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Data shown across the platform is illustrative and unverified — not for vendor qualification or regulatory use.

Market Access & Reimbursement

Pharmacy Benefit Managers

Formulary, rebate & utilization

10

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

10 providers

Sort

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

Therapeutic area

Oncology10 Specialty10 Cardiometabolic8 Immunology7 Rare disease6 Cell & gene therapy3 Infectious disease3 Neurology3 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 10 of 10Clear filters Country: Japan Country: USA

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

Prime

Prime Therapeutics

Pharmacy Benefit Manager · Eagan, MN, USA

98PBM

National formularySpecialty formularyValue-basedOncology

Value-basedCMSMedicare Part DMedicaid

FORM 24CON 75SPEC 50REG 59

AcceptingComprehensive PBM

2 offices · 0 certs

MedImpact Healthcare Systems

MedImpact Healthcare Systems

Pharmacy Benefit Manager · San Diego, CA, USA

90PBM

National formularySpecialty formularyOncologyAdherence

CMSMedicare Part DMedicaid

FORM 24CON 50SPEC 30REG 64

AcceptingComprehensive PBM

2 offices · 0 certs

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