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As of 2023, PBMs managed pharmacy benefits for 275 million Americans and the three largest PBMs in the US, CVS Caremark, Cigna Express Scripts, and UnitedHealth Group’s Optum Rx, make up about 80% of the market share covering about 270 million people [4] [5] with a market of almost $600 billion in 2024. [6]
Express Scripts Holding Company is a pharmacy benefit management (PBM) organization. In 2017 it was the 22nd-largest company in the United States by total revenue as well as the largest pharmacy benefit management (PBM) organization in the United States. [2] Express Scripts had 2016 revenues of $100.752 billion. [2]
The original company, called MedPartners Inc., was founded as a physician and pharmacy benefits management company in 1993. [1] It was founded in Birmingham, Alabama by former HealthSouth Corporation chief executive Richard Scrushy. [1] New Enterprise Associates was an initial investor in the company. [2] MedPartners went public in February ...
Patients are suffering from sky-high prescription drug costs that have climbed nearly threefold since the year 2000.
Catamaran Corporation (formerly SXC Health Solutions) is the former name of a company that now operates within UnitedHealth Group's OptumRX division (since July 2015). It sells pharmacy benefit management and medical record keeping services to businesses in the United States [3] and to a broad client portfolio, including health plans and employers. [4]
Medco Health Solutions, Inc. was an American Pharmacy Benefits Management (PBM) company. Medco provided pharmacy services to private and public employers, health plans, labor unions, government agencies, and individuals served by Medicare Part D Prescription Drug Plans.
By definition, retail clinics offer a more narrow range of services (usually limited to 25 - 30 of the most common diagnoses) than are offered in traditional primary care offices. [9] This limited scope of services is seen in both nurse practitioner and physician-staffed retail clinics, and is an integral part of the retail clinic model. [10]
According to the CMS data, severn Medicare Part D plans use preferred pharmacy networks. 2012 saw three new preferred pharmacy network plans come online. Of these three, two saw a combined enrollment level of almost 700,000 enrollees. 31.8% of all prescription drug plan enrollees are now enrolled in a plan with a preferred pharmacy network.