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    UK Pharmacy Benefit Management Services Market

    ID: MRFR/Pharma/48949-HCR
    200 Pages
    Rahul Gotadki
    September 2025

    UK Pharmacy Benefit Management Services Market Research Report By Service Type (Claims Management, Formulary Management, Drug Utilization Review, Medication Therapy Management), By End User (Pharmacies, Health Plans, Employers, Public Sector), By Service Provider (Standalone Pharmacy Benefit Managers, Health Insurance Companies, Integrated Health Systems) and By Operating Model (Fully-Managed Services, Pass-Through Services, Hybrid Services)- Forecast to 2035

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    Table of Contents

    UK Pharmacy Benefit Management Services Market Summary

    The UK Pharmacy Benefit Management Services market is projected to grow significantly over the next decade.

    Key Market Trends & Highlights

    UK Pharmacy Benefit Management Services Key Trends and Highlights

    • The market valuation for UK Pharmacy Benefit Management Services stands at 2.97 USD Billion in 2024.
    • By 2035, the market is expected to reach 5.67 USD Billion, indicating robust growth.
    • The compound annual growth rate (CAGR) for the period from 2025 to 2035 is estimated at 6.05 percent.
    • Growing adoption of technology due to increasing healthcare costs is a major market driver.

    Market Size & Forecast

    2024 Market Size 2.97 (USD Billion)
    2035 Market Size 5.67 (USD Billion)
    CAGR (2025-2035) 6.05%

    Major Players

    Humana, OptumRx, Day Lewis Pharmacy, Alpha Pharmacy, Aetna, Well Pharmacy, Zebra Health, Lloyds Pharmacy, CVS Health, Cigna, Mediq, Rowlands Pharmacy, Express Scripts, UnitedHealth Group, Celesio

    UK Pharmacy Benefit Management Services Market Trends

    The UK Pharmacy Benefit Management Services Market is experiencing significant trends driven by a growing emphasis on cost-effective healthcare solutions. With the increasing focus on managing prescription drug expenditures, more UK employers and healthcare providers are adopting pharmacy benefit managers (PBMs) to streamline medication costs and enhance patient access to essential medicines. A key market driver is the rising burden of chronic diseases in the UK, which necessitates an efficient management system for medications to improve patient outcomes while controlling healthcare spending. 

    Moreover, the integration of digital health technologies within PBM services showcases opportunities to be explored.The advancement of telehealth and online prescription services, particularly post-COVID-19, has paved the way for innovative solutions that allow patients to manage their medications more effectively. This shift provides an avenue for PBMs to enhance their service offerings, thus making them more attractive to both consumers and healthcare providers. Recent trends indicate a growing focus on personalization in pharmacy benefits, with PBMs looking to customize plans based on individual patient needs and health profiles. 

    The UK government is encouraging measures to improve healthcare accessibility, offering PBMs a platform to align their services with public health objectives.Additionally, the emergence of data analytics and artificial intelligence in processing claims and managing drug utilization is shaping the landscape of PBM services, ensuring better adherence to treatment regimens and optimized healthcare delivery. Overall, the UK market is positioned for continued evolution, guided by these trends that focus on efficiency, personalization, and technological integration in pharmacy benefit management.

    UK Pharmacy Benefit Management Services Market Drivers

    Market Segment Insights

    UK Pharmacy Benefit Management Services Market Segment Insights

    UK Pharmacy Benefit Management Services Market Segment Insights

    Pharmacy Benefit Management Services Market Service Type Insights

    Pharmacy Benefit Management Services Market Service Type Insights

    The UK Pharmacy Benefit Management Services Market is notably influenced by its diverse range of services, primarily focusing on Claims Management, Formulary Management, Drug Utilization Review, and Medication Therapy Management. These services play a crucial role in enhancing the efficiency and effectiveness of the pharmacy benefit process, ensuring that patients receive the medications they need while managing costs for insurance providers and employers. Claims Management is integral as it helps streamline the authorization and payment processes, ensuring claims are processed efficiently and accurately, reducing administrative burdens.

