Pharmacy Benefit Managers

A pharmacy benefit provider is a third-party administrator of prescription drug programs that offers services of prescription drug benefit management for employees.
  • All Vendors (109)
Sort by:
Sponsored sort by
Rightway

Rightway

Reviews pending
Visit Profile
Send icon Go To Website View Profile
Select Vendor to Compare
Product Info
Company Overview

Founded

2017

Employees

500

Funding Summary

130M Corporate Round

Clients Your Size Clients Your Size

Clients size is Locked

About Rightway

Rightway’s human-led clinical care navigation solution guides over one million members to the highest-quality care by inserting clinicians into the member care journey. Powerful technology enables personalized and proactive clinical support at a fraction of the cost of other solutions and is proven to lower healthcare costs by 15%.

Rightway works with benefits leaders to identify top healthcare-related objectives for their population and helps them control how their members use healthcare. Our live guides deliver care decision support, benefits education, steerage to high-quality providers, and billing advocacy. By providing complete healthcare support for members, Rightway helps benefits... Show More
BeneCard PBF

BeneCard PBF

Reviews pending
Visit Profile
Send icon Go To Website View Profile
Select Vendor to Compare
Product Info
Company Overview

Founded

1989

Employees

525

Funding Summary

Not Provided

Clients Your Size Clients Your Size

Clients size is Locked

About BeneCard PBF

BeneCard PBF provides self-funded prescription benefit program administration with a personalized approach through focused, clinical expertise. Our transparent business model operates on a customized claim processing system offering unlimited capability and flexibility to respond to client needs in an evolving marketplace.

Advanced clinical programs and advanced technology provide the framework to maximize the use of all data elements available. This allows BeneCard PBF to filter the information, focus on clinical opportunities and facilitate interaction between the physician, the pharmacist and the patient to effectively promote complete health care.

 Show More
Abarca Health

Abarca Health

Reviews pending
Visit Profile
Send icon Go To Website View Profile
Select Vendor to Compare
Product Info
Company Overview

Founded

2005

Employees

Funding Summary

Not Provided

Clients Your Size Clients Your Size

Clients size is Locked

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
Best Money Moves LLC

Best Money Moves LLC

4.6 (14)
Visit Profile
Send icon Go To Website View Profile
Select Vendor to Compare
Product Info
Company Overview

Founded

2016

Employees

20

Funding Summary

750K Seed Round

Clients Your Size Clients Your Size

Clients size is Locked

About Best Money Moves LLC

Best Money Moves is a mobile-first financial wellness program that combines technology, information, tools and live money coaching to help employees measure their level of financial stress in 15 categories, and then sends relevant information and tools to help them reduce that stress. An ongoing engagement strategy keeps usage well above EAP rates.

Employees use the program’s point-based rewards system, which assigns point values to every action possible: setting up income and expenses inside the budget tool, reading articles, measuring stress, etc. All of these items, plus the leaderboard, are seen on the Employee Dashboard.
Show More
Navitus Health Solutions

Navitus Health Solutions

Reviews pending
Visit Profile
Send icon Go To Website View Profile
Select Vendor to Compare
Product Info
Company Overview

Founded

2003

Employees

948

Funding Summary

None

Clients Your Size Clients Your Size

Clients size is Locked

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
PharmPix Corp

PharmPix Corp

Reviews pending
Visit Profile
Send icon Go To Website View Profile
Select Vendor to Compare
Product Info
Company Overview

Founded

2009

Employees

140

Funding Summary

Not Provided

Clients Your Size Clients Your Size

Clients size is Locked

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
Sav-Rx Prescription Services

Sav-Rx Prescription Services

Reviews pending
Visit Profile
Send icon Go To Website View Profile
Select Vendor to Compare
Product Info
Company Overview

Founded

1966

Employees

350

Funding Summary

Not Provided

Clients Your Size Clients Your Size

Clients size is Locked

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
WellDyne

WellDyne

Reviews pending
Visit Profile
Send icon Go To Website View Profile
Select Vendor to Compare
Product Info
Company Overview

Founded

1990

Employees

Funding Summary

None

Clients Your Size Clients Your Size

Clients size is Locked

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
Alluma

Alluma

Reviews pending
Visit Profile
Send icon Go To Website View Profile
Select Vendor to Compare
Product Info
Company Overview

Founded

Employees

Funding Summary

None

Clients Your Size Clients Your Size

Clients size is Locked

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

Reviews pending
Visit Profile
Send icon Go To Website View Profile
Select Vendor to Compare
Product Info
Company Overview

Founded

2017

Employees

400

Funding Summary

106M Series C

Clients Your Size Clients Your Size

Clients size is Locked

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
Citizens Rx

Citizens Rx

Reviews pending
Visit Profile
Send icon Go To Website View Profile
Select Vendor to Compare
Product Info
Company Overview

Founded

2010

Employees

Funding Summary

Not Provided

Clients Your Size Clients Your Size

Clients size is Locked

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.
 Show More
ClaimChoice Administrators

