Which of the following groups represents the Big 3 PBMs?

Which of the following groups represents the Big 3 PBMs?

• A. MedImpact
• B. CVS Caremark, Express Scripts
• C. OptumRx
• D. CVS Caremark, Express Scripts, OptumRx

Answer: (D)

The Big 3 PBMs are CVS Caremark, Express Scripts, and OptumRx. These three dominate the pharmacy benefit management landscape, handling the majority of drug benefits for large employers and health plans, negotiating rebates with manufacturers, designing formularies, and processing prescriptions. The option that lists all three accurately represents the group known as the Big 3. Other choices miss one or more of these top players (MedImpact is a PBM but not part of the Big 3, and naming only one or two of the trio doesn’t capture the full group).

The Big 3 PBMs are CVS Caremark, Express Scripts, and OptumRx. These three dominate the pharmacy benefit management landscape, handling the majority of drug benefits for large employers and health plans, negotiating rebates with manufacturers, designing formularies, and processing prescriptions. The option that lists all three accurately represents the group known as the Big 3. Other choices miss one or more of these top players (MedImpact is a PBM but not part of the Big 3, and naming only one or two of the trio doesn’t capture the full group).