PBM Companies

Easily navigate the crowded vendor landscape

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

"Shortlister saved us time and money, while helping us to identify a platform that fit our unique company culture."

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Rachel B

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59 Vendors
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Prescryptive Health ( Visit Website )

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 ... View Full Profile

Employees
150
Lives Serviced
Not Provided
Funding
26M Series A
Minimum Group Size
No Minimum
Features
3rd Party Integrations
Android Native Application
Employee Self-Service Tools
Top Offerings
Pharmacy Cost and Transparency Tools
Pharmacy Benefit Manager (PBM)
Healthcare Transparency Solutions
Average Cost
- - -
Key Clients
- - -
Clients Your Size
- - -
Reviews pending
Full Reviews Breakdown

capitalRX

Capital Rx is a next-generation pharmacy benefits manager, overseeing prescription benefit plans on behalf of employers, unions, and government entities. Determined to transform an outdated model, Capital Rx’s mission is to change the way prescription ... View Full Profile

Employees
380
Lives Serviced
Not Provided
Funding
50M Series B
Minimum Group Size
No Minimum
Features
Top Offerings
Average Cost
- - -
Key Clients
- - -
Clients Your Size
- - -
Reviews pending
Full Reviews Breakdown

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... View Full Profile

Employees
478
Lives Serviced
Not Provided
Funding
Not Provided
Minimum Group Size
No Minimum
Features
Top Offerings
Average Cost
- - -
Key Clients
- - -
Clients Your Size
- - -
Reviews pending
Full Reviews Breakdown

OptumRx

Manage your pharmacy and overall health care spend. We help clients and over 66 million members achieve better health outcomes and lower overall costs through innovative management services... View Full Profile

Employees
243
Lives Serviced
Not Provided
Funding
Not Provided
Minimum Group Size
No Minimum
Features
Top Offerings
Average Cost
- - -
Key Clients
- - -
Clients Your Size
- - -
Reviews pending
Full Reviews Breakdown

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... View Full Profile

Employees
1606
Lives Serviced
52,642,631
Funding
Corporate Round
Minimum Group Size
No Minimum
Features
3rd Party Integrations
Android Native Application
Employee Self-Service Tools
Top Offerings
Pharmacy Benefit Manager (PBM)
Specialty Drug Management
Average Cost
- - -
Key Clients
- - -
Clients Your Size
- - -
Reviews pending
Full Reviews Breakdown

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... View Full Profile

Employees
13721
Lives Serviced
Not Provided
Funding
Not Provided
Minimum Group Size
No Minimum
Features
Top Offerings
Average Cost
- - -
Key Clients
- - -
Clients Your Size
- - -

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Reviews pending
Full Reviews Breakdown

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 ... View Full Profile

Employees
131458
Lives Serviced
Not Provided
Funding
9.4M Series B
Minimum Group Size
No Minimum
Features
Top Offerings
Average Cost
- - -
Key Clients
- - -
Clients Your Size
- - -
Reviews pending
Full Reviews Breakdown

IngenioRx

Born from one of America’s largest healthcare companies, we launched with a bold vision and unique proposition - to help members and plan sponsors think differently, keep members at the center of decision-making, and maximize the value of personalized ... View Full Profile

Employees
Not Provided
Lives Serviced
Not Provided
Funding
Not Provided
Minimum Group Size
No Minimum
Features
Top Offerings
Average Cost
- - -
Key Clients
- - -
Clients Your Size
- - -
Reviews pending
Full Reviews Breakdown

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 ... View Full Profile

Employees
948
Lives Serviced
Not Provided
Funding
Minimum Group Size
No Minimum
Features
Top Offerings
Average Cost
- - -
Key Clients
- - -
Clients Your Size
- - -
Reviews pending
Full Reviews Breakdown

EmpiRx Health

Employees
130
Lives Serviced
Not Provided
Funding
Not Provided
Minimum Group Size
No Minimum
Features
Top Offerings
Average Cost
- - -
Key Clients
- - -
Clients Your Size
- - -
Reviews pending
Full Reviews Breakdown

