Full Year 2023 Investor Presentation
135
Investor presentation Full year 2023
NAO
US health insurance is dominated by a few large commercial
payers
US population by health insurance status
Development of Novo Nordisk rebates
and net sales in the US
Covered lives by PBM
has been stable in recent years
DKK
326
333
billion
5%
7%
All other PBM
4%
9%
8%
400
Express Scripts/Cigna
69% 71%
74% 75% 75% 74%
24%
350
64%
23%
22%
59%
Humana
8%
300
56%
Prime
5%
250
18%
17%
UnitedHealth
22%
200
MedImpact
4%
150
45%
46%
100
CVS Caremark
33%
50
0
2021
20171
Managed careĀ²
Medicare
Medicaid/CHIP
Uninsured
Public exchanges
12017 data reflect historical data through Oct 2017
2 Managed care population is slightly underestimated as only population under
the age 65 is captured to avoid double counting with those eligible for Medicare.
Source: Centres for Medicare and Medicaid services, office of the actuary,
National Health expenditures Projections
PBM: Pharmacy Benefit Manager
Note: Covers all main channels (Managed Care, Medicare Part D,
and Medicaid); market share based on claim adjudication coverage,
i.e. not on formulary/rebate decision power
Sources: The 2023 Economic Report on U.S. Pharmacies and PBMs
(Published on www.DrugChannels.net)
Source: Novo Nordisk Annual Report 2023
2022
2015
2017
2019
2021
2023
Net sales
Rebates, % of gross sales
RebatesView entire presentation