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.
  • All Vendors (125)
Sort by:
Sponsored sort by
Express Scripts

Express Scripts

Reviews pending
Visit Profile
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
OptumRx

OptumRx

Reviews pending
Visit Profile
View Profile
Select Vendor to Compare
Product Info

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

Not Provided.

Product Description

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

MedImpact Healthcare Systems, Inc.

Reviews pending
Visit Profile
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
EmpiRx Health

EmpiRx Health

Reviews pending
Visit Profile
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
SmithRx

SmithRx

5.0 (1)
Visit Profile
View Profile
Select Vendor to Compare
Product Info
Company Overview

Founded

2016

Employees

0

Funding Summary

20M Angel Round

Clients Your Size Clients Your Size

Clients size is Locked

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.
 Show More
Transcarent

Transcarent

Reviews pending
Visit Profile
View Profile
Select Vendor to Compare
Product Info
Company Overview

Founded

2020

Employees

409

Funding Summary

4.5M Series D

Clients Your Size Clients Your Size

Clients size is Locked

About Transcarent

Founded in 2020, Transcarent is a private health and care experience company aimed at simplifying access to high-quality, affordable care. Our integrated mobile and web platform offers a range of services, including everyday care such as instant provider consultations, behavioral health support, pharmacy services, home care, and comprehensive care for complex needs like surgery or cancer treatment.

What sets Transcarent apart is our commitment to accountability and transparency. We offer at-risk pricing models in which we assume financial responsibility for outcomes, with transparent impact reports that demonstrate measurable improvements in experience, health outcomes, and cost reduction. This... Show More
Rightway

Rightway

Reviews pending
Visit Profile
View Profile
Select Vendor to Compare
Product Info

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
Show All Features

Not Provided.

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
Company Overview
Alluma

Alluma

Reviews pending
Visit Profile
View Profile
Select Vendor to Compare
Product Info
Company Overview

Founded

2019

Employees

222

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
View Profile
Select Vendor to Compare
Product Info

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

✓

Balance Bill Protections

 ✓

Patient Assistance Program (PAP)
✓

Manufacturer assistance fill-in

 ✓

Pass-Through, Admin Fee Only Contracts
Show All Features

Not Provided.

Product Description

In 2018, Capital Rx redefined the role of a pharmacy benefit manager (PBM) and what it means to be a transparent PBM, bringing a unique level of financial alignment to the industry. Offering... Show More
Company Overview
BeneCard PBF

BeneCard PBF

Reviews pending
Visit Profile
View Profile
Select Vendor to Compare
Product Info

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

✓

All Specialty Pharmacies Allowed

 ✓

Multiple formulary options
✓

Flexible plan design options

 ✓

Utilization management
Show All Features

Not Provided.

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
Company Overview
Navitus Health Solutions

Navitus Health Solutions

Reviews pending
Visit Profile
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
Prime Therapeutics

Prime Therapeutics

Reviews pending
Visit Profile
View Profile
Select Vendor to Compare
Product Info
Company Overview

Founded

1987

Employees

0

Funding Summary

None

Clients Your Size Clients Your Size

Clients size is Locked

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

Reviews pending
Visit Profile
View Profile
Select Vendor to Compare
Product Info
Company Overview

Founded

2020

Employees

71,000

Funding Summary

Not Provided

Clients Your Size Clients Your Size

Clients size is Locked

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
Imagine360

Imagine360

5.0 (1)
Visit Profile
View Profile
Select Vendor to Compare
Product Info
Company Overview

Founded

1968

Employees

1,400

Funding Summary

Not Provided

Clients Your Size Clients Your Size

Clients size is Locked

About Imagine360

Imagine360 has 50+ years of combined experience. In 2020, Group and Pension Administrators (GPA) joined forces with ELAP Services, EBMS, and Imagine Health, which became sibling corporations through WaterStreet Healthcare Partners. This integration allows our organization to deliver the most experienced and first completely integrated health plan with reference-based pricing as its core.