    Formulary Management enables the selection of effective and cost-efficient medications, guiding providers and patients toward the most appropriate therapy options, which is vital in controlling healthcare spending within the UK. Drug Utilization Review focuses on promoting safe and effective medication use, addressing issues related to drug interactions and adherence, which can lead to improved patient outcomes and reduced overall costs. Medication Therapy Management emphasizes optimizing therapeutic outcomes for patients by assessing and managing their medication regimens, which is significant in improving health outcomes, particularly among chronic disease populations.

    As the UK healthcare landscape evolves, these segments are essential in addressing challenges such as rising medication costs and the increasing complexity of treatment regimens, thereby contributing to the overall efficacy of the Pharmacy Benefit Management Services Market in the region. The integration and continued development of these services are likely to shape the future of pharmacy benefits in the UK, providing opportunities for enhancing patient care while managing costs effectively.

    Source: Primary Research, Secondary Research, Market Research Future Database and Analyst Review

    Pharmacy Benefit Management Services Market End User Insights

    Pharmacy Benefit Management Services Market End User Insights

    The UK Pharmacy Benefit Management Services Market is shaped significantly by its End User segment, which includes pharmacies, health plans, employers, and the public sector. Each of these groups plays a crucial role in shaping the dynamics of the market. Pharmacies are vital as they directly dispense medications and manage relationships with patients, ensuring adherence to treatment plans. Health plans often utilize Pharmacy Benefit Management Services to streamline medication management and control costs, thereby improving patient care and experience.

    Employers increasingly seek to manage healthcare costs effectively by partnering with Pharmacy Benefit Management Services for their employees, showcasing the growing trend of integrating pharmacy benefits into workplace wellness programs. The public sector, meanwhile, plays a critical role in ensuring that healthcare access remains equitable, often collaborating with Pharmacy Benefit Management Services to enhance service delivery and manage public health initiatives efficiently. 

    This diversified usage of Pharmacy Benefit Management Services across various End Users reflects the multi-faceted nature of the healthcare landscape in the UK, offering opportunities for growth and innovation within the industry.The increasing demand for efficient medication management and cost control further drives the importance of each segment, making the UK Pharmacy Benefit Management Services Market a dynamic area for investment and development.

    Pharmacy Benefit Management Services Market Service Provider Insights

    Pharmacy Benefit Management Services Market Service Provider Insights

    The Service Provider segment of the UK Pharmacy Benefit Management Services Market plays a vital role in streamlining the medication management process and optimizing healthcare costs. This segment comprises various entities including Standalone Pharmacy Benefit Managers, Health Insurance Companies, and Integrated Health Systems, each contributing uniquely to market functionality. Standalone Pharmacy Benefit Managers often lead the market with their specialized focus on managing pharmacy benefits, enabling efficient negotiation of drug prices and enhancing formularies.Health Insurance Companies are significant players, as they integrate pharmacy benefits into their broader health plans, making them critical for patient access to medications. 

    Meanwhile, Integrated Health Systems leverage comprehensive care approaches, where pharmacy benefits are an integral component of overall patient management strategies. The ongoing trend toward value-based care and the increasing emphasis on medication adherence among patients anticipated to drive the growth of this segment.

    Challenges like regulatory changes and the rising cost of pharmaceuticals could impact the dynamics of these service providers, but opportunities for further integration of technology and personalized medicine are likely to enhance their role in the market.Overall, the Service Provider segment is essential in ensuring that patients have access to necessary medications while navigating the complexities of healthcare costs in the UK.

    Pharmacy Benefit Management Services Market Operating Model Insights

    Pharmacy Benefit Management Services Market Operating Model Insights

    The Operating Model segment of the UK Pharmacy Benefit Management Services Market showcases a variety of methods through which pharmacy benefits are managed and delivered. Fully-Managed Services dominate the landscape by providing comprehensive solutions that simplify the process for both employers and patients, facilitating streamlined medication access and cost management. Pass-Through Services, on the other hand, are significant as they allow for transparency in pricing, which is increasingly important as healthcare costs rise and organizations seek to control expenditures.

    Hybrid Services combine elements of both previous models, offering flexibility and customization that meet specific needs of clients, which enhances user satisfaction and drives market growth. The trends within each Operating Model indicate a shift towards integrated technology solutions that improve analytics and insights, addressing the challenges faced in managing pharmacy benefits effectively in the UK, such as rising drug prices and an aging population. Overall, each model plays a crucial role in ensuring that the evolving needs of the UK population are met while navigating the challenges and opportunities present within the market.

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    Regional Insights

    Key Players and Competitive Insights

    The UK Pharmacy Benefit Management Services Market is an integral component of the healthcare sector, focused on the management of prescription drug benefits for various sectors, including employers, insurers, and public healthcare programs. This market functions by negotiating pricing with pharmaceutical companies, designing formulary lists, and improving overall pharmaceutical care management to ensure the cost-effectiveness and accessibility of medications. The dynamics of competition in this sector are influenced by regulatory frameworks, evolving healthcare policies, and innovative technological integration that enables better service delivery. 

    Companies within this market strive to establish their foothold through unique value propositions, customer relationships, and the ability to adapt to changing market conditions, which has spurred continuous growth and evolution in service offerings.Humana, a notable player in the UK Pharmacy Benefit Management Services Market, has developed a substantial presence through its tailored services and robust network of partnerships with pharmacies and healthcare providers. The company's strengths lie in its comprehensive management strategies that focus on optimizing medication use while containing costs.

    Humana has positioned itself as a leader in consulting services for medication therapy management, presenting an in-depth understanding of the patient landscape and pharmaceutical needs. 

    Its innovative programs aim to enhance patient outcomes through focused initiatives in chronic disease management and adherence programs. These strengths enable Humana to effectively navigate the market landscape, expanding its influence and providing clients with targeted solutions that address their pharmaceutical needs.OptumRx focuses on delivering a wide array of pharmacy care services in the UK, making it a formidable player in the Pharmacy Benefit Management Services Market. 

    The company offers various key products and services, including drug utilization reviews, formulary management, and specialty pharmacy services, which cater to the distinct requirements of clients. OptumRx's market presence is bolstered by its extensive technological resources that streamline the pharmacy benefits process, ensuring efficiency and transparency. 

    The company's strength lies in its data analytics capabilities, which allow for informed decision-making and enhanced patient support strategies. Additionally, OptumRx has engaged in strategic mergers and acquisitions aimed at expanding its service offerings and market reach within the UK. These endeavors have further solidified its position as a trusted provider of pharmacy benefit management services dedicated to delivering improved health outcomes through advanced care solutions.

    Key Companies in the UK Pharmacy Benefit Management Services Market market include

    Industry Developments

    The UK Pharmacy Benefit Management Services Market has seen notable developments recently, particularly involving companies such as Cigna and CVS Health, which have been focusing on enhancing their service offerings in response to rising healthcare costs and demand for effective medication management. OptumRx has also been expanding its presence in the UK, aiming to streamline the pharmacy benefits process for employers and consumers alike. In terms of current affairs, Aetna’s efforts to integrate digital tools to improve patient adherence to medication are gaining traction, reflecting a broader trend within the sector. 

    Additionally, significant mergers and acquisitions have been minimal, with no recent announcements involving Humana, Well Pharmacy, or Day Lewis Pharmacy making headlines in the past few months. Growth in market valuation for companies such as Lloyds Pharmacy indicates a positive outlook amid a strong regulatory framework established by the UK National Health Service. Over the past couple of years, the emphasis on value-based care has increased, influencing pharmacy benefit strategies and shaping the competitive landscape in the UK market. Companies are encouraged to innovate while navigating the evolving healthcare landscape, ensuring better access and adherence to treatments for patients.

