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)||
|PCS Health System (>50 million)||
|Rx Innovations (~5,000)||
|Prescription Solutions (>3 million)||
|Advance Paradigm (27 million)||