Rightway

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 ... View Full Profile

Employees
500
Lives Serviced
1,500,000
Funding
130M Corporate Round
Minimum Group Size
500 eligible
Features
3rd Party Integrations
Android Native Application
GDPR Compliant
Top Offerings
Clinical Navigation / Care Coordination
Benefits Navigation Platform
Pharmacy Benefit Manager (PBM)
Average Cost
- - -
Key Clients
- - -
Clients Your Size
- - -
Reviews pending
Full Reviews Breakdown

Transcarent

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

Employees
240
Lives Serviced
1,000,000
Funding
200M Series C
Minimum Group Size
2000 eligible
Features
3rd Party Integrations
Android Native Application
Employee Self-Service Tools
Top Offerings
Healthcare Center of Excellence
Benefits Navigation Platform
Primary Care – Virtual Care
Average Cost
- - -
Key Clients
- - -
Clients Your Size
- - -
Reviews pending
Full Reviews Breakdown

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 ... View Full Profile

Employees
5
Lives Serviced
2,650
Funding
Not Provided
Minimum Group Size
10 eligible
Features
Live Customer Service
Top Offerings
Pharmacy Benefit Manager (PBM)
Pharmacy Cost and Transparency Tools
Employee Assistance Programs
Average Cost
- - -
Key Clients
- - -
Clients Your Size
- - -
Reviews pending
Full Reviews Breakdown

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 ... View Full Profile

Employees
Not Provided
Lives Serviced
Not Provided
Funding
Not Provided
Minimum Group Size
No Minimum
Features
Top Offerings
Reference Based Pricing (RBP)
Pharmacy Benefit Manager (PBM)
Average Cost
- - -
Key Clients
- - -
Clients Your Size
- - -
Reviews pending
Full Reviews Breakdown

Kroger Prescription Plans

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 our large buying power through our store pharmacies to obtain ... View Full Profile

Employees
Not Provided
Lives Serviced
800,000
Funding
None
Minimum Group Size
50 eligible
Features
3rd Party Integrations
Android Native Application
Employee Self-Service Tools
Top Offerings
Pharmacy Benefit Manager (PBM)
Specialty Drug Management
Pharmacy Cost and Transparency Tools
Average Cost
- - -
Key Clients
- - -
Clients Your Size
- - -
Reviews pending
Full Reviews Breakdown

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 ... View Full Profile

Employees
80
Lives Serviced
Not Provided
Funding
Not Provided
Minimum Group Size
No Minimum
Features
3rd Party Integrations
Employee Self-Service Tools
Live Customer Service
Top Offerings
Pharmacy Benefit Manager (PBM)
Specialty Drug Management
Pharmacy Cost and Transparency Tools
Average Cost
- - -
Key Clients
- - -
Clients Your Size
- - -
Reviews pending
Full Reviews Breakdown

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... View Full Profile

Employees
8
Lives Serviced
30,000
Funding
Not Provided
Minimum Group Size
No Minimum
Features
3rd Party Integrations
GDPR Compliant
Live Customer Service
Top Offerings
Pharmacy Benefit Manager (PBM)
Pharmacy Cost and Transparency Tools
Average Cost
- - -
Key Clients
- - -
Clients Your Size
- - -
Reviews pending
Full Reviews Breakdown

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 ... View Full Profile

Employees
140
Lives Serviced
1,000,000,000
Funding
Not Provided
Minimum Group Size
No Minimum
Features
Top Offerings
Pharmacy Benefit Manager (PBM)
Specialty Drug Management
Average Cost
- - -
Key Clients
- - -
Clients Your Size
- - -
Reviews pending
Full Reviews Breakdown

Integrated Prescription Management

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

Employees
Not Provided
Lives Serviced
300,000
Funding
Not Provided
Minimum Group Size
No Minimum
Features
Top Offerings
Pharmacy Benefit Manager (PBM)
Specialty Drug Management
Pharmacy Cost and Transparency Tools
Average Cost
- - -
Key Clients
- - -
Clients Your Size
- - -
Reviews pending
Full Reviews Breakdown

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 ... View Full Profile

Employees
25
Lives Serviced
220,000
Funding
Minimum Group Size
No Minimum
Features
3rd Party Integrations
Android Native Application
Employee Self-Service Tools
Top Offerings
Pharmacy Benefit Manager (PBM)
Formulary Consulting
Pharmacy Cost and Transparency Tools
Average Cost
- - -
Key Clients
- - -
Clients Your Size
- - -

FAQs

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.