PBM Companies

Pharmacy benefit management companies (PBM) or third-party administrators of a prescription drug program that manage prescription drug benefits on behalf of health insurers.
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Express Scripts

Express Scripts

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Founded

1986

Employees

13,721

Funding Summary

Not Provided

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About Express Scripts

We’re a health care opportunity company, tackling the problems others don’t, won’t or can’t. Where some see obstacles, we see possibilities. At Express Scripts, we dare to imagine a better health care system, and we’re driven to make it happen. We’re challengers, difference-makers and opportunity-seekers, united with our partners in pursuit of a simpler, more sustainable system and better health for all. We are Champions For Better.

Express Scripts has a deep history as an industry innovator, every day striving for better. Standing with those we serve, we collaborate with our clients and partners to develop... Show More
OptumRx

OptumRx

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-

Lives Serviced

-

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Optum Rx is a PBM. Show More
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MedImpact Healthcare Systems, Inc.

MedImpact Healthcare Systems, Inc.

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Founded

1989

Employees

1,606

Funding Summary

1 Corporate Round

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About MedImpact Healthcare Systems, Inc.

For more than 30 years, MedImpact has been lowering cost, improving care, and delivering better solutions for our clients. Today, we are the largest independent pharmacy benefit solutions company, investing millions of dollars in clinical programs, technology, operations, and analytics to provide clarity, control, and confidence.
Clarity
MedImpact's comprehensive pharmacy benefit solution includes innovative clinical programs and cost analytics with clear information empowering clients and their members in making the best care and cost decisions.
Control
MedImpact provides our capabilities, services, solutions, and products under any service model our clients desire allowing clients control and flexibility... Show More
EmpiRx Health

EmpiRx Health

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Founded

2014

Employees

130

Funding Summary

Not Provided

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SmithRx

SmithRx

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Founded

2016

Employees

Funding Summary

20M Angel Round

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About SmithRx

SmithRx is committed to providing a straightforward approach to reducing drug costs and improving health outcomes. We understand that reducing pharmacy costs is top of mind for us all. We utilize cloud technologies to deliver the most streamlined and cost-effective PBM solution: one that is modularized and can be tailored to meet individual needs.
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Transcarent

Transcarent

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Min. Group Size

2,000 eligible

Lives Serviced

4,200,000

Average Cost

Average Cost is Locked

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Transcarent offers the leading Pharmacy Care experience in the industry. To effectively bend the cost of pharmacy, you need to empower and educate your Members through a blended approach of human-centered guidance and... Show More
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Rightway

Rightway

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Min. Group Size

500 eligible

Lives Serviced

100,000

Average Cost

Average Cost is Locked

0 RFI Questions Get access to vendor answered question RFIs.

RFI questions number is Locked

26 Specific Questions Specific Questions

Lock

Product Features

✓

Balance Bill Protections

 ✓

Patient Assistance Program (PAP)
✓

Manufacturer assistance fill-in

 ✓

Alternative drug sourcing
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Product Description

Rightway’s reimagined full-stack PBM solution dismantles the traditional PBM model and fundamentally redesigns the member experience, reducing total pharmacy spend, guiding members to optimal medication regimens, and proactively engaging high-risk and specialty members.... Show More
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Alluma

Alluma

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Founded

Employees

Funding Summary

None

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About Alluma

Alluma is shifting the focus back to patient care by creating a new entity that is uniquely aligned to the needs of its clients and their members. With a Pharmacy Benefits Illuminator, we negotiate on the same side of the table as our clients, helping them uncover opportunities that optimize their benefits programs while supporting better health outcomes.

