Pharmacy Benefit Managers (PBMs) play a key role in the healthcare industry, managing pharmacy products and facilitating real-time interactions among stakeholders. In recent years, PBMs have expanded beyond their core functions to adapt to evolving market dynamics. Key trends include regulatory changes, increased consumer focus on health management, and widespread technology adoption. In this report, we explore key themes in the PBM marketplace, highlighting common use cases, benefits, challenges, and emerging technologies and opportunities. The report aims to help providers understand the intricacies of pharmacy benefit management and guide enterprises in formulating the right PBM strategies. Scope Industry: healthcare Geography: global Contents In this report, we examine: The role of PBMs and value chain functions Key trends and demand drivers Challenges in adopting technology and associated trends Use cases that leverage AI and automation Investment priorities Membership(s) Healthcare Payer and Provider Information Technology Sourcing and Vendor Management

The Pharmacy Benefits Management (PBM) industry is experiencing significant changes, including increased regulatory scrutiny surrounding pricing transparency and rebate-sharing rules, which are disrupting traditional business models. The rise of specialty drugs is also impacting profitability. Furthermore, the growing adoption of value-based contracting is prompting PBMs to eliminate data silos within their organizations to improve treatment outcomes and detect fraudulent activities. As a result, PBM operating models are shifting and there is a greater emphasis on digitizing operations to improve drug utilization, integrate data, and develop advanced analytical capabilities. In this viewpoint, we examine the evolution of PBMs, their role in the US pharmaceutical industry, and the key trends and controversies surrounding PBM operations. We also explore potential solutions for addressing PBM challenges and how third-party providers can help alleviate them. Scope Industry: healthcare Geography: North America Contents In this report, we: Examine the role of PBMs in the US healthcare ecosystem Discuss the key trends and challenges facing the PBM industry Explore the evolution of the PBM landscape and the role of third-party providers Membership(s) Healthcare Payer and Provider Business Process Sourcing and Vendor Management