Imagine360 delivers a fully integrated health plan with the savings of reference-based pricing built in and consistently generates 15–25% savings for 900+ self-funded employers. Imagine360 is entering its next phase of growth with a fresh infusion of capital to expand its comprehensive suite... Show More
Nomi Health

Nomi Health

Reviews pending
Visit Profile
View Profile
Select Vendor to Compare
Product Info

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
Company Overview
PharmPix Corp

PharmPix Corp

Reviews pending
Visit Profile
View Profile
Select Vendor to Compare
Product Info
Company Overview

Founded

2009

Employees

150

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
Drexi

Drexi

Reviews pending
Visit Profile
View Profile
Select Vendor to Compare
Product Info
Company Overview

Founded

Employees

0

Funding Summary

Not Provided

Clients Your Size Clients Your Size

Clients size is Locked

About Drexi

Drexi is an independent, non-traditional pharmacy benefits manager.

 Show More
Health Action Council - CVS

Health Action Council - CVS

Reviews pending
Visit Profile
View Profile
Select Vendor to Compare
Product Info
Company Overview

Founded

09/1983

Employees

0

Funding Summary

Not Provided

Clients Your Size Clients Your Size

Clients size is Locked

About Health Action Council - CVS

We recognize that a company’s employees are its greatest asset as well as its greatest liability in terms of the company’s success in the marketplace. Healthy employees are more productive and therefore able to contribute more to the success of their company and to the health of their communities. Health Action Council is a member-driven, not-for-profit organization . Our focus is on improving the relationship between business and health through thought leadership, innovative services, and collaboration. Our core business activities are Group Purchasing, Education and Health Improvement. Show More
MakoRx

MakoRx

Reviews pending
Visit Profile
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
Prescryptive Health

Prescryptive Health

Reviews pending
Visit Profile
View Profile
Select Vendor to Compare
Product Info
Company Overview

Founded

2017

Employees

150

Funding Summary

26M Series A

Clients Your Size Clients Your Size

Clients size is Locked

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
RxSense

RxSense

Reviews pending
Visit Profile
View Profile
Select Vendor to Compare
Product Info

Min. Group Size

1,000 eligible

Lives Serviced

4,500,000

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

✓

Manufacturer assistance fill-in

 ✓

Pass-Through, Admin Fee Only Contracts
✓

Rebate administration

 ✓

All Specialty Pharmacies Allowed
Show All Features

Not Provided.

Product Description

RxSense is not a PBM. However, we provide all the necessary tool to enable other PBMs. We currently partner with the following PBMs:

- Optum
- CVS/ Caremark
... Show More
Company Overview
UMR

UMR

4.2 (3)
Visit Profile
View Profile
Select Vendor to Compare
Product Info
Company Overview

Founded

2008

Employees

3,800,000

Funding Summary

1 Corporate Round

Clients Your Size Clients Your Size

Clients size is Locked

About UMR

UMR recommends the most advanced products and technologies for integration into the customer’s solutions.

UMR is a third-party administrator (TPA), hired by your employer, to help ensure that your claims are paid correctly so that your health care costs can be kept to a minimum and you can focus on well-being.

UMR is not an insurance company. Your employer pays the portion of your health care costs not paid by you. Show More
WellDyne

WellDyne

Reviews pending
Visit Profile
View Profile
Select Vendor to Compare
Product Info
Company Overview

Founded

1990

Employees

0

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
Abarca Health

Abarca Health

Reviews pending
Visit Profile
View Profile
Select Vendor to Compare
Product Info
Company Overview

Founded

2005

Employees

0

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
Aetna

Aetna

4.1 (1)
Visit Profile
View Profile
Select Vendor to Compare
Product Info
Company Overview

Founded

1853

Employees

0

Funding Summary

Not Provided

Clients Your Size Clients Your Size

Clients size is Locked

About Aetna

Here at Aetna, a CVS Health business, we are building a healthier world by making healthcare easy, affordable and all about you.

Founded in 1853 in Hartford, CT, Aetna is one of the nation's leading diversified health care benefits companies, serving an estimated 46.7 million people with information and resources to help them make better decisions about their healthcare.

As a health care leader, we believe that our corporate responsibility starts with helping people live healthier lives. And that means using our resources to make the communities and world we live in better... Show More
AmWINS Rx

AmWINS Rx

Reviews pending
Visit Profile
View Profile
Select Vendor to Compare
Product Info
Company Overview

Founded

2006

Employees

0

Funding Summary

Not Provided

Clients Your Size Clients Your Size

Clients size is Locked

About AmWINS Rx

AmWINS Rx provides consultative pharmacy benefit management services that equip members with the information and advocacy needed to make informed decisions that ultimately improve member health and maximize plan savings. Show More
Anthem

Anthem

4.8 (1)
Visit Profile
View Profile
Select Vendor to Compare
Product Info
Company Overview

Founded

November 30, 2004

Employees

10,700

Funding Summary

35.2M Series B

Clients Your Size Clients Your Size

Clients size is Locked

About Anthem

At Anthem Blue Cross and Blue Shield we understand our health connects us to each other. What we all do impacts those around us. So Anthem is dedicated to delivering better care to our members, providing greater value to our customers and helping improve the health of our communities.

