Pharmacy Benefit Managers

A pharmacy benefit provider is a third-party administrator of prescription drug programs that offers services of prescription drug benefit management for employees.
  • All Vendors (158)
Sort by:
Sponsored sort by
Judi Rx

Judi Rx

Reviews pending
Send icon Go To Website View Profile
Select Vendor to Compare
Product Info
Company Overview

Founded

2017

Employees

1,050

Funding Summary

252M Series F

Clients Your Size Clients Your Size

Clients size is Locked

About Judi Rx

Judi Rx’s original mission was to redefine how prescription drugs are priced and patients are cared for to create enduring social change as a transparent pharmacy benefit manager (PBM). However, as business and client needs evolved, the focus shifted to building and deploying the next generation of electronic claims processing technology: Judi®, an open, secure, and scalable proprietary Enterprise Health Platform (EHP) capable of consolidating all benefit-related administrative workflows and connecting and exchanging data with any vendors that clients may choose. Leveraging its technology and a business model that aligns with employers' interests, Judi Rx has disrupted the traditional PBM... Show More
Evernorth

Evernorth

Reviews pending
Send icon Go To Website 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
Rightