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As of 2023, PBMs managed pharmacy benefits for 275 million Americans and the three largest PBMs in the US, CVS Caremark, Cigna Express Scripts, and UnitedHealth Group’s Optum Rx, make up about 80% of the market share covering about 270 million people [4] [5] with a market of almost $600 billion in 2024. [6]
On May 15, 1996, Caremark International, a provider of manager health services, announced it would be acquired by MedPartners. [ 5 ] [ 6 ] Caremark International was founded as a unit of Baxter International and was spun off from Baxter in 1992 as a publicly traded company.
CVS Health Corporation is an American for-profit healthcare company that owns CVS Pharmacy, a retail pharmacy chain; CVS Caremark, a pharmacy benefits manager; and Aetna, a health insurance provider, among many other brands.
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On November 7, 2007, Mac Crawford stepped down as chairman of the board for CVS Caremark. He was replaced by president and CEO of CVS Caremark, Tom Ryan. [30] On August 12, 2008, CVS Pharmacy announced that it would acquire Longs Drugs for $2.9 billion. Walgreens made a counteroffer but dropped it. The deal closed October 30, 2008.
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Express Scripts Holding Company is a pharmacy benefit management (PBM) organization. In 2017 it was the 22nd-largest company in the United States by total revenue as well as the largest pharmacy benefit management (PBM) organization in the United States. [2]