LIST OF EXHIBITS
EXHIBIT 1 SEGMENTATION OF PHARMACY BENEFIT MANAGEMENT (PBM) MARKET IN US
EXHIBIT 2 MARKET SIZE CALCULATION APPROACH 2021
EXHIBIT 3 ROLE OF PBMS IN PROVIDING SERVICES & FLOW OF FUNDS FOR PRESCRIPTION DRUGS
EXHIBIT 4 PRESCRIPTION DRUG EXPENDITURES 2011−2027 ($ BILLION)
EXHIBIT 5 NUMBER OF DRUG APPROVALS IN PIPELINE FOR 2020
EXHIBIT 6 PBMS RESPONSE TOWARDS COVID-19
EXHIBIT 7 US MEDICATION NON-ADHERENCE STATISTICS 2019
EXHIBIT 8 IMPACT OF INCREASED ADOPTION OF E-PRESCRIPTION & MAIL ORDER PHARMACY
EXHIBIT 9 HER ADOPTION RATE IN US
EXHIBIT 10 IMPACT OF GROWING FDA APPROVALS OF BIOLOGICS & BIOSIMILARS
EXHIBIT 11 NUMBER OF BIOLOGICS APPROVED BY US FDA IN 2000−2010 & 2011−2020
EXHIBIT 12 PERCENTAGE SHARE OF BIOLOGICS APPROVED BY US FDA 2016−2021
EXHIBIT 13 IMPACT OF MARKET ENTRY OF PAYERS THROUGH M&AS
EXHIBIT 14 IMPACT OF ENTRY OF DIGITAL HEALTH SOLUTIONS IN PBM INDUSTRY
EXHIBIT 15 IMPACT OF FAVORABLE HEALTHCARE REFORMS
EXHIBIT 16 AVERAGE MONTHLY PREMIUMS FOR 16 NATIONAL PART D STANDALONE DRUG PLANS
EXHIBIT 17 IMPACT OF GROWING ADOPTION OF HEALTHCARE PLANS BY US RESIDENTS
EXHIBIT 18 STANDALONE DRUG PLANS & MEDICARE ADVANTAGE DRUG PLANS
EXHIBIT 19 MEDICAID SPENDING BY US RESIDENTS
EXHIBIT 20 IMPACT OF PREVALENCE OF FRAUD, WASTE & ABUSE IN HEALTHCARE
EXHIBIT 21 OVERVIEW OF FRAUD, WASTE & ABUSE IN US 2019
EXHIBIT 22 IMPACT OF INCREASED DEMAND FOR PERSONALIZED MEDICINES
EXHIBIT 23 IMPACT OF PBMS MORE SUSCEPTIBLE TO LAWSUITS & GOVERNMENT SCRUTINY
EXHIBIT 24 IMPACT OF LACK OF TRANSPARENCY IN SERVICES BY PBMS
EXHIBIT 25 IMPACT OF DECLINING GROWTH FROM GENERICS
EXHIBIT 26 SHARE OF GENERIC VERSUS BRANDED DRUG PRESCRIPTIONS DISPENSED IN US 2008−2018
EXHIBIT 27 IMPACT OF LEGAL UNCERTAINTY & IMPENDING LIMITATIONS ON PBM TOOLS
EXHIBIT 28 THE CASE FOR PBMS
EXHIBIT 29 PHARMACY BENEFIT MANAGEMENT MARKET IN US 2021–2027 ($ BILLION)
EXHIBIT 30 PHARMACY BENEFIT MANAGEMENT MARKET IN US BY HEALTH PLANS: MARKET SHARE 2021 & 2027
EXHIBIT 31 PHARMACY BENEFIT MANAGEMENT MARKET IN US BY SERVICES: MARKET SHARE 2021 & 2027
EXHIBIT 32 PHARMACY BENEFIT MANAGEMENT MARKET IN US BY BUSINESS MODEL: MARKET SHARE 2021 & 2027
EXHIBIT 33 FIVE FORCES ANALYSIS 2021
EXHIBIT 34 INCREMENTAL GROWTH BY HEALTH PLANS 2021 & 2027
EXHIBIT 35 PHARMACY BENEFIT MANAGEMENT MARKET IN US BY HEALTH PLANS: INCREMENTAL GROWTH
EXHIBIT 36 PHARMACY BENEFIT MANAGEMENT MARKET IN US BY HEALTH PLANS: ABSOLUTE GROWTH
EXHIBIT 37 PHARMACY BENEFIT MANAGEMENT MARKET IN US BY COMMERCIAL HEALTH PLANS: INCREMENTAL & ABSOLUTE GROWTH
EXHIBIT 38 US PHARMACY BENEFIT MANAGEMENT MARKET BY COMMERCIAL HEALTH PLANS 2021–2027 ($ BILLION)
EXHIBIT 39 US PHARMACY BENEFIT MANAGEMENT MARKET IN US BY MEDICARE: INCREMENTAL & ABSOLUTE GROWTH
EXHIBIT 40 US PHARMACY BENEFIT MANAGEMENT MARKET BY MEDICARE 2021–2027 ($ BILLION)
