药局福利管理市场－全球产业规模、份额、趋势、机会和预测，按服务、商业模式、最终用户、地区和竞争格局划分，2020-2030年预测

2024年全球药局福利管理市场规模为4,284.2亿美元，预计2030年将以7.21%的复合年增长率成长至6,505.5亿美元。药局福利管理（PBM）是指第三方管理机构透过协商药品价格、处理理赔和製定药品目录，为健康保险公司、雇主和政府专案管理处方药福利，以控製成本并改善药物可近性。

主要市场驱动因素

处方药成本的不断攀升是全球药品福利管理市场的主要驱动因素，因此需要製定复杂的策略来管理药品支出。随着药品价格持续上涨，健康保险公司、雇主和政府专案越来越依赖药品福利管理机构（PBM）与药品生产商谈判折扣、制定具有成本效益的药品目录并实施用药管理计划。

主要市场挑战

药品福利管理业务实务长期缺乏透明度，严重阻碍了市场成长。利润取得方式的不透明，尤其是在药品定价机制和回扣结构方面，加剧了各利害关係人之间的不信任。

主要市场趋势

先进技术和人工智慧的融合是全球药品福利管理市场的一大趋势，它正在提升营运效率并增强服务交付能力。药品福利管理机构（PBM）正越来越多地利用复杂的数位工具和人工智慧来实现流程自动化、优化药品目录设计并提高患者参与度。

目录

第一章：产品概述

第二章：研究方法

第三章：执行概要

第四章：顾客之声

第五章：全球药局福利管理市场展望

• 市场规模及预测
  • 按价值
• 市占率及预测
  • 依服务项目分类（专科药局、药品配方管理、福利计画设计与咨询、其他服务）
  • 依业务模式划分（政府医疗计划、雇主赞助计划、健康保险管理）
  • 按最终用户（药品福利管理机构、邮购药局、零售药局、其他）
  • 按地区
  • 按公司（2024 年）
• 市场地图

第六章：北美药局福利管理市场展望

• 市场规模及预测
• 市占率及预测
• 北美洲：国家分析
  • 美国
  • 加拿大
  • 墨西哥

第七章：欧洲药品福利管理市场展望

• 市场规模及预测
• 市占率及预测
• 欧洲：国家分析
  • 德国
  • 法国
  • 英国
  • 义大利
  • 西班牙

第八章：亚太地区药局福利管理市场展望

• 市场规模及预测
• 市占率及预测
• 亚太地区：国家分析
  • 中国
  • 印度
  • 日本
  • 韩国
  • 澳洲

第九章：中东和非洲药品福利管理市场展望

• 市场规模及预测
• 市占率及预测
• 中东和非洲：国家分析
  • 沙乌地阿拉伯
  • 阿联酋
  • 南非

第十章：南美洲药品福利管理市场展望

• 市场规模及预测
• 市占率及预测
• 南美洲：国家分析
  • 巴西
  • 哥伦比亚
  • 阿根廷

第十一章：市场动态

• 司机
• 挑战

第十二章：市场趋势与发展

• 併购
• 产品发布
• 最新进展

第十三章：全球药局福利管理市场：SWOT分析

第十四章：波特五力分析

• 产业竞争
• 新进入者的潜力
• 供应商议价能力
• 顾客的力量
• 替代产品的威胁

第十五章：竞争格局

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

第十六章：策略建议

第17章调查会社について・免责事项

The Global Pharmacy Benefit Management Market, valued at USD 428.42 Billion in 2024, is projected to experience a CAGR of 7.21% to reach USD 650.55 Billion by 2030. Pharmacy Benefit Management (PBM) involves third-party administrators that manage prescription drug benefits for health insurers, employers, and government programs by negotiating drug prices, processing claims, and developing formularies to control costs and improve access to medications.

Key Market Drivers

The escalating costs of prescription drugs represent a fundamental driver for the Global Pharmacy Benefit Management Market, necessitating sophisticated strategies to manage pharmaceutical expenditure. As drug prices continue to climb, health insurers, employers, and government programs increasingly rely on PBMs to negotiate discounts with manufacturers, establish cost-effective formularies, and implement utilization management programs. This demand for cost containment solutions positions PBMs as critical intermediaries in the healthcare supply chain, essential for mitigating financial burdens on payers and patients.

