약국급여관리 시장 : 세계 산업 규모, 점유율, 동향, 기회 및 예측 - 서비스별, 비즈니스 모델별, 최종사용자별, 지역별, 경쟁별 세분화(2020-2030년)
Pharmacy Benefit Management Market - Global Industry Size, Share, Trends, Opportunity, and Forecast, Segmented By Service, By Business Model, End-user, By Region, By Competition, 2020-2030F
상품코드:1886312
리서치사:TechSci Research
발행일:2025년 12월
페이지 정보:영문 183 Pages
라이선스 & 가격 (부가세 별도)
ㅁ Add-on 가능: 고객의 요청에 따라 일정한 범위 내에서 Customization이 가능합니다. 자세한 사항은 문의해 주시기 바랍니다.
한글목차
세계의 약국급여관리 시장은 2024년에 4,284억 2,000만 달러로 평가되며, 2030년까지 CAGR 7.21%로 성장하며, 6,505억 5,000만 달러에 달할 것으로 예측됩니다. 약국급여관리(PBM)는 의료보험사, 고용주, 정부 프로그램을 위해 처방약 급여를 관리하는 제3자 관리기관이 약가 협상, 청구 처리, 약품 리스트(Formulary) 수립을 통해 비용 절감과 의약품 접근성 향상을 도모하는 업무를 말합니다.
시장 개요
예측 기간
2026-2030년
시장 규모 : 2024년
4,284억 2,000만 달러
시장 규모 : 2030년
6,505억 5,000만 달러
CAGR : 2025-2030년
7.21%
가장 빠르게 성장하는 부문
전문 약국
최대 시장
북미
주요 시장 성장 촉진요인
처방약 비용 상승은 전 세계 약국급여관리(PBM) 시장의 기본적인 촉진요인으로, 의약품 지출을 관리하기 위한 첨단 전략이 요구되고 있습니다. 약값이 계속 상승함에 따라 건강 보험 회사, 고용주, 정부 프로그램은 제조업체와의 할인 협상, 비용 효율적인 처방약 리스트 수립, 이용 관리 프로그램 시행을 위해 PBM에 점점 더 의존하고 있습니다.
주요 시장 과제
약국 급여 관리 업무의 지속적인 투명성 부족은 시장 성장에 심각한 장벽으로 작용하고 있습니다. 특히 약가 설정 메커니즘과 리베이트 구조에 대한 불투명한 매출 창출은 다양한 이해관계자들 사이에 심각한 불신을 초래하고 있습니다.
주요 시장 동향
첨단 기술과 AI의 통합은 전 세계 약국 혜택 관리 시장에서 중요한 동향이며, 업무 효율성과 서비스 제공의 혁신을 가져오고 있습니다. PBM은 프로세스 자동화, 처방약 리스트 설계 최적화, 환자 참여도 향상을 위해 첨단 디지털 툴와 인공지능을 점점 더 많이 활용하고 있습니다.
목차
제1장 개요
제2장 조사 방법
제3장 개요
제4장 고객의 소리
제5장 세계의 약국급여관리 시장 전망
시장 규모·예측
금액별
시장 점유율·예측
서비스별(전문 약국, 약제처방 관리, 급부 플랜 설계·컨설팅, 기타 서비스)
비즈니스 모델별(정부 보건 프로그램, 고용주 제공 프로그램, 건강보험 관리)
최종사용자별(약국급여관리 조직, 통신 판매 약국, 소매 약국, 기타)
지역별
기업별(2024)
시장 맵
제6장 북미의 약국급여관리 시장 전망
시장 규모·예측
시장 점유율·예측
북미 : 국가별 분석
미국
캐나다
멕시코
제7장 유럽의 약국급여관리 시장 전망
시장 규모·예측
시장 점유율·예측
유럽 : 국가별 분석
독일
프랑스
영국
이탈리아
스페인
제8장 아시아태평양의 약국급여관리 시장 전망
시장 규모·예측
시장 점유율·예측
아시아태평양 : 국가별 분석
중국
인도
일본
한국
호주
제9장 중동 및 아프리카의 약국급여관리 시장 전망
시장 규모·예측
시장 점유율·예측
중동 및 아프리카 : 국가별 분석
사우디아라비아
아랍에미리트
남아프리카공화국
제10장 남미의 약국급여관리 시장 전망
시장 규모·예측
시장 점유율·예측
남미 : 국가별 분석
브라질
콜롬비아
아르헨티나
제11장 시장 역학
촉진요인
과제
제12장 시장 동향과 발전
합병·인수
제품 출시
최근 동향
제13장 세계의 약국급여관리 시장 : SWOT 분석
제14장 Porter's Five Forces 분석
업계내 경쟁
신규 참여의 가능성
공급업체의 힘
고객의 힘
대체품의 위협
제15장 경쟁 구도
Optum, Inc.
