Top PBMs by market share

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The PBM market is dominated by three major players, who together handled about 76 percent of all prescription claims in 2018, according to Drug Channels Institute.

A breakdown of PBM market share, by total equivalent prescription claims managed in 2018:

1. Caremark (CVS Health) / Aetna: 30 percent

2. Express Scripts: 23 percent

3. OptumRx (UnitedHealth): 23 percent

4. Humana Pharmacy Solutions: 7 percent

5. MedImpact Healthcare Systems: 6 percent

6. Prime Therapeutics: 6 percent

7. All other PBMs + cash pay: 4 percent

Read the full report here.

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