In the United States, a pharmacy benefit manager (PBM) is a third-party administrator of prescription drug programs for commercial health plans, self-insured employer plans, Medicare Part D plans, the Federal Employees Health Benefits Program, and state government employee plans. [1][2] PBMs operate inside of integrated healthcare systems (e.g ...

Pharmacy benefit management companies work to ensure cost-effectiveness, proper utilization, and safety of medications for individuals. These companies negotiate with drug manufacturers …

A PBM, or pharmacy benefit manager, is a third-party administrator that manages prescription drug benefits for health insurers and employers. PBMs negotiate drug discounts, maintain formularies, and help control drug costs while ensuring medication safety for plan members.

2025年1月28日 · CVS Health is the largest PBM (with a 21.3% market share), followed by OptumRx (20.8%), Express Scripts (17.1%) and Prime Therapeutics (10.3%). At the local level, the average PBM market is highly concentrated when …

The PBM ("pharmacy benefit manager" or "prescription benefit manager") has historically been rife with mergers and acquisitions; the CVS Health/Aetna deal is a new dimension in the PBM business sector combining chain drugstore, home infusion and PBM businesses with national health (medical and pharmacy benefits) insurance/risk management ...

“药品福利管理”即“Pharmacy Benefit Management”（以下简称PBM)是一种专业化的第三方服务，是介于保险机构、制药商、医院和药房之间的管理协调组织，其成立的目的在于对医疗费用进行有效管理、节省支出、增加药品效益。 PBM通过与药品企业、医疗服务机构、保险公司或医院鉴定合同，以求在不降低医疗服务质量的前提下，影响医生或药剂师的处方行为，达到控制药品费用增长的目的。 PBM业务不仅可以为政府的医保基金省钱，还可以帮助商业健康险解决控费问题 …

2022年11月15日 · Pharmacy benefit managers (PBMs) help negotiate costs and payments between drug manufacturers, pharmacies, and healthcare insurance providers. PBMs also …

2021年4月6日 · We estimate that for 2020, the big three PBMs—CVS Health (including Caremark and Aetna), the Express Scripts business of Cigna, and the OptumRx business of UnitedHealth Group—processed about 77% of all equivalent prescription claims. The top six PBMs handled more than 95% of total U.S. equivalent prescription claims.

2024年7月17日 · What Is the Pharmacy Benefit Management (PBM) Industry? The pharmacy benefit management (PBM) industry is a group of companies that serve as the middlemen between insurance...

2022年9月15日 · A pharmacy benefit manager, or PBM, is a third-party service that manages prescription drug programs, acting as an intermediary between drug manufacturers, pharmacies, and health plan sponsors.