Key Market Challenges

The persistent lack of transparency within Pharmacy Benefit Management business practices presents a substantial impediment to market growth. Opaque profit generation, particularly concerning drug pricing mechanisms and rebate structures, cultivates significant distrust among various stakeholders. This environment complicates effective oversight and prompts increased scrutiny, leading to calls for more stringent regulation.

Key Market Trends

Advanced Technology and AI Integration represents a significant trend in the Global Pharmacy Benefit Management Market, transforming operational efficiencies and enhancing service delivery. PBMs are increasingly leveraging sophisticated digital tools and artificial intelligence to automate processes, optimize formulary design, and improve patient engagement. AHIP's 2024 Consumer Experience and Digital Health Forum notably featured "AI, Data Analytics and Interoperability" as a core track, underscoring the industry's strategic emphasis on these areas for evolving healthcare delivery. This technological shift allows for more precise identification of medication non-adherence risks and streamlined administrative functions.

Key Market Players

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

Report Scope:

In this report, the Global Pharmacy Benefit Management Market has been segmented into the following categories, in addition to the industry trends which have also been detailed below:

Pharmacy Benefit Management Market, By Service:

• Specialty Pharmacy
• Drug Formulatory Management
• Benefit Plan Design and Consultation
• Other Services

Pharmacy Benefit Management Market, By Business Model:

• Government Health Programs
• Employer-Sponsored Programs
• Health Insurance Management

Pharmacy Benefit Management Market, By End User:

• Pharmacy Benefit Management Organization
• Mail Order Pharmacies
• Retail Pharmacies
• Other

Pharmacy Benefit Management Market, By Region:

• North America
• Europe
  • France
  • United Kingdom
  • Italy
  • Germany
  • Spain
• Asia Pacific
• South America
• Middle East & Africa

Competitive Landscape

Company Profiles: Detailed analysis of the major companies presents in the Global Pharmacy Benefit Management Market.

Available Customizations:

Global Pharmacy Benefit Management Market report with the given market data, TechSci Research offers customizations according to a company's specific needs. The following customization options are available for the report:

Company Information

• Detailed analysis and profiling of additional market players (up to five).

Table of Contents

1. Product Overview

• 1.1. Market Definition
• 1.2. Scope of the Market
  • 1.2.1. Markets Covered
  • 1.2.2. Years Considered for Study
  • 1.2.3. Key Market Segmentations

2. Research Methodology

• 2.1. Objective of the Study
• 2.2. Baseline Methodology
• 2.3. Key Industry Partners
• 2.4. Major Association and Secondary Sources
• 2.5. Forecasting Methodology
• 2.6. Data Triangulation & Validation
• 2.7. Assumptions and Limitations

3. Executive Summary

• 3.1. Overview of the Market
• 3.2. Overview of Key Market Segmentations
• 3.3. Overview of Key Market Players
• 3.4. Overview of Key Regions/Countries
• 3.5. Overview of Market Drivers, Challenges, Trends

4. Voice of Customer

5. Global Pharmacy Benefit Management Market Outlook

• 5.1. Market Size & Forecast
  • 5.1.1. By Value
• 5.2. Market Share & Forecast
  • 5.2.1. By Service (Specialty Pharmacy, Drug Formulatory Management, Benefit Plan Design and Consultation, Other Services)
  • 5.2.2. By Business Model (Government Health Programs, Employer-Sponsored Programs, Health Insurance Management)
  • 5.2.3. By End User (Pharmacy Benefit Management Organization, Mail Order Pharmacies, Retail Pharmacies, Other)
  • 5.2.4. By Region
  • 5.2.5. By Company (2024)
• 5.3. Market Map

6. North America Pharmacy Benefit Management Market Outlook

• 6.1. Market Size & Forecast
  • 6.1.1. By Value
• 6.2. Market Share & Forecast
  • 6.2.1. By Service
  • 6.2.2. By Business Model
  • 6.2.3. By End User
  • 6.2.4. By Country
• 6.3. North America: Country Analysis
  • 6.3.1. United States Pharmacy Benefit Management Market Outlook
    • 6.3.1.1. Market Size & Forecast
      • 6.3.1.1.1. By Value
    • 6.3.1.2. Market Share & Forecast
      • 6.3.1.2.1. By Service
      • 6.3.1.2.2. By Business Model
      • 6.3.1.2.3. By End User
  • 6.3.2. Canada Pharmacy Benefit Management Market Outlook
    • 6.3.2.1. Market Size & Forecast
      • 6.3.2.1.1. By Value
    • 6.3.2.2. Market Share & Forecast
      • 6.3.2.2.1. By Service
      • 6.3.2.2.2. By Business Model
      • 6.3.2.2.3. By End User
  • 6.3.3. Mexico Pharmacy Benefit Management Market Outlook
    • 6.3.3.1. Market Size & Forecast
      • 6.3.3.1.1. By Value
    • 6.3.3.2. Market Share & Forecast
      • 6.3.3.2.1. By Service
      • 6.3.3.2.2. By Business Model
      • 6.3.3.2.3. By End User

