In Drug Channel Institute's list of the top 15 pharmacies of 2018, we show that many of the largest U.S. pharmacies are now central-fill mail and specialty pharmacies operated by PBMs and insurers. To complement that broader list, below you’ll find the Drug Channels Institute list of the top 15 pharmacies based on specialty drug dispensing revenues.
As you will see, PBMs and insurers dominate specialty drug dispensing channels. The top four companies—all of which are fully or partly owned by a PBM—accounted for more than 70% of prescription revenues from pharmacy-dispensed specialty drugs. Payer- and PBM-owned specialty pharmacies’ market shares grew in 2018, due largely to merger and acquisition transactions.
PBMs are earning an increasing share of their profits from specialty dispensing activities. Don’t be surprised if drug channel reform starts examining the connection between specialty pharmacies’ profits and brand-name list prices.
Drug Channels Institute will host an exclusive new webinar, Preparing for a World Without Rebates, on Friday, April 12, 2019, from 12 p.m. to 1:00 p.m. ET. Get informed about the hottest topic facing our industry. Registration closes at midnight on Thursday. CLICK HERE TO LEARN MORE AND SIGN UP.
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