    Market Segmentation

    Outlook

    • Fully-Managed Services
    • Pass-Through Services
    • Hybrid Services

    Report Scope

    Report Attribute/Metric Source: Details
    MARKET SIZE 2023 2.97(USD Billion)
    MARKET SIZE 2024 3.12(USD Billion)
    MARKET SIZE 2035 5.67(USD Billion)
    COMPOUND ANNUAL GROWTH RATE (CAGR) 5.584% (2025 - 2035)
    REPORT COVERAGE Revenue Forecast, Competitive Landscape, Growth Factors, and Trends
    BASE YEAR 2024
    MARKET FORECAST PERIOD 2025 - 2035
    HISTORICAL DATA 2019 - 2024
    MARKET FORECAST UNITS USD Billion
    KEY COMPANIES PROFILED Humana, OptumRx, Day Lewis Pharmacy, Alpha Pharmacy, Aetna, Well Pharmacy, Zebra Health, Lloyds Pharmacy, CVS Health, Cigna, Mediq, Rowlands Pharmacy, Express Scripts, UnitedHealth Group, Celesio
    SEGMENTS COVERED Service Type, End User, Service Provider, Operating Model
    KEY MARKET OPPORTUNITIES Rising demand for personalized medicine, Expansion of telehealth services, Increased focus on chronic disease management, Integration of data analytics solutions, Growth in specialty drug reimbursements
    KEY MARKET DYNAMICS rising healthcare costs, increasing chronic diseases, evolving regulatory landscape, demand for cost containment, technological advancements in PBM
    COUNTRIES COVERED UK

    Market Highlights

    Author
    Rahul Gotadki
    Assistant Manager

    He holds an experience of about 7+ years in Market Research and Business Consulting, working under the spectrum of Life Sciences and Healthcare domains. Rahul conceptualizes and implements a scalable business strategy and provides strategic leadership to the clients. His expertise lies in market estimation, competitive intelligence, pipeline analysis, customer assessment, etc. In addition to the above, his other responsibility includes strategic tracking of high growth markets & advising clients on the potential areas of focus they could direct their business initiatives

    Get In Touch
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    FAQs

    What is the projected market size of the UK Pharmacy Benefit Management Services Market by 2035?

    The UK Pharmacy Benefit Management Services Market is expected to be valued at 5.67 billion USD by the year 2035.

    What was the market size of the UK Pharmacy Benefit Management Services Market in 2024?

    In 2024, the market size of the UK Pharmacy Benefit Management Services Market was valued at 3.12 billion USD.

    What is the expected CAGR for the UK Pharmacy Benefit Management Services Market from 2025 to 2035?

    The expected Compound Annual Growth Rate (CAGR) for the UK Pharmacy Benefit Management Services Market is 5.584 percent from 2025 to 2035.

    Which service type holds the largest market share in the UK Pharmacy Benefit Management Services Market?

    Claims Management is anticipated to hold the largest market share, valued at 1.1 billion USD in 2024.

    What are the market values of Formulary Management by the year 2035?

    For Formulary Management, the market value is expected to reach 1.7 billion USD by 2035.

    Who are the key players in the UK Pharmacy Benefit Management Services Market?

    Key players in the market include Humana, OptumRx, and CVS Health among others.

    What will be the market size for Drug Utilization Review by 2035?

    The market size for Drug Utilization Review is projected to reach 1.2 billion USD by 2035.

    What are the growth drivers of the UK Pharmacy Benefit Management Services Market?

    The growth of this market is driven by the increasing demand for cost-effective healthcare solutions and improved medication management.

    Which service type is projected to have the lowest market value in 2024?

    Medication Therapy Management is projected to have the lowest market value, estimated at 0.5 billion USD in 2024.

    How has the market been performing in recent years?

    The UK Pharmacy Benefit Management Services Market has been experiencing consistent growth, reflecting a positive trend in utilization and demand.