We are a provider-led, provider-focused alternative developed in partnership between Vizient and Mayo Clinic. As the nation’s only member-owned, member-driven performance improvement company, Vizient is uniquely positioned to approach the PBM market with a provider lens. Mayo Clinic is... Show More
Capital Rx

Capital Rx

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Founded

2017

Employees

400

Funding Summary

106M Series C

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About Capital Rx

Capital Rx is built around the mission to change the way prescription drugs are priced and patients are serviced. A health technology company daring to reimagine the pharmacy benefits industry, Capital Rx is executing its mission through a combination of our Clearinghouse Model® - the first ethical framework for drug pricing - and our custom-built enterprise pharmacy platform, JUDI®, which connects every aspect of the pharmacy ecosystem in one platform, enabling patient engagement, and increasing operational efficiency to achieve the highest standards of clinical care. Show More
BeneCard PBF

BeneCard PBF

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Min. Group Size

-

Lives Serviced

-

Average Cost

Average Cost is Locked

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Product Features

✓

All Specialty Pharmacies Allowed

 ✓

Multiple formulary options
✓

Flexible plan design options

 ✓

Utilization management
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Product Description

For over forty years, BeneCard PBF has been at the forefront of helping a diverse range of clients, from large corporations to small businesses and labor unions, to optimize their prescription drug programs.... Show More
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Navitus Health Solutions

Navitus Health Solutions

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Founded

2003

Employees

948

Funding Summary

None

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About Navitus Health Solutions

Navitus Health Solutions LLC is a full service, URAC-accredited pharmacy benefit management company. As a zero-spread, full pass-through pharmacy benefit manager (PBM), Navitus aligns performance with plan sponsors’ benefit goals to deliver comprehensive clinical programs and costsaving strategies that lower drug trend and promote good member health. Navitus provides its flexible services to individuals and group plans, including state employees, retirees and their dependents, as well as employees or members of managed care organizations, self-funded employers, coalitions and labor organizations.

Reminder: Please do not post personal health information on this site.

Navitus is committed... Show More
Prime Therapeutics

Prime Therapeutics

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Founded

1987

Employees

Funding Summary

None

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About Prime Therapeutics

Everything we do is connected to helping people get the medicine they need to feel better and live well. It’s meaningful work and we’ve been doing it for over 20 years.

In the pharmacy benefit management (PBM)industry, we’re different. We’re owned by 18 not-for-profit Blue Cross and Blue Shield health plans. This allows us to control costs and empower our employees to put members first. It’s a successful combination. We have the lowest pharmacy trend in the industry and serve 27+ million members throughout the US.

In addition to core PBM services, we... Show More
Evernorth

Evernorth

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Founded

2020

Employees

Funding Summary

Not Provided

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About Evernorth

Evernorth brings together a powerful set of health services strengths to advance innovation now and for the future. Evernorth will drive value for you by leveraging our game-changing capabilities, our deep understanding of health conditions and disease states, and our connections across the health ecosystem to deliver solutions designed with your specific needs in mind. Our unique open architecture will connect multiple point solutions across your portfolio, improving our ability to better meet your needs while providing you choice and optionality. Show More
Prescryptive Health

Prescryptive Health

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Founded

2017

Employees

150

Funding Summary

26M Series A

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About Prescryptive Health

Founded in 2017 by Microsoft cloud veterans, Prescryptive Health is a healthcare technology company rewriting the script for the US pharmaceutical market. We believe that by empowering consumers to own their prescription, we can fundamentally change the prescription drug market.

Our mobile-first, blockchain-powered platform fosters fair pricing, patient access to medication, increased adherence, and patient engagement. Our goal: enable employers, health systems and health plans, pharma manufacturers, pharmacies, and consumers to connect and collaborate in a more equitable and transparent ecosystem.

Find out more at Prescryptive.com or on LinkedIn. #letsrewritethescript Show More
Serve You Rx

Serve You Rx

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Founded

1987

Employees

Funding Summary

None

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About Serve You Rx

Serve You Rx is a full-service pharmacy benefit manager (PBM) with unquestionable flexibility and an unwavering commitment to doing what’s best for its clients. With a fervent focus on those it serves, including insurance brokers, consultants, third-party administrators, and their clients, Serve You Rx delivers exceptional service and tailored, cost-effective benefit solutions. Independent and privately held for over 36 years, Serve You Rx can implement new groups in 30 days or less and say “yes” to a wide variety of viable solutions. Known for its adaptability, quality, and client-centricity, Serve You Rx aims to be a benchmark for better client... Show More
US-Rx Care

US-Rx Care

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Founded

01/2007

Employees

200

Funding Summary

Not Provided

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About US-Rx Care

In contrast to traditional PBM service providers, US-Rx Care operates with full transparency and without any conflicts of interest, backed up by ERISA-defined fiduciary commitments in our service contract. Our fiduciary pharmacy benefits management services deliver unprecedented drug cost savings to self-insured employers, union trusts, and health plans. Typical client savings range from 30%-50% in total drug and administrative cost versus their previous PBM service provider within the first 12 months of US-Rx Care service. Member out-of-pocket costs drop 30% or more also with no change in benefit design. Show More
WellDyne

WellDyne

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Founded

1990

Employees

Funding Summary

None

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About WellDyne

WellDyneRx is a full-service, independent Pharmacy Benefit Manager (PBM) that makes the little things matter for our clients, employees, partners, and members.

