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2025 Pharmacy Benefit Manager (PBM) Customer Satisfaction Report

PSG’s PBM Customer Satisfaction Report provides the most in-depth picture of the PBM landscape today, leveraging perspectives taken directly from employer and health plan leaders. This research equips payers with data-driven insights to proactively improve their pharmacy benefit strategy. This year’s report examines satisfaction with PBMs, both overall and with various functions and services, and also explores payer priorities and appetite for change.

Key Takeaways

Here’s a sneak peak into a few of the key findings:

  • High-level satisfaction with PBMs declined from 2024 to 2025 — overall NPS declined to -12.
  • Satisfaction varies between employers and health plans and between customers of Big 3 PBMs and customers of non-Big 3 PBMs.
  • Benefits leaders are concerned about PBMs manufacturing Humira biosimilars as part of their biosimilars strategy.
  • Most plans express some willingness to work with multiple vendors for PBM services.
  • Desire for change in the pharmacy benefit management industry is strong — and growing even stronger.

Preview the 2025 PBM Customer Satisfaction

About the Researchers

Michael Lonergan, RPh

How many people started their career in pharmacy at the age of 14? Michael (Mike) Lonergan began working in his small-town drug store as a…
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Rebekah Gregg, MBA

When Rebekah Gregg began working at a hospice provider after college, she found more than a job—she found a calling. Ever since then, Rebekah’s passion…
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Beth Hebert-Silvia

Beth Hebert-Silvia, RPh

“We drive the market.” That’s how Beth explains the success of her team; one that saved clients over $4.5 billion in a single year, including…
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Mike Medel

Michael Medel, PharmD, MBA

With over 25 years in Pharmacy, there’s not much that Mike Medel hasn’t seen or done at this point in his career. As the Senior…
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Morgan Lee

Morgan Lee, PhD, MPH, CPH

Morgan Lee is a dynamic behavioral scientist and research leader with over 15 years of quantitative and qualitative research and evaluation experience in health and…
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