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Pharmacy Benefit Trends: Vertical Integration, Disruptive Challengers to the Status Quo and the Impact of Breakthru GLP-1s

Aon’s Total Rewards Trendcast Series

Pharmacy benefit marketplace dynamics are more complex and volatile than at any time in recent memory. A decade of vertical integration that enabled the “Big 3” PBMs to control market share is being challenged by aggressive marketplace entrants touting greater pricing transparency and member-centricity. At the same time, a rare event that could permanently transform the pharmacy benefit landscape is playing out in front of the world. Newer injectable diabetes and weight loss drugs, propelled by clinical promise and social-media marketing, are challenging payors to quickly weigh long-term health benefits with near-term cost and prevalence impacts.

Watch the webinar replay to understand Aon’s point of view and hear how Aon clients are embracing these challenges.


  • Michael Manolakis, PharmD, PhD, SVP of Pharmacy, Aon
  • Jonathan Hjelm, Pharm.D., BCPS, AVP of Pharmacy, Aon
  • Lisa Barra, SVP of Health Solutions, Aon