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PBM(Pharmacy Benefit Management) 산업 분석

The US Pharmacy Benefit Management (PBM) Market: Industry Analysis & Outlook 2016-2020

리서치사 Koncept Analytics
발행일 2016년 12월 상품 코드 225450
페이지 정보 영문 83 Pages
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US $ 800 ₩ 904,000 PDF (Single User License)
US $ 1,100 ₩ 1,243,000 PDF (Corporate User License)


PBM(Pharmacy Benefit Management) 산업 분석 The US Pharmacy Benefit Management (PBM) Market: Industry Analysis & Outlook 2016-2020
발행일 : 2016년 12월 페이지 정보 : 영문 83 Pages

본 상품은 영문 자료로 한글과 영문목차에 불일치하는 내용이 있을 경우 영문을 우선합니다. 정확한 검토를 위해 영문목차를 참고해주시기 바랍니다.

PBM(Pharmacy Benefit Management) 산업에 대해 조사분석했으며, 시장 규모와 시장가격의 양면에 초점을 맞추고 개요, 역학, 경쟁 구도 및 주요 기업 개요 등의 정보를 정리하여 전해드립니다.

제1장 개요

  • 서론
  • 약제 급부 관리(PBM) 서비스의 종류
  • PBM 관리자의 처방 체제
  • PBM의 타임라인
  • 소매 약국 프로세스와 자금 흐름
  • 통판 약국 프로세스와 자금 흐름

제2장 세계의 제약 시장 분석

  • 시장 분석 : 금액 기반
  • 시장 예측 : 금액 기반
  • 시장 점유율 : 지역별 내역

제3장 미국의 제약 시장 분석

  • 제약 시장
    • 시장 분석 : 금액 기반
    • 시장 예측 : 금액 기반
    • 연간 시장 매출액 : 조제 채널별
    • 시장 분석 : 부문별
    • 시장 채널 종류 : 금액 기반
    • 시장 종류 : 금액 기반
    • 시장 점유율 : 종류별
  • 처방약(Rx) 시장
    • 시장 분석 : 수량 기반
    • 시장 예측 : 수량 기반
    • 시장 규모 : 카테고리별
    • 시장 규모 예측 : 카테고리별
    • 시장 점유율 : 채널 종류별
    • 제약 시장 : 분기 처방수
    • 제네릭 의약품 시장 : 분기 처방수
    • 브랜드약 시장 : 분기 처방수
    • 제네릭 의약품 시장 보급률

제4장 시장 역학

  • 성장 촉진요인
  • 시장 동향
  • 과제

제5장 경쟁 구도

  • 시장 점유율 : 처방 요구별
  • 시장 점유율 예측 : 처방 요구별
  • 시장 분석 : 연간 스크립트수별
  • 특수 약국 시장 점유율 : 기업별
  • 의약품 비용 동향 : 기업별
  • 특수약 비용 동향 : 기업별

제6장 기업 개요

  • Express Scripts
    • 사업 개요
    • 재무 개요
    • 사업 전략
  • CVS Health
  • OptumRx
  • Humana

도표

KSA 17.01.05

A pharmacy benefit manager (PBM) is a third-party administrator (TPA) of prescription drug programs for commercial health plans, self-insured employer plans, and federal employee's health benefits program in the US. Pharmacy benefit managers act as an intermediary between the payer and everyone else in the healthcare system. The healthcare system is very complex with many components working together to meet health needs. The pharmaceutical industry is growing rapidly owing to an increase in population and number of diseases. PBMs bring value through lower drug costs for insurers by negotiating with pharmacies and drug manufacturers.

The competition in the PBM market is quite concentrated with major market share divided between top three companies. The competition is expected to become severe in the future due to the emerging popularity of generics and biologics. The industry is also witnessing a lot of merger and acquisitions eyeing the growth in the market.

