United States (US) Pharmacy Benefit Management Services Market (2025-2031) | Competitive Landscape, Analysis, Companies, Industry, Trends, Outlook, Growth, Segmentation, Forecast, Share, Size & Revenue, Value

Market Forecast By Type (Commercial Health Plans, Self-Insured Employer Plans, Medicare Part D Plans, Federal Employees Health Benefits Program, State Government Employee Plans), By Business Model (Government Health Programs, Employer-Sponsored Programs, Health Insurance Management, Application, Mail-Order Pharmacy Services, Non-Mail Pharmacy Services), By Service (Retail Pharmacy Services, Specialty Pharmacy Services, Benefit Plan Design and Consultation, Network-Pharmacy Claims Processing, Home Delivery Pharmacy Care, Drug Utilization Review), By End-User (Healthcare Providers, Employers, Drug Manufacturers, Others) And Competitive Landscape
Product Code: ETC9973431 Publication Date: Sep 2024 Updated Date: Aug 2025 Product Type: Market Research Report
Publisher: 6Wresearch Author: Dhaval Chaurasia No. of Pages: 75 No. of Figures: 35 No. of Tables: 20

Key Highlights of the Report:

  • United States (US) Pharmacy Benefit Management Services Market Outlook
  • Market Size of United States (US) Pharmacy Benefit Management Services Market, 2024
  • Forecast of United States (US) Pharmacy Benefit Management Services Market, 2031
  • Historical Data and Forecast of United States (US) Pharmacy Benefit Management Services Revenues & Volume for the Period 2021- 2031
  • United States (US) Pharmacy Benefit Management Services Market Trend Evolution
  • United States (US) Pharmacy Benefit Management Services Market Drivers and Challenges
  • United States (US) Pharmacy Benefit Management Services Price Trends
  • United States (US) Pharmacy Benefit Management Services Porter's Five Forces
  • United States (US) Pharmacy Benefit Management Services Industry Life Cycle
  • Historical Data and Forecast of United States (US) Pharmacy Benefit Management Services Market Revenues & Volume By Type for the Period 2021- 2031
  • Historical Data and Forecast of United States (US) Pharmacy Benefit Management Services Market Revenues & Volume By Commercial Health Plans for the Period 2021- 2031
  • Historical Data and Forecast of United States (US) Pharmacy Benefit Management Services Market Revenues & Volume By Self-Insured Employer Plans for the Period 2021- 2031
  • Historical Data and Forecast of United States (US) Pharmacy Benefit Management Services Market Revenues & Volume By Medicare Part D Plans for the Period 2021- 2031
  • Historical Data and Forecast of United States (US) Pharmacy Benefit Management Services Market Revenues & Volume By Federal Employees Health Benefits Program for the Period 2021- 2031
  • Historical Data and Forecast of United States (US) Pharmacy Benefit Management Services Market Revenues & Volume By State Government Employee Plans for the Period 2021- 2031
  • Historical Data and Forecast of United States (US) Pharmacy Benefit Management Services Market Revenues & Volume By Business Model for the Period 2021- 2031
  • Historical Data and Forecast of United States (US) Pharmacy Benefit Management Services Market Revenues & Volume By Government Health Programs for the Period 2021- 2031
  • Historical Data and Forecast of United States (US) Pharmacy Benefit Management Services Market Revenues & Volume By Employer-Sponsored Programs for the Period 2021- 2031
  • Historical Data and Forecast of United States (US) Pharmacy Benefit Management Services Market Revenues & Volume By Health Insurance Management for the Period 2021- 2031
  • Historical Data and Forecast of United States (US) Pharmacy Benefit Management Services Market Revenues & Volume By Application for the Period 2021- 2031
  • Historical Data and Forecast of United States (US) Pharmacy Benefit Management Services Market Revenues & Volume By Mail-Order Pharmacy Services for the Period 2021- 2031
  • Historical Data and Forecast of United States (US) Pharmacy Benefit Management Services Market Revenues & Volume By Non-Mail Pharmacy Services for the Period 2021- 2031
  • Historical Data and Forecast of United States (US) Pharmacy Benefit Management Services Market Revenues & Volume By Service for the Period 2021- 2031
  • Historical Data and Forecast of United States (US) Pharmacy Benefit Management Services Market Revenues & Volume By Retail Pharmacy Services for the Period 2021- 2031
  • Historical Data and Forecast of United States (US) Pharmacy Benefit Management Services Market Revenues & Volume By Specialty Pharmacy Services for the Period 2021- 2031
  • Historical Data and Forecast of United States (US) Pharmacy Benefit Management Services Market Revenues & Volume By Benefit Plan Design and Consultation for the Period 2021- 2031
  • Historical Data and Forecast of United States (US) Pharmacy Benefit Management Services Market Revenues & Volume By Network-Pharmacy Claims Processing for the Period 2021- 2031
  • Historical Data and Forecast of United States (US) Pharmacy Benefit Management Services Market Revenues & Volume By Home Delivery Pharmacy Care for the Period 2021- 2031
  • Historical Data and Forecast of United States (US) Pharmacy Benefit Management Services Market Revenues & Volume By Drug Utilization Review for the Period 2021- 2031
  • Historical Data and Forecast of United States (US) Pharmacy Benefit Management Services Market Revenues & Volume By End-User for the Period 2021- 2031
  • Historical Data and Forecast of United States (US) Pharmacy Benefit Management Services Market Revenues & Volume By Healthcare Providers for the Period 2021- 2031
  • Historical Data and Forecast of United States (US) Pharmacy Benefit Management Services Market Revenues & Volume By Employers for the Period 2021- 2031
  • Historical Data and Forecast of United States (US) Pharmacy Benefit Management Services Market Revenues & Volume By Drug Manufacturers for the Period 2021- 2031
  • Historical Data and Forecast of United States (US) Pharmacy Benefit Management Services Market Revenues & Volume By Others for the Period 2021- 2031
  • United States (US) Pharmacy Benefit Management Services Import Export Trade Statistics
  • Market Opportunity Assessment By Type
  • Market Opportunity Assessment By Business Model
  • Market Opportunity Assessment By Service
  • Market Opportunity Assessment By End-User
  • United States (US) Pharmacy Benefit Management Services Top Companies Market Share
  • United States (US) Pharmacy Benefit Management Services Competitive Benchmarking By Technical and Operational Parameters
  • United States (US) Pharmacy Benefit Management Services Company Profiles
  • United States (US) Pharmacy Benefit Management Services Key Strategic Recommendations