Because we are an independent PBM—meaning we are not owned by a pharmacy, drug company, or health insurance provider—we are able to negotiate freely on your behalf to keep costs low and quality of care high for our clients and members.

As early pioneers in clinical pharmacy, WellDyneRx has a history of caring for patients differently and always from a pharmacological perspective. We don’t just fill prescriptions. We constantly manage and optimize... Show More
ClaimChoice Administrators

ClaimChoice Administrators

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Min. Group Size

-

Lives Serviced

100,000

Average Cost

Average Cost is Locked

0 RFI Questions Get access to vendor answered question RFIs.

RFI questions number is Locked

26 Specific Questions Specific Questions

Lock

Product Features

✓

Balance Bill Protections

 ✓

Patient Assistance Program (PAP)
✓

Manufacturer assistance fill-in

 ✓

Alternative drug sourcing
Show All Features

Not Provided.

Product Description

Self-Funded Prescription Plans with our Pharmacy Benefit Management (PBM) partner ChoiceScripts allow employers the same flexibility they enjoy by self-funding their medical plan(s). to create plans that meet the specific needs of their... Show More
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ClearScript

ClearScript

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Founded

2005

Employees

Funding Summary

None

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About ClearScript

ClearScript is a comprehensive pharmacy benefit manager serving self-funded employer plans throughout the United States. Our business model is centered around value, savings and clarity. Our products and services are designed to optimize our clients’ financial performance while delivering exceptional health outcomes.

As a part of Fairview Health Services, a leading non-profit health system, we have unparalleled clinical experience and access to innovations in drug therapy management.

Services include nationwide pharmacy network and claims processing, mail service, specialty pharmacy, utilization management programs (prior auth, quantity limits, step therapy, OTC preferred, more), medication... Show More
DisclosedRX

DisclosedRX

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Founded

2020

Employees

Funding Summary

None

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About DisclosedRX

Everyone should have access to the right medicine, at the right time, at the right cost; and they shouldn't have to navigate a cumbersome and daunting system to access it. Our Vision is that Truthfulness and Innovation will drive greater access to prescription medications for our members at a lower net cost to our client, as well as make us the easiest PBM to partner with.
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Exouza

Exouza

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Founded

2019

Employees

Funding Summary

Not Provided

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About Exouza

Exouza was founded by health and technology industry experts to leverage modern technology to develop a single platform that maximizes the value of member benefits to integrate all available programs in a single platform that quickly and efficiently improves the process of managing health and Rx delivery. Exouza's technology quantifies the value from each member's eligible program, sequences engagement in prioritized order, and manages participation so that the member and employer achieve maximum value. Each member and drug experience is different which makes the Exouza solution unique. Savings service and value are guaranteed.
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Independence Blue Cross (IBX)

Independence Blue Cross (IBX)

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Founded

Employees

Funding Summary

Not Provided

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MakoRx

MakoRx

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Founded

2019

Employees

5

Funding Summary

Not Provided

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About MakoRx

MakoRx provides cost-plus pharmacy benefits to employers via our PBM services and subscription-based plans. We strive to make medications accessible to everyone and bring transparency to the pharmacy benefits space. We are avid patient advocates with a dedicated team of pharmacists on-hand to assist with member questions. We work with healthcare partners to help them complete the care cycle by including free or low-cost medications. We also partner with consultants and employers looking to diversify and enhance traditional health benefit options. Show More
Maxor National Pharmacy Services, LLC

Maxor National Pharmacy Services, LLC

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Founded

1926

Employees

Funding Summary

None

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About Maxor National Pharmacy Services, LLC

