Access and Utilization of New Antidepressant and Antipsychotic Medications. D. Pharmaceutical Benefits Managers

01/01/2000

The following criteria were used to select the pharmacy benefit managers (PBMs) interviewed:

  • National or regional market presence;
  • Independently operated or carved out from other entity; and
  • Linked to other interview respondent type (i.e., employer, Medicaid program).

As a result, five PBMs were identified and interviewed: Value Rx/Express Scripts, PCS Health System, Rx Innovations, Prescription Solutions, and Advance Paradigm.

Company (Covered Lives) Reason for Inclusion
Value Rx/Express Scripts (38.5 million)
  • National
  • Independent
PCS Health System (>50 million)
  • National
Rx Innovations (~5,000)
  • Regional
  • Carve-out of Value/Options
Prescription Solutions (>3 million)
  • Regional
  • Carve-out of PacifiCare
Advance Paradigm (27 million)
  • National
  • Independent