Pharmacy Benefit Management Market Analysis

  • Report ID: 4547
  • Published Date: Sep 10, 2025
  • Report Format: PDF, PPT

Pharmacy Benefit Management Market Segmentation:

Service (Specialty Pharmacy Services, Drug Formulary Management, Benefit Plan Design & Consultation, Other Services)

The specialty pharmacy services are anticipated to hold the largest market size by the end of 2035 on the back of the rising prevalence of complex and chronic diseases that require a profound time to be treated. For instance, more than 50% of Americans had at least one chronic condition and more than 27% of U.S adults had multiple chronic conditions in 2020. The instance of two or more chronic conditions is a rising issue across the world. More people, especially the old age population, are suffering from these multimorbidity disorders. In addition, the combination of diseases increases the risk of death for these people. Increasing longevity is also the reason for the incidence of chronic disorders. The incidence of diabetes leads to lower immunity, reduced healing power, and higher chances of the occurrence of diseases such as hypertension, heart disorders, and renal failure.

End-user (Pharmacy Benefit Management Organization, Mail Order, Retail, Inpatient, Outpatient Pharmacies)

The retail pharmacies segment is expected to garner a significant share, as it is the fastest-growing industry around the world. Moreover, the increasing availability of credit for people impacts their purchasing capacity of the customers. Therefore, retail pharmacists build customer relationships which makes them rely more on retail stores. Trust is built between them as direct human contact gives more confidence to the consumer while purchasing medicines from the such pharmacy. Also, retail pharmacies deliver medicines immediately and without delay in front of the consumer. This increases the loyal customer rate in retail pharmacies. The number of retail pharmacies in the U.S. in 2021 was about 60,000 out of a total count of 67,000 pharmacy facilities, as per the estimations.

Our in-depth analysis of the global market includes the following segments:

                          By Service

  • Specialty Pharmacy Services
  • Drug Formulary Management
  • Benefit Plan Design & Consultation
  • Other Services

                           By Business Model

  • Government Health Programs
  • Employer-Sponsored Programs
  • Health Insurance Management

 

                              By End-User

  • Pharmacy Benefit Management Organization
  • Mail Order Pharmacies
  • Retail Pharmacies
  • Inpatient Pharmacies
  • Outpatient Pharmacies

Browse key industry insights with market data tables & charts from the report:

Frequently Asked Questions (FAQ)

In the year 2026, the industry size of pharmacy benefit management is assessed at USD 640.95 Billion.

The global pharmacy benefit management market size was valued at more than USD 603.47 Billion in 2025 and is expected to register a CAGR of over 6.9%, exceeding USD 1.18 trillion revenue by 2035.

The North America pharmacy benefit management market will hold over 68.6% share by 2035, driven by elevating penetration of online pharmacies and advanced healthcare solutions.

Key players in the market include CVBS Health Corporation, SS&C Technologies Holdings Inc., UnitedHealth Group, Rite Aid Corporation, Express Scripts Holding Company, Benecard Services, LLC., CAPTURERX LLC, Change Healthcare, Anthem Insurance Companies, Inc., ProCare Rx.
Inquiry Before Buying Request Free Sample PDF
footer-bottom-logos