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2000-2007 Survey Results
Pharmacy Benefit Trends & Data
Costs, Benefit Design, Utilization, PBM Market Share

Table of Contents
Survey Fields
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Place an order or get more information at 800-521-4323

Price (includes CD): $1,175
Pages: 442
ISBN: 1-933801-31-X
© 2007
Pub Code: GDRU7

For the past eight years, AIS has been surveying pharmacy benefit management companies of all kinds and compiling the results to track trends in this volatile industry. Trends revealed by this survey include the growth of mail-order pharmacy and generic utilization, as well as the emergence of specialty pharmacy as a new cost category and the three-tiered pharmacy benefit as the industry standard.

From time to time, excerpts from these exclusive survey results have been published in Drug Benefit News. But now, the full results and analyses are available, in a single handy reference, to anybody who needs a thorough understanding of the pharmacy benefit industry and how it has evolved.

Who are the players? What services do they offer? What benefit designs and formulary structures do they promote? What cost trends have they experienced? 

2000-2007 Survey Results: Pharmacy Benefit Trends & Data is a valuable book and CD resource that features the complete results — plus analyses — from all quarterly surveys from the first quarter of 2000 through the second quarter of 2007. That’s 30 surveys over eight years, resulting in a book featuring hundreds of pages of tables, graphs, charts, directories and listings developed from survey results!

When you purchase Pharmacy Benefit Trends & Data and its accompanying free CD, you’ll get:

  • Hundreds of charts, tables and graphs developed from various data fields in the survey. (See the full list of survey fields.)
  • A complete directory of PBMs, PBAs, SPPs and related companies with company descriptions, business volume metrics and contact names.
  • All the raw survey data in spreadsheet form — published in the book and in Excel files on the accompanying CD.
  • Information from various other AIS research efforts that pertain to the pharmacy benefit, including our annual surveys of:
    • Medicaid pharmacy directors from 2002 to 2007 — with articles, analysis and more raw data, and
    • Managed care organizations (MCOs) — with data on their annual drug spend for their entire books of business.

Since 2000, results of AIS’s quarterly survey have been used by: health plans … to set copay levels for their drug plans, and to determine which PBM vendors and programs are effective in managing pharmacy costs; PBMs … to compare performance benchmarks with their competitors;  financial industry analysts … to gain a clear and unbiased view of the competitive PBM and specialty pharmacy industries — on both private and publicly traded companies; and government officials and policymakers …  to get insight into the likely impact of prospective mergers and acquisitions, and to help them develop government-run pharmacy programs and identify potential bidders for contracts.

Now it’s your turn! Put AIS’s survey results to work for you, and gain an edge in your strategic planning for pharmacy benefits. Order Pharmacy Benefit Trends & Data today!

 

Table of Contents

Chapter 1: PBM Drug Spend by Therapeutic Category

  • Percentage of Total Annual PBM Drug Spend for Top Therapeutic Categories
  • Estimated Annual PBM Drug Spend for Top Therapeutic Categories
  • Trend and Spend for Specific Therapeutic Categories:
    • Allergy/Rhinitis
    • Asthma
    • Cholesterol
    • Diabetes
    • Hypertension
    • Migraine
    • NSAIDs/Cox-2 Inhibitors
    • Psychiatric/CNS drugs
    • Ulcer/GERD
    • Antibiotics
    • Hormone Replacement Therapy (HRT)

Chapter 2: Prescription Drug Costs Per Prescription, by Cost Component, Brand and Generic

  • Ingredient Costs
  • Dispensing Fees
  • Actual Amount Paid per Rx

Chapter 3: Benefit Design Trends

  • Tiered Copay Structures
  • Copay Amounts
  • Formulary Design

Chapter 4: Prescription Drug Utilization

  • Total Claims Processed by PBMs
  • Prescription Volume by Sales Outlet—Retail, Mail, Specialty
    • Retail Rx Utilization
    • Mail-Order Rx Utilization
    • Specialty Pharmacy Rx Utilization
  • Claims Processed by Tier
  • Utilization by Product

Chapter 5: PBM Market Share

  • Evaluating Market Share by Different Business Volume Metrics
  • Market Share by Covered Lives/Membership
  • Market Share by Prescription Volume
  • Market Share by Annual Drug Spend
  • Market Share by Annual Gross Revenues
  • Market Share by Sector

Chapter 6: Specialty Pharmacy Provider Data

  • Company Revenues from Specialty Pharmacy
  • Specialty Pharmacy Prescription Volume
  • Specialty Pharmacy Drug Spend
  • SPP Patients Served Annually
  • SPP Therapeutic Categories and Diseases

