Pharmacy benefit manager financial model, built free.
A three-statement Excel model for a pharmacy benefit manager, built from your own figures and checked to balance.
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Administers prescription drug benefits for health plans and employers, earning spread, retained manufacturer rebates and administration fees on claims processed, plus mail-order and specialty pharmacy margins.
In short
- 01
Three linked statements
Income statement, balance sheet and cash flow, linked in every period.
- 02
Valued two ways
Discounted cash flow and trading multiples, side by side.
- 03
Monthly to annual
Monthly, quarterly, half-yearly or annual periods, for up to 30 years.
- 04
Checked every period
A Checks sheet shows the balance sheet balances and the cash reconciles.
The sample, as Excel draws it.
Built by the same system and checks as yours: its structure and its inputs, ready for your own figures.
The sample describes no real business. Yours is calibrated to your own figures, so its results are your business’s.
How the model works for a pharmacy benefit manager.
- How it earns revenue3 formulasPharmacy sales and gross profit · All pharmaciesPharmacy salesDispensary salesFront-of-shop salesPharmacy sales and gross profit · All pharmaciesCost of goods soldDispensary cost of goods soldFront-of-shop cost of goods soldPharmacy sales and gross profit · All pharmaciesScripts dispensedScripts dispensed in the last reported yearScript index (reported year = 1)share of the year
- What drives its costs3 formulasOperating expenses · Across the businessTotal FTEsOperations and deliverySales and marketingTechnologyFinance, HR and administrationOperating expenses · Across the businessTotal average FTEsOperations and deliverySales and marketingTechnologyFinance, HR and administrationOperating expenses · Across the businessTotal staff costsSalariesOn-costsOther costs per FTE
- What it invests in3 formulasCorporate fixed assetsCapital expenditureRevenuefrom statementsCapex as % of revenueAdditional planned capexCorporate fixed assetsDepreciationDepreciation of the opening asset baseDepreciation of new capexCorporate fixed assetsClosing net book valueOpening net book valueCapital expenditureDepreciation
- How it is funded3 formulasDebtRepaymentsScheduled repaymentsPrepayments from an equity raise and the cash sweepDebtClosing balanceOpening balanceDrawdownsRepaymentsDebtInterest expenseOpening balanceAll-in interest rateshare of the year
- How profit becomes cash3 formulasWorking capitalTrade receivablesRevenuefrom statementsDebtor daysDays in periodWorking capitalInventoryDirect costs (positive)from statementsInventory daysDays in periodWorking capitalTrade payablesCash operating costs (positive)from statementsCreditor daysDays in period
14 parts, each one tested.
Every part is a tested building block with its own checks: yours is put together from the ones your business needs.
- CPI forecastConsensus curve with long-run anchor
- Operating expensesHeadcount build by function
- Corporate costsFixed cost base indexed to CPI
- Working capitalFull working capital
- Income taxCorporate rate with tax losses
- Corporate fixed assetsStraight-line over remaining life
- DebtAmortising term loan
- Equity raisingDistribution reinvestment plan
- Dividends and distributionsPayout of net profit
- Discounted cash flow valuationDCF on free cash flow to the firm
- Multiples valuationEV / EBITDA multiple
- Key-metric summaryLast-twelve-month and run-rate metrics
- Case selectionStackable stress toggles
- Pharmacy sales and gross profitScripts plus front of shopDispensary (PBS and private scripts) and front-of-shop retail sales and their cost of goods.
The numbers it tracks.
- 01adjusted claims
- 02gross profit per adjusted claim
- 03rebate retention
- 04specialty share
- 05EBITDA per claim
What it is used for.
- Operating forecastGuide · Financial projections
- ValuationGuide · DCF valuation model
- Merger or acquisition (strategic)Guide · Financial modelling services
- Scenarios and sensitivities
More in health distribution and benefits.
Looking for a pharmacy benefit manager financial model template? Ours arrives built for your business, with your figures in it.
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See a finished model, sheet by sheetThe sample is built on illustrative figures and describes no real business. Models are calculations prepared from the information you provide. They are not financial advice and must be independently verified. See our terms.