7. Europe Pharmacy Benefit Management Market Outlook

• 7.1. Market Size & Forecast
  • 7.1.1. By Value
• 7.2. Market Share & Forecast
  • 7.2.1. By Service
  • 7.2.2. By Business Model
  • 7.2.3. By End User
  • 7.2.4. By Country
• 7.3. Europe: Country Analysis
  • 7.3.1. Germany Pharmacy Benefit Management Market Outlook
    • 7.3.1.1. Market Size & Forecast
      • 7.3.1.1.1. By Value
    • 7.3.1.2. Market Share & Forecast
      • 7.3.1.2.1. By Service
      • 7.3.1.2.2. By Business Model
      • 7.3.1.2.3. By End User
  • 7.3.2. France Pharmacy Benefit Management Market Outlook
    • 7.3.2.1. Market Size & Forecast
      • 7.3.2.1.1. By Value
    • 7.3.2.2. Market Share & Forecast
      • 7.3.2.2.1. By Service
      • 7.3.2.2.2. By Business Model
      • 7.3.2.2.3. By End User
  • 7.3.3. United Kingdom Pharmacy Benefit Management Market Outlook
    • 7.3.3.1. Market Size & Forecast
      • 7.3.3.1.1. By Value
    • 7.3.3.2. Market Share & Forecast
      • 7.3.3.2.1. By Service
      • 7.3.3.2.2. By Business Model
      • 7.3.3.2.3. By End User
  • 7.3.4. Italy Pharmacy Benefit Management Market Outlook
    • 7.3.4.1. Market Size & Forecast
      • 7.3.4.1.1. By Value
    • 7.3.4.2. Market Share & Forecast
      • 7.3.4.2.1. By Service
      • 7.3.4.2.2. By Business Model
      • 7.3.4.2.3. By End User
  • 7.3.5. Spain Pharmacy Benefit Management Market Outlook
    • 7.3.5.1. Market Size & Forecast
      • 7.3.5.1.1. By Value
    • 7.3.5.2. Market Share & Forecast
      • 7.3.5.2.1. By Service
      • 7.3.5.2.2. By Business Model
      • 7.3.5.2.3. By End User

8. Asia Pacific Pharmacy Benefit Management Market Outlook

• 8.1. Market Size & Forecast
  • 8.1.1. By Value
• 8.2. Market Share & Forecast
  • 8.2.1. By Service
  • 8.2.2. By Business Model
  • 8.2.3. By End User
  • 8.2.4. By Country
• 8.3. Asia Pacific: Country Analysis
  • 8.3.1. China Pharmacy Benefit Management Market Outlook
    • 8.3.1.1. Market Size & Forecast
      • 8.3.1.1.1. By Value
    • 8.3.1.2. Market Share & Forecast
      • 8.3.1.2.1. By Service
      • 8.3.1.2.2. By Business Model
      • 8.3.1.2.3. By End User
  • 8.3.2. India Pharmacy Benefit Management Market Outlook
    • 8.3.2.1. Market Size & Forecast
      • 8.3.2.1.1. By Value
    • 8.3.2.2. Market Share & Forecast
      • 8.3.2.2.1. By Service
      • 8.3.2.2.2. By Business Model
      • 8.3.2.2.3. By End User
  • 8.3.3. Japan Pharmacy Benefit Management Market Outlook
    • 8.3.3.1. Market Size & Forecast
      • 8.3.3.1.1. By Value
    • 8.3.3.2. Market Share & Forecast
      • 8.3.3.2.1. By Service
      • 8.3.3.2.2. By Business Model
      • 8.3.3.2.3. By End User
  • 8.3.4. South Korea Pharmacy Benefit Management Market Outlook
    • 8.3.4.1. Market Size & Forecast
      • 8.3.4.1.1. By Value
    • 8.3.4.2. Market Share & Forecast
      • 8.3.4.2.1. By Service
      • 8.3.4.2.2. By Business Model
      • 8.3.4.2.3. By End User
  • 8.3.5. Australia Pharmacy Benefit Management Market Outlook
    • 8.3.5.1. Market Size & Forecast
      • 8.3.5.1.1. By Value
    • 8.3.5.2. Market Share & Forecast
      • 8.3.5.2.1. By Service
      • 8.3.5.2.2. By Business Model
      • 8.3.5.2.3. By End User

