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市場調查報告書

美國的藥物供給管理(PBM)產業分析

US Pharmacy Benefit Management (PBM) Industry Report: 2015 Edition

出版商 Koncept Analytics 商品編碼 225450
出版日期 內容資訊 英文 55 Pages
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美國的藥物供給管理(PBM)產業分析 US Pharmacy Benefit Management (PBM) Industry Report: 2015 Edition
出版日期: 2015年12月16日 內容資訊: 英文 55 Pages
簡介

美國的藥物供給管理(PBM:Pharmacy Benefit 被稱為Management的)第三方組織,致力於處方藥計劃的管理。PBM,為醫療制度、製藥公司、零售藥局、患者間的中間人角色。

本報告提供美國的藥物供給管理(PBM)產業調查分析,以市場規模與市場價格兩面為焦點,提供概要、動態、競爭情形,加上主要企業簡介等系統性資訊。

第1章 概要

  • 簡介
  • 藥物供給管理(PBM)的歷史
  • 零售藥局的流程和資金的流程
  • 郵購藥局的流程和資金的流程

第2章 市場分析

  • 全球製藥市場
    • 市場價格
    • 各地區明細
  • 美國市場
    • 製藥市場
      • 市場價格
      • 成長率
      • 特殊醫藥品
    • Rx(處方藥)市場
      • 市場規模
      • 成長率
      • 市場區隔
      • 品牌 vs. 非專利的成長率
      • 調劑流通管道

第3章 市場動態

  • 成長推動因素
  • 趨勢與發展
  • 課題

第4章 競爭情形

  • 各產業趨勢
    • 藥物類別
    • 各會員
    • 各全當量處方箋
    • 各申請
  • 各財務會計
    • 各收益
    • 各收益成長率
    • 各申請收益
    • 各申請EBITDA

第5章 企業簡介

  • 產業概要、財務概要、產業策略
    • Express Script
    • CVS Health
    • Catamaran

圖表

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目錄

PBMs initially enacted the role of a third-party administrator, administering the drug claims of health plans/employers. However, they widened the horizon by expanding into a wide variety of business functions, eventually resulting in better management of drug benefits for members and reducing the overall drug spending costs for plan sponsors. Some of the key functions performed by PBMs that have an impact on reducing drug expenditures are formulary and benefit plan designing, retail network management and operating mail order pharmacies. In the US, Pharmacy Benefit Management (PBM) deals with the management of prescription drug programs. It acts as an intermediary between health plans, drug companies, retail pharmacies and patients.

The PBM suppliers control medication spending and usage by the righteousness of their propelled apparatuses and strategies, empowering utilization of generics and other lower-cost pharmaceuticals. In the US, there are some autonomous PBM's while some are claimed by overseeing care associations and retail drug stores. Today, the PBM business has turned out to be more decided through a progression of mergers and acquisitions.

Some of the factors driving the growth of the US PBM industry are: accelerating US aging population, increasing life expectancy rate and incidences of chronic and infectious diseases which further increase the healthcare expenditure and pharmaceutical sales in the US. The ongoing trends and developments in the PBM industry include rising medicare enrollments, rising number of exclusions on the formulary list and increased acceptance of specialty drugs.

This report assesses the US PBM industry in terms of both market volume and market value. The increasing competition in the PBM industry has been analyzed on a variety of factors: revenue, dispensing specialty pharmaceuticals and claims. The top three companies having a vicious competition with each other and dominating the PBM industry are- Express Script, CVS Health and Catamaran. These players are being profiled in the report along with their key financials and strategies for growth.

Table of Contents

1. Overview

  • 1.1 Introduction
  • 1.2 PBM Timeline
  • 1.3 Retail Dispensing Process & Flow of Funds
  • 1.4 Mail Dispensing Process and Flow of Funds

2. Market Analysis

  • 2.1 Global Pharmaceutical Market
    • Market Value
    • Regional Breakdown
  • 2.2 The US
    • 2.2.1 Pharmaceutical Market
      • Market Value
      • Growth Rate
      • Specialty Drugs
    • 2.2.2 Rx Market
      • Market Volume
      • Growth Rate
      • Market Segments
      • Branded Vs Generic Growth
      • Dispensing Channels

3. Market Dynamics

  • 3.1 Growth Drivers
    • 3.1.1 Increasing Life Expectancy in the US
    • 3.1.2 Rising Healthcare Expenditure in the US
    • 3.1.3 Accelerating US Aging Population
    • 3.1.4 Ameliorating Economic Conditions
    • 3.1.5 Rising Incidences of Chronic and Infectious Diseases
  • 3.2 Trends and Developments
    • 3.2.1 Rising Medicare Enrollments
    • 3.2.2 Increasing Exclusions on PBM Formulary List
    • 3.2.3 Changes in Prescription Drug Use
    • 3.2.4 PBM Mergers and Acquisitions
    • 3.2.5 Trends in Drug Prices
    • 3.2.6 Increased Acceptance of the Specialty Drugs
  • 3.3 Challenges
    • 3.3.1 Lack of Insurer Capabilities
    • 3.3.2 Regulatory Risk