Anthem Blue Cross and Blue Shield is the trade name of: In Colorado: Rocky Mountain Hospital and Medical Service, Inc. HMO products underwritten by HMO Colorado, Inc. In Connecticut: Anthem Health Plans, Inc. In Indiana: Anthem Insurance Companies, Inc. In Georgia: Blue Cross Blue Shield Healthcare Plan of... Show More
Archimedes

Archimedes

Reviews pending
Visit Profile
View Profile
Select Vendor to Compare
Product Info
Company Overview

Founded

2016

Employees

0

Funding Summary

Not Provided

Clients Your Size Clients Your Size

Clients size is Locked

About Archimedes

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
ARMSRx

ARMSRx

Reviews pending
Visit Profile
View Profile
Select Vendor to Compare
Product Info
Company Overview

Founded

1991

Employees

0

Funding Summary

Not Provided

Clients Your Size Clients Your Size

Clients size is Locked

About ARMSRx

ARMSRx – The people who know PBM (Pharmacy Benefit Management). ARMSRx Provides comprehensive guidance and leadership toward PBM solutions.

The ARMSRx team are experts in RFP Management, Claims Review, Contract Analysis, Audits, Modeling, Savings Analysis, and Increasing profitability for the most highly utilized benefit, pharmacy.

ARMSRx exposes the undisclosed methods of pricing, MAC lists, formulary and filters through ambiguous contract language. For Health Plans, TPA’s, Consultants and Employee Benefit Brokers.

ARMSRx serves as an extension of their staff and “Back Room” saving time and resources with devoted representation.... Show More
BCBS of Michigan

BCBS of Michigan

Reviews pending
Visit Profile
View Profile
Select Vendor to Compare
Product Info
Company Overview

Founded

Employees

0

Funding Summary

Not Provided

Clients Your Size Clients Your Size

Clients size is Locked

About BCBS of Michigan

Blue Cross Blue Shield of Michigan is a nonprofit corporation and an independent licensee of the Blue Cross and Blue Shield Association.

BCBSM's commitment to Michigan is what differentiates it from other health insurance companies doing business in the state. That mission has never changed. Nearly 70 years ago, Blue Cross Blue Shield of Michigan started with a purpose to provide people with the security of knowing they have health care when they need it.

Today, that nonprofit mission is the same and the company is accomplishing it in many ways, including: Show More
Blue Shield of California

Blue Shield of California

Reviews pending
Visit Profile
View Profile
Select Vendor to Compare
Product Info
Company Overview

Founded

1939

Employees

0

Funding Summary

Not Provided

Clients Your Size Clients Your Size

Clients size is Locked

About Blue Shield of California

Blue Shield of California strives to create a healthcare system worthy of its family and friends that is sustainably affordable.

Blue Shield of California is a tax-paying, nonprofit, independent member of the Blue Shield Association with 4.7 million members, 7,800 employees, and $22.9 billion in annual revenue.

Founded in 1939 in San Francisco and now headquartered in Oakland, Blue Shield of California and its affiliates provide health, dental, vision, Medicaid and Medicare healthcare service plans in California.

Blue Shield of California complies with applicable state laws and federal... Show More
ClaimChoice Administrators

ClaimChoice Administrators

Reviews pending
Visit Profile
View Profile
Select Vendor to Compare
Product Info

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
Company Overview
Florida Blue

Florida Blue

Reviews pending
Visit Profile
View Profile
Select Vendor to Compare
Product Info
Company Overview

Founded

Employees

0

Funding Summary

Not Provided

Clients Your Size Clients Your Size

Clients size is Locked

About Florida Blue

Florida Blue is a subsidiary of a not-for-profit health solutions company dedicated to serving all Floridians in the pursuit of health.

