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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Company Overview
Founded
2017
Employees
150
Funding Summary
26M Series A
Clients Your Size
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
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Company Overview
Founded
2017
Employees
380
Funding Summary
50M Series B
Clients Your Size
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 Determined to transform an outdated model, Capital Rx’s mission is to change the way prescription benefits are priced and administered in the US, unlocking enduring social change.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
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Company Overview
Founded
1969
Employees
478
Funding Summary
Not Provided
Clients Your Size
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. Show More
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Company Overview
Founded
1989
Employees
1,606
Funding Summary
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
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Company Overview
Founded
1986
Employees
13,721
Funding Summary
Not Provided
Clients Your Size
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
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Company Overview
Founded
1963
Employees
131,458
Funding Summary
9.4M Series B
Clients Your Size
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
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Company Overview
Founded
2017
Employees
Funding Summary
Not Provided
Clients Your Size
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. Show More
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Company Overview
Founded
2003
Employees
948
Funding Summary
Clients Your Size
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.
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’s human-led clinical care navigation solution guides over one million members to the highest-quality care by inserting clinicians into the member care journey. Powerful technology enables personalized and proactive clinical support at a fraction of the cost of other solutions and is proven to lower healthcare costs by 15%.
Rightway works with benefits leaders to identify top healthcare-related objectives for their population and helps them control how their members use healthcare. Our live guides deliver care decision support, benefits education, steerage to high-quality providers, and billing advocacy. By providing complete healthcare support for members, Rightway helps benefits... Show More
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Company Overview
Founded
2018
Employees
240
Funding Summary
200M Series C
Clients Your Size
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
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Company Overview
Founded
2019
Employees
5
Funding Summary
Not Provided
Clients Your Size
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
Necessary vendor information still needs to be provided.
Company Overview
Founded
2005
Employees
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
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
Founded
1993
Employees
Funding Summary
None
Clients Your Size
About Kroger Prescription Plans
Kroger Prescription Plans is dedicated to providing pharmacy benefit management services and innovative clinical programs that focus on engagement, choice, and cost savings. Built on personalized care solutions that simplify health, wellness and nutrition, Kroger Prescription Plans is the catalyst to combining a full suite of Kroger Health entities to improve health and deliver savings. The company provides pharmacy benefit management services to a wide range of employers across the United States, including The Kroger Co., the 4th-largest employer in the United States. Show More
Necessary vendor information still needs to be provided.
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
Necessary vendor information still needs to be provided.
Company Overview
Founded
August/2014
Employees
8
Funding Summary
Not Provided
Clients Your Size
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
Necessary vendor information still needs to be provided.
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
Necessary vendor information still needs to be provided.
Company Overview
Founded
2009
Employees
Funding Summary
Not Provided
Clients Your Size
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
Necessary vendor information still needs to be provided.
Company Overview
Founded
2011
Employees
25
Funding Summary
Clients Your Size
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
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.
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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