Centene Corporation(Envolve Health).
CVS Health Corporation
SS&C Technologies, Inc.
Anthem, Inc..
Elixir Rx Solutions, LLC.
Express Scripts Holding Company
Benecard Services, LLC.
CaptureRx LLC
제16장 전략적 제안
제17장 조사회사 소개·면책사항
KSA
영문 목차
영문목차
The Global Pharmacy Benefit Management Market, valued at USD 428.42 Billion in 2024, is projected to experience a CAGR of 7.21% to reach USD 650.55 Billion by 2030. Pharmacy Benefit Management (PBM) involves third-party administrators that manage prescription drug benefits for health insurers, employers, and government programs by negotiating drug prices, processing claims, and developing formularies to control costs and improve access to medications.
Market Overview
Forecast Period
2026-2030
Market Size 2024
USD 428.42 Billion
Market Size 2030
USD 650.55 Billion
CAGR 2025-2030
7.21%
Fastest Growing Segment
Specialty Pharmacy
Largest Market
North America
Key Market Drivers
The escalating costs of prescription drugs represent a fundamental driver for the Global Pharmacy Benefit Management Market, necessitating sophisticated strategies to manage pharmaceutical expenditure. As drug prices continue to climb, health insurers, employers, and government programs increasingly rely on PBMs to negotiate discounts with manufacturers, establish cost-effective formularies, and implement utilization management programs. This demand for cost containment solutions positions PBMs as critical intermediaries in the healthcare supply chain, essential for mitigating financial burdens on payers and patients.
Key Market Challenges
The persistent lack of transparency within Pharmacy Benefit Management business practices presents a substantial impediment to market growth. Opaque profit generation, particularly concerning drug pricing mechanisms and rebate structures, cultivates significant distrust among various stakeholders. This environment complicates effective oversight and prompts increased scrutiny, leading to calls for more stringent regulation.
Key Market Trends
Advanced Technology and AI Integration represents a significant trend in the Global Pharmacy Benefit Management Market, transforming operational efficiencies and enhancing service delivery. PBMs are increasingly leveraging sophisticated digital tools and artificial intelligence to automate processes, optimize formulary design, and improve patient engagement. AHIP's 2024 Consumer Experience and Digital Health Forum notably featured "AI, Data Analytics and Interoperability" as a core track, underscoring the industry's strategic emphasis on these areas for evolving healthcare delivery. This technological shift allows for more precise identification of medication non-adherence risks and streamlined administrative functions.
Key Market Players
Optum, Inc.
Centene Corporation (Envolve Health).
CVS Health Corporation
SS&C Technologies, Inc.
Anthem, Inc..
Elixir Rx Solutions, LLC.
Express Scripts Holding Company
Benecard Services, LLC.
CaptureRx LLC
Report Scope:
In this report, the Global Pharmacy Benefit Management Market has been segmented into the following categories, in addition to the industry trends which have also been detailed below:
Pharmacy Benefit Management Market, By Service:
Specialty Pharmacy
Drug Formulatory Management
Benefit Plan Design and Consultation
Other Services
Pharmacy Benefit Management Market, By Business Model:
Government Health Programs
Employer-Sponsored Programs
Health Insurance Management
Pharmacy Benefit Management Market, By End User:
Pharmacy Benefit Management Organization
Mail Order Pharmacies
Retail Pharmacies
Other
Pharmacy Benefit Management Market, By Region:
North America
Europe
France
United Kingdom
Italy
Germany
Spain
Asia Pacific
South America
Middle East & Africa
Competitive Landscape
Company Profiles: Detailed analysis of the major companies presents in the Global Pharmacy Benefit Management Market.
Available Customizations:
Global Pharmacy Benefit Management Market report with the given market data, TechSci Research offers customizations according to a company's specific needs. The following customization options are available for the report:
Company Information
Detailed analysis and profiling of additional market players (up to five).