ClaimChoice Administrators

Reviews pending
Visit Profile
Send icon Go To Website View Profile
Select Vendor to Compare
Product Info
Company Overview

Founded

2018

Employees

29

Funding Summary

Not Provided

Clients Your Size Clients Your Size

Clients size is Locked

About ClaimChoice Administrators

ClaimChoice Administrators is one of the largest independent administrators of self-funded union, traditional and association health plans in the country bringing more than 30 years of staff experience in delivering integrated, customized benefit solutions, that blend flexibility and customization, unlike anyone else in the marketplace. Show More
EmpiRx Health

EmpiRx Health

Reviews pending
Visit Profile
Send icon Go To Website View Profile
Select Vendor to Compare
Product Info
Company Overview

Founded

2014

Employees

130

Funding Summary

Not Provided

Clients Your Size Clients Your Size

Clients size is Locked
Express Scripts

Express Scripts

Reviews pending
Visit Profile
Send icon Go To Website View Profile
Select Vendor to Compare
Product Info
Company Overview

Founded

1986

Employees

13,721

Funding Summary

Not Provided

Clients Your Size Clients Your Size

Clients size is Locked

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
MakoRx

MakoRx

Reviews pending
Visit Profile
Send icon Go To Website View Profile
Select Vendor to Compare
Product Info
Company Overview

Founded

2019

Employees

5

Funding Summary

Not Provided

Clients Your Size Clients Your Size

Clients size is Locked

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

Reviews pending
Visit Profile
Send icon Go To Website View Profile
Select Vendor to Compare
Product Info
Company Overview

Founded

1926

Employees

Funding Summary

None

Clients Your Size Clients Your Size

Clients size is Locked

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
MedImpact Healthcare Systems, Inc.

MedImpact Healthcare Systems, Inc.

Reviews pending
Visit Profile
Send icon Go To Website View Profile
Select Vendor to Compare
Product Info
Company Overview

Founded

1989

Employees

1,606

Funding Summary

1 Corporate Round

Clients Your Size Clients Your Size

Clients size is Locked

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
Nomi Health

Nomi Health

Reviews pending
Visit Profile
Send icon Go To Website View Profile
Select Vendor to Compare
Product Info
Company Overview

Founded

May 2019

Employees

Funding Summary

110M Series A

Clients Your Size Clients Your Size

Clients size is Locked

About Nomi Health

From patient care to provider payments, we're rebuilding no-nonsense healthcare that is truly direct and affordable by changing how healthcare is delivered, purchased, and paid for. Show More
Payer Matrix

Payer Matrix

Reviews pending
Visit Profile
Send icon Go To Website View Profile
Select Vendor to Compare
Product Info
Company Overview

Founded

2016

Employees

203

Funding Summary

Not Provided

Clients Your Size Clients Your Size

Clients size is Locked

About Payer Matrix

Payer Matrix was founded in 2016 as we saw a critical need for a solution to address the rising specialty drug costs and their impact on plan budgets. We focus on patient advocacy, with the goal of providing a substantial cost saving to our clients and members who may not otherwise have this type of discounted access to the affordable drugs they need.

Our founder and the senior management team have considerable experience in the healthcare industry, focused on specialty pharmacy, home infusion, and employee benefits. Our experience gives us the unique ability to provide specialized patient... Show More
PerformRx

PerformRx

Reviews pending
Visit Profile
Send icon Go To Website View Profile
Select Vendor to Compare
Product Info
Company Overview

Founded

1999

Employees

Funding Summary

None

Clients Your Size Clients Your Size

Clients size is Locked

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

Select up to 3 Vendors to Compare

Frequently Asked Questions

What Is Pharmacy Benefit Management?

Pharmacy benefit management (PBM) is a service that coordinates and administers prescription drug benefits on behalf of health insurers, employers, pharmacies, and other payers. PBM providers act as intermediaries, negotiating lower drug costs, processing claims, and administering pharmacy networks to ensure cost-effective and efficient medication delivery.

What Is a Pharmacy Benefit Manager?

Pharmacy Benefit Managers (PBMs) are third-party administrators who operate and manage prescription drug benefits for health plans. They create formularies, negotiate rebates, process claims, manage pharmacy networks, and review drug utilization.

How Pharmacy Benefit Management Works?

Pharmacy benefit management serves as a bridge between all parties involved in delivering medications to the patient. The managers negotiate lower drug prices and rebates with drug manufacturers. They manage prescription drug plans for insurers and ensure pharmacies are reimbursed. Then, PBMs handle prescription claims processing, making it easier for patients to get their medications.

What Is the Difference Between Medical Benefits and Pharmacy Benefits?

Medical benefits typically include doctor visits, hospitalization, surgeries, and other medical procedures. On the other hand, pharmacy benefits specifically cover prescription medications and related services, including drug formulary management and medication distribution through pharmacy networks.

×