 市場の課題
      • 厳しい政府規制
      • 薬価の上昇
    • 市場機会
      • 先進的なソフトウェアとソリューションの開発に対する重点の高まり
      • 処方箋製品に対する旺盛な需要

第4章 世界の薬局給付管理（PBM）市場産業分析

  • ポーターのファイブフォースモデル
    • 供給企業の交渉力
    • 買い手の交渉力
    • 新規参入業者の脅威
    • 代替品の脅威
    • 競争企業間の敵対関係
  • ポーターのファイブフォース影響分析
  • PEST分析
    • 政治
    • 経済
    • 社会
    • 技術
    • 環境
    • 法律
  • 主な投資機会
  • 主要成功戦略
  • COVID-19影響分析
  • 破壊的動向
  • 業界専門家の視点
  • アナリストの結論・提言

第5章 薬局給付管理（PBM）の世界市場：サービス別

  • 市場スナップショット
  • 薬局給付管理（PBM）の世界市場：サービス別、実績 - ポテンシャル分析
  • 薬局給付管理（PBM）の世界市場：サービス別、推定・予測（2020年～2030年）
  • 薬局給付管理（PBM）市場：サブセグメント分析
    • 専門薬局サービス
    • 給付プラン設計・管理
    • 薬局請求処理
    • 処方管理
    • その他

第6章 薬局給付管理（PBM）の世界市場：サービス提供者別

  • 市場スナップショット
  • 薬局給付管理（PBM）の世界市場：サービス提供者別、実績 - ポテンシャル分析
  • 薬局給付管理（PBM）の世界市場：サービス提供者別、推定・予測（2020年～2030年）
  • 薬局給付管理（PBM）市場：サブセグメント分析
    • 保険会社
    • 小売薬局
    • 独立型PBM

第7章 薬局給付管理（PBM）の世界市場：地域別分析

  • 主要国
  • 主要新興国
  • 薬局給付管理（PBM）市場の地域市場スナップショット
  • 北米
    • 米国
      • サービス別の推定・予測（2020年～2030年）
      • サービス提供者別の推定・予測（2020年～2030年）
    • カナダ
  • 欧州
    • 英国
    • ドイツ
    • フランス
    • スペイン
    • イタリア
    • その他欧州
  • アジア太平洋
    • 中国
    • インド
    • 日本
    • オーストラリア
    • 韓国
    • その他アジア太平洋
  • ラテンアメリカ
    • ブラジル
    • メキシコ
  • 中東・アフリカ
    • サウジアラビア
    • 南アフリカ
    • その他中東・アフリカ

第8章 競合情報

  • 主要企業のSWOT分析
  • 主要市場戦略
  • 企業プロファイル
    • Optum, Inc.
    • Centene Corporation（Envolve Health）
    • CVS Health
    • SS&C Technologies, Inc.
    • Anthem, Inc.
    • Elixir Rx Solutions, LLC
    • Express Scripts Holding Company
    • Benecard Services, LLC
    • CaptureRx
    • Change Healthcare

第9章 調査プロセス

  • 調査プロセス
    • データマイニング
    • 分析
    • 市場推定
    • 検証
    • 出版
  • 調査属性
  • 調査前提条件
図表

