Dublin, Sept. 06, 2019 (GLOBE NEWSWIRE) -- The "U.S. Pharmacy Benefit Management (PBM) Market Analysis Report By Business Model (Standalone, Health Insurance Providers, Retail Pharmacy), By End Use (Commercial, Federal), And Segment Forecasts, 2019 - 2026" report has been added to ResearchAndMarkets.com's offering.
The U.S. pharmacy benefits management market size is projected to reach USD 744.6 billion by 2026, exhibiting a CAGR of 9.2% during the forecast period. Increasing vertical integration of key market players, rising prevalence of chronic disease, and shrinking FDA generic-approval backlog are some of the primary growth stimulants for the market.
Vertical integration of pharmacy benefits management (PBM) organizations with health insurance companies are poised to result in increased control of PBMs over distribution systems. This will lead to rise in rebates, ultimately increasing the cost of drug list prices. Moreover, it will result in a monopoly of certain market player, concentrating sales and revenue generation.
The business of insuring and administering employee benefit programs in the country, especially, health care programs, is heavily regulated by federal and state laws and administrative agencies, such as the Department of Health and Human Services (HHS), State Departments of Insurance, Centers for Medicare & Medicaid Services (CMS), Internal Revenue Services, and Departments of Labor.
All PBM businesses in the U.S. must include home delivery and specialty pharmacies licensed as pharmacies in the states of establishment. Several states in the country regulate the scope of prescription (Rx) drug coverage and delivery channels to receive drugs for managed care organizations (MCOs), insurers, and Medicaid care plans. Certain home delivery and specialty pharmacies must be registered with the U.S. Drug Enforcement Administration (DEA) and individual state controlled substance authorities.
Further key findings from the study suggest:
Key Topics Covered
Chapter 1 Methodology & Scope
Chapter 2 Executive Summary
2.1 Market Outlook
2.2 Segment Outlook
Chapter 3 Market Variables, Trends & Scope
3.1 Market Segmentation
3.2 User Perspective Analysis
3.2.1 Consumer Behavior Analysis
3.2.2 Market Influencer Analysis
3.3 Market Dynamics
3.3.1 Market Driver Analysis
3.3.1.1 Vertical Integration Of Key Market Players
3.3.1.2 Introduction Of Improved Health Benefit Plans
3.3.1.3 Growing Prevalence Of Chronic Diseases In The U.S.
3.3.2 Market Restraint Analysis
3.3.2.1 Stringent regulations to cut back rebates
3.4 Penetration & Growth Prospect Mapping
3.4.1 Penetration & Growth Prospect Mapping Analysis
3.5 Business Environment Analysis Tools
3.5.1 Porter's Five Forces Analysis
3.5.1.1 Bargaining power of buyers: High
3.5.1.2 Bargaining power of suppliers: Moderate
3.5.1.3 Competitive rivalry: High
3.5.1.4 Threat of new entrants: Low
3.5.1.5 Threat of substitutes: High
3.5.2 Pestel Analysis
3.5.2.1 Political & Legal Landscape
3.5.2.2 Economic Landscape
3.5.2.3 Social Landscape
3.5.2.4 Technological Landscape
3.5.2.5 Environmental Landscape
3.6 Supply Chain Analysis
3.7 Regulatory Framework
Chapter 4 U.S. Pharmacy Benefits Management Market: Business Model Analysis
4.1 U.S. Pharmacy Benefits Management Business Model Market Share Analysis, 2018 & 2026
4.2 U.S. Pharmacy Benefits Management Business Model Market: Segment Dashboard:
4.3 Market Size & Forecasts and Trend Analyses, 2015 to 2026 for the Business Model Segment
4.3.1 Standalone PBM
4.3.1.1 Standalone PBM Market, 2015 - 2026 (USD Billion)
4.3.2 Health Insurance Providers
4.3.2.1 Health Insurance Providers Market, 2015 - 2026 (USD Billion)
4.3.3 Retail Pharmacy
4.3.3.1 Retail Pharmacy Market, 2015 - 2026 (USD Billion)
Chapter 5 U.S. Pharmacy Benefits Management Market: End Use Analysis
5.1 U.S. Pharmacy Benefits Management End Use Market Share Analysis, 2018 & 2026
5.2 U.S. Pharmacy Benefits Management End Use Market: Segment Dashboard
5.3 Market Size & Forecasts and Trend Analyses, 2015 to 2026 for the End Use
5.3.1 Commercial
5.3.1.1 Commercial PBM market, 2015 - 2026 (USD Billion)
5.3.2 Federal
5.3.2.1 Federal PBM market, 2015 - 2026 (USD Billion)
Chapter 6 Competitive Analysis
6.1 Recent Developments & Impact Analysis, by Key Market Participants
6.2 Strategic Framework/ Competition Categorization (Key innovators, Market leaders, emerging players
6.3 Vendor Landscape
6.3.1 List Of Key Distributors And Channel Partners
6.3.2 Strategy Mapping
6.3.3 Major Deals & Strategic Alliances Analysis
6.4 U.S. Pharmacy Benefits Management (PBM) Market: Market Position Analysis (Based on Regional Presence and Recent Updates)
6.5 Company Profiles
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