Table of Contents
1. Product Overview
1.1. Market Definition
1.2. Scope of the Market
1.2.1. Markets Covered
1.2.2. Years Considered for Study
1.2.3. Key Market Segmentations
2. Research Methodology
2.1. Objective of the Study
2.2. Baseline Methodology
2.3. Key Industry Partners
2.4. Major Association and Secondary Sources
2.5. Forecasting Methodology
2.6. Data Triangulation & Validation
2.7. Assumptions and Limitations
3. Executive Summary
3.1. Overview of the Market
3.2. Overview of Key Market Segmentations
3.3. Overview of Key Market Players
3.4. Overview of Key Regions/Countries
3.5. Overview of Market Drivers, Challenges, Trends
4. Voice of Customer
5. Global Pharmacy Benefit Management Market Outlook
5.1. Market Size & Forecast
5.1.1. By Value
5.2. Market Share & Forecast
5.2.1. By Service (Specialty Pharmacy, Drug Formulatory Management, Benefit Plan Design and Consultation, Other Services)
5.2.2. By Business Model (Government Health Programs, Employer-Sponsored Programs, Health Insurance Management)
5.2.3. By End User (Pharmacy Benefit Management Organization, Mail Order Pharmacies, Retail Pharmacies, Other)
5.2.4. By Region
5.2.5. By Company (2024)
5.3. Market Map
6. North America Pharmacy Benefit Management Market Outlook
6.1. Market Size & Forecast
6.1.1. By Value
6.2. Market Share & Forecast
6.2.1. By Service
6.2.2. By Business Model
6.2.3. By End User
6.2.4. By Country
6.3. North America: Country Analysis
6.3.1. United States Pharmacy Benefit Management Market Outlook
6.3.1.1. Market Size & Forecast
6.3.1.1.1. By Value
6.3.1.2. Market Share & Forecast
6.3.1.2.1. By Service
6.3.1.2.2. By Business Model
6.3.1.2.3. By End User
6.3.2. Canada Pharmacy Benefit Management Market Outlook
6.3.2.1. Market Size & Forecast
6.3.2.1.1. By Value
6.3.2.2. Market Share & Forecast
6.3.2.2.1. By Service
6.3.2.2.2. By Business Model
6.3.2.2.3. By End User
6.3.3. Mexico Pharmacy Benefit Management Market Outlook
6.3.3.1. Market Size & Forecast
6.3.3.1.1. By Value
6.3.3.2. Market Share & Forecast
6.3.3.2.1. By Service
6.3.3.2.2. By Business Model
6.3.3.2.3. By End User
7. Europe Pharmacy Benefit Management Market Outlook
7.1. Market Size & Forecast
7.1.1. By Value
7.2. Market Share & Forecast
7.2.1. By Service
7.2.2. By Business Model
7.2.3. By End User
7.2.4. By Country
7.3. Europe: Country Analysis
7.3.1. Germany Pharmacy Benefit Management Market Outlook
7.3.1.1. Market Size & Forecast
7.3.1.1.1. By Value
7.3.1.2. Market Share & Forecast
7.3.1.2.1. By Service
7.3.1.2.2. By Business Model
7.3.1.2.3. By End User
7.3.2. France Pharmacy Benefit Management Market Outlook
7.3.2.1. Market Size & Forecast
7.3.2.1.1. By Value
7.3.2.2. Market Share & Forecast
7.3.2.2.1. By Service
7.3.2.2.2. By Business Model
7.3.2.2.3. By End User
7.3.3. United Kingdom Pharmacy Benefit Management Market Outlook
7.3.3.1. Market Size & Forecast
7.3.3.1.1. By Value
7.3.3.2. Market Share & Forecast
7.3.3.2.1. By Service
7.3.3.2.2. By Business Model
7.3.3.2.3. By End User
7.3.4. Italy Pharmacy Benefit Management Market Outlook
7.3.4.1. Market Size & Forecast
7.3.4.1.1. By Value
7.3.4.2. Market Share & Forecast
7.3.4.2.1. By Service
7.3.4.2.2. By Business Model
7.3.4.2.3. By End User
7.3.5. Spain Pharmacy Benefit Management Market Outlook
7.3.5.1. Market Size & Forecast
7.3.5.1.1. By Value
7.3.5.2. Market Share & Forecast
7.3.5.2.1. By Service
7.3.5.2.2. By Business Model
7.3.5.2.3. By End User
