Managed Care Pharmacist

Also called: PBM Pharmacist, Formulary Pharmacist

Pharmacist at an insurance company deciding which drugs are covered and how.

A day in the life

Compares the cost and evidence for two diabetes drugs, helps build the insurer's drug list (formulary), and reviews prior authorization requests. Often remote.

Pay over a career

Starting
$115k
Typical
$145k
High
$180k

Estimate based on BLS pharmacists (May 2025 median about $137k).

Approximate: anchored on Bureau of Labor Statistics data for a broader job group.

Training

Professional degree (MD, JD, DVM…), about 8 years after high school. PharmD (usually 2+ years of pre-pharmacy college plus 4 years of pharmacy school), plus state license.

Ways in: 4-year college, Professional school. Training cost: Over $150k.

Majors to look at: Pharmacy, Chemistry, Biology.

Outlook

Growing about average. Pharmacist jobs overall grow slowly, but clinical specialties are in demand.

Will it last? Our AI estimate

Medium risk in 5 years, high in 10. AI is automating prior-authorization review and formulary analysis, so insurers need fewer pharmacists; policy calls remain.

Start now, in high school

Classes: AP Chemistry, AP Statistics, Economics.

Official data: O*NET occupation 29-1051.

More Pharmacy careers

Career Universe is an early version. Pay, training and AI-risk figures are estimates to start your own research, not verified facts. The research was written with AI research assistants, checked by validation scripts and spot-checked by hand. Check anything important with schools, employers and official sources. How the numbers work.