Maxor is a market-leading Pharmacy Benefit Manager that delivers service excellence with innovative capabilities in clinical management, analytics, and member engagement to help clients lower pharmacy costs while improving health outcomes. Maxor’s PBM platform is complemented by Maxor Pharmacy Management & Consulting Services, a provider of outpatient pharmacy management solutions, and Maxor Specialty, a clinically-driven specialty pharmacy focused on rare and orphan diseases. These capabilities allow Maxor to offer customized solutions to diverse market segments including hospitals and health centers, employers, labor groups, and public entities. Show More
Nomi Health

Nomi Health

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Min. Group Size

-

Lives Serviced

-

Average Cost

Average Cost is Locked

0 RFI Questions Get access to vendor answered question RFIs.

RFI questions number is Locked

26 Specific Questions Specific Questions

Lock

Product Features

✓

Patient Assistance Program (PAP)

 ✓

Alternative drug sourcing
✓

Pass-Through, Admin Fee Only Contracts

 ✓

Rebate administration
Show All Features

Not Provided.

Product Description

Nomi Health's Direct Pharmacy Program delivers affordable generic medications by sourcing directly from manufacturers and cutting out pricing complexities. The program saves employers and employees up to 50% on generic medication expenses when... Show More
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Pharmacy Benefit Dimensions

Pharmacy Benefit Dimensions

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Founded

1998

Employees

130

Funding Summary

Not Provided

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About Pharmacy Benefit Dimensions

Pharmacy Benefit Dimensions® stands alone from typical pharmacy benefit managers because we give you more. Our experience managing pharmacy and medical benefits gives us a more powerful approach to achieve better quality pharmacy benefits at the lowest possible costs for our customers. It’s not simply about buying drugs for the lowest cost – it’s about helping ensure that our members receive the right prescription drug, at the right time. By looking at the whole experience – rather than just one component – you get better overall results.

As a URAC accredited pharmacy benefit manager, we adhere to... Show More
ProAct Pharmacy Benefit Management

ProAct Pharmacy Benefit Management

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Founded

1999

Employees

Funding Summary

Not Provided

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About ProAct Pharmacy Benefit Management

At ProAct, we strive to produce innovative, affordable and flexible prescription drug benefit solutions for the client by combining industry leading client service with the latest in PBM technology. And to us, those solutions go far beyond medications. We’re here to work with you personally, as a partner, to implement the right plan and help you make informed decisions that are best for your business, your bottom line and the health of your employees.

Who is ProAct?
ProAct is a fully integrated Pharmacy Benefit Management Company providing benefits since 1999. We are 100% employee owned, with... Show More
Rescription

Rescription

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Founded

2021

Employees

Funding Summary

Not Provided

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About Rescription

Rescription is a next-generation full PBM solution that leverages health system partnerships to deliver pharmacy benefits at net costs 20-40% lower than any alternative, without the need to limit patient drug choice. Rescription fully supports the change from a traditional PBM to its model, including claim servicing, administrative, and retail network infrastructure. It leverages your pharmacy, specialists, and 340B purchasing capabilities to create a preferred network for patients and their families. All drugs are passed through at their sourced price and Rescription simply charges a subscription-based fee per member, meaning that Rescription's only financial incentive is to save its clients... Show More
The Pharma Force

The Pharma Force

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Founded

Employees

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Not Provided

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About The Pharma Force

PharmaForce is a Third Party Administrator that supports your Contract Pharmacy, Mixed Use/Split Billing, and Home Infusion 340B Program Management needs. We offer a different approach to the technology, fees, and customer service that is necessary for you to maximize your 340B opportunity. Our customers are cutting their admin fees in half while maintaining, if not improving, their operational and compliance results. We encourage you to call 814-788-2463 or email info@thepharmaforce.com for more information.