Chapter 7: AIS’s Quarterly Survey of PBMs, PBAs, SPPs and Related Companies

  • Raw Survey Data per Company, by Quarter, 2000-2007

Chapter 8: State Medicaid Programs Drug Spend Data

  • AIS’s Survey of Medicaid Pharmacy Directors, 2002-2007
  • Directory of State Medicaid Pharmacy Directors

Chapter 9: Managed Care Organizations Drug Spend Data, 2002-2006

Chapter 10: Evolution of the PBM Industry and Growth of Specific Companies

  • PBM Core Capabilities
  • Growth and Consolidation of the “Big Three” PBMs

Chapter 11: Directory of PBMs, PBAs, SPPs and Related Companies

Appendix: AIS’s Quarterly Survey of PBMs, PBAs, SPPs and Related Companies, Survey Instrument

Survey Fields

  • Company Name
  • Annual Gross Revenues Total
    • Annual Gross Revenues PBM
    • Annual Gross Revenues SP
  • Number Employees PBM Operations
  • Number Employees in Specialty Pharmacy Operations
  • Drug Spend per Year in PBM Operations
  • Drug Spend per Year Specialty Operations
  • Number of Clients
    • Number MCO Clients
    • Number Physician Clients
  • % Private Sector Business
  • % Public Sector Business
  • Number SP Patients per Year
  • Total Covered Lives
  • Number of Lives Under Formulary Control
  • Number Prescriptions Per Year
    • Rx Via Retail Total
      • Rx Via Independent
      • Rx Via Chain
    • Rx Via Mail Order
    • Rx Via Specialty Pharmacy
  • Number Pharmacies in Network
    • Total Retail Pharmacies
      • Independent Pharmacies
      • Chain Pharmacies
    • Mail-Order Pharmacies
      • Internet-Based Pharmacies
    • SP Distribution Centers
  • Number of Drugs in Formulary
    • Brand Name Total
      • Brand Name Single-Source
      • Brand Name Multi-Source
    • Generic
      • MAC
      • Non-MAC
  • Average Copay 1st Tier
  • Average Copay 2nd Tier
  • Average Copay 3rd Tier
  • % of Claims Processed at 1st Tier
  • % of Claims Processed at 2nd Tier
  • % of Claims Processed at 3rd Tier

 

Written By

Pharmacy Benefit Trends & Data is published by Atlantic Information Services, Inc. (AIS), an objective publisher of news, data and information for health care managers. The survey is conducted by in-house researchers who work exclusively for AIS.

 

Written For

  • Managers of HMOs, PPOs and other managed care companies
  • Purchasers, employers, pharmacy benefit companies
  • Managers in the pharmaceutical industry

 

AIS Guarantee

Order Pharmacy Benefit Trends & Data for a 30-day risk-free inspection and test for yourself the value of this new data and analysis resource. If within 30 days you’re not interested in keeping this comprehensive book, just return it to AIS and we will send you a prompt, full refund. Please review your copy of the print edition before breaking the seal on the CD package. Refunds will not be made once the seal on the CD package has been broken.

 

Shipping Information

This item is shipped via UPS. Please give us your street address when you order (UPS does not deliver to PO boxes.) You should receive your order within 5-7 business days. Shipping cost is $5 per item.

Rush orders: Please call us at 800-521-4323 to place a rush order. We will overnight your order for an additional charge of $30, or you can give us your FedEx or UPS account number and we will charge the shipping to your account. Rush orders placed after 3:00pm EST will not be shipped out until the next business day.

 

Related Publications

Drug Benefit News
AIS's Pharmacy Benefit Survey Results
Specialty Pharmacy: Stakeholders, Strategies and Markets
Specialty Pharmacy News

Health Plan Week
Health Plan Facts, Trends and Data
Managed Medicare & Medicaid Factbook

PBM Formulary Strategies and Their Impact on Payers

 

For further information call 800-521-4323 or e-mail customerserv@aispub.com

 
Print an order form:
If you do not wish to place your order online, click here to download a printable order form (PDF file), then submit your order via fax or mail, as directed on the form.

Related Publications

Drug Benefit News

AIS's Pharmacy Benefit Survey Results

Health Plan Week

Specialty Pharmacy: Stakeholders, Strategies and Markets

Specialty Pharmacy News

Health Plan Facts, Trends and Data

Managed Medicare & Medicaid Factbook

PBM Formulary Strategies and Their Impact on Payers

 


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