Spotlight on PBMs: Chapter 3 – Established Market Participants

Spotlight on PBMs: Chapter 3 – Established Market Participants. AMI’s 2018 Annual Review of Pharmacy Benefit Managers (PBMs) finds participants under increasing scrutiny for the role they play in the high prices of drugs in today’s market.

Consolidation in the PBM market has resulted in a small number of larger players that are able to leverage their size for more negotiating power with insurers and drug makers. PBMs, commonly referred to middlemen in today’s market, have been able to obtain significant influence over pricing and competition.

This increase in drug pricing influence has come with a cost, as drug makers have blamed PBMs for not passing along savings from rebates and discounts to health plans and employers, and ultimately patients. Advocacy groups and politicians have criticized PBMs for their lack of transparency about the role they play in drug prices.

Current PBMs are scrambling to develop strategies to succeed, health plans are creating in-house PBMs, IT based companies are eyeing small niches to compete, and new entries, especially Amazon, are beginning to surface.

AMI’s report, Spotlight on PBMs: 2018 Annual Review, identifies the major players in the PBM market and focuses on the company’s Value Proposition and strategy to prosper in today’s turbulent market.

The report, in addition to providing an insightful background on the market, segments the companies participating in the PBM market into five groups:

• Market Leaders
• Market Climbers
• Established Market Participants
• Non-Traditional Participants
• IT-Based Participants

Each Profile includes the company’s Value Proposition and strategy, address, phone, website, executive contacts, company background, recent activities and more. The Table of Contents.

PBM Background – pgs. 6-8

Established Market Participants – pgs. 9-39

• American Health Care
• Benecard PDF
• Choice Rx Solutions
• Cigna Pharmacy Management
• Citizens Rx
• ClearScript
• EHIM
• Health Information Design
• HealthSmart Rx Solutions
• Kroger Prescription Plans
• MaxCareRx, LLC
• MaxorPlus, Ltd.
• MC-21 Corporation
• MedOne Health Systems
• National Script
• Northwest Pharmacy Services
• PDMI
• PharmPix Corporation
• Pharmacy Benefit Dimensions
• PharmAvail Benefit Management
• PharmaStar PBM
• Phoenix Benefit Management
• ProAct, Inc.
• Ramsell Holding Company
• Sav-Rx Prescription Services
• Script Care, Ltd.
• Serve You Custom Prescription Management
• WellDyne Rx