Rx medicine exclusion from PBM formularies by therapy area 2014-2022

Number of prescription medicines excluded from one or more pharmacy benefit manager (PBM) formulary in 2014-2022, by therapy area

CharacteristicNumber of unique Rx drugs excluded
Autonomic and central nervous system 225
Diabetes, endocrine, metabolic, and weight loss 209
Dermatological 151
Oncology, hematological, and antineoplastic/immunosuppressant 117
Cardiovascular 109
Gastrointestinal 82
Musculoskeletal, rheumatology, and osteoarthritis 80
Respiratory 78
Obstetrical and gynecological 65
Ophthalmic 64
Antivirals and anti-infectives 61
Ear/nose/throat/mouth and allergies 32
Urological 28
Created with Highcharts 7.2.2Number of unique Rx drugs excluded2252252092091511511171171091098282808078786565646461613232282820201717998822Autonomic and central nervous systemDiabetes, endocrine, metabolic, and weight lossDermatologicalOncology, hematological, and antineoplastic/immunosuppressantCardiovascularGastrointestinalMusculoskeletal, rheumatology, and osteoarthritisRespiratoryObstetrical and gynecologicalOphthalmicAntivirals and anti-infectivesEar/nose/throat/mouth and allergiesUrologicalInflammatory conditionsHepatitisImmunomodulators and transplantNephrology and renal diseaseHepatology
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Release date

May 2022

Region

United States

Survey time period

2014 to 2022

Supplementary notes

This statistic includes the leading three PBMs: CVS Caremark, Express Scripts, and Optum Rx. The total number — 1,357 — is higher than the 1,156 total for 2022 because some drugs were excluded and then added back to the formulary.

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Statistics on " Pharmacy benefit managers (PBMs) "

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