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 …

Pharmacy benefit management companies work to ensure cost-effectiveness, proper utilization, and safety of medications for individuals. These companies negotiate with drug manufacturers and pharmacies to secure lower prices and create formularies, which are lists of preferred medications for specific health conditions.

Discover the best PBM companies with Shortlister. Browse our extensive list of pharmacy benefit management companies to find the best fit for you.

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 ...

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 create prescription drug lists,...

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.

药品福利管理即Pharmacy Benefit Management (以下简称PBM) ，于20世纪60年代末出现在美国，是介于保险机构、制药商、医院和药房间的管理协调组织，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全称为药品福利管理（pharmacy benefit management，PBM），主要是由第三方管理组织通过协调药品企业、医院、药店、保险公司、参保人等多方关系，实现药品费用增长控制和医疗服务质量管理。

‍Pharmacy benefit companies are working every day on behalf of employers and health plans to secure savings on prescription drugs, enable better health outcomes for patients, and support access to quality prescription drug coverage for more than 275 million patients.