The key factors driving the growth of the US PBM market are increase in ageing population, increase in healthcare expenditure, improving economic conditions, increase in Life expectancy rate and rising use of drugs. Some of the noteworthy trends and developments of this industry are increasing trend towards consumerism, increasing trend of specialty drugs, increase in the medical enrollments, rising prevalence of narrow network, growth in retail prescriptions, mail order penetration and claims, increasing mix of insured individuals and drug prices trend. However, the expansion of the US PBM market is hindered by high cost of drugs, reimbursement rate pressure and legal regulations.

The report “The US Pharmacy Benefit Management (PBM) Market: Industry Analysis & Outlook (2016-2020)” provides an in-depth analysis of the market. The major trends, growth drivers as well as issues being faced by the industry are being presented in this report. The industry comprises large players such as CVS, Express Scripts, Optum Rx Humana. All these companies have been profiled in the present report highlighting their key financials and business strategies for growth.

Table of Contents

1. PBM Overview

  • 1.1. An Introduction
  • 1.2. Types of PBM Services
  • 1.3. PBM Managers Formulary Structure
  • 1.4. PBM Timeline
  • 1.5. Retail Dispensing Process & Flow of Funds
  • 1.6. Mail Dispensing Process & Flow of Funds

2. Global Pharmaceutical Market Analysis

  • 2.1. Global Pharmaceutical Market by Value
  • 2.2. Global Pharmaceutical Market Forecast by Value
  • 2.3. Global Pharmaceutical Market Share by Region

3. The US Pharmaceutical Market Analysis

  • 3.1. The US Pharmaceutical Market
    • 3.1.1. The US Pharmaceutical Market by Value
    • 3.1.2. The US Pharmaceutical Market Forecast by Value
    • 3.1.3. The US Annual Pharmaceutical Market Sales by Dispensing Channel
    • 3.1.4. The US Pharmaceutical Market by Segments
    • 3.1.5. The US Pharmaceutical Market Channel Type by Value
    • 3.1.6. The US Pharmaceutical Market Types by Value
    • 3.1.7. The US Pharmaceutical Market Share by Types
  • 3.2. The US Prescription (Rx) Market
    • 3.2.1. The US Prescription Market by Volume
    • 3.2.2. The US Prescription Market Forecast by Volume
    • 3.2.3. The US Prescription Market Volume by Category
    • 3.2.4. The US Prescription Market Volume Forecast by Category
    • 3.2.5. The US Prescription Market Share by Channel Type
    • 3.2.6. The US Pharmaceutical Market Quarterly Prescriptions
    • 3.2.7. The US Pharmaceutical Generic Market Quarterly Prescriptions
    • 3.2.8. The US Pharmaceutical Branded Market Quarterly Prescriptions
    • 3.2.9. The US Generic Market Penetration Rate

4. Market Dynamics

  • 4.1. Growth Drivers
    • 4.1.1. Growth in Ageing Population
    • 4.1.2. Increasing Healthcare Expenditure
    • 4.1.3. Improving Economic Conditions
    • 4.1.4. Increasing Life Expectancy Rate
    • 4.1.5. Rising Use of Drugs
  • 4.2. Market Trends
    • 4.2.1. Increasing Trend towards Consumerism
    • 4.2.2. Growing Trend of Specialty Drugs
    • 4.2.3. Rising Prevalence of Narrow Networks
    • 4.2.4. Increase in the Medicare Enrollments
    • 4.2.5. Drug Prices Trend
    • 4.2.6. Growth in Retail Prescriptions
    • 4.2.7. Declining Claims and Mail Order Penetration
    • 4.2.8. Increasing Mix of Insured Individuals
  • 4.3. Challenges
    • 4.3.1. High Drug Prices
    • 4.3.2. Reimbursement Rate Pressure
    • 4.3.3. Legal Regulations