LIST OF TABLES

  • TABLE 1. Global Pharmacy Benefit Management (PBM) Market, report scope
  • TABLE 2. Global Pharmacy Benefit Management (PBM) Market estimates & forecasts by Region 2020-2030 (USD Billion)
  • TABLE 3. Global Pharmacy Benefit Management (PBM) Market estimates & forecasts by Service 2020-2030 (USD Billion)
  • TABLE 4. Global Pharmacy Benefit Management (PBM) Market estimates & forecasts by Service Provider 2020-2030 (USD Billion)
  • TABLE 5. Global Pharmacy Benefit Management (PBM) Market by segment, estimates & forecasts, 2020-2030 (USD Billion)
  • TABLE 6. Global Pharmacy Benefit Management (PBM) Market by region, estimates & forecasts, 2020-2030 (USD Billion)
  • TABLE 7. Global Pharmacy Benefit Management (PBM) Market by segment, estimates & forecasts, 2020-2030 (USD Billion)
  • TABLE 8. Global Pharmacy Benefit Management (PBM) Market by region, estimates & forecasts, 2020-2030 (USD Billion)
  • TABLE 9. Global Pharmacy Benefit Management (PBM) Market by segment, estimates & forecasts, 2020-2030 (USD Billion)
  • TABLE 10. Global Pharmacy Benefit Management (PBM) Market by region, estimates & forecasts, 2020-2030 (USD Billion)
  • TABLE 11. Global Pharmacy Benefit Management (PBM) Market by segment, estimates & forecasts, 2020-2030 (USD Billion)
  • TABLE 12. Global Pharmacy Benefit Management (PBM) Market by region, estimates & forecasts, 2020-2030 (USD Billion)
  • TABLE 13. Global Pharmacy Benefit Management (PBM) Market by segment, estimates & forecasts, 2020-2030 (USD Billion)
  • TABLE 14. Global Pharmacy Benefit Management (PBM) Market by region, estimates & forecasts, 2020-2030 (USD Billion)
  • TABLE 15. U.S. Pharmacy Benefit Management (PBM) Market estimates & forecasts, 2020-2030 (USD Billion)
  • TABLE 16. U.S. Pharmacy Benefit Management (PBM) Market estimates & forecasts by segment 2020-2030 (USD Billion)
  • TABLE 17. U.S. Pharmacy Benefit Management (PBM) Market estimates & forecasts by segment 2020-2030 (USD Billion)
  • TABLE 18. Canada Pharmacy Benefit Management (PBM) Market estimates & forecasts, 2020-2030 (USD Billion)
  • TABLE 19. Canada Pharmacy Benefit Management (PBM) Market estimates & forecasts by segment 2020-2030 (USD Billion)
  • TABLE 20. Canada Pharmacy Benefit Management (PBM) Market estimates & forecasts by segment 2020-2030 (USD Billion)
  • TABLE 21. UK Pharmacy Benefit Management (PBM) Market estimates & forecasts, 2020-2030 (USD Billion)
  • TABLE 22. UK Pharmacy Benefit Management (PBM) Market estimates & forecasts by segment 2020-2030 (USD Billion)
  • TABLE 23. UK Pharmacy Benefit Management (PBM) Market estimates & forecasts by segment 2020-2030 (USD Billion)
  • TABLE 24. Germany Pharmacy Benefit Management (PBM) Market estimates & forecasts, 2020-2030 (USD Billion)
  • TABLE 25. Germany Pharmacy Benefit Management (PBM) Market estimates & forecasts by segment 2020-2030 (USD Billion)
  • TABLE 26. Germany Pharmacy Benefit Management (PBM) Market estimates & forecasts by segment 2020-2030 (USD Billion)
  • TABLE 27. France Pharmacy Benefit Management (PBM) Market estimates & forecasts, 2020-2030 (USD Billion)
  • TABLE 28. France Pharmacy Benefit Management (PBM) Market estimates & forecasts by segment 2020-2030 (USD Billion)
  • TABLE 29. France Pharmacy Benefit Management (PBM) Market estimates & forecasts by segment 2020-2030 (USD Billion)
  • TABLE 30. Italy Pharmacy Benefit Management (PBM) Market estimates & forecasts, 2020-2030 (USD Billion)
  • TABLE 31. Italy Pharmacy Benefit Management (PBM) Market estimates & forecasts by segment 2020-2030 (USD Billion)
  • TABLE 32. Italy Pharmacy Benefit Management (PBM) Market estimates & forecasts by segment 2020-2030 (USD Billion)
  • TABLE 33. Spain Pharmacy Benefit Management (PBM) Market estimates & forecasts, 2020-2030 (USD Billion)
  • TABLE 34. Spain Pharmacy Benefit Management (PBM) Market estimates & forecasts by segment 2020-2030 (USD Billion)
  • TABLE 35. Spain Pharmacy Benefit Management (PBM) Market estimates & forecasts by segment 2020-2030 (USD Billion)
