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Market Access & Reimbursement

Pharmacy Benefit Managers

Formulary, rebate & utilization

20

PBMs listed

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

SearchFaceted, over real records CompareSide-by-side scorecards Post an RFxGet qualified responses CollaborateRun it in a shared room AI assistantYour organisation, this market

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

20 providers

Sort

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

Therapeutic area

Specialty19 Oncology18 Cardiometabolic16 Immunology12 Rare disease10 Infectious disease8 Cell & gene therapy5 Neurology4 Other1

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 8 of 20Clear filters Therapeutic area: Infectious disease Accepting partners

CVS

Pharmacy Benefit Manager · Woonsocket, RI, USA

100PBM

National formularySpecialty formularyValue-basedOncology

Value-basedCGTCMSMedicare Part DMedicaid

FORM 24CON 100SPEC 72REG 73

AcceptingComprehensive PBM

3 offices · 0 certs

Express Scripts

Pharmacy Benefit Manager · St. Louis, MO, USA

100PBM

National formularySpecialty formularyValue-basedOncology

Value-basedCGTCMSMedicare Part DMedicaid

FORM 24CON 100SPEC 72REG 73

AcceptingComprehensive PBM

3 offices · 0 certs

OptumRx

Pharmacy Benefit Manager · Irvine, CA, USA

100PBM

National formularySpecialty formularyValue-basedOncology

Value-basedCGTCMSMedicare Part DMedicaid

FORM 24CON 100SPEC 72REG 68

AcceptingComprehensive PBM

3 offices · 0 certs

Ping An Healthcare Technology

Health Plan Pharmacy Administrator · Shenzhen, China

72PBM

National formularySpecialty formularyOncologyAdherence

NMPACMS

FORM 12CON 50SPEC 30REG 33

AcceptingBroad capability

2 offices · 0 certs

IQVIA Market Access

Market Access Consultant · London, United Kingdom

62PBM

National formularySpecialty formularyValue-basedOncology

Value-basedCGTCMSMedicare Part DHIPAA

FORM 16CON 100SPEC 64REG 85

AcceptingBroad capability

4 offices · 0 certs

Cegedim

Reimbursement Service Provider · Boulogne-Billancourt, France

57PBM

National formularyAdherence

GDPRCMS

FORM 8CON 50SPEC 10REG 27

AcceptingEstablished

2 offices · 0 certs

JD Health

Health Plan Pharmacy Administrator · Beijing, China

56PBM

National formularySpecialty formularyOncologyAdherence

NMPA

FORM 12CON 50SPEC 30REG 22

AcceptingEstablished

2 offices · 0 certs

WeDoctor

Reimbursement Service Provider · Hangzhou, China

44PBM

National formularyAdherence

NMPA

FORM 8CON 41SPEC 10REG 22

AcceptingEstablished

1 offices · 0 certs