Drug Channels
APRIL 12, 2023
For 2022, pharmacy benefits managers (PBMs) and insurers expanded their dominance over specialty dispensing, though both hospitals and physician practices are growing their share of the market. The top three PBM-owned specialty pharmacies accounted for nearly two-thirds of prescription revenues from pharmacy-dispensed specialty drugs.
Drug Channels
OCTOBER 24, 2023
In upcoming articles, I’ll delve into chain and independent pharmacies’ participation in the major 2024 preferred networks. The 2024 data provide early evidence of a shrinking PDP market. I also update our analysis of the prevalence of preferred networks in three different types of MA-PD plans.
This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.
Drug Channels
JANUARY 23, 2024
Plans from Aetna, Humana, WellCare, and UnitedHealthcare will not have any independent pharmacies participating via PSAOs as preferred pharmacies. Smaller pharmacies' ability to navigate away provides more bad news for stand-alone Part D market—and another unexpected consequence of the Inflation Reduction Act of 2022.
Perficient: Drug Development
FEBRUARY 20, 2024
Among these, pharmacy benefit managers (PBMs) play a crucial role, handling reimbursements and negotiations with drug manufacturers and pharmacies. Three major PBM players – CVS Caremark, Express Scripts, and OptumRx – collectively command a significant 79% market share , orchestrating much of the industry’s dynamics.
Drug Channels
FEBRUARY 23, 2021
For background, see Express Scripts + Prime Therapeutics: Our Four Takeaways From This Market Changing Deal. Payer-owned specialty pharmacies—via white, brown, and clear bagging—are trying to displace buy-and-bill distribution channels for provider-administered specialty drugs. The battle for specialty drug margin rages on.
Drug Channels
FEBRUARY 18, 2025
Plans from Humana, WellCare, and UnitedHealthcare will again not have any independent pharmacies participating via PSAOs as preferred pharmacies. Thanks to the Inflation Reduction Act (IRA), the PDP market is vanishing. Looks like the presence of smaller pharmacies in preferred networks will not be far behind.
Expert insights. Personalized for you.
98 
Let's personalize your content