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Ventegra

Ventegra

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Founded

2004

Employees

51

Funding Summary

Not Provided

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About Ventegra

Ventegra is a new class of trade launched in 2004. Ventegra's signature program, The Ventegra Pharmacy Services Administration (PSA) solution, is an innovative program that addresses the specialty drug coverage dilemma. Ventegra Foundation uses its nonprofit status to offer innovative, cost-efficient solutions that maximize benefits for payors, providers and patients. Our ideas not only push the boundaries of current practices in managing healthcare costs but moreover, they are redefining them. We understand the unique needs and concerns of employers, managed care organizations (MCOs), providers (both pharmacy and medical), trade organizations and pharmaceutical vendors enable us to improve the way drug... Show More
VIVIO

VIVIO

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Founded

2016

Employees

Funding Summary

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About VIVIO

We use data to understand what specialty drugs do at the individual, not population level. Our carveout product, VIVIO Precision Care™ fixes big unsolved healthcare problems: expensive drug therapies that don’t work; lack of real-world effectiveness; doctors not knowing what they think they know; the arbitrary line between pharmacy drug and medical benefit; and, egregious supply chain waste. We replace the current pharma-centric therapeutic model with our data-centric one and drive better patient outcomes without overpaying. Employees and physicians have access to the right drugs based on individual data rather than self-serving policies. Typically, we save large and mid-sized self-insured... Show More
Abarca Health

Abarca Health

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Founded

2005

Employees

Funding Summary

Not Provided

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About Abarca Health

Abarca is igniting a revolution in healthcare. We are starting by redefining pharmacy benefits, but this is just the beginning. We built our company on the belief that with smarter technology and a straightforward approach to business, we can provide a better experience and greater value for payers and consumers.

For nearly a decade, we have challenged many industry conventions and trampled on a few. So call us a PBM for discussion purposes, but we are unlike any other company out there. And today, we manage over $2 billion in drug spending for millions of Americans, with... Show More
Advanced Medical Pricing Solutions (AMPS)

Advanced Medical Pricing Solutions (AMPS)

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Founded

2005

Employees

88

Funding Summary

Not Provided

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About Advanced Medical Pricing Solutions (AMPS)

Turn to Advanced Medical Pricing Solutions (AMPS) for your healthcare cost management services and we will help you achieve meaningful and visible savings for your clients. Here at AMPS we utilize physicians to perform line-by-line audits on all claims we review. This will not only demonstrate an added level of commitment to your clients, it will add a new line of revenue to YOUR company at ZERO expense to you.
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Integrated Prescription Management

Integrated Prescription Management

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Founded

2009

Employees

Funding Summary

Not Provided

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About Integrated Prescription Management

IPM is now part of LucyRx

Integrated Prescription Management (IPM) is a full-service pharmacy benefits manager (PBM) that works with self-funded employer groups, brokers, and TPAs around the country. Known for our high-touch service, insightful analytics, and flexible benefit designs, we take a collaborative approach to controlling costs without compromising care. Show More
Kroger Prescription Plans

Kroger Prescription Plans

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Min. Group Size

50 eligible

Lives Serviced

400,000

Average Cost

Average Cost is Locked

0 RFI Questions Get access to vendor answered question RFIs.

RFI questions number is Locked

26 Specific Questions Specific Questions

Lock

Product Features

✓

Patient Assistance Program (PAP)

 ✓

Manufacturer assistance fill-in
✓

Alternative drug sourcing

 ✓

Pass-Through, Admin Fee Only Contracts
Show All Features

Not Provided.

Product Description

KPP was created by Kroger for their own employees. This drives us to provide cutting edge clinical programs with the purpose of cost savings, safety, and effective outcomes. We are able to use... Show More
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MedOne Pharmacy Benefit Solutions

MedOne Pharmacy Benefit Solutions

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Founded

1999

Employees

80

Funding Summary

Not Provided

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About MedOne Pharmacy Benefit Solutions

MedOne is your key to the pharmacy benefit marketplace. We unlock the most appropriate prescription at the most affordable price for organizations and their health plan members nationwide. The MedOne 100% pass-through model delivers real prescription savings by cutting out the traditional "PBM"​ middlemen and facilitating direct relationships between health plans and high-performing pharmacies. Once we establish a transparent and aligned marketplace, we partner with organizations to optimize "where"​ and "what"​ members fill to reduce pharmacy costs and improve health outcomes.
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National Script, LLC

National Script, LLC

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Founded

August/2014

Employees

8

Funding Summary

Not Provided

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About National Script, LLC

We are a PBM focused on reducing our client and their members' costs through transparent and honest plan governance. We provide plan flexibility and superior member service to deliver the plan management desired by the employer. Show More
Sav-Rx Prescription Services

