글로벌 약국 혜택 관리 서비스 시장 – 2030년까지의 산업 동향 및 예측

약국 혜택 관리 서비스 시장 분석 및 규모

글로벌 약국 혜택 관리 서비스 시장은 증가하는 의료비와 처방약 비용을 통제해야 할 필요성에 의해 주도되고 있으며 , 의료비 지불자와 고용주는 비용 효율적인 약물 관리를 위해 약국 혜택 관리 서비스에 의존하고 있습니다. 약국 네트워크 확장, 특수 약물 관리, 약물 복용 준수 개선에 중점을 둔 약국 혜택 관리 서비스는 약물 사용 최적화에 중요한 역할을 합니다. 그러나 규제 문제, 가격 투명성에 대한 요구, 산업 통합은 제약이 되는 반면, 약국 혜택 관리 서비스가 진화하는 의료 환경에 적응함에 따라 텔레헬스 통합, 개인화된 의료, 가치 기반 치료 모델, 글로벌 확장에 기회가 있습니다.                         

Data Bridge Market Research는 2022년에 5,609억 3,000만 달러였던 약국 혜택 관리 서비스 시장이 2030년까지 6,303억 5,000만 달러에 도달할 것으로 예상하고, 2023년에서 2030년까지의 예측 기간 동안 6.30%의 CAGR을 보일 것으로 분석했습니다. "정부 건강 프로그램"은 약국 혜택 관리 서비스에 대한 인식을 높이기 위한 정부 이니셔티브가 증가함에 따라 글로벌 약국 혜택 관리 서비스 시장의 비즈니스 모델 부문을 지배하고 있습니다. 시장 가치, 성장률, 세분화, 지리적 범위, 주요 업체와 같은 시장 시나리오에 대한 통찰력 외에도 Data Bridge Market Research에서 큐레이팅한 시장 보고서에는 심층 전문가 분석, 환자 역학, 파이프라인 분석, 가격 분석 및 규제 프레임워크도 포함됩니다.

약국 혜택 관리 서비스 시장 범위 및 세분화

시장 정의

약국 혜택 관리 서비스는 환자에게 여러 의료 시설을 제공합니다. 이들은 약사, 보험 회사, 보험 청구자 및 의약품 제조업체 간의 연결 고리 역할을 하는 제3자 관리자(TPA)가 운영합니다. 이들은 약물 가격을 낮추고, 처방전을 관리하고, 할인 및 리베이트를 제공하여 환자에게 가장 적합한 건강 보험을 계획하는 데 도움을 줍니다. 이들은 소매 약사가 판매하는 약물에 비해 저렴한 가격으로 약물을 제공합니다.            

글로벌 약국 혜택 관리 서비스 시장 역학

운전자

• 만성질환 증가

당뇨병, 심혈관 질환, 암과 같은 만성 질환의 전 세계적 유병률 증가로 인해 처방약에 대한 수요가 증가했습니다. PBMS는 환자와 의료비 지불자 모두의 비용을 통제하는 동시에 필요한 약물에 대한 접근성을 보장하는 데 중요한 역할을 합니다.

• 건강보험 적용범위 확대

Efforts to expand health insurance coverage, particularly in regions such as U.S. with the implementation of the Affordable Care Act (ACA), have increased the number of individuals with access to prescription drug benefits. This has boosted the demand for PBM services to efficiently manage and administer these benefits.

• Growth of Special Pharmaceuticals 

The growth of specialty pharmaceuticals, which are used to treat complex and rare conditions, is a significant driver for PBMs. These drugs often come with high price tags and require specialized handling and distribution. PBMs assist in the management of specialty drug benefits, including prior authorizations, patient support programs, and cost containment strategies.

• Growing Investment for Healthcare Facilities

Surging focus towards improving the condition of healthcare facilities and improving the overall healthcare infrastructure another important factor fostering the growth of the market. Rising number of partnerships and strategic collaborations between the public and private players pertaining to funding and application of new and improved technology is further creating lucrative market opportunities.  

Opportunities

• Rising Demand for Specialty Pharmacy Services

With the increasing prevalence of complex and rare diseases, there is a growing demand for specialty pharmaceuticals. PBMs have an opportunity to expand their services to effectively manage specialty drug benefits. This includes providing support for prior authorizations, patient education, adherence monitoring, and cost-effective distribution of specialty drugs.

• Value-Based Care Models

The shift toward value-based care, which emphasizes outcomes and patient satisfaction over fee-for-service models, creates an opportunity for PBMs to align their services with these new payment models. PBMs can work with healthcare providers to develop value-based contracts that reward positive patient outcomes and cost-effective medication management.

Restraints/Challenges

• Complex Process of Regulatory 

The PBM industry operates in a heavily regulated environment, subject to changing government policies and regulations. Compliance with these regulations can be complex and costly. In addition, changes in healthcare legislation can impact PBM operations and profitability.

• Pricing Pressures of Drugs

The constant pressure to reduce drug prices and healthcare costs can limit the profit margins for PBMs. Negotiating favourable pricing with pharmaceutical manufacturers while maintaining quality care can be a delicate balancing act.

• Rising Costs of Prescription Drug

One of the primary challenges for PBMs is the continuous increase in prescription drug costs. Pharmaceutical manufacturers often release expensive specialty drugs and medications, which can significantly inflate healthcare expenditures. PBMs must find ways to manage these costs while ensuring patient access to necessary medications.

