PBMs 2022 Annual Review

The pharmacy benefit manager marketplace has consolidated into three market-leading PBMs (Evernorth Express Scripts/Cigna, CVS Caremark, UnitedHealth/OptumRx), controlling more than three-quarters of the market. Consolidation has rewarded the market-leading PBMs as they or their parent companies have experienced strong financial results over the last few years.

Over the years, a number of companies have tried to bring innovation to the pharmacy benefit management industry, with mixed results. Lately, these new market entrants declaring transparency have been establishing a successful niche in the market. Another group of companies that are gaining a foothold in the market include those that could be considered health technology startups. The report identifies and provides information on these companies.

The 2022 PBM Annual Review, 175 pages, offers comprehensive intelligence on 55 PBM companies. The report identifies and segments the market into Market Leaders, Mid-Market PBMs, and the growing segment of Non-Traditional PBMs. AMI’s report also provides a brief background on the market.

Each PBM company profile includes: company background, company strategy, top executives, financial results/company investors, extensive products and services, and recent activities.

Table of Contents:

PBM Market

• Background – pgs. 5-6

 

PBM Market Leader Company Profiles

• Evernorth Express Scripts/Cigna – pgs. 8-17
• CVS Caremark – pgs. 18-25
• OptumRx/UnitedHealth Group – pgs. 26-30
• Prime Therapeutics – pgs. 31-35
• Humana Pharmacy Solutions – pgs. 36-40
• Elixir/Rite Aid – pgs. 41-44
• MedImpact Healthcare Systems – pgs. 45-47
• Envolve Pharmacy Solutions/Centene – pgs. 48-53
• PerformRx – pgs. 54-56
• IngenioRx/Anthem – pgs. 57-61

 

Mid-Market PBM Company Profiles

• Abarca Health – pgs. 63-65
• Araya Pharmacy Benefit Management – pgs. 66-67
• BeneCard PBF – pgs. 68-70
• Costco Health Solutions – pgs. 71-72
• EHIM, Inc. – pgs. 73-74
• HealthSmartRx Solutions – pgs. 75-76
• Integrated Prescription Management – pgs. 77-79
• Kroger Prescription Plans – pgs. 80-82
• MaxorPlus – pgs. 83-85
• MC-Rx – pgs. 86-88
• Navitus Health Solutions – pgs. 89-92
• ParamountRx – pgs. 93-94
• Pharmacy Benefit Dimensions – pgs. 95-97
• ProAct PBM – pgs. 98-99
• Sav-Rx Prescription Services – pgs. 100-101
• Script Care, Ltd. – pgs. 102-104
• Serve You Rx – pgs. 105-107
• US-Rx Care – pgs. 108-109
• WellDyne – pgs. 110-112

 

Non Traditional PBM Company Profiles

• Advanced Medical Pricing Solutions/Drexi – pgs. 114-115
• Alluma, LLC – pgs. 116-117
• Capital Rx – pgs. 118-120
• CerpassRx – pgs. 121-122
• Cervey, LLC – pgs. 123-124
• CitizensRx – pgs. 125-126
• ClearScript – pgs. 127-128
• EmpiRx Health – pgs. 129-130
• EmsanaRx – pgs. 131-132
• FairosRx, LLC – pgs. 133-134
• Flipt – pgs. 135-136
• MaxCareRx – pgs. 137-138
• MedalistRx – pgs. 139-140
• MedOne – pgs. 141-142
• Phoenix Benefit Management – pgs. 143-145
• Rightway Healthcare – pgs. 146-148
• RxParadigm – pgs. 149-151
• RxPreferred – pgs. 152-153
• Southern Scripts – pgs. 154-156
• TransparentRx – pgs. 157-158
• True Rx Health Strategists – pgs. 159-160
• TrueScripts Management Services – pgs. 161-162
• VativoRx – pgs. 163-165
• VeracityRx – pgs. 166-167
• VerusRx Pharmacy Benefit Management – pgs. 168-169
• Vivid Clear Rx/Hy-Vee – pgs. 170-171
• WithMe Health – pgs. 172-174