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Home > Managed Care
2000-2009 Survey Results Pharmacy Benefit Trends and Data: Costs, Benefit Design, Utilization, PBM Market Share
2000-2009 Survey Results Pharmacy Benefit Trends and Data: Costs, Benefit Design, Utilization, PBM Market Share
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Pharmacy Benefit Trends and Data provides PBM data gathered from AIS’s quarterly surveys to help you determine how successful PBMs have been in stabilizing or decreasing prescription drug utilization and drug spend — and also see what pharmacy benefit management trends are on the horizon. With stats by company and by aggregated numbers, Pharmacy Benefit Trends and Data reports the top benchmarks on the entire books of business for PBMs:

  • Prescription volume
  • Drug spend
  • Covered lives
  • Annual gross revenues
  • Mail order market share
  • And much more.

This edition of Pharmacy Benefit Trends and Data captures membership and market share data from Q2-2000 until Q2-2009. That’s 37 surveys over ten years, resulting in a book featuring hundreds of pages of data in tables, graphs and charts, plus an accompanying CD with raw data in Excel spreadsheets.

Managing drug costs has become an even higher priority for health plans as the Rx benefit has come to represent a larger and larger portion of outpatient health care expenses, and the role of PBMs has become increasingly more vital. The data in Pharmacy Benefit Trends and Data can help you:

  • Discover where there’s an opportunity for cost containment by looking at average ingredient costs, dispensing fees and actual amounts paid.
  • Determine the point at which the copay differential (the price difference between one tier and the next) actively influences consumer behavior.
  • Evaluate formulary structure by looking at the average number of drugs, broken down into brand (both single- and multi-source) and generic (MAC and non-MAC), as well as lives covered by formulary.
  • Identify the most widely utilized prescription products at each PBM.
  • Analyze utilization volume by benefit tier.
  • Develop projections about the effect of a slight decrease in prescription volume on the overall growth trend.
  • Analyze drug spend by 11 top therapeutic categories and see which areas have had the biggest shifts.

Pharmacy Benefit Trends and Data is a resource that consists of both a printed book and an accompanying CD with all of the book’s data — plus additional data not contained in the book — in easy-to-use Excel spreadsheets. It also contains a directory of PBMs, PBAs, SPPs and related companies with contact information, key executives and business volume indicators, such as revenue, number of clients and total Rx per year.

With company-specific data, notations on mergers, consolidations and acquisitions, and brief company histories, Pharmacy Benefit Trends and Data helps you develop insight into the influence of smaller PBM entities on the industry, as well as discern the impact of “captive” PBMs, which represent their parent company’s interests before their own profit motive.

Publication Date: December 2009
Number of Pages: 280
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