5. Competitive Landscape

  • 5.1. The US PBM Market Share by Prescription Claim
  • 5.2. The US PBM Market Share Forecast by Prescription Claim
  • 5.3. The US PBM Market by Annual Script Volume
  • 5.4. The US Specialty Pharmacy Market Share by Company
  • 5.5. The US PBM Drug Cost Trend by Company
  • 5.6. The US PBM Specialty Drug Cost Trend by Company

6. Company Profiles

  • 6.1. Express Scripts
    • 6.1.1. Business Overview
    • 6.1.2. Financial Overview
    • 6.1.3. Business Strategies
  • 6.2. CVS Health
    • 6.2.1. Business Overview
    • 6.2.2. Financial Overview
    • 6.2.3. Business Strategies
  • 6.3. OptumRx
    • 6.3.1. Business Overview
    • 6.3.2. Financial Overview
    • 6.3.3. Business Strategies
  • 6.4. Humana
    • 6.4.1. Business Overview
    • 6.4.2. Financial Overview
    • 6.4.3. Business Strategies

List of Charts

  • PBM Services Types
  • PBM Managers Formulary Structure
  • History of PBM
  • Retail Dispensing Process and Flow of Funds
  • Mail Dispensing Process and Flow of Funds
  • Global Pharmaceutical Market by Value (2010-2015)
  • Global Pharmaceutical Market Forecast by Value (2016-2020)
  • Global Pharmaceutical Market Share by Region (2015)
  • The US Pharmaceutical Market by Value (2010-2015)
  • The US Pharmaceutical Market Forecast by Value (2016-2020)
  • The US Pharmaceutical Market by Segments (2015)
  • The US Pharmaceutical Market Channel Type by Value (2015)
  • The US Pharmaceutical Market Types by Value (2015/2018)
  • The US Pharmaceutical Market Share by Type (2015)
  • The US Pharmaceutical Market Share Forecast by Type (2018)
  • The US Prescription Market by Volume (2009-2015)
  • The US Prescription Market Forecast by Volume (2016-2020)
  • The US Prescription Market Volume by Category (2011-2015)
  • The US Prescription Market Volume Forecast by Category (2016-2020)
  • The US Prescription Market Share by Channel Type (2015)
  • The US Pharmaceutical Market Quarterly Prescriptions (June 2014 - March 2016)
  • The US Pharmaceutical Generic Market Quarterly Prescriptions (June 2014 - March 2016)
  • The US Pharmaceutical Branded Market Quarterly Prescriptions (June 2014 - March 2016)
  • The US Generic Market Penetration Rate (June 2014 - March 2016)
  • The US Ageing Population (2007-2015)
  • The US Healthcare Expenditure Per Capita (2007-2015)
  • The US GDP Growth (2008-2015)
  • The US Life Expectancy Rate (2009-2015)
  • Health Plan Enrollment Distribution by Plan Type (2011-2016)
  • Enrollments in Medicare Program by Beneficiary Type (2011-2015)
  • Drug Price Index (2009-2015)
  • Mail Order Penetration and Claims (2010-2018)
  • Insured Individuals Mix (2013-2020)
  • The US PBM Market Share by Prescription Claim (2015)
  • The US PBM Market Share Forecast by Prescription Claim (2020)
  • The US PBM Market by Annual Script Volume (2015)
  • The US Specialty Pharmacy Market Share by Company (2015)
  • The US PBM Drug Cost Trend by Company (2015)
  • The US PBM Specialty Drug Cost Trend by Company (2015)
  • Express Script's Revenues Share by Segment (2015)
  • Express Script's Revenue and Net Income (2011-2015)
  • CVS Health's Revenues Share by Segment (2015)
  • CVS Health's Net Revenue and Net Income (2011-2015)
  • OptumRx's Revenues and Net Income (2011-2015)
  • Humana's Revenues Share by Segment (2015)
  • Humana's Revenue and Net Income (2011-2015)

List of Tables

  • The US Annual Pharmaceutical Market Sales by Dispensing Channel (2011-2015)
  • Growth in Retail Prescriptions (2011-2015)
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