Pharmacy benefits & drug classes: How broader market shifts will impact 2025
Benefits advisors need to stay proactive and help their clients leverage formulary design, clinical oversight, and transparent analytics to ensure their pharmacy plan design aligns with their unique cost control and member health priorities.
By Bradley Nelson and Tom Davies |
April 07, 2025 at 07:10 AM
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While individual drugs often make the headlines, pharmacy trendlines are shaped by broader shifts across entire therapeutic categories. In 2025, benefits advisors must keep a close eye on key drug classes where biosimilar entry, indication expansion, and market momentum are changing the rules – and the costs – so they can help their clients stay ahead of evolving trends.
According to RxBenefits’ Book of Business, two categories alone – anti-inflammatory and dermatology – accounted for nearly half of clients’ total specialty plan spend in 2024. These categories, along with oncology, neurology, and GLP-1 therapies, are expected to remain high-impact areas this year.
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