  • TABLE 36. RoE Pharmacy Benefit Management (PBM) Market estimates & forecasts, 2020-2030 (USD Billion)
  • TABLE 37. RoE Pharmacy Benefit Management (PBM) Market estimates & forecasts by segment 2020-2030 (USD Billion)
  • TABLE 38. RoE Pharmacy Benefit Management (PBM) Market estimates & forecasts by segment 2020-2030 (USD Billion)
  • TABLE 39. China Pharmacy Benefit Management (PBM) Market estimates & forecasts, 2020-2030 (USD Billion)
  • TABLE 40. China Pharmacy Benefit Management (PBM) Market estimates & forecasts by segment 2020-2030 (USD Billion)
  • TABLE 41. China Pharmacy Benefit Management (PBM) Market estimates & forecasts by segment 2020-2030 (USD Billion)
  • TABLE 42. India Pharmacy Benefit Management (PBM) Market estimates & forecasts, 2020-2030 (USD Billion)
  • TABLE 43. India Pharmacy Benefit Management (PBM) Market estimates & forecasts by segment 2020-2030 (USD Billion)
  • TABLE 44. India Pharmacy Benefit Management (PBM) Market estimates & forecasts by segment 2020-2030 (USD Billion)
  • TABLE 45. Japan Pharmacy Benefit Management (PBM) Market estimates & forecasts, 2020-2030 (USD Billion)
  • TABLE 46. Japan Pharmacy Benefit Management (PBM) Market estimates & forecasts by segment 2020-2030 (USD Billion)
  • TABLE 47. Japan Pharmacy Benefit Management (PBM) Market estimates & forecasts by segment 2020-2030 (USD Billion)
  • TABLE 48. South Korea Pharmacy Benefit Management (PBM) Market estimates & forecasts, 2020-2030 (USD Billion)
  • TABLE 49. South Korea Pharmacy Benefit Management (PBM) Market estimates & forecasts by segment 2020-2030 (USD Billion)
  • TABLE 50. South Korea Pharmacy Benefit Management (PBM) Market estimates & forecasts by segment 2020-2030 (USD Billion)
  • TABLE 51. Australia Pharmacy Benefit Management (PBM) Market estimates & forecasts, 2020-2030 (USD Billion)
  • TABLE 52. Australia Pharmacy Benefit Management (PBM) Market estimates & forecasts by segment 2020-2030 (USD Billion)
  • TABLE 53. Australia Pharmacy Benefit Management (PBM) Market estimates & forecasts by segment 2020-2030 (USD Billion)
  • TABLE 54. RoAPAC Pharmacy Benefit Management (PBM) Market estimates & forecasts, 2020-2030 (USD Billion)
  • TABLE 55. RoAPAC Pharmacy Benefit Management (PBM) Market estimates & forecasts by segment 2020-2030 (USD Billion)
  • TABLE 56. RoAPAC Pharmacy Benefit Management (PBM) Market estimates & forecasts by segment 2020-2030 (USD Billion)
  • TABLE 57. Brazil Pharmacy Benefit Management (PBM) Market estimates & forecasts, 2020-2030 (USD Billion)
  • TABLE 58. Brazil Pharmacy Benefit Management (PBM) Market estimates & forecasts by segment 2020-2030 (USD Billion)
  • TABLE 59. Brazil Pharmacy Benefit Management (PBM) Market estimates & forecasts by segment 2020-2030 (USD Billion)
  • TABLE 60. Mexico Pharmacy Benefit Management (PBM) Market estimates & forecasts, 2020-2030 (USD Billion)
  • TABLE 61. Mexico Pharmacy Benefit Management (PBM) Market estimates & forecasts by segment 2020-2030 (USD Billion)
  • TABLE 62. Mexico Pharmacy Benefit Management (PBM) Market estimates & forecasts by segment 2020-2030 (USD Billion)
  • TABLE 63. RoLA Pharmacy Benefit Management (PBM) Market estimates & forecasts, 2020-2030 (USD Billion)
  • TABLE 64. RoLA Pharmacy Benefit Management (PBM) Market estimates & forecasts by segment 2020-2030 (USD Billion)
  • TABLE 65. RoLA Pharmacy Benefit Management (PBM) Market estimates & forecasts by segment 2020-2030 (USD Billion)
  • TABLE 66. Saudi Arabia Pharmacy Benefit Management (PBM) Market estimates & forecasts, 2020-2030 (USD Billion)
  • TABLE 67. South Africa Pharmacy Benefit Management (PBM) Market estimates & forecasts by segment 2020-2030 (USD Billion)
  • TABLE 68. RoMEA Pharmacy Benefit Management (PBM) Market estimates & forecasts by segment 2020-2030 (USD Billion)
  • TABLE 69. List of secondary sources, used in the study of global Pharmacy Benefit Management (PBM) Market
  • TABLE 70. List of primary sources, used in the study of global Pharmacy Benefit Management (PBM) Market
  • TABLE 71. Years considered for the study
  • TABLE 72. Exchange rates considered

