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.
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Product Info

Company Overview

Founded

2017

Employees

150

Funding Summary

26M Series A

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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
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Product Info

Company Overview

Founded

2017

Employees

380

Funding Summary

50M Series B

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About 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 Determined to transform an outdated model, Capital Rx’s mission is to change the way prescription benefits are priced and administered in the US, unlocking enduring social change. Through its platform approach, Capital Rx delivers data-driven insights and actionable strategies that reduce costs, while improving patient outcomes. The company's commitment to innovation, technology and service is the reason why Capital Rx is among the fastest-growing PBMs in the country. Show More

Product Info

Company Overview

Founded

1969

Employees

478

Funding Summary

Not Provided

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About 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.
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Product Info

Company Overview

Founded

2015

Employees

243

Funding Summary

Not Provided

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About 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.
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Product Info

Company Overview

Founded

1989

Employees

1,606

Funding Summary

Corporate Round

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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...
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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...
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Product Info

Company Overview

Founded

1963

Employees

131,458

Funding Summary

9.4M Series B

Clients Your Size Clients Your Size

Clients size is Locked

About 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 dispensing medications – we’re dedicated to making health services more convenient and accessible, and to helping to keep our communities healthy. Show More

Product Info

Company Overview

Founded

2017

Employees

Funding Summary

Not Provided

Clients Your Size Clients Your Size

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About 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 pharmacy care. Leveraging the power of new technologies, our strong, clinical-first lens and more than 30 years of pharmacy expertise are actively defining our innovative role in the industry.
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Product Info

Company Overview

Founded

2003

Employees

948

Funding Summary

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...
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Product Info

Company Overview

Founded

2014

Employees

130

Funding Summary

Not Provided

Clients Your Size Clients Your Size

Clients size is Locked

Product Info

Min. Group Size

500 eligible

Lives Serviced

100,000

Average Cost

Average Cost is Locked

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Product Features

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Balance Bill Consumer Protections in Place

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Patient Assistance Program (PAP)

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Manufacturer Assistance Fill-In

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Alternative (International) Drug Sourcing Fill-In

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.

Rightway is committed...
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Company Overview

Product Info

Company Overview

Founded

2018

Employees

240

Funding Summary

200M Series C

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Clients size is Locked

About 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 with the kind of unbiased information, trusted guidance and access to high-value care that leads to better care and better outcomes. Show More

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

Product Info

Company Overview

Founded

2005

Employees

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.
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Product Info

Min. Group Size

50 eligible

Lives Serviced

400,000

Average Cost

Average Cost is Locked

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RFI questions number is Locked

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Product Features

✓

Patient Assistance Program (PAP)

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Manufacturer Assistance Fill-In

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Alternative (International) Drug Sourcing Fill-In

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Pass-Through, Admin Fee Only Contracts

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 our large buying power through our store... Show More

Company Overview

Product Info

Company Overview

Founded

1999

Employees

80

Funding Summary

Not Provided

Clients Your Size Clients Your Size

Clients size is Locked

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.
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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

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...
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Product Info

Company Overview

Founded

2009

Employees

Funding Summary

Not Provided

Clients Your Size Clients Your Size

Clients size is Locked

About 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, we take a collaborative approach to controlling costs without compromising care. Show More

Product Info

Company Overview

Founded

2011

Employees

25

Funding Summary

Clients Your Size Clients Your Size

Clients size is Locked

About 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 to help. First, we listen. What are your needs? What are your business goals? How big is your group? What can you afford? Next, we respond with information. We discuss your options. We provide insight and make recommendations. Then, we provide you with the technology and resources to remain in control of your plan. Show More

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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.

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