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October, 2014

Strengths & Weaknesses of the Leading PBMs

PAYER AND INTERMEDIARY CUSTOMER SEGMENTS | RELEASED ON: 8/28/2014

Five PBMs lead the industry. In 2014, Express Scripts and CVS Caremark continue to manage over half of the total PBM market, while Catamaran, OptumRx, and Prime Therapeutics are gaining market share.

These five leading PBMs differ by customer targets, channel strategies, and technology solutions.

Do you know enough about the five leading PBMs?

The figure below provides a snapshot of the PBM market leaders’ key strengths and weaknesses.

PBM Market Leaders

Need a few more details?

Health Strategies Group’s recently released research Pharmacy Benefit Managers: Profiles of Leading PBMs provides in-depth profiles of eight PBMs: Catamaran, CVS Caremark, Express Scripts, Magellan Health, MedImpact, OptumRx, Prime Therapeutics, and US Script.

The research presents an overall analysis of each PBM account as well as details around topics including corporate strategy, business performance and mix, products and services, geographic reach, healthcare industry relationships, and SWOT analysis.

Key Questions This Research Answers

  • Who are the leading and emerging PBMs, and what are their enrollment trends?
  • What are the strengths and weaknesses of each organization?
  • Which new products and services are leading PBMs offering to drive change in the industry?


Pharmacy Benefit Managers
keeps pharmaceutical and biotech companies abreast of current and emerging trends and performance in the managed care marketplace, with an inside look at PBM activities and their likely impact. This research constitutes the third of four publications from the Pharmacy Benefit Managers service for 2014. Click Here for 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
Want access to more leading research? Click here to request more information.

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