List of tables and figures and dummy in nature, final lists may vary in the final deliverable

LIST OF FIGURES

  • FIG 1. Global Pharmacy Benefit Management (PBM) Market, research methodology
  • FIG 2. Global Pharmacy Benefit Management (PBM) Market, Market estimation techniques
  • FIG 3. Global Market size estimates & forecast methods
  • FIG 4. Global Pharmacy Benefit Management (PBM) Market, key trends 2022
  • FIG 5. Global Pharmacy Benefit Management (PBM) Market, growth prospects 2023-2030
  • FIG 6. Global Pharmacy Benefit Management (PBM) Market, porters 5 force model
  • FIG 7. Global Pharmacy Benefit Management (PBM) Market, pest analysis
  • FIG 8. Global Pharmacy Benefit Management (PBM) Market, value chain analysis
  • FIG 9. Global Pharmacy Benefit Management (PBM) Market by segment, 2020 & 2030 (USD Billion)
  • FIG 10. Global Pharmacy Benefit Management (PBM) Market by segment, 2020 & 2030 (USD Billion)
  • FIG 11. Global Pharmacy Benefit Management (PBM) Market by segment, 2020 & 2030 (USD Billion)
  • FIG 12. Global Pharmacy Benefit Management (PBM) Market by segment, 2020 & 2030 (USD Billion)
  • FIG 13. Global Pharmacy Benefit Management (PBM) Market by segment, 2020 & 2030 (USD Billion)
  • FIG 14. Global Pharmacy Benefit Management (PBM) Market, regional snapshot 2020 & 2030
  • FIG 15. North America Pharmacy Benefit Management (PBM) Market 2020 & 2030 (USD Billion)
  • FIG 16. Europe Pharmacy Benefit Management (PBM) Market 2020 & 2030 (USD Billion)
  • FIG 17. Asia pacific Pharmacy Benefit Management (PBM) Market 2020 & 2030 (USD Billion)
  • FIG 18. Latin America Pharmacy Benefit Management (PBM) Market 2020 & 2030 (USD Billion)
  • FIG 19. Middle East & Africa Pharmacy Benefit Management (PBM) Market 2020 & 2030 (USD Billion)

List of tables and figures and dummy in nature, final lists may vary in the final deliverable

目次

Global Pharmacy Benefit Management (PBM) Market is at approximately USD 513.98 billion in 2022 and is anticipated to grow with a healthy growth rate of more than 6.0% over the forecast period 2023-2030. Pharmacy Benefit Management (PBM) is the process of managing prescription drug benefits for health insurers, employers, and other payers. PBMs design and maintain drug formularies, bargain drug pricing with manufacturers, and handle and settle claims for prescription medications. PBMs operate as go-betweens for many parties involved in the healthcare system, such as patients, pharmacists, medication makers, and insurance companies. Their main objective is to support the reduction of prescription drug expenditures and utilization while ensuring that patients have access to essential treatments. The Pharmacy Benefit Management (PBM) Market is expanding because of factors such as the increasing adoption of machine learning and artificial intelligence to smoothen workflow, increasing prevalence of chronic diseases, rising focus on data analytics, medication adherence and health outcomes, and growing prescription drug utilization. Also, the growing emphasis on pharmacy benefits management is expected to enhance the precision, safety, and efficiency of pharmacy operations, ultimately leading to better patient health outcomes. This trend is projected to stimulate market expansion throughout the forecast period.