Frequently Asked Questions About the Market Study (FAQs):

How does 6Wresearch market report help businesses in making strategic decisions?
6Wresearch actively monitors the United States (US) Pharmacy Benefit Management Services Market and publishes its comprehensive annual report, highlighting emerging trends, growth drivers, revenue analysis, and forecast outlook. Our insights help businesses to make data-backed strategic decisions with ongoing market dynamics. Our analysts track relevent industries related to the United States (US) Pharmacy Benefit Management Services Market, allowing our clients with actionable intelligence and reliable forecasts tailored to emerging regional needs.
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1 Executive Summary

2 Introduction

2.1 Key Highlights of the Report

2.2 Report Description

2.3 Market Scope & Segmentation

2.4 Research Methodology

2.5 Assumptions

3 United States (US) Pharmacy Benefit Management Services Market Overview

3.1 United States (US) Country Macro Economic Indicators

3.2 United States (US) Pharmacy Benefit Management Services Market Revenues & Volume, 2021 & 2031F

3.3 United States (US) Pharmacy Benefit Management Services Market - Industry Life Cycle

3.4 United States (US) Pharmacy Benefit Management Services Market - Porter's Five Forces

3.5 United States (US) Pharmacy Benefit Management Services Market Revenues & Volume Share, By Type, 2021 & 2031F

3.6 United States (US) Pharmacy Benefit Management Services Market Revenues & Volume Share, By Business Model, 2021 & 2031F

3.7 United States (US) Pharmacy Benefit Management Services Market Revenues & Volume Share, By Service, 2021 & 2031F

3.8 United States (US) Pharmacy Benefit Management Services Market Revenues & Volume Share, By End-User, 2021 & 2031F

4 United States (US) Pharmacy Benefit Management Services Market Dynamics

4.1 Impact Analysis

4.2 Market Drivers

4.2.1 Increasing healthcare expenditure in the United States

4.2.2 Growing adoption of specialty drugs

4.2.3 Rising prevalence of chronic diseases

4.2.4 Expansion of health insurance coverage

4.2.5 Technological advancements in pharmacy benefit management services

4.3 Market Restraints

4.3.1 Stringent government regulations and compliance requirements

4.3.2 Cost containment efforts by healthcare organizations

4.3.3 Industry consolidation leading to reduced competition

4.3.4 Potential data security and privacy concerns

4.3.5 Resistance from healthcare providers and patients to change in medication management processes

5 United States (US) Pharmacy Benefit Management Services Market Trends

6 United States (US) Pharmacy Benefit Management Services Market, By Types

6.1 United States (US) Pharmacy Benefit Management Services Market, By Type

6.1.1 Overview and Analysis

6.1.2 United States (US) Pharmacy Benefit Management Services Market Revenues & Volume, By Type, 2021- 2031F

6.1.3 United States (US) Pharmacy Benefit Management Services Market Revenues & Volume, By Commercial Health Plans, 2021- 2031F