    1. EXECUTIVE SUMMARY
    2. Market Overview
    3. Key Findings
    4. Market Segmentation
    5. Competitive Landscape
    6. Challenges and Opportunities
    7. Future Outlook
    8. MARKET INTRODUCTION
    9. Definition
    10. Scope of the study
    11. Research Objective
    12. Assumption
    13. Limitations
    14. RESEARCH METHODOLOGY
    15. Overview
    16. Data Mining
    17. Secondary Research
    18. Primary Research
    19. Primary Interviews and Information Gathering Process
    20. Breakdown of Primary Respondents
    21. Forecasting Model
    22. Market Size Estimation
    23. Bottom-Up Approach
    24. Top-Down Approach
    25. Data Triangulation
    26. Validation
    27. MARKET DYNAMICS
    28. Overview
    29. Drivers
    30. Restraints
    31. Opportunities
    32. MARKET FACTOR ANALYSIS
    33. Value chain Analysis
    34. Porter's Five Forces Analysis
    35. Bargaining Power of Suppliers
    36. Bargaining Power of Buyers
    37. Threat of New Entrants
    38. Threat of Substitutes
    39. Intensity of Rivalry
    40. COVID-19 Impact Analysis
    41. Market Impact Analysis
    42. Regional Impact
    43. Opportunity and Threat Analysis
    44. UK Pharmacy Benefit Management Services Market, BY Service Type (USD Billion)
    45. Claims Management
    46. Formulary Management
    47. Drug Utilization Review
    48. Medication Therapy Management
    49. UK Pharmacy Benefit Management Services Market, BY End User (USD Billion)
    50. Pharmacies
    51. Health Plans
    52. Employers
    53. Public Sector
    54. UK Pharmacy Benefit Management Services Market, BY Service Provider (USD Billion)
    55. Standalone Pharmacy Benefit Managers
    56. Health Insurance Companies
    57. Integrated Health Systems
    58. UK Pharmacy Benefit Management Services Market, BY Operating Model (USD Billion)
    59. Fully-Managed Services
    60. Pass-Through Services
    61. Hybrid Services
    62. Competitive Landscape
    63. Overview
    64. Competitive Analysis
    65. Market share Analysis
    66. Major Growth Strategy in the Pharmacy Benefit Management Services Market
    67. Competitive Benchmarking
    68. Leading Players in Terms of Number of Developments in the Pharmacy Benefit Management Services Market
    69. Key developments and growth strategies
    70. New Product Launch/Service Deployment
    71. Merger & Acquisitions
    72. Joint Ventures
    73. Major Players Financial Matrix
    74. Sales and Operating Income
    75. Major Players R&D Expenditure. 2023
    76. Company Profiles
    77. Humana
    78. Financial Overview
    79. Products Offered
    80. Key Developments
    81. SWOT Analysis
    82. Key Strategies
    83. OptumRx
    84. Financial Overview
    85. Products Offered
    86. Key Developments
    87. SWOT Analysis
    88. Key Strategies
    89. Day Lewis Pharmacy
    90. Financial Overview
    91. Products Offered
    92. Key Developments
    93. SWOT Analysis
    94. Key Strategies
    95. Alpha Pharmacy
    96. Financial Overview
    97. Products Offered
    98. Key Developments
    99. SWOT Analysis
    100. Key Strategies
    101. Aetna
    102. Financial Overview
    103. Products Offered
    104. Key Developments
    105. SWOT Analysis
    106. Key Strategies
    107. Well Pharmacy
    108. Financial Overview
    109. Products Offered
    110. Key Developments
    111. SWOT Analysis
    112. Key Strategies
    113. Zebra Health
    114. Financial Overview
    115. Products Offered
    116. Key Developments
    117. SWOT Analysis
    118. Key Strategies
    119. Lloyds Pharmacy
    120. Financial Overview
    121. Products Offered
    122. Key Developments
    123. SWOT Analysis
    124. Key Strategies
    125. CVS Health
    126. Financial Overview
    127. Products Offered
    128. Key Developments
    129. SWOT Analysis
    130. Key Strategies
    131. Cigna
    132. Financial Overview
    133. Products Offered
    134. Key Developments
