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SOURCE: Atlantic Information Services' (AIS) exclusive quarterly survey of pharmacy benefit management companies conducted by Drug Benefit Newsduring the 1st quarter of 2009. METHODOLOGY: Survey conducted by AIS researchers and supplemented by publicly available information sources. Survey includes companies that describe themselves as PBMs, pharmacy benefit administrators, specialty pharmacy providers and others providing pharmacy benefit services. Membership=lives covered under any/all pharmacy benefit contracts served by the company; members may be served by multiple contracts held by a single company or by multiple companies, and so may be counted more than once. Company market shares calculated as percentage of total industry-wide membership identified in this database.
Now lets see the contenders based on total number of scripts:
Top 25 Pharmacy Benefit Management Companies and Market Share
By Annual Prescription Volume, as of 1st Quarter 2009 Atlantic Information Services compiles these data from pharmacy benefit management companies
and other publicly available information sources.
| Company |
Total Rx/Year |
Market Share |
| CVS/Caremark Rx, Inc. |
594,999,120 |
15.09% |
| Medco Health Solutions, Inc. |
586,000,000 |
14.86% |
| Argus Health Systems, Inc. |
578,000,000 |
14.66% |
| Express Scripts/CuraScript |
420,400,000 |
10.66% |
| WellPoint NextRx |
267,651,000 |
6.79% |
| Prescription Solutions |
254,091,612 |
6.44% |
| ACS, Inc. |
250,000,000 |
6.34% |
| MedImpact Healthcare Systems, Inc. |
170,400,000 |
4.32% |
| First Health Services Corporation |
148,500,000 |
3.77% |
| Prime Therapeutics, LLC |
120,000,000 |
3.04% |
| HealthTrans |
97,330,000 |
2.47% |
| Aetna Pharmacy Management (APM) |
89,709,989 |
2.27% |
| Walgreens Health Services Division |
84,105,927 |
2.13% |
| CIGNA Pharmacy Management |
75,000,000 |
1.90% |
| Catalyst Rx |
51,170,234 |
1.30% |
| SXC Health Solutions, Inc. |
39,362,980 |
1.00% |
| RESTAT, LLC |
24,000,000 |
0.61% |
| ScriptSave |
17,000,000 |
0.43% |
| FutureScripts |
13,182,861 |
0.33% |
| PerformRx |
9,771,216 |
0.25% |
| National Pharmaceutical Services |
8,500,000 |
0.22% |
| Navitus Health Solutions, LLC |
8,000,000 |
0.20% |
| BioScrip |
7,735,710 |
0.20% |
| RegenceRx |
5,237,234 |
0.13% |
| NovoLogix (formerly Ancillary Care Management) |
4,800,000 |
0.12% |
| 32 other pharmacy benefit industry participants |
18,572,029 |
0.47% |
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SOURCE: Atlantic Information Services' (AIS) exclusive quarterly survey of pharmacy benefit management companies conducted by Drug Benefit News during the 1st quarter of 2009.
Of course, combining the Express Scripts numbers with their newest acquisition of NextRx and you get a really goliath market presence. Interestingly, market share alone, does not necessarily dictate the best deals for the plan sponsor. Each PBM has a different concentration, whether traditional or transparent business model, and each must be evaluated based on the needs and circumstances presented by and for the individual plan sponsor client. | |