For the past eight years, AIS has been surveying pharmacy benefit management companies of all kinds and compiling the results to track trends in this volatile industry. Trends revealed by this survey include the growth of mail-order pharmacy and generic utilization, as well as the emergence of specialty pharmacy as a new cost category and the three-tiered pharmacy benefit as the industry standard.
From time to time, excerpts from these exclusive survey results have been published in Drug Benefit News. But now, the full results and analyses are available, in a single handy reference, to anybody who needs a thorough understanding of the pharmacy benefit industry and how it has evolved.
Who are the players? What services do they offer? What benefit designs and formulary structures do they promote? What cost trends have they experienced?
2000-2007 Survey Results: Pharmacy Benefit Trends & Data is a valuable book and CD resource that features the complete results — plus analyses — from all quarterly surveys from the first quarter of 2000 through the second quarter of 2007. That’s 30 surveys over eight years, resulting in a book featuring hundreds of pages of tables, graphs, charts, directories and listings developed from survey results!
When you purchase Pharmacy Benefit Trends & Data and its accompanying free CD, you’ll get:
- Hundreds of charts, tables and graphs developed from various data fields in the survey.
- A complete directory of PBMs, PBAs, SPPs and related companies with company descriptions, business volume metrics and contact names.
- All the raw survey data in spreadsheet form — published in the book and in Excel files on the accompanying CD.
- Information from various other AIS research efforts that pertain to the pharmacy benefit, including our annual surveys of:
- Medicaid pharmacy directors from 2002 to 2007 — with articles, analysis and more raw data, and
- Managed care organizations (MCOs) — with data on their annual drug spend for their entire books of business.
Since 2000, results of AIS’s quarterly survey have been used by: health plans … to set copay levels for their drug plans, and to determine which PBM vendors and programs are effective in managing pharmacy costs; PBMs … to compare performance benchmarks with their competitors; financial industry analysts … to gain a clear and unbiased view of the competitive PBM and specialty pharmacy industries — on both private and publicly traded companies; and government officials and policymakers … to get insight into the likely impact of prospective mergers and acquisitions, and to help them develop government-run pharmacy programs and identify potential bidders for contracts.
Now it’s your turn! Put AIS’s survey results to work for you, and gain an edge in your strategic planning for pharmacy benefits. Order Pharmacy Benefit Trends & Data today!
Table of Contents
Chapter 1: PBM Drug Spend by Therapeutic Category
- Percentage of Total Annual PBM Drug Spend for Top Therapeutic Categories
- Estimated Annual PBM Drug Spend for Top Therapeutic Categories
- Trend and Spend for Specific Therapeutic Categories:
- Allergy/Rhinitis
- Asthma
- Cholesterol
- Diabetes
- Hypertension
- Migraine
- NSAIDs/Cox-2 Inhibitors
- Psychiatric/CNS drugs
- Ulcer/GERD
- Antibiotics
- Hormone Replacement Therapy (HRT)
Chapter 2: Prescription Drug Costs Per Prescription, by Cost Component, Brand and Generic
- Ingredient Costs
- Dispensing Fees
- Actual Amount Paid per Rx
Chapter 3: Benefit Design Trends
- Tiered Copay Structures
- Copay Amounts
- Formulary Design
Chapter 4: Prescription Drug Utilization
- Total Claims Processed by PBMs
- Prescription Volume by Sales Outlet—Retail, Mail, Specialty
- Retail Rx Utilization
- Mail-Order Rx Utilization
- Specialty Pharmacy Rx Utilization
- Claims Processed by Tier
- Utilization by Product
Chapter 5: PBM Market Share
- Evaluating Market Share by Different Business Volume Metrics
- Market Share by Covered Lives/Membership
- Market Share by Prescription Volume
- Market Share by Annual Drug Spend
- Market Share by Annual Gross Revenues
- Market Share by Sector
Chapter 6: Specialty Pharmacy Provider Data
- Company Revenues from Specialty Pharmacy
- Specialty Pharmacy Prescription Volume
- Specialty Pharmacy Drug Spend
- SPP Patients Served Annually
- SPP Therapeutic Categories and Diseases
Chapter 7: AIS’s Quarterly Survey of PBMs, PBAs, SPPs and Related Companies
- Raw Survey Data per Company, by Quarter, 2000-2007
Chapter 8: State Medicaid Programs Drug Spend Data
- AIS’s Survey of Medicaid Pharmacy Directors, 2002-2007
- Directory of State Medicaid Pharmacy Directors
Chapter 9: Managed Care Organizations Drug Spend Data, 2002-2006
Chapter 10: Evolution of the PBM Industry and Growth of Specific Companies
- PBM Core Capabilities
- Growth and Consolidation of the “Big Three” PBMs
Chapter 11: Directory of PBMs, PBAs, SPPs and Related Companies
Appendix: AIS’s Quarterly Survey of PBMs, PBAs, SPPs and Related Companies, Survey Instrument
Survey Fields
- Company Name
- Annual Gross Revenues Total
- Annual Gross Revenues PBM
- Annual Gross Revenues SP
- Number Employees PBM Operations
- Number Employees in Specialty Pharmacy Operations
- Drug Spend per Year in PBM Operations
- Drug Spend per Year Specialty Operations
- Number of Clients
- Number MCO Clients
- Number Physician Clients
- % Private Sector Business
- % Public Sector Business
- Number SP Patients per Year
- Total Covered Lives
- Number of Lives Under Formulary Control
- Number Prescriptions Per Year
- Rx Via Retail Total
- Rx Via Independent
- Rx Via Chain
- Rx Via Mail Order
- Rx Via Specialty Pharmacy
- Number Pharmacies in Network
- Total Retail Pharmacies
- Independent Pharmacies
- Chain Pharmacies
- Mail-Order Pharmacies
- Internet-Based Pharmacies
- SP Distribution Centers
- Number of Drugs in Formulary
- Brand Name Total
- Brand Name Single-Source
- Brand Name Multi-Source
- Generic
- Average Copay 1st Tier
- Average Copay 2nd Tier
- Average Copay 3rd Tier
- % of Claims Processed at 1st Tier
- % of Claims Processed at 2nd Tier
- % of Claims Processed at 3rd Tier
Written For
- Managers of HMOs, PPOs and other managed care companies
- Purchasers, employers, pharmacy benefit companies
- Managers in the pharmaceutical industry
International orders will be fulfilled in PDF format via email.