4. Competitive Landscape

  • 4.1 Competition by Industry Trend
    • By Drug Type
    • By Membership
    • By Total Equivalent Prescription
    • By Claims
  • 4.2 Competition by Financials
    • By Revenue
    • By Revenue Growth Rate
    • By Revenue per Claim
    • By EBITDA per Claim

5. Company Profiles

  • 5.1 Express Script
    • 5.1.1 Business Overview
    • 5.1.2 Financial Overview
    • 5.1.3 Business Strategies
  • 5.2 CVS Health
    • 5.2.1 Business Overview
    • 5.2.2 Financial Overview
    • 5.2.3 Business Strategies
  • 5.3 Catamaran
    • 5.3.1 Business Overview
    • 5.3.2 Financial Overview
    • 5.3.3 Business Strategies

List of Charts

  • Types of PBM Services
  • PBM Managers Formulary Structure
  • PBM Development Timeline
  • Retail Dispensing Process and Flow of Funds
  • Mail Dispensing Process and Flow of Funds
  • Global Pharmaceutical Market Revenue (2009-2014)
  • Pharmaceutical Market Share by Region (2014)
  • Pharmaceutical Market Revenue YoY Change by Region (2010-2014)
  • The US Pharmaceutical Market Value (2009-2014)
  • The US Annual Pharmaceutical Sales Growth (2009-2014)
  • The US Monthly Pharmaceutical Sales Growth (Jan 2014-Aug 2015)
  • The US Monthly Pharmaceutical Sales Growth by Pharmaceutical Group (January 2014- August 2015)
  • Share of Traditional and Specialty Pharmaceutical in the US (2014)
  • The US Distributor Specialty Sales by Customer Type
  • The US Rx Market (2009-2014E)
  • The US Rx Market Volume by Category (2009-2014E)
  • Rx Utilization Rates by Category (2009-2014E)
  • The US Generic Market- Quarterly Prescription & YoY Growth
  • The US Annual Prescription Growth- by Volume (2009-2014)
  • The US Monthly Prescription Volume Growth (Oct 2014-Aug 2015)
  • The US Monthly Prescription Volume by Type (October 2014- September 2015)
  • The US Monthly Prescription Volume Growth by Branded/Generic (October 2014-September 2015)
  • The US Life Expectancy Rate (2009-2014E)
  • The US Medication Spending (2009-2014)
  • The US Aging Population Trend (1960-2060)
  • The US GDP Per Capita (2009-2014)
  • Enrollments in Medicare Program by Beneficiary Type (2011-2014)
  • Number of Products in PBM Formulary Exclusion List (2012-2016)
  • Prescription Drug Use by Age Group, US (2014)
  • Prescription Drug Use by Age Group & Gender, US (2014)
  • Drugs Price Index (2008-2014)
  • The US Specialty Drug Spend (2009-2014E)
  • PBM Market Growth by Drug Type (2013-2014)
  • PBM Market by Scrips (2014)
  • PBM Market Share by Scrips (2014)
  • PBM Market Share by Membership (2014)
  • PBM Market Share by Total Equivalent Prescription (2014)
  • PBM Market Share by Claims (2014)
  • Competition by Profitability Metrics (2014)
  • Revenue Growth Rates (2010-2014)
  • Revenue per Claim (2010-2014E)
  • EBITDA per Adjusted Claim (2010-2014)
  • Revenue of Express Script by Business Segment (2014)
  • Revenue of Express Script by Revenue Type (2014)
  • Express Script Revenue and Net Income (2009-2014)
  • CVS Health Business Revenue - by Segment (2012-2014)
  • CVS Health Revenue and Net Income (2010-2014)
  • Catamaran's Revenue by Business Segment (2014)
  • Catamaran Revenue and Net Income (2010-2014)

List of Tables

  • The US Monthly Pharmaceutical Sales Growth by Dispensing Channel (September 2014- August 2015)
  • The US Monthly Branded Pharmaceutical Sales Growth by Dispensing Channel (September 2014 -August 2015)
  • The US Monthly Generic Pharmaceutical Sales Growth by Dispensing Channel (September 2014 -August 2015)
  • The US Monthly Prescription Volume Growth by Dispensing Channel (October 2014- September 2015)
  • The US Monthly Branded Prescription Volume Growth by Dispensing Channel (October 2014- September 2015)
  • The US Monthly Generic Prescription Volume Growth by Dispensing Channel (October 2014- September 2015)
  • Mergers and Acquisitions
  • Leading PBMs by PBM Revenue (2014)
  • Leading PBMs Financial Comparison by PBM Revenue
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