In addition, the surge in global healthcare expenditures is poised to drive the adoption of advanced software and solutions for drug inventory and supply management, as well as the provision of cost-effective medications to patients. This is expected to fuel market expansion in the anticipated years. As per 2021 data released by the Centers for Medicare and Medicaid Services, national health spending escalated by 2.7% to reach USD 4.3 trillion in 2021 (equivalent to USD 12,914 per capita), representing 18.3% of the GDP. Furthermore, private health insurance spending rose by 5.8% to USD 1,211.4 billion, and prescription drug expenditure surged by 7.8% to reach USD 378 billion in 2021. Accordingly, these aforementioned factors are accelerating the growth of the Pharmacy Benefit Management (PBM) Market during the estimated period. Furthermore, the rising emphasis on developing advanced software and solutions, along with the robust demand for prescription products present various lucrative opportunities over the forecast years. However, the stringent government regulations and the rising drug prices are challenging the market growth throughout the forecast period of 2023-2030.

The key regions considered for the Global Pharmacy Benefit Management (PBM) Market study include Asia Pacific, North America, Europe, Latin America, and Middle East & Africa. North America dominated the market in 2022 owing to the rising number of medication errors, increasing adoption of pharmacy benefit management, and an upward trajectory in healthcare spending. For instance, in a study published by Oxford University Press in July 2022, it was stated that the overall prescription drug spending in the United States was projected to increase from 4% in the previous year to 6% in 2022. This heightened expenditure underscores the strong demand for prescription drugs in the region, which is expected to drive the demand for pharmacy management systems and, thus, contribute to market growth. Also, the substantial population under medical coverage, supportive government regulations for pharmacy benefit managers, and a growing number of pharmacy benefit management companies in the country further contribute to the region's dominance. Whereas, the rest of the world is expected to grow at a significant CAGR over the forecast years. The growing prevalence of health awareness initiatives and the expansion of health plan options by insurance providers are expected to stimulate the uptake of pharmacy services, as well as the increasing complexity of the healthcare system is significantly propelling the market demand across the region.

Major market players included in this report are:

  • Optum, Inc.
  • Centene Corporation (Envolve Health)
  • CVS Health
  • SS&C Technologies, Inc.
  • Anthem, Inc.
  • Elixir Rx Solutions, LLC
  • Express Scripts Holding Company
  • Benecard Services, LLC
  • CaptureRx
  • Change Healthcare

Recent Developments in the Market:

  • In October 2022, Omnicell, Inc., a company specializing in medication management and adherence tools for healthcare systems and pharmacies, introduced Specialty Pharmacy Services. This comprehensive solution is tailored to assist healthcare systems in establishing or enhancing their hospital-owned specialty pharmacies, providing full management and optimization support.
  • In November 2021, Anthem, Inc. agreed to acquire Integra Managed Care with the objective of expanding the company's network and Medicaid operations.
  • In March 2021, CVS Caremark and the Government-wide Service Benefit Plan signed a broader agreement that gave CVS Health the opportunity to reclaim the specialty pharmacy market.

Global Pharmacy Benefit Management (PBM) Market Report Scope:

  • Historical Data - 2020 - 2021
  • Base Year for Estimation - 2022
  • Forecast period - 2023-2030
  • Report Coverage - Revenue forecast, Company Ranking, Competitive Landscape, Growth factors, and Trends
  • Segments Covered - Service, Service Provider, Region
  • Regional Scope - North America; Europe; Asia Pacific; Latin America; Middle East & Africa
  • Customization Scope - Free report customization (equivalent up to 8 analyst's working hours) with purchase. Addition or alteration to country, regional & segment scope*

The objective of the study is to define market sizes of different segments & countries in recent years and to forecast the values to the coming years. The report is designed to incorporate both qualitative and quantitative aspects of the industry within countries involved in the study.