8. Asia Pacific Pharmacy Benefit Management Market Outlook
8.1. Market Size & Forecast
8.1.1. By Value
8.2. Market Share & Forecast
8.2.1. By Service
8.2.2. By Business Model
8.2.3. By End User
8.2.4. By Country
8.3. Asia Pacific: Country Analysis
8.3.1. China Pharmacy Benefit Management Market Outlook
8.3.1.1. Market Size & Forecast
8.3.1.1.1. By Value
8.3.1.2. Market Share & Forecast
8.3.1.2.1. By Service
8.3.1.2.2. By Business Model
8.3.1.2.3. By End User
8.3.2. India Pharmacy Benefit Management Market Outlook
8.3.2.1. Market Size & Forecast
8.3.2.1.1. By Value
8.3.2.2. Market Share & Forecast
8.3.2.2.1. By Service
8.3.2.2.2. By Business Model
8.3.2.2.3. By End User
8.3.3. Japan Pharmacy Benefit Management Market Outlook
8.3.3.1. Market Size & Forecast
8.3.3.1.1. By Value
8.3.3.2. Market Share & Forecast
8.3.3.2.1. By Service
8.3.3.2.2. By Business Model
8.3.3.2.3. By End User
8.3.4. South Korea Pharmacy Benefit Management Market Outlook
8.3.4.1. Market Size & Forecast
8.3.4.1.1. By Value
8.3.4.2. Market Share & Forecast
8.3.4.2.1. By Service
8.3.4.2.2. By Business Model
8.3.4.2.3. By End User
8.3.5. Australia Pharmacy Benefit Management Market Outlook
8.3.5.1. Market Size & Forecast
8.3.5.1.1. By Value
8.3.5.2. Market Share & Forecast
8.3.5.2.1. By Service
8.3.5.2.2. By Business Model
8.3.5.2.3. By End User
9. Middle East & Africa Pharmacy Benefit Management Market Outlook
9.1. Market Size & Forecast
9.1.1. By Value
9.2. Market Share & Forecast
9.2.1. By Service
9.2.2. By Business Model
9.2.3. By End User
9.2.4. By Country
9.3. Middle East & Africa: Country Analysis
9.3.1. Saudi Arabia Pharmacy Benefit Management Market Outlook
9.3.1.1. Market Size & Forecast
9.3.1.1.1. By Value
9.3.1.2. Market Share & Forecast
9.3.1.2.1. By Service
9.3.1.2.2. By Business Model
9.3.1.2.3. By End User
9.3.2. UAE Pharmacy Benefit Management Market Outlook
9.3.2.1. Market Size & Forecast
9.3.2.1.1. By Value
9.3.2.2. Market Share & Forecast
9.3.2.2.1. By Service
9.3.2.2.2. By Business Model
9.3.2.2.3. By End User
9.3.3. South Africa Pharmacy Benefit Management Market Outlook
9.3.3.1. Market Size & Forecast
9.3.3.1.1. By Value
9.3.3.2. Market Share & Forecast
9.3.3.2.1. By Service
9.3.3.2.2. By Business Model
9.3.3.2.3. By End User
10. South America Pharmacy Benefit Management Market Outlook
10.1. Market Size & Forecast
10.1.1. By Value
10.2. Market Share & Forecast
10.2.1. By Service
10.2.2. By Business Model
10.2.3. By End User
10.2.4. By Country
10.3. South America: Country Analysis
10.3.1. Brazil Pharmacy Benefit Management Market Outlook
10.3.1.1. Market Size & Forecast
10.3.1.1.1. By Value
10.3.1.2. Market Share & Forecast
10.3.1.2.1. By Service
10.3.1.2.2. By Business Model
10.3.1.2.3. By End User
10.3.2. Colombia Pharmacy Benefit Management Market Outlook
10.3.2.1. Market Size & Forecast
10.3.2.1.1. By Value
10.3.2.2. Market Share & Forecast
10.3.2.2.1. By Service
10.3.2.2.2. By Business Model
10.3.2.2.3. By End User
10.3.3. Argentina Pharmacy Benefit Management Market Outlook
10.3.3.1. Market Size & Forecast
10.3.3.1.1. By Value
10.3.3.2. Market Share & Forecast
10.3.3.2.1. By Service
10.3.3.2.2. By Business Model
10.3.3.2.3. By End User
11. Market Dynamics
11.1. Drivers
11.2. Challenges
12. Market Trends & Developments
12.1. Merger & Acquisition (If Any)
12.2. Product Launches (If Any)
12.3. Recent Developments
13. Global Pharmacy Benefit Management Market: SWOT Analysis