6.1.4 United States (US) Pharmacy Benefit Management Services Market Revenues & Volume, By Self-Insured Employer Plans, 2021- 2031F

6.1.5 United States (US) Pharmacy Benefit Management Services Market Revenues & Volume, By Medicare Part D Plans, 2021- 2031F

6.1.6 United States (US) Pharmacy Benefit Management Services Market Revenues & Volume, By Federal Employees Health Benefits Program, 2021- 2031F

6.1.7 United States (US) Pharmacy Benefit Management Services Market Revenues & Volume, By State Government Employee Plans, 2021- 2031F

6.2 United States (US) Pharmacy Benefit Management Services Market, By Business Model

6.2.1 Overview and Analysis

6.2.2 United States (US) Pharmacy Benefit Management Services Market Revenues & Volume, By Government Health Programs, 2021- 2031F

6.2.3 United States (US) Pharmacy Benefit Management Services Market Revenues & Volume, By Employer-Sponsored Programs, 2021- 2031F

6.2.4 United States (US) Pharmacy Benefit Management Services Market Revenues & Volume, By Health Insurance Management, 2021- 2031F

6.2.6 United States (US) Pharmacy Benefit Management Services Market Revenues & Volume, By Application, 2021- 2031F

6.2.7 United States (US) Pharmacy Benefit Management Services Market Revenues & Volume, By Mail-Order Pharmacy Services, 2021- 2031F

6.3 United States (US) Pharmacy Benefit Management Services Market, By Service

6.3.1 Overview and Analysis

6.3.2 United States (US) Pharmacy Benefit Management Services Market Revenues & Volume, By Retail Pharmacy Services, 2021- 2031F

6.3.3 United States (US) Pharmacy Benefit Management Services Market Revenues & Volume, By Specialty Pharmacy Services, 2021- 2031F

6.3.4 United States (US) Pharmacy Benefit Management Services Market Revenues & Volume, By Benefit Plan Design and Consultation, 2021- 2031F

6.3.5 United States (US) Pharmacy Benefit Management Services Market Revenues & Volume, By Network-Pharmacy Claims Processing, 2021- 2031F

6.3.6 United States (US) Pharmacy Benefit Management Services Market Revenues & Volume, By Home Delivery Pharmacy Care, 2021- 2031F

6.3.7 United States (US) Pharmacy Benefit Management Services Market Revenues & Volume, By Drug Utilization Review, 2021- 2031F

6.4 United States (US) Pharmacy Benefit Management Services Market, By End-User

6.4.1 Overview and Analysis

6.4.2 United States (US) Pharmacy Benefit Management Services Market Revenues & Volume, By Healthcare Providers, 2021- 2031F

6.4.3 United States (US) Pharmacy Benefit Management Services Market Revenues & Volume, By Employers, 2021- 2031F

6.4.4 United States (US) Pharmacy Benefit Management Services Market Revenues & Volume, By Drug Manufacturers, 2021- 2031F

6.4.5 United States (US) Pharmacy Benefit Management Services Market Revenues & Volume, By Others, 2021- 2031F

7 United States (US) Pharmacy Benefit Management Services Market Import-Export Trade Statistics

7.1 United States (US) Pharmacy Benefit Management Services Market Export to Major Countries

7.2 United States (US) Pharmacy Benefit Management Services Market Imports from Major Countries

8 United States (US) Pharmacy Benefit Management Services Market Key Performance Indicators

8.1 Percentage increase in the utilization of pharmacy benefit management services

8.2 Average time to process medication claims

8.3 Percentage growth in the number of covered lives managed by pharmacy benefit management services

8.4 Patient adherence rates to prescribed medications

8.5 Average cost savings achieved through pharmacy benefit management services

9 United States (US) Pharmacy Benefit Management Services Market - Opportunity Assessment

9.1 United States (US) Pharmacy Benefit Management Services Market Opportunity Assessment, By Type, 2021 & 2031F

9.2 United States (US) Pharmacy Benefit Management Services Market Opportunity Assessment, By Business Model, 2021 & 2031F

9.3 United States (US) Pharmacy Benefit Management Services Market Opportunity Assessment, By Service, 2021 & 2031F

9.4 United States (US) Pharmacy Benefit Management Services Market Opportunity Assessment, By End-User, 2021 & 2031F

10 United States (US) Pharmacy Benefit Management Services Market - Competitive Landscape

10.1 United States (US) Pharmacy Benefit Management Services Market Revenue Share, By Companies, 2024

10.2 United States (US) Pharmacy Benefit Management Services Market Competitive Benchmarking, By Operating and Technical Parameters

11 Company Profiles

12 Recommendations

13 Disclaimer

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