EXHIBIT 41 PHARMACY BENEFIT MANAGEMENT MARKET IN US BY MEDICAID: INCREMENTAL & ABSOLUTE GROWTH
EXHIBIT 42 US PHARMACY BENEFIT MANAGEMENT MARKET BY MEDICAID 2021–2027 ($ BILLION)
EXHIBIT 43 PHARMACY BENEFIT MANAGEMENT MARKET IN US BY OTHERS: INCREMENTAL & ABSOLUTE GROWTH
EXHIBIT 44 US PHARMACY BENEFIT MANAGEMENT MARKET BY OTHERS 2021–2027 ($ BILLION)
EXHIBIT 45 INCREMENTAL GROWTH BY SERVICES 2021 & 2027
EXHIBIT 46 PHARMACY BENEFIT MANAGEMENT MARKET IN US BY SERVICES: INCREMENTAL GROWTH
EXHIBIT 47 PHARMACY BENEFIT MANAGEMENT MARKET IN US BY SERVICES: ABSOLUTE GROWTH
EXHIBIT 48 STATISTICS ON SPECIALTY DRUGS IN US 2019
EXHIBIT 49 PHARMACY BENEFIT MANAGEMENT MARKET IN US BY SPECIALTY PHARMACY SERVICES: INCREMENTAL & ABSOLUTE GROWTH
EXHIBIT 50 PHARMACY BENEFIT MANAGEMENT MARKET IN US BY SPECIALTY PHARMACY SERVICES 2021–2027 ($ BILLION)
EXHIBIT 51 PHARMACY BENEFIT MANAGEMENT MARKET IN US BY RETAIL PHARMACY NETWORKS: INCREMENTAL & ABSOLUTE GROWTH
EXHIBIT 52 PBMS WITH NETWORK PHARMACY
EXHIBIT 53 PHARMACY BENEFIT MANAGEMENT MARKET IN US BY RETAIL PHARMACY NETWORKS 2021–2027 ($ BILLION)
EXHIBIT 54 PHARMACY BENEFIT MANAGEMENT MARKET IN US BY MAIL-ORDER PHARMACY SERVICES: INCREMENTAL & ABSOLUTE GROWTH
EXHIBIT 55 MAIL-ORDER PHARMACY SERVICES SAVE MONEY
EXHIBIT 56 PHARMACY BENEFIT MANAGEMENT MARKET IN US BY MAIL-ORDER PHARMACY SERVICES 2021–2027 ($ BILLION)
EXHIBIT 57 PHARMACY BENEFIT MANAGEMENT MARKET IN US BY CLAIMS PROCESSING: INCREMENTAL & ABSOLUTE GROWTH
EXHIBIT 58 PHARMACY BENEFIT MANAGEMENT MARKET IN US BY CLAIMS PROCESSING2021–2027 ($ BILLION)
EXHIBIT 59 PHARMACY BENEFIT MANAGEMENT MARKET IN US BY FORMULARY MANAGEMENT: INCREMENTAL & ABSOLUTE GROWTH
EXHIBIT 60 PHARMACY BENEFIT MANAGEMENT MARKET IN US BY FORMULARY MANAGEMENT 2021–2027 ($ BILLION)
EXHIBIT 61 PHARMACY BENEFIT MANAGEMENT MARKET IN US BY DRUG UTILIZATION REVIEW: INCREMENTAL & ABSOLUTE GROWTH
EXHIBIT 62 PHARMACY BENEFIT MANAGEMENT MARKET IN US BY DRUG UTILIZATION REVIEW 2021–2027 ($ BILLION)
EXHIBIT 63 PHARMACY BENEFIT MANAGEMENT MARKET IN US BY PRICE, DISCOUNT & REBATE NEGOTIATIONS: INCREMENTAL & ABSOLUTE GROWTH
EXHIBIT 64 PHARMACY BENEFIT MANAGEMENT MARKET IN US BY PRICE, DISCOUNT & REBATE NEGOTIATIONS 2021–2027 ($ BILLION)
EXHIBIT 65 PHARMACY BENEFIT MANAGEMENT MARKET IN US BY DISEASE MANAGEMENT & ADHERENCE INITIATIVES: INCREMENTAL & ABSOLUTE GROWTH
EXHIBIT 66 PHARMACY BENEFIT MANAGEMENT MARKET IN US BY DISEASE MANAGEMENT & ADHERENCE INITIATIVES 2021–2027 ($ BILLION)
EXHIBIT 67 INCREMENTAL GROWTH BY BUSINESS MODEL 2021 & 2027
EXHIBIT 68 PHARMACY BENEFIT MANAGEMENT MARKET IN US BY BUSINESS MODEL: INCREMENTAL GROWTH
EXHIBIT 69 PHARMACY BENEFIT MANAGEMENT MARKET IN US BY INSURANCE COMPANIES & RETAIL PHARMACIES: INCREMENTAL & ABSOLUTE GROWTH
