Investor Presentation First Nine Months of 2022
132
Investor presentation First nine months of 2022
NAO
US health insurance is dominated by a few large commercial
payers
US population by health insurance status
has been stable in recent years
326
5%
9%
333
7%
8%
23%
22%
18%
17%
Covered lives by PBM
DKK
Development of Novo Nordisk rebates
and net sales in the US
billion
200
75% 80%
All other PBM
14%
Cigna
Humana
3%
3%
Prime
9%
150
OptumRx
20%
100
22%
Express scripts
60%
40%
45%
46%
50
50
20%
CVS Caremark
29%
0
0%
20171
2021
2021
2013
2015 2017 2019 2021
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: Cleveland Research
Net sales Rebates, % of gross sales
RebatesView entire presentation