The report also caters detailed information about the crucial aspects such as driving factors & challenges which will define the future growth of the market. Additionally, it also incorporates potential opportunities in micro markets for stakeholders to invest along with the detailed analysis of competitive landscape and product offerings of key players. The detailed segments and sub-segment of the market are explained below:

By Service:

  • Specialty Pharmacy Services
  • Benefit Plan Design & Administration
  • Pharmacy Claims Processing
  • Formulary Management
  • Others

By Service Provider:

  • Insurance Companies
  • Retail Pharmacies
  • Standalone PBMs

By Region:

  • North America
  • U.S.
  • Canada
  • Europe
  • UK
  • Germany
  • France
  • Spain
  • Italy
  • ROE
  • Asia Pacific
  • China
  • India
  • Japan
  • Australia
  • South Korea
  • RoAPAC
  • Latin America
  • Brazil
  • Mexico
  • Middle East & Africa
  • Saudi Arabia
  • South Africa
  • Rest of Middle East & Africa

Table of Contents

Chapter 1. Executive Summary

  • 1.1. Market Snapshot
  • 1.2. Global & Segmental Market Estimates & Forecasts, 2020-2030 (USD Billion)
    • 1.2.1. Pharmacy Benefit Management (PBM) Market, by Region, 2020-2030 (USD Billion)
    • 1.2.2. Pharmacy Benefit Management (PBM) Market, by Service, 2020-2030 (USD Billion)
    • 1.2.3. Pharmacy Benefit Management (PBM) Market, by Service Provider, 2020-2030 (USD Billion)
  • 1.3. Key Trends
  • 1.4. Estimation Methodology
  • 1.5. Research Assumption

Chapter 2. Global Pharmacy Benefit Management (PBM) Market Definition and Scope

  • 2.1. Objective of the Study
  • 2.2. Market Definition & Scope
    • 2.2.1. Industry Evolution
    • 2.2.2. Scope of the Study
  • 2.3. Years Considered for the Study
  • 2.4. Currency Conversion Rates

Chapter 3. Global Pharmacy Benefit Management (PBM) Market Dynamics

  • 3.1. Pharmacy Benefit Management (PBM) Market Impact Analysis (2020-2030)
    • 3.1.1. Market Drivers
      • 3.1.1.1. Increasing adoption of machine learning and artificial intelligence to smoothen workflow
      • 3.1.1.2. Surge in global healthcare expenditures
    • 3.1.2. Market Challenges
      • 3.1.2.1. Stringent government regulations
      • 3.1.2.2. Rising drug prices
    • 3.1.3. Market Opportunities
      • 3.1.3.1. Growing emphasis on developing advanced software and solutions, as
      • 3.1.3.2. Robust demand for prescription products

Chapter 4. Global Pharmacy Benefit Management (PBM) Market Industry Analysis

  • 4.1. Porter's 5 Force Model
    • 4.1.1. Bargaining Power of Suppliers
    • 4.1.2. Bargaining Power of Buyers
    • 4.1.3. Threat of New Entrants
    • 4.1.4. Threat of Substitutes
    • 4.1.5. Competitive Rivalry
  • 4.2. Porter's 5 Force Impact Analysis
  • 4.3. PEST Analysis
    • 4.3.1. Political
    • 4.3.2. Economical
    • 4.3.3. Social
    • 4.3.4. Technological
    • 4.3.5. Environmental
    • 4.3.6. Legal
  • 4.4. Top investment opportunity
  • 4.5. Top winning strategies
  • 4.6. COVID-19 Impact Analysis
  • 4.7. Disruptive Trends
  • 4.8. Industry Expert Perspective
  • 4.9. Analyst Recommendation & Conclusion

Chapter 5. Global Pharmacy Benefit Management (PBM) Market, by Service

  • 5.1. Market Snapshot
  • 5.2. Global Pharmacy Benefit Management (PBM) Market by Service, Performance - Potential Analysis
  • 5.3. Global Pharmacy Benefit Management (PBM) Market Estimates & Forecasts by Service 2020-2030 (USD Billion)
  • 5.4. Pharmacy Benefit Management (PBM) Market, Sub Segment Analysis
    • 5.4.1. Specialty Pharmacy Services
    • 5.4.2. Benefit Plan Design & Administration
    • 5.4.3. Pharmacy Claims Processing
    • 5.4.4. Formulary Management
    • 5.4.5. Others

