Specialty PBM CarveOut Services

Product Info

Company Overview

Founded

2016

Employees

Funding Summary

Not Provided

Clients Your Size

About Archimedes RX

Specialty drug spend is the single fastest growing healthcare expense. Recognizing the potential clinical value of these drugs, plan sponsors want to provide them to their enrollees—but to maintain an affordable, sustainable benefit in this rapidly changing environment, they must also control costs. To do this, plan sponsors need quantitative information about which strategies work to target drugs to those in need of them and they must minimize use of clinically ineffective therapies and reduce waste. However, the guidance and services provided to plan sponsors to achieve these goals is not always objective or complete.

Recognizing... Show More

Compare

VIVIO

Reviews pending

Product Info

Company Overview

Founded

2016

Employees

Funding Summary

Clients Your Size

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

Compare

ShaRX

Reviews pending

Product Info

Company Overview

Founded

2017

Employees

Funding Summary

Not Provided

Clients Your Size

About ShaRX

SHARx (pronounced “Sharks”) was designed to helpemployees and their dependents affordably access their high cost maintenance and specialty medications.The SHARx program procures these targeted medications for members through alternate access points – many times at $0 cost to the member.
Show More

Compare

AscellaHealth LLC

Reviews pending

Product Info

Company Overview

Founded

2013

Employees

Funding Summary

None

Clients Your Size

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

Compare

Paydhealth

Reviews pending

Product Info

Company Overview

Founded

2021

Employees

Funding Summary

Not Provided

Clients Your Size

About Paydhealth

Paying for specialty healthcare the old way no longer works for all of us. Savings generated through network contracting and rebate pricing are not trickling down to group health plans, their participants nor their beneficiaries. Paydhealth is changing the funding of specialty healthcare to re-imagine the possibilities of bringing real savings to the purchaser of healthcare -- you.
Show More

Compare

BeneCard PBF

Reviews pending

Product Info

Company Overview

Founded

1989

Employees

525

Funding Summary

Not Provided

Clients Your Size

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

Compare

PharmPix Corp

Reviews pending

Product Info

Company Overview

Founded

2009

Employees

140

Funding Summary

Not Provided

Clients Your Size

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

Compare

Sav-Rx Prescription Services

Reviews pending

Product Info

Company Overview

Founded

1966

Employees

350

Funding Summary

Not Provided

Clients Your Size

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

Compare

Kroger Prescription Plans

Reviews pending

Product Info

Min. Group Size

50 eligible

Lives Serviced

400,000

Average Cost

12 RFI Questions

23 Specific Questions

Product Features

Patient Assistance Program (PAP)

Manufacturer Assistance Fill-In

Alternative drug sourcing

Pass-Through, Admin Fee Only Contracts

Not Provided.

Product Description

Unlike other specialty carve-out programs. Our mission is to be the preferred pharmacy for people undergoing complex medication therapies by optimizing clinical outcomes and providing a high-touch, caring experience. To best support patients,... Show More

Company Overview

Compare

ManifestRx

Reviews pending

Product Info

Company Overview

Founded

2021

Employees

Funding Summary

Not Provided

Clients Your Size

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.

Show More

Compare

MedImpact Healthcare Systems, Inc.

Reviews pending

Product Info

Company Overview

Founded

1989

Employees

1,606

Funding Summary

1 Corporate Round

Clients Your Size

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

Compare

MedOne Pharmacy Benefit Solutions

Reviews pending

Product Info

Company Overview

Founded

1999

Employees

80

Funding Summary

Not Provided

Clients Your Size

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.
Show More

Compare

Payer Matrix

Reviews pending

Product Info

Min. Group Size

1 eligible

Lives Serviced

1,500,000

Average Cost

12 RFI Questions

23 Specific Questions

Product Features

Patient Assistance Program (PAP)

Manufacturer Assistance Fill-In

Alternative drug sourcing

Pass-Through, Admin Fee Only Contracts

Not Provided.

Product Description

Payer Matrix focuses on providing quality care management and advocacy for specialty drugs, providing a substantial cost saving to our clients and members who may not otherwise have this type of discounted access... Show More

Company Overview

Compare

Vivid Clear Rx

Reviews pending

Product Info

Company Overview

Founded

2020

Employees

Funding Summary

Not Provided

Clients Your Size

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.
Show More

Compare

Transcarent

Reviews pending

Product Info

Min. Group Size

2,000 eligible

Lives Serviced

4,200,000

Average Cost

12 RFI Questions

23 Specific Questions

Product Features

Patient Assistance Program (PAP)

Manufacturer Assistance Fill-In

Pass-Through, Admin Fee Only Contracts

Rebate Administration

Not Provided.

Product Description

Our specialty pharmacy contracts deliver 100% passthrough, fully auditable pricing for our clients. All specialty pharmacy providers are invited to join our pharmacy network based on the quality of their clinical and Member... Show More

Company Overview

Compare

Advanced Medical Pricing Solutions (AMPS)

Reviews pending

Product Info

Company Overview

Founded

2005

Employees

88

Funding Summary

Not Provided

Clients Your Size

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.
Show More

Compare

Care2Care International

Reviews pending

Product Info

Company Overview

Founded

2017

Employees

Funding Summary

Not Provided

Clients Your Size

About Care2Care International

Welcome to Care2Care International

The international pharmacy agency that helps you benefit from the best prescription medications worldwide at an affordable cost.

We will assist you and your employees in placing your order with an international dispensing pharmacy that will deliver the prescription drugs to the patient's door.

We only supply traceable brand products in their original manufacturer's sealed package.

Show More

Compare

eviCore Healthcare

Reviews pending

Product Info

Company Overview

Founded

1992

Employees

5,000

Funding Summary

Not Provided

Clients Your Size

About eviCore Healthcare

eviCore healthcare (eviCore) offers proven, diversified medical benefits management solutions that help clients reduce costs while increasing quality of care for their members. The company provides these solutions to managed care organizations and risk-bearing provider organizations serving commercial, Medicare, and Medicaid populations. Powered by a team of specialized medical professional resources, extensive evidence-based guidelines, and advanced technologies, eviCore supports clients by ensuring the right evidence-based care is delivered at the right time to the right patient at the right site of care. Flexible medical benefits management solutions are offered in: Radiology; Cardiology; Musculoskeletal; Medical Oncology; Radiation Therapy; Specialty Drug Management;... Show More

Compare

PharmPix Corp

Reviews pending

Product Info

Company Overview

Founded

2009

Employees

140

Funding Summary

Not Provided

Clients Your Size

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

Compare

Point C

Reviews pending

Product Info

Min. Group Size

-

Lives Serviced

-

Average Cost

12 RFI Questions

23 Specific Questions

Product Features

Balance Bill Protections

Patient Assistance Program (PAP)

Manufacturer Assistance Fill-In

Alternative drug sourcing