9. Middle East & Africa Pharmacy Benefit Management Market Outlook

• 9.1. Market Size & Forecast
  • 9.1.1. By Value
• 9.2. Market Share & Forecast
  • 9.2.1. By Service
  • 9.2.2. By Business Model
  • 9.2.3. By End User
  • 9.2.4. By Country
• 9.3. Middle East & Africa: Country Analysis
  • 9.3.1. Saudi Arabia Pharmacy Benefit Management Market Outlook
    • 9.3.1.1. Market Size & Forecast
      • 9.3.1.1.1. By Value
    • 9.3.1.2. Market Share & Forecast
      • 9.3.1.2.1. By Service
      • 9.3.1.2.2. By Business Model
      • 9.3.1.2.3. By End User
  • 9.3.2. UAE Pharmacy Benefit Management Market Outlook
    • 9.3.2.1. Market Size & Forecast
      • 9.3.2.1.1. By Value
    • 9.3.2.2. Market Share & Forecast
      • 9.3.2.2.1. By Service
      • 9.3.2.2.2. By Business Model
      • 9.3.2.2.3. By End User
  • 9.3.3. South Africa Pharmacy Benefit Management Market Outlook
    • 9.3.3.1. Market Size & Forecast
      • 9.3.3.1.1. By Value
    • 9.3.3.2. Market Share & Forecast
      • 9.3.3.2.1. By Service
      • 9.3.3.2.2. By Business Model
      • 9.3.3.2.3. By End User

10. South America Pharmacy Benefit Management Market Outlook

• 10.1. Market Size & Forecast
  • 10.1.1. By Value
• 10.2. Market Share & Forecast
  • 10.2.1. By Service
  • 10.2.2. By Business Model
  • 10.2.3. By End User
  • 10.2.4. By Country
• 10.3. South America: Country Analysis
  • 10.3.1. Brazil Pharmacy Benefit Management Market Outlook
    • 10.3.1.1. Market Size & Forecast
      • 10.3.1.1.1. By Value
    • 10.3.1.2. Market Share & Forecast
      • 10.3.1.2.1. By Service
      • 10.3.1.2.2. By Business Model
      • 10.3.1.2.3. By End User
  • 10.3.2. Colombia Pharmacy Benefit Management Market Outlook
    • 10.3.2.1. Market Size & Forecast
      • 10.3.2.1.1. By Value
    • 10.3.2.2. Market Share & Forecast
      • 10.3.2.2.1. By Service
      • 10.3.2.2.2. By Business Model
      • 10.3.2.2.3. By End User
  • 10.3.3. Argentina Pharmacy Benefit Management Market Outlook
    • 10.3.3.1. Market Size & Forecast
      • 10.3.3.1.1. By Value
    • 10.3.3.2. Market Share & Forecast
      • 10.3.3.2.1. By Service
      • 10.3.3.2.2. By Business Model
      • 10.3.3.2.3. By End User

11. Market Dynamics

• 11.1. Drivers
• 11.2. Challenges

12. Market Trends & Developments

• 12.1. Merger & Acquisition (If Any)
• 12.2. Product Launches (If Any)
• 12.3. Recent Developments

13. Global Pharmacy Benefit Management Market: SWOT Analysis

14. Porter's Five Forces Analysis

• 14.1. Competition in the Industry
• 14.2. Potential of New Entrants
• 14.3. Power of Suppliers
• 14.4. Power of Customers
• 14.5. Threat of Substitute Products

15. Competitive Landscape

• 15.1. Optum, Inc.
  • 15.1.1. Business Overview
  • 15.1.2. Products & Services
  • 15.1.3. Recent Developments
  • 15.1.4. Key Personnel
  • 15.1.5. SWOT Analysis
• 15.2. Centene Corporation (Envolve Health).
• 15.3. CVS Health Corporation
• 15.4. SS&C Technologies, Inc.
• 15.5. Anthem, Inc..
• 15.6. Elixir Rx Solutions, LLC.
• 15.7. Express Scripts Holding Company
• 15.8. Benecard Services, LLC.
• 15.9. CaptureRx LLC

16. Strategic Recommendations

17. About Us & Disclaimer