Florida Blue is an independent licensee of the Blue Cross and Blue Shield Association, serving residents and businesses in the state of Florida.
 Show More
Free Market Health

Free Market Health

Reviews pending
Visit Profile
View Profile
Select Vendor to Compare
Product Info
Company Overview

Founded

Employees

0

Funding Summary

Not Provided

Clients Your Size Clients Your Size

Clients size is Locked

About Free Market Health

Founded in 2019 and headquartered in Pittsburgh, PA, Free Market Health supports forward-thinking payers and specialty pharmacies of all sizes who need to operate in a complex and opaque market.

We empower all stakeholders to optimize resources and maximize opportunities while focusing on the most important stakeholder of all: the patient. Show More
H-E-B, LP

H-E-B, LP

Reviews pending
Visit Profile
View Profile
Select Vendor to Compare
Product Info

Min. Group Size

-

Lives Serviced

135,438

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

H-E-B RxTRA Advantage is a pharmacy benefit solution designed to deliver affordable prescriptions, flexible plan options, and measurable savings and all while maintaining the trusted, local care Texans expect from H-E-B. Built in... Show More
Company Overview
Independence Blue Cross (IBX)

Independence Blue Cross (IBX)

Reviews pending
Visit Profile
View Profile
Select Vendor to Compare
Product Info
Company Overview

Founded

Employees

0

Funding Summary

Not Provided

Clients Your Size Clients Your Size

Clients size is Locked
Kroger Prescription Plans

Kroger Prescription Plans

Reviews pending
Visit Profile
View Profile
Select Vendor to Compare
Product Info

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
Company Overview
Maxor National Pharmacy Services, LLC

Maxor National Pharmacy Services, LLC

Reviews pending
Visit Profile
View Profile
Select Vendor to Compare
Product Info
Company Overview

Founded

1926

Employees

0

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
Meritain Health

Meritain Health

Reviews pending
Visit Profile
View Profile
Select Vendor to Compare
Product Info
Company Overview

Founded

1983

Employees

1,156

Funding Summary

Not Provided

Clients Your Size Clients Your Size

Clients size is Locked

About Meritain Health

With 40 years of excellence as a third party health care benefits administrator and a proud subsidiary of Aetna® and Fortune 4 company CVS Health®, Meritain Health® delivers customized, cost-effective and convenient solutions. We’re ready to meet all of your self-funding challenges.

Show More
National Script, LLC

National Script, LLC

Reviews pending
Visit Profile
View Profile
Select Vendor to Compare
Product Info
Company Overview

Founded

August/2014

Employees

8

Funding Summary

Not Provided

Clients Your Size Clients Your Size

Clients size is Locked

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

Reviews pending
Visit Profile
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
Serve You Rx

Serve You Rx

Reviews pending
Visit Profile
View Profile
Select Vendor to Compare
Product Info
Company Overview

Founded

1987

Employees

0

Funding Summary

None

Clients Your Size Clients Your Size

Clients size is Locked

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
SlateRx

SlateRx

Reviews pending
Visit Profile
View Profile
Select Vendor to Compare
Product Info
Company Overview

Founded

Employees

0

Funding Summary

Not Provided

Clients Your Size Clients Your Size

Clients size is Locked

About SlateRx

SlateRx has been listening to what employers, plan sponsors, and brokers have been saying about traditional pharmacy benefit management—it’s time for something new. We provide a pharmacy benefit experience that puts you in control. Introducing PBX by SlateRx.

With deep actuarial, clinical, and operations experience, our ability to deliver results means unmatched value. With this proven expertise, we create innovative solutions that optimize medication access, improve health outcomes, and control costs. Our commitment to transparency and collaboration is at the core of our approach, ensuring clear communication and empowering informed decision-making.

We live... Show More
TransparentRx

TransparentRx

Reviews pending
Visit Profile
View Profile
Select Vendor to Compare
Product Info
Company Overview

Founded

2009

Employees

0

Funding Summary

Not Provided

Clients Your Size Clients Your Size

Clients size is Locked

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
TruDataRx

TruDataRx

Reviews pending
Visit Profile
View Profile
Select Vendor to Compare
Product Info
Company Overview

Founded

Employees

0

Funding Summary

Not Provided

Clients Your Size Clients Your Size

Clients size is Locked

About TruDataRx

TruDataRx is a data analytics company that uses comparative effectiveness research to drive savings in pharmacy plans for self-insured employers and plan sponsors. Our team of doctors, pharmacists, and statisticians have developed proprietary algorithms based on the most established and cutting-edge comparative effectiveness research. We analyze the pharmacy spend of each client and create a strategy with concrete steps to realize meaningful savings, immediately. We are an independent party with the goal of keeping members healthy at the highest value, and freeing dollars to flow to the bottom line. Show More
US-Rx Care