• Constant Challenges of Drug Formularies Management

PBMS manage drug formularies, which are lists of preferred medications for specific health plans. Balancing cost-effective options with providing the best care for patients is a constant challenge. Ensuring that formularies are updated to include new, effective treatments can also be complex.

This global pharmacy benefit management services market report provides details of new recent developments, trade regulations, import-export analysis, production analysis, value chain optimization, market share, impact of domestic and localized market players, analyses opportunities in terms of emerging revenue pockets, changes in market regulations, strategic market growth analysis, market size, category market growths, application niches and dominance, product approvals, product launches, geographic expansions, technological innovations in the market. To gain more info on the global pharmacy benefit management services market contact Data Bridge Market Research for an Analyst Brief, our team will help you take an informed market decision to achieve market growth.

Recent Developments

• In October 2022, Omnicell, Inc., a provider of medication management and adherence tools for health systems and pharmacies, launched Specialty Pharmacy Services, a comprehensive offering designed to help health systems launch and/or optimize a fully managed, hospital-owned specialty pharmacy
• In March 2022, ProdigyRx, a pharmacy benefits manager, launched its business operations that offer PBM services and clinical solutions for workers compensation insurers, third-party administrators, and self-insured/administered employers

Global Pharmacy Benefit Management Services Market Scope

The global pharmacy benefit management services market is segmented on the basis of type, business model, application, service and end-user. The growth amongst these segments will help you analyse meagre growth segments in the industries and provide the users with a valuable market overview and market insights to help them make strategic decisions for identifying core market applications.

Type

• Commercial Health Plans
• Self-Insured Employer Plans
• Medicare Part D Plans
• Federal Employees’ Health Benefits Program
• State Government Employee Plans

Business Model

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

Application

• Mail-Order Pharmacy Services
• Non-Mail Pharmacy Services

Service

• Retail Pharmacy Services
• Specialty Pharmacy Services
• Benefit Plan Design and Consultation
• Network-Pharmacy Claims Processing
• Home Delivery Pharmacy Care
• Drug Utilization Review
• Drug Formulary Management
• Medical and Drug Data Analysis Services
• Others

End-User

• Healthcare Providers
• Employers
• Drug Manufacturers
• Others

Global Pharmacy Benefit Management Services Market Regional Analysis/Insights

The global pharmacy benefit management services market is analysed and market size insights and trends are provided by country, type, business model, application, service and end-user as referenced above.

The countries covered in the global pharmacy benefit management services market report are U.S., Canada, Mexico, Germany, Italy, U.K., France, Spain, Netherlands, Belgium, Switzerland, Turkey, Russia, Rest of Europe, Japan, China, India, South Korea, Australia, Singapore, Malaysia, Thailand, Indonesia, Philippines, Rest of Asia- Pacific, Brazil, Argentina, Rest of South America, South Africa, Saudi Arabia, U.A.E., Egypt, Israel, Rest of Middle East and Africa

Latin America dominates the global pharmacy benefit management services market due to rise in the government health programs and health insurance companies combining and utilizing various resources in the market to provide member-healthcare benefits in this region.   

Asia-Pacific (APAC) is expected to witness a significant growth in the global pharmacy benefit management services market during the forecast period of 2023 to 2030 due to the surge in demand for advanced technologies in pharmacy benefit management services.

The country section of the report also provides individual market impacting factors and changes in regulation in the market domestically that impacts the current and future trends of the market. Data points like down-stream and upstream value chain analysis, technical trends and porter's five forces analysis, case studies are some of the pointers used to forecast the market scenario for individual countries. Also, the presence and availability of global brands and their challenges faced due to large or scarce competition from local and domestic brands, impact of domestic tariffs and trade routes are considered while providing forecast analysis of the country data.   

Healthcare Infrastructure Growth Installed Base and New Technology Penetration

The global pharmacy benefit management services market also provides you with detailed market analysis for every country growth in healthcare expenditure for capital equipment, installed base of different kind of products for global pharmacy benefit management services market, impact of technology using life line curves and changes in healthcare regulatory scenarios and their impact on the global pharmacy benefit management services market. The data is available for historic period 2015-2020.

Competitive Landscape and Global Pharmacy Benefit Management Services Market Share Analysis

The global pharmacy benefit management services market competitive landscape provides details by competitor. Details included are company overview, company financials, revenue generated, market potential, investment in research and development, new market initiatives, global presence, production sites and facilities, production capacities, company strengths and weaknesses, product launch, product width and breadth, application dominance. The above data points provided are only related to the companies' focus related to global pharmacy benefit management services market.

글로벌 약국 혜택 관리 서비스 시장에서 활동하는 주요 기업은 다음과 같습니다.

• 시그나(미국)
• CVS Health(미국)
• 유나이티드헬스 그룹(미국)
• Anthem, Inc. (미국)
• 센테네 코퍼레이션(미국)
• DST Systems, Inc. (미국)
• Kaiser Foundation Health Plan, Inc. (미국)
• 마젤란 헬스(미국)
• 맥케슨 코퍼레이션(미국)
• MedImpact Direct, LLC. (미국)
• Micro Merchant Systems, Inc. (미국)
• 프라임 테라퓨틱스 LLC(미국)
• Rite Aid Corp. (미국)
• TrialCard Incorporated (미국)
• Walgreens Boots Alliance, Inc. (미국)  

SKU-40055