Pharmacy Benefit Management Market Trends

  • Report ID: 4547
  • Published Date: Sep 10, 2025
  • Report Format: PDF, PPT

Pharmacy Benefit Management Market Growth Drivers and Challenges:

Growth Drivers

  • Surge in Need to Reduce Medication Errors that Occur Owing to Badly Written Prescriptions – Medication errors occur in preparation, distribution, dispensing, and administration. Furthermore, the medication errors take place on account of the negligence of manufacturers, formulators, pharmacists, doctors or nurses, or any medical person or caretaker. It causes serious damage to the body and may lead to poisoning and death in some cases. Therefore, there is a strong need to prevent medication errors, and it is expected to boost the pharmacy benefit management market growth in the upcoming years. For instance, every year, in the U.S. about 7000 to 9000 people die on account of medication errors.

  • Rising Regionalization of Pharmacies to Increase More Approach to the People – As of 2022, the number of pharmacies and drug stores in the U.S. reached 28,000. In addition, in 2018, more than 800 pharmacies in the U.S. had specialty accreditations, such as independent and small regional pharmacies.

  • Increase in Aged Population with Rising Longevity – From 2020 and 2050, it is predicted to be 427 million more people who are 80 years of age or older than there are today around the globe.
  • Rise in Labor Costs that Rises the Investment Cost – As per estimates, civilian wages and salaries are increased to 5.3% by 2022 in the U.S.

Challenges

  • Stringent Government Regulations – Stringent government regulations are estimated to play a significant restraint as PBMs. Now, they have a dominant role in determining not just what prescriptions patients get, and also how much consumers, pharmacists, and health plans spend for those drugs. Many critics charge that PBMs add significant costs to the healthcare system rather than saving it money. As an intermediary, they add levels of complexity and expenditures with no return for the government.

  • No Transparency in the Earnings

  • Lack of Awareness about Online Facilities

Base Year

2025

Forecast Period

2026-2035

CAGR

6.9%

Base Year Market Size (2025)

USD 603.47 Billion

Forecast Year Market Size (2035)

USD 1.18 trillion

Regional Scope

  • North America (U.S. and Canada)
  • Asia Pacific (Japan, China, India, Indonesia, Malaysia, Australia, South Korea, Rest of Asia Pacific)
  • Europe (UK, Germany, France, Italy, Spain, Russia, NORDIC, Rest of Europe)
  • Latin America (Mexico, Argentina, Brazil, Rest of Latin America)
  • Middle East and Africa (Israel, GCC, North Africa, South Africa, Rest of the Middle East and Africa)

Browse key industry insights with market data tables & charts from the report:

Frequently Asked Questions (FAQ)

In the year 2026, the industry size of pharmacy benefit management is assessed at USD 640.95 Billion.

The global pharmacy benefit management market size was valued at more than USD 603.47 Billion in 2025 and is expected to register a CAGR of over 6.9%, exceeding USD 1.18 trillion revenue by 2035.

The North America pharmacy benefit management market will hold over 68.6% share by 2035, driven by elevating penetration of online pharmacies and advanced healthcare solutions.

Key players in the market include CVBS Health Corporation, SS&C Technologies Holdings Inc., UnitedHealth Group, Rite Aid Corporation, Express Scripts Holding Company, Benecard Services, LLC., CAPTURERX LLC, Change Healthcare, Anthem Insurance Companies, Inc., ProCare Rx.
Inquiry Before Buying Request Free Sample PDF
footer-bottom-logos