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March, 2015

Five PBM Trends Influence the PBM Channel


PBMs concentrate their efforts in five core areas.

PBM Trends Influencing the Current and Future PBM Channel

Trend #1: Prioritization of financial and clinical interventions

PBMs prioritize aggressive financial and clinical interventions, utilizing formulary management, designation of preferred distribution channels (mail, mandatory specialty, limited retail networks), precise clinical pharmacy evaluations, and targeted programs and services.

Implications for Biopharmaceutical Companies

Most health plans and employers prioritize costs when determining pharmacy benefit designs, seeking partnerships with PBMs to increase purchasing power and deliver total healthcare savings. PBMs are assuming greater responsibility for controlling costs through aggressive interventions, which may complicate biopharmaceutical companies' contract negotiations and access strategies.

What are the critical implications of the other four key trends?

Health Strategies Group’s recent research Pharmacy Benefit Managers: PBM Strategic Trends and Implications illustrates the industry’s emerging trends and how they impact your business.

Key Questions This Research Answers

  • Who are the leading and emerging PBMs in the channel?
  • What are the current and emerging trends in the PBM channel?
  • How do PBMs influence product utilization, formulary decisions, and preferred distribution channels?
  • How do PBMs’ evolving business models impact company strategies?

Download the 2015 Research Agenda

Pharmaceutical and biotech managed markets executives and account management teams use Pharmacy Benefit Managers to:

  • Evaluate the opportunities and risks involved in working (or not working) with targeted PBMs
  • Determine the impact of managed markets trends that create new opportunities or challenges when working with PBMs and their customers
  • Identify PBM programs and initiatives that support brand strategies and those with negative impact on brands
  • Prioritize and allocate resources to proactively monitor or respond to emerging changes in the healthcare environment


Visit our Pharmacy Benefit Managers webpage to learn more about this research.


Need another pharma fact?

In what three areas will current PBM contracting strategies impact biopharmaceutical companies?

What are the key strengths and weaknesses of the five leading PBMs?

What are the three ways PBMs promote their distribution channels? How do PBM channel strategies impact your brand?

Want access to more leading research? Click here to request more information.



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