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Market Access & Reimbursement

Pharmacy Benefit Managers

Formulary, rebate & utilization

5

PBMs listed

Formulary, rebate, reimbursement and utilization-management partners — ranked on reach and program depth.

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Scores & ranking are deterministic, rules-based — not AI · organization names are real PBMs / market-access organizations, all capabilities, covered-lives & performance figures are synthetic demonstration data — not a determination; verify directly & via vendor qualification before sourcing.

MarketplacesPharmacy Benefit Management

5 providers

Sort

PBM capability Formulary influence Contracting depth Specialty management Regulatory reach Performance & quality Name (A–Z)

Therapeutic area

Oncology5 Specialty5 Cardiometabolic3 Immunology2 Rare disease2

Covered lives

Any covered lives ≥ 1M covered lives ≥ 5M covered lives ≥ 20M covered lives ≥ 50M covered lives

Ownership

Public10 Private4 Subsidiary4 Insurer-owned2

Specialty network

Any specialty network ≥ 500 pharmacies ≥ 1,000 pharmacies ≥ 2,000 pharmacies

Health-plan reach

Any health-plan reach ≥ 75 health plans ≥ 150 health plans ≥ 250 health plans

Formulary

National formulary Specialty formulary Biosimilar strategy Therapeutic interchange Step therapy Formulary optimization

Reimbursement

Claims processing Medical benefit Specialty reimbursement Copay management Appeals admin

Pricing & contracting

Mfr contracting Rebate admin Value-based Outcomes-based Pricing strategy

Specialty programs

Oncology Rare disease Cell & gene Patient support Adherence

Utilization management

Clinical appropriateness15 Quantity limits12

Status

Verified Accepting partners

Country

China France Germany Japan Switzerland USA United Kingdom

Showing 5 of 5Clear filters Country: Japan Accepting partners

JMDC Inc.

Reimbursement Service Provider · Tokyo, Japan

57PBM

National formularyValue-basedOncologyAdherence

Value-basedPMDACMS

FORM 12CON 75SPEC 20REG 33

AcceptingEstablished

2 offices · 0 certs

Market Access Consultant · Tokyo, Japan

57PBM

National formularySpecialty formularyValue-basedOncology

Value-basedPMDA

FORM 12CON 56SPEC 40REG 27

AcceptingEstablished

1 offices · 0 certs

Nihon Chouzai Healthcare Solutions

Specialty Pharmacy Benefit Manager · Tokyo, Japan

55PBM

Specialty formularyOncologyRare diseaseAdherence

PMDA

FORM 8CON 41SPEC 50REG 22

AcceptingEstablished

2 offices · 0 certs

SOMPO Healthcare

Health Plan Pharmacy Administrator · Tokyo, Japan

55PBM

National formularyAdherence

PMDA

FORM 8CON 41SPEC 10REG 28

AcceptingEstablished

1 offices · 0 certs

Medipal Holdings Healthcare Services

Medipal Holdings Healthcare Services

Reimbursement Service Provider · Tokyo, Japan

51PBM

National formularySpecialty formularyOncologyAdherence

PMDA

FORM 12CON 50SPEC 30REG 22

AcceptingEstablished

2 offices · 0 certs