Fierce Healthcare (9/9, Minemyer ) reports, “The four largest pharmacy benefit managers in the U.S. control 70% of the national market, and most regional PBM markets are highly concentrated, according to new data from the American Medical Association (AMA).” The research “dived into 2022 data on commercial and Medicare Part D plans and found that CVS Health’s Caremark is the largest PBM, owning 21.3% market share.” It is “followed closely by UnitedHealth Group’s Optum Rx, which has a 20.8% market share, according to the report.” Meanwhile, Express Scripts “has a 17.1% market share,” while Prime Therapeutics “controls 10.3% of the market.” AMA President Bruce Scott, MD, said the findings “warrant attention as Congress and the administration continue their work to protect patients and ensure prescription drugs remain affordable and accessible.”
Related Links:
— “AMA study: The 4 largest PBMs control 70% of the market nationally,” Paige Minemyer, Fierce Healthcare , September 9, 2024