Sav-Rx Prescription Services

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Founded

1966

Employees

350

Funding Summary

Not Provided

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About Sav-Rx Prescription Services

Sav-Rx Prescription Services, a wholly owned subsidiary of A&A Services, LLC, is the leading provider of lowest net cost Medication Benefit Management for employers and health plans nationwide. Sav-Rx serves millions of lives in all 50 states and Puerto Rico. After 50+ years in business, Sav-Rx remains 100% family-owned and operated, headquartered in Fremont, Nebraska, and anchored in the same community-based, patient-focused values we started with in 1966. Show More
XO Health

XO Health

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Min. Group Size

500 eligible

Lives Serviced

5,000

Average Cost

Average Cost is Locked

0 RFI Questions Get access to vendor answered question RFIs.

RFI questions number is Locked

26 Specific Questions Specific Questions

Lock

Product Features

✓

Balance Bill Protections

 ✓

Patient Assistance Program (PAP)
✓

Manufacturer assistance fill-in

 ✓

Alternative drug sourcing
Show All Features

Not Provided.

Product Description

XO Health partners with Capital Rx to deliver a fully integrated medical and pharmacy plan offering. XO Health does not sell stand-alone pharmacy benefits administration.

XO Health chose Capital Rx... Show More
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Citizens Rx

Citizens Rx

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Founded

2010

Employees

Funding Summary

Not Provided

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About Citizens Rx

Citizens Rx was founded by a group of industry leaders that recognize there is a better way for pharmacy benefit services to be constructed and delivered. Based on the collective experience of the founders, which covers every conceivable area of the business, the enterprise has assembled a world-class management team and exceptional resources.
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PerformRx

PerformRx

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Founded

1999

Employees

Funding Summary

None

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About PerformRx

Formed in 1999, PerformRx, LLC is a URAC accredited pharmacy benefits manager servicing lines of business including Medicaid, Medicare, and Commercial markets. A large percentage of the staff at PerformRx are pharmacists and pharmacy technicians. This ensures that the company maintains a culture of clinical influence and care throughout each business area.

Clients receive a personalized solution designed to understand their benefit and meet their needs. This includes offering clients standalone products and services as well as full pharmacy benefit management. PerformRx ensures these solutions by utilizing technology that adapts to specific member populations and changes in... Show More
Phoenix Benefits Management

Phoenix Benefits Management

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Founded

2011

Employees

25

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About Phoenix Benefits Management

At Phoenix, we are bringing a new approach to the complicated world of healthcare management. Rather than follow the same old one-size-fits-all strategy, we’ve chosen to treat our clients as people, not numbers, not patients, and not problems.

Our job is to help. First, we listen. What are your needs? What are your business goals? How big is your group? What can you afford? Next, we respond with information. We discuss your options. We provide insight and make recommendations. Then, we provide you with the technology and resources to remain in control of your plan. Show More
Vivid Clear Rx

Vivid Clear Rx

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Founded

2020

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Not Provided

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About Vivid Clear Rx

Introducing an Employee-Owned PBM that holds the cultural backbone of its 90-year-old parent company, Hy-Vee, Inc. with a focus on quality, healthy lifestyles and superior customer service.
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MotivHealth

MotivHealth

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Founded

2015

Employees

315

Funding Summary

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About MotivHealth

MotivHealth—We are creatively solving the high-cost of healthcare by focusing on our members and their care needs. We believe the answer to rising healthcare costs is to create motivated healthcare consumers and offer them a suite of integrated cost-saving solutions. For instance, our SmartPay program helps members compare prices before receiving care, and our RX Assistance approach likewise significantly saves our members on pharmacy costs. Our focus is our members and their companies, and the MotivHealth mission is to keep our members motivated to make smart choices which result in lower costs and exceptional care.
When employers are motivated... Show More
AcariaHealth

AcariaHealth

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Founded

2003

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Not Provided

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About AcariaHealth

AcariaHealth, an Envolve Pharmacy Solution, is a national specialty pharmacy focused on improving care and outcomes for patients living with complex and chronic conditions. Our specialized care management services put patients first, bringing a personal touch to specialty drug management.

