Large PBMs Control 70% of the Market: The Dominance of Major Players

Tuesday, 10 September 2024, 12:29

Large PBMs dominate the market, controlling 70% of prescriptions in the U.S. A new report reveals CVS Health leads with 21.3% market share, followed by OptumRx and Express Scripts. This concentration highlights concerns over competition and patient access to medications.
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Large PBMs Control 70% of the Market: The Dominance of Major Players

Large PBMs and Their Market Dominance

Large PBMs control an astonishing 70% of the U.S. prescription market, raising crucial questions about healthcare accessibility and affordability. Among these, CVS Health stands out as the largest, commanding a remarkable 21.3% market share.

Key Players in the PBM Landscape

  • CVS Health - 21.3% market share
  • OptumRx - 20.8% market share
  • Express Scripts - 17.1% market share
  • Prime Therapeutics - 10.3% market share

The domination of these large players affects not only pricing but also the availability of medications for patients across the country.

Implications of Market Concentration

Such concentration in the PBM market underscores the necessity for enhanced oversight and potential reforms to ensure that patients receive fair access to affordable medications.


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This article was prepared using information from open sources in accordance with the principles of Ethical Policy. The editorial team is not responsible for absolute accuracy, as it relies on data from the sources referenced.


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