US-Rx Care

Reviews pending
Visit Profile
View Profile
Select Vendor to Compare
Product Info
Company Overview

Founded

01/2007

Employees

200

Funding Summary

Not Provided

Clients Your Size Clients Your Size

Clients size is Locked

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
Ventegra

Ventegra

Reviews pending
Visit Profile
View Profile
Select Vendor to Compare
Product Info
Company Overview

Founded

2004

Employees

51

Funding Summary

Not Provided

Clients Your Size Clients Your Size

Clients size is Locked

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
VerusRx

VerusRx

Reviews pending
Visit Profile
View Profile
Select Vendor to Compare
Product Info
Company Overview

Founded

2021

Employees

41

Funding Summary

Not Provided

Clients Your Size Clients Your Size

Clients size is Locked

About VerusRx

VerusRx is an industry leading pharmacy benefits manager focused on helping employers manage their prescription drug costs while improving health outcomes for their employees. We accomplish this through the use of innovative drug programs combined with a straightforward pricing model. Our fully disclosed fees have no hidden clauses. You’ll understand exactly what you’re paying for with our total cost clarity. It's really that simple.

Headquartered in Dallas, VerusRx is backed by the aggregate strength of an impressive network of companies known for innovation and unparalleled service.

 Show More
Vivid Clear Rx

Vivid Clear Rx

Reviews pending
Visit Profile
View Profile
Select Vendor to Compare
Product Info
Company Overview

Founded

2020

Employees

0

Funding Summary

Not Provided

Clients Your Size Clients Your Size

Clients size is Locked

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
VIVIO

VIVIO

Reviews pending
Visit Profile
View Profile
Select Vendor to Compare
Product Info
Company Overview

Founded

2016

Employees

0

Funding Summary

Clients Your Size Clients Your Size

Clients size is Locked

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
Walgreens

Walgreens

Reviews pending
Visit Profile
View Profile
Select Vendor to Compare
Product Info
Company Overview

Founded

1901

Employees

0

Funding Summary

Not Provided

Clients Your Size Clients Your Size

Clients size is Locked

About Walgreens

Walgreens is included in the Retail Pharmacy USA Division of Walgreens Boots Alliance, Inc. (Nasdaq: WBA), a global leader in retail and wholesale pharmacy. As America’s most loved pharmacy, health and beauty company, Walgreens purpose is to champion the health and wellbeing of every community in America. Operating more than 9,000 retail locations across America, Puerto Rico and the U.S. Virgin Islands, Walgreens is proud to be a neighborhood health destination serving approximately 8 million customers each day. Walgreens pharmacists play a critical role in the U.S. healthcare system by providing a wide range of pharmacy and healthcare services. To... Show More
Waltz Health

Waltz Health

Reviews pending
Visit Profile
View Profile
Select Vendor to Compare
Product Info
Company Overview

Founded

Employees

0

Funding Summary

Not Provided

Clients Your Size Clients Your Size

Clients size is Locked

About Waltz Health

Waltz, an EVERSANA company, is leading a new way forward for prescription care. We’re fixing the high costs and broken experiences that define today’s pharmaceutical supply chain by introducing AI-driven marketplaces that create competition, drive down costs, and improve access. Designed for payers, pharmacies, and patients alike, our solutions bring greater transparency, affordability, and choice to prescription care. Together with EVERSANA, we’re closing the loop on commercialization—ensuring life sciences innovations not only launch but consistently reach the people who need them most. Show More
XO Health

XO Health

Reviews pending
Visit Profile
View Profile
Select Vendor to Compare
Product Info

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
Company Overview
Advanced Medical Pricing Solutions (AMPS)

Advanced Medical Pricing Solutions (AMPS)

Reviews pending
Visit Profile
View Profile
Select Vendor to Compare
Product Info
Company Overview

Founded

2005

Employees

88

Funding Summary

Not Provided

Clients Your Size Clients Your Size

Clients size is Locked

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
Appro-Rx

Appro-Rx

Reviews pending
Visit Profile
View Profile
Select Vendor to Compare
Product Info
Company Overview

Founded

2000

Employees

0

Funding Summary

Not Provided

Clients Your Size Clients Your Size

Clients size is Locked

About Appro-Rx

Appro-Rx is a growing Health Information Technology (HIT) company dedicated to payer medical cost reduction and improvement in patient health outcomes via their provider network. Through the use of Pharmacy Benefit Management (PBM) technologies, Appro-Rx provides customers with prescription drug claims processing, prescription benefit management tools and other IT needs.