Our clinical and operational expertise allow us to deliver innovative solutions, but it’s our passion for what we do that sets us apart. Show More
CVS Health

CVS Health

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Founded

1963

Employees

131,458

Funding Summary

9.4M Series B

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About CVS Health

We’re part of the CVS Health family, along with CVS Pharmacy, MinuteClinic, and CVS HealthHUB.CVS Health is a health care innovation company with a simple and clear purpose: Helping people on their path to better health. And that purpose goes beyond dispensing medications – we’re dedicated to making health services more convenient and accessible, and to helping to keep our communities healthy. Show More
Health Care Service Corporation, a Mutual Legal Re

Health Care Service Corporation, a Mutual Legal Re

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Founded

1936

Employees

17,000

Funding Summary

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About Health Care Service Corporation, a Mutual Legal Re

Health Care Service Corporation serves nearly 23 million people across the United States through its portfolio of health benefit solutions.

HCSC provides health coverage options for employers large and small, individuals and families, and Medicare and Medicaid plans. HCSC also offers related health care products and services such as pharmacy solutions, life and dental insurance, and health data technology. A Mutual Legal Reserve Company, HCSC is an independent licensee of the Blue Cross Blue Shield Association.

For nearly a century, we have enabled and coordinated the access to quality care for millions of members.... Show More
Livinti

Livinti

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Founded

2011

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About Livinti

Liviniti is one of the most trusted PBM partners in the market today, delivering savings, clinical value and exceptional service to clients within a completely transparent business model. Founded in 2011 as Southern Scripts, we are proud innovators of solutions that fully reflect the size and scope of our national business today, reinforcing how medications help people live their best lives, with infinite possibilities for better health. Serving clients and plan members across the country, Liviniti is well known as a scaled alternative for employers who are not satisfied with the traditional PBM model.

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Lucent Health

Lucent Health

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Founded

2014

Employees

196

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Not Provided

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About Lucent Health

Lucent Health is a leading third-party administrator serving the self-insured employer market, with a fully integrated care management solution. Lucent Health is human focused and data driven, with plan administration, patient care programs and cost controls all under one roof. Best-in-class care management and concierge care solutions are delivered through Narus Health, a Lucent Health company. Narus Health care management services create a better healthcare experience for employees while empowering employers to mitigate costs. Our technology platform pulls nightly data to more intelligently deliver compassionate care to members and their families, who are supported by a skilled care team.
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Magellan RX

Magellan RX

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Founded

1969

Employees

478

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About Magellan RX

We specialize in solving complex pharmacy challenges for our customers. We believe in developing smart solutions that leverage our industry-leading experience and technology to exceed expectations.
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ManifestRx

ManifestRx

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Founded

2021

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Not Provided

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About ManifestRx

ManifestRx strives to provide price transparency and a frictionless pharmacy experience. ManifestRx is removing the barriers, frustration, and confusion associated with third-party contracting and delivering a convenient, simple solution. The family of companies delivers integrated pharmaceutical delivery with Manifest Pharmacy and enterprise pharmacy benefit solutions through ManifestRx.

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PharmPix Corp

PharmPix Corp

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Founded

2009

Employees

140

Funding Summary

Not Provided

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About PharmPix Corp

Pharmpix is a full service URAC Accredited Pharmacy Benefit Management Company (PBM) with an adaptable business model for distinct pharmacy delivery solutions. We provide services to health plans who manage Medicare, Medicaid and commercial business. Our system and coordinated (PBM) services are also built for large employers/unions and worker’s compensation lines of business. The company is privately held and was organized in 2009 as a corporation. Our headquarters are located in Guaynabo, Puerto Rico.

