News Report | June 23, 2019
95% Of U.S. Prescriptions Handled By Six Prescription Benefit Management Organizations
In 2018, 95% of prescriptions in the United States were handled by six prescription benefit management (PBM) organizations: CVS Health (including Caremark and Aetna), Express Scripts, OptumRx (including UnitedHealth), Humana Pharmacy Solutions, Medimpact Healthcare Systems, and prime Therapeutics. Three of these – CVS Health, Express Scripts, and OptumRx – handled 76% of all U.S. prescriptions. This concentration helps plan sponsors and payers to maximize negotiations by combining their prescription volumes within a small number of PBMs. The concentration also maximizes profits to these PBMs.
These findings were reported in "2019 Economic Report on U.S. Pharmacies and Pharmacy Benefit Managers" by . . .