Investor Presentation H1 2023
137
Investor presentation
First six months of 2023
US health insurance is dominated by a few large commercial
payers
US population by health insurance status
NAO
has been stable in recent years
326
333
5%
7%
All other PBM
9%
Covered lives by PBM
DKK
Development of Novo Nordisk rebates
and net sales in the US
billion
300
75% 80%
9%
8%
25%
Express Scripts/Cigna
60%
23%
22%
Humana
3%
200
Prime
9%
18%
17%
40%
OptumRx
20%
IngenioRx
100
5%
20%
45%
46%
CVS Caremark
29%
0
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: Cleveland Research
Source: Novo Nordisk Annual Report 2022
2022
2014 2016
2018 2020 2022
Net sales
Rebates, % of gross sales
RebatesView entire presentation