Our main differentiation among others PBMs are that we operate as a technology focused PBM, serving cost-conscious pharmacy benefit payers and/or administrators... Show More
Point C

Point C

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-

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Product Description

Point C has competitive pricing negotiated with many of the top PBMs in the market. In addition, our internal pharmacy team works to administer the PBM benefits and assist with customer service for... Show More
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RxPreferred Benefits

RxPreferred Benefits

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Founded

2011

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About RxPreferred Benefits

RxPreferred Benefits is a privately held Pharmacy Benefit Manager founded, and solely owned, by independent pharmacy representatives who understand the importance of what true PBM transparency means. RxPreferred offers a full line of Pharmacy Benefit Management solutions for employer groups, municipalities, school districts, and third party administrators. We focus on guaranteed savings and cost-containment strategies, while providing our clients with innovative, efficient, and effective pharmacy benefit management services.
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TransparentRx

TransparentRx

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Founded

2009

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About TransparentRx

Founded in 2005, TransparentRx helps organizations, of all sizes, to reduce the cost of their employee or member prescription drug benefit without impacting existing benefit levels. We charge a flat per employee per month or per claim fee for our services. From implementation to customer service we guarantee the satisfaction of your company and employees. In addition, TransparentRx offers companies the opportunity to maximize drug spend internally through our CPBS© (Certified Pharmacy Benefits Specialist) designation. Students develop a strong understanding of pharmacy benefit management, including how to develop an overarching pharmacy benefit strategy and understanding the landscape of the various... Show More
True Rx 

True Rx 

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Founded

2006

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Funding Summary

None

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About True Rx 

True Rx Management Services (True Rx) is transforming the Prescription Benefits Management industry. As Health Care for Your Business, True Rx is a transparent PBM offering innovative cost savings programs and cutting edge health solutions. Owned by fourth-generation pharmacists, True Rx becomes a health care partner for employers to develop cost effective prescription plans while improving employees'​ health. Known for its pharmacy expertise and exceptional customer service, clients trust True Rx to provide the best care for their employees.
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American Health Care

American Health Care

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Founded

1987

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About American Health Care

For over 30 years, American Health Care has been providing unique, member-health focused pharmacy benefit management (“PBM”) services to self-insured employers, health plans, hospitals, school districts, labor unions and health and welfare funds. Our unique approach drives significant savings in both medical and pharmacy costs by incorporating powerful and proven health management programs for chronic and specialty conditions within our core pharmacy benefit offering. Our hospital-centric solutions, offer the industry's leading 340B drug administration program together with customized pharmacy benefit programs tailored specifically for the unique needs of hospitals and health systems. All clients enjoy 24/7/365, live person always, customer... Show More
AscellaHealth LLC

AscellaHealth LLC

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Founded

2013

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None

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About AscellaHealth LLC

A premier, tech-enabled Specialty Pharmacy and Healthcare Services organization serving Patients, Payers, Life Sciences, and Providers with innovative, cutting-edge clinical programs and services to improve health outcomes and enhance the patient journey.

We are always looking to expand our team with talented individuals, if you are interested in learning more, please send us an email to careers@ascellahealth.com and attach your resume. Show More
Benecard Services, LLC

Benecard Services, LLC

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Founded

1990

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About Benecard Services, LLC

Benecard Services, LLC has been administering carve-out, fixed rate insured prescription drug benefit programs since 1990. Benecard is a full service, in-house prescription benefit administrator that includes mail and specialty drug dispensing. We are a premiere nationwide Prescription Benefit Administrator headquartered in Lawrenceville, New Jersey, with regional locations in Ohio, Connecticut, and Pennsylvania. Show More
CerpassRx

CerpassRx

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Founded

2015

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Not Provided

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About CerpassRx

CerpassRx, formerly known as Healthcare Highways Rx, is the first true alternative to the traditional PBM model. Our focus is on patients and service, rather than profits. We provide flexible solutions uniquely tailored for each of our clients including clinical, analytic and specialty management. We have created a member-centric service model, when paired with our white glove client service, results in quality service that is unmatched in the industry.
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Frequently Asked Questions

What is a PBM?

A PBM, or pharmacy benefit manager, is a third-party administrator that manages prescription drug benefits for health insurers and employers. PBMs negotiate drug discounts, maintain formularies, and help control drug costs while ensuring medication safety for plan members.

What does a PBM do?

A PBM, or pharmacy benefit manager, negotiates drug discounts, maintains formularies, and helps control medication costs for health insurance plans and employers. They also ensure medication safety and provide services for efficient prescription processing.

How does a PBM work?

A PBM negotiates drug discounts, manages prescription drug programs and formularies, controls medication costs, ensures medication safety, and facilitates efficient prescription processing by intermediating between pharmaceutical companies, pharmacies, and health plan sponsors.

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