Investor Presentation
129
Investor presentation
First six months of 2022
US health insurance is dominated by few large commercial
payers
NAO
US population by health insurance status
has been stable in recent years
326
333
5%
7%
9%
8%
23%
22%
18%
17%
Covered lives by PBM
DKK
billion
Development of Novo Nordisk rebates
and net sales in the US
200
All other PBM
14%
Cigna 3%
3%
150
Humana
9%
Prime
100
OptumRx
20%
75% 80%
70%
60%
50%
40%
30%
50
20%
45%
46%
Express scripts
22%
10%
0
0%
20171
2021
2013
2015
2017
2019
2021
Managed careĀ²
Uninsured
Medicare
CVS Caremark
29%
Public exchanges
Net sales
Rebates
Rebates, % of gross sales
Medicaid/CHIP
2021
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 ResearchView entire presentation