The principals of Appro-Rx believe strongly that the PBM model is broken, and we have set out to be industry game changers. We are targeting current practices – spread pricing on prescription drugs, manufacturers’ rebates and mandatory mail order programs that benefit PBMs instead of employers and... Show More
BCBS Kansas

BCBS Kansas

Reviews pending
Visit Profile
View Profile
Select Vendor to Compare
Product Info
Company Overview

Founded

1942

Employees

1,227

Funding Summary

Not Provided

Clients Your Size Clients Your Size

Clients size is Locked

About BCBS Kansas

The largest health insurer in the state of Kansas. As a mutual insurance company, BCBSKS is owned by its policyholders. Its board of directors consists of Kansans from different areas of the state, 16 policyholders who bring to the table practical experience in business, medicine, hospital administration and education. Day-to-day operations are directed by a nine-person steering committee under the guidance of the company’s president/CEO. Customers and health care professionals have a voice in company activities through numerous advisory and liaison committees, as well as focus groups and surveys.

BCBSKS is a financially secure, billion dollar company... Show More
BCBS Nebraska

BCBS Nebraska

Reviews pending
Visit Profile
View Profile
Select Vendor to Compare
Product Info
Company Overview

Founded

1939

Employees

1,190

Funding Summary

Not Provided

Clients Your Size Clients Your Size

Clients size is Locked

About BCBS Nebraska

To millions of Americans, Blue Cross and Blue Shield symbolizes peace of mind when it's needed most. That’s because, collectively, the Blue Cross and Blue Shield brands represent the largest and most experienced health care benefit companies in the country.

At Blue Cross and Blue Shield of Nebraska, our story is all about you – the people we’ve been serving since 1939. As a company born and raised in Nebraska, we believe it’s our responsibility to be an active member of the communities where we live and work alongside our customers.

We... Show More
BCBS of Arizona

BCBS of Arizona

Reviews pending
Visit Profile
View Profile
Select Vendor to Compare
Product Info
Company Overview

Founded

1939

Employees

0

Funding Summary

Not Provided

Clients Your Size Clients Your Size

Clients size is Locked

About BCBS of Arizona

Blue Cross ® Blue Shield ® of Arizona (AZ Blue) is committed to helping Arizonans get healthier faster and stay healthier longer. With a mission to inspire health and make it easy, AZ Blue offers health insurance and related services to more than 2 million customers. AZ Blue, a non-profit company, is an independent licensee of the Blue Cross Blue Shield Association. The company and its subsidiaries employ more than 3,200 people in its Phoenix, Flagstaff, and Tucson offices.

 Show More
BCBS of Massachusetts

BCBS of Massachusetts

Reviews pending
Visit Profile
View Profile
Select Vendor to Compare
Product Info
Company Overview

Founded

1937

Employees

0

Funding Summary

Not Provided

Clients Your Size Clients Your Size

Clients size is Locked

About BCBS of Massachusetts

Blue Cross Blue Shield of Massachusetts is a community-focused, tax-paying, not-for-profit health plan headquartered in Boston. We have been a market leader for over 80 years, and are consistently ranked among the nation's best health plans. Our daily efforts are dedicated to effectively serving our 3 million members, and consistently offering security, stability, and peace of mind to both our members and associates.
 Show More
BCBS of Minnesota

BCBS of Minnesota

Reviews pending
Visit Profile
View Profile
Select Vendor to Compare
Product Info
Company Overview

Founded

Employees

0

Funding Summary

Not Provided

Clients Your Size Clients Your Size

Clients size is Locked

About BCBS of Minnesota

About Blue Cross Blue Cross and Blue Shield of Minnesota is a taxable, nonprofit organization with a mission to make a healthy difference in people’s lives. Chartered in 1933 as Minnesota’s first health plan, we’ve promoted wider, more economical and timely availability of health services for the peopl ... see more
 Show More

Select up to 3 Vendors to Compare

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.

×