    135. SWOT Analysis
    136. Key Strategies
    137. Mediq
    138. Financial Overview
    139. Products Offered
    140. Key Developments
    141. SWOT Analysis
    142. Key Strategies
    143. Rowlands Pharmacy
    144. Financial Overview
    145. Products Offered
    146. Key Developments
    147. SWOT Analysis
    148. Key Strategies
    149. Express Scripts
    150. Financial Overview
    151. Products Offered
    152. Key Developments
    153. SWOT Analysis
    154. Key Strategies
    155. UnitedHealth Group
    156. Financial Overview
    157. Products Offered
    158. Key Developments
    159. SWOT Analysis
    160. Key Strategies
    161. Celesio
    162. Financial Overview
    163. Products Offered
    164. Key Developments
    165. SWOT Analysis
    166. Key Strategies
    167. References
    168. Related Reports
    169. UK Pharmacy Benefit Management Services Market SIZE ESTIMATES & FORECAST, BY SERVICE TYPE, 2019-2035 (USD Billions)
    170. UK Pharmacy Benefit Management Services Market SIZE ESTIMATES & FORECAST, BY END USER, 2019-2035 (USD Billions)
    171. UK Pharmacy Benefit Management Services Market SIZE ESTIMATES & FORECAST, BY SERVICE PROVIDER, 2019-2035 (USD Billions)
    172. UK Pharmacy Benefit Management Services Market SIZE ESTIMATES & FORECAST, BY OPERATING MODEL, 2019-2035 (USD Billions)
    173. PRODUCT LAUNCH/PRODUCT DEVELOPMENT/APPROVAL
    174. ACQUISITION/PARTNERSHIP
    175. MARKET SYNOPSIS
    176. UK PHARMACY BENEFIT MANAGEMENT SERVICES MARKET ANALYSIS BY SERVICE TYPE
    177. UK PHARMACY BENEFIT MANAGEMENT SERVICES MARKET ANALYSIS BY END USER
    178. UK PHARMACY BENEFIT MANAGEMENT SERVICES MARKET ANALYSIS BY SERVICE PROVIDER
    179. UK PHARMACY BENEFIT MANAGEMENT SERVICES MARKET ANALYSIS BY OPERATING MODEL
    180. KEY BUYING CRITERIA OF PHARMACY BENEFIT MANAGEMENT SERVICES MARKET
    181. RESEARCH PROCESS OF MRFR
    182. DRO ANALYSIS OF PHARMACY BENEFIT MANAGEMENT SERVICES MARKET
    183. DRIVERS IMPACT ANALYSIS: PHARMACY BENEFIT MANAGEMENT SERVICES MARKET
    184. RESTRAINTS IMPACT ANALYSIS: PHARMACY BENEFIT MANAGEMENT SERVICES MARKET
    185. SUPPLY / VALUE CHAIN: PHARMACY BENEFIT MANAGEMENT SERVICES MARKET
    186. PHARMACY BENEFIT MANAGEMENT SERVICES MARKET, BY SERVICE TYPE, 2025 (% SHARE)
    187. PHARMACY BENEFIT MANAGEMENT SERVICES MARKET, BY SERVICE TYPE, 2019 TO 2035 (USD Billions)
    188. PHARMACY BENEFIT MANAGEMENT SERVICES MARKET, BY END USER, 2025 (% SHARE)
    189. PHARMACY BENEFIT MANAGEMENT SERVICES MARKET, BY END USER, 2019 TO 2035 (USD Billions)
    190. PHARMACY BENEFIT MANAGEMENT SERVICES MARKET, BY SERVICE PROVIDER, 2025 (% SHARE)
    191. PHARMACY BENEFIT MANAGEMENT SERVICES MARKET, BY SERVICE PROVIDER, 2019 TO 2035 (USD Billions)
    192. PHARMACY BENEFIT MANAGEMENT SERVICES MARKET, BY OPERATING MODEL, 2025 (% SHARE)
    193. PHARMACY BENEFIT MANAGEMENT SERVICES MARKET, BY OPERATING MODEL, 2019 TO 2035 (USD Billions)
    194. BENCHMARKING OF MAJOR COMPETITORS

    UK Pharmacy Benefit Management Services Market Segmentation

     

     

     

    • Pharmacy Benefit Management Services Market By Service Type (USD Billion, 2019-2035)

      • Claims Management
      • Formulary Management
      • Drug Utilization Review
      • Medication Therapy Management

     

    • Pharmacy Benefit Management Services Market By End User (USD Billion, 2019-2035)

      • Pharmacies
      • Health Plans
      • Employers
      • Public Sector

     

    • Pharmacy Benefit Management Services Market By Service Provider (USD Billion, 2019-2035)

      • Standalone Pharmacy Benefit Managers
      • Health Insurance Companies
      • Integrated Health Systems

     

    • Pharmacy Benefit Management Services Market By Operating Model (USD Billion, 2019-2035)

      • Fully-Managed Services
      • Pass-Through Services
      • Hybrid Services

     

     

     

     

     

     

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