Chapter 6. Global Pharmacy Benefit Management (PBM) Market, by Service Provider

  • 6.1. Market Snapshot
  • 6.2. Global Pharmacy Benefit Management (PBM) Market by Service Provider, Performance - Potential Analysis
  • 6.3. Global Pharmacy Benefit Management (PBM) Market Estimates & Forecasts by Service Provider 2020-2030 (USD Billion)
  • 6.4. Pharmacy Benefit Management (PBM) Market, Sub Segment Analysis
    • 6.4.1. Insurance Companies
    • 6.4.2. Retail Pharmacies
    • 6.4.3. Standalone PBMs

Chapter 7. Global Pharmacy Benefit Management (PBM) Market, Regional Analysis

  • 7.1. Top Leading Countries
  • 7.2. Top Emerging Countries
  • 7.3. Pharmacy Benefit Management (PBM) Market, Regional Market Snapshot
  • 7.4. North America Pharmacy Benefit Management (PBM) Market
    • 7.4.1. U.S. Pharmacy Benefit Management (PBM) Market
      • 7.4.1.1. Service breakdown estimates & forecasts, 2020-2030
      • 7.4.1.2. Service Provider breakdown estimates & forecasts, 2020-2030
    • 7.4.2. Canada Pharmacy Benefit Management (PBM) Market
  • 7.5. Europe Pharmacy Benefit Management (PBM) Market Snapshot
    • 7.5.1. U.K. Pharmacy Benefit Management (PBM) Market
    • 7.5.2. Germany Pharmacy Benefit Management (PBM) Market
    • 7.5.3. France Pharmacy Benefit Management (PBM) Market
    • 7.5.4. Spain Pharmacy Benefit Management (PBM) Market
    • 7.5.5. Italy Pharmacy Benefit Management (PBM) Market
    • 7.5.6. Rest of Europe Pharmacy Benefit Management (PBM) Market
  • 7.6. Asia-Pacific Pharmacy Benefit Management (PBM) Market Snapshot
    • 7.6.1. China Pharmacy Benefit Management (PBM) Market
    • 7.6.2. India Pharmacy Benefit Management (PBM) Market
    • 7.6.3. Japan Pharmacy Benefit Management (PBM) Market
    • 7.6.4. Australia Pharmacy Benefit Management (PBM) Market
    • 7.6.5. South Korea Pharmacy Benefit Management (PBM) Market
    • 7.6.6. Rest of Asia Pacific Pharmacy Benefit Management (PBM) Market
  • 7.7. Latin America Pharmacy Benefit Management (PBM) Market Snapshot
    • 7.7.1. Brazil Pharmacy Benefit Management (PBM) Market
    • 7.7.2. Mexico Pharmacy Benefit Management (PBM) Market
  • 7.8. Middle East & Africa Pharmacy Benefit Management (PBM) Market
    • 7.8.1. Saudi Arabia Pharmacy Benefit Management (PBM) Market
    • 7.8.2. South Africa Pharmacy Benefit Management (PBM) Market
    • 7.8.3. Rest of Middle East & Africa Pharmacy Benefit Management (PBM) Market

Chapter 8. Competitive Intelligence

  • 8.1. Key Company SWOT Analysis
    • 8.1.1. Company 1
    • 8.1.2. Company 2
    • 8.1.3. Company 3
  • 8.2. Top Market Strategies
  • 8.3. Company Profiles
    • 8.3.1. Optum, Inc.
      • 8.3.1.1. Key Information
      • 8.3.1.2. Overview
      • 8.3.1.3. Financial (Subject to Data Availability)
      • 8.3.1.4. Product Summary
      • 8.3.1.5. Recent Developments
    • 8.3.2. Centene Corporation (Envolve Health)
    • 8.3.3. CVS Health
    • 8.3.4. SS&C Technologies, Inc.
    • 8.3.5. Anthem, Inc.
    • 8.3.6. Elixir Rx Solutions, LLC
    • 8.3.7. Express Scripts Holding Company
    • 8.3.8. Benecard Services, LLC
    • 8.3.9. CaptureRx
    • 8.3.10. Change Healthcare

Chapter 9. Research Process

  • 9.1. Research Process
    • 9.1.1. Data Mining
    • 9.1.2. Analysis
    • 9.1.3. Market Estimation
    • 9.1.4. Validation
    • 9.1.5. Publishing
  • 9.2. Research Attributes
  • 9.3. Research Assumption