Specialty PBM carve out services and tools that help employers manage specialty drug costs and utilization and improve patient outcomes.
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List of the top 6 Specialty PBM CarveOut Services in Shortlister as of July 2024, presented in the order they appear in the full Vendor Listing tab.
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... View Full Profile
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; ... View Full Profile
Payer Matrix, LLC is a Specialty Drug Cost Containment Company who partners with commercial plans, Taft Hartley Funds, and TPAs in the industry to help mitigate the financial risk and growing liability related to specialty drug costs.With over 30 years ... View Full Profile
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 – ... View Full Profile
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 ... View Full Profile
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 ... View Full Profile
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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, ... View Full Profile
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, KSP established a... View Full Profile
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 ... View Full Profile
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 ... View Full Profile
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 ... View Full Profile
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... View Full Profile
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... View Full Profile
Transcarent is a consumer digital health company that puts people in charge of their health and care experiences. Transcarent provides a consumer-directed platform using a combination of software, technology, Health Guides and data science to empower consumers... View Full Profile
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 ... View Full Profile
Our partner is an infrastructure company that provides pharmacy benefit management (PBM) and clinical pharmacy services to businesses desiring to control the fastest growing component of the benefits portfolio. You may have all the benefits of ownership ... View Full Profile
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 ... View Full Profile
Crumdale Partners is a diversified insurance firm providing custom, self-funded healthcare solutions to a bespoke set of brokers, consultants, and agents nationwide. We optimize the fragmented health benefits supply chain to reduce health benefit costs and ... View Full Profile
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 ... View Full Profile
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... View Full Profile