EXHIBIT 70 US PHARMACY BENEFIT MANAGEMENT MARKET BY INSURANCE COMPANIES & RETAIL PHARMACIES 2021–2027 ($ BILLION)
EXHIBIT 71 US PHARMACY BENEFIT MANAGEMENT MARKET IN US BY PURE PLAY PBMS: INCREMENTAL & ABSOLUTE GROWTH
EXHIBIT 72 PHARMACY BENEFIT MANAGEMENT MARKET IN US BY PURE PLAY PBMS 2021–2027 ($ BILLION)
EXHIBIT 73 COMPETITIVE ANALYSIS OF KEY VENDORS: PHARMACY BENEFIT MANAGEMENT MARKET IN US
EXHIBIT 74 PHARMACY BENEFIT MANAGEMENT MARKET IN US: KEY VENDORS RANKING 2021
EXHIBIT 75 KEY VENDOR CAPABILITIES COMPARISON IN US PHARMACY BENEFIT MANAGEMENT MARKET
EXHIBIT 76 CVS HEALTH: TOTAL REVENUE 2019–2021 ($ MILLION)
EXHIBIT 77 CVS HEALTH REVENUE SHARE BY BUSINESS SEGMENTS 2019–2021 (%)
EXHIBIT 78 CIGNA: TOTAL REVENUE 2019–2021 ($ MILLION)
EXHIBIT 79 CIGNA: REVENUE BY BUSINESS SEGMENT 2021 (%)
EXHIBIT 80 UNITEDHEALTH GROUP: TOTAL REVENUE 2019–2021 ($ MILLION)
EXHIBIT 81 UNITEDHEALTH GROUP: REVENUE BY BUSINESS PLATFORM 2020 (%)
LIST OF TABLES
TABLE 1 KEY CAVEATS
TABLE 2 CURRENCY CONVERSION 2015−2021
TABLE 3 PBMS PARTICIPATION WITH OTHER PLAYER PHARMACEUTICAL ECOSYSTEM
TABLE 4 CVS HEALTH: MAJOR SERVICE OFFERINGS
TABLE 5 CIGNA: MAJOR SERVICE OFFERINGS
TABLE 6 UNITEDHEALTH GROUP: MAJOR SERVICE OFFERINGS
TABLE 7 HUMANA PHARMACY SOLUTIONS: MAJOR SERVICE OFFERINGS
TABLE 8 MEDIMPACT: MAJOR SERVICE OFFERINGS
TABLE 9 PRIME THERAPEUTICS: MAJOR SERVICE OFFERINGS
TABLE 10 ABARCA HEALTH: MAJOR SERVICE OFFERINGS
TABLE 11 ANTHEM: MAJOR SERVICE OFFERINGS
TABLE 12 ASCELLAHEALTH: MAJOR SERVICE OFFERINGS
TABLE 13 BENECARD PBF: MAJOR SERVICE OFFERINGS
TABLE 14 CAPTURERX: MAJOR SERVICE OFFERINGS
TABLE 15 CENTENE: MAJOR SERVICE OFFERINGS
TABLE 16 CHANGE HEALTHCARE: MAJOR SERVICE OFFERINGS
TABLE 17 CITIZENS RX: MAJOR SERVICE OFFERINGS
TABLE 18 ENVISIONRXOPTIONS: MAJOR SERVICE OFFERINGS
TABLE 19 EXCELERA: MAJOR SERVICE OFFERINGS
TABLE 20 MAGELLAN RX MANAGEMENT: MAJOR SERVICE OFFERINGS
TABLE 21 MEDALISTRX: MAJOR SERVICE OFFERINGS
TABLE 22 MAXORPLUS: MAJOR SERVICE OFFERINGS
TABLE 23 NAVITUS HEALTH SOLUTIONS: MAJOR SERVICE OFFERINGS
TABLE 24 PERFORMRX: MAJOR SERVICE OFFERINGS
TABLE 25 PROCARE RX: MAJOR SERVICE OFFERINGS
TABLE 26 RXADVANCE: MAJOR SERVICE OFFERINGS
TABLE 27 RITE AID: MAJOR SERVICE OFFERINGS
TABLE 28 WELLDYNERX: MAJOR SERVICE OFFERINGS
TABLE 29 WALGREENS BOOTS ALLIANCE: MAJOR SERVICE OFFERINGS
TABLE 30 PHARMACY BENEFIT MANAGEMENT MARKET THE US BY HEALTH PLANS 2021−2027 ($ BILLION)
TABLE 31 PHARMACY BENEFIT MANAGEMENT MARKET IN US BY HEALTH PLANS 2021−2027 (%)
TABLE 32 PHARMACY BENEFIT MANAGEMENT MARKET IN US BY SERVICES 2021−2027 ($ BILLION)
TABLE 33 PHARMACY BENEFIT MANAGEMENT MARKET IN US BY SERVICES 2021−2027 (%)
TABLE 34 PHARMACY BENEFIT MANAGEMENT MARKET IN US BY BUSINESS MODEL 2021−2027 ($ BILLION)
TABLE 35 PHARMACY BENEFIT MANAGEMENT MARKET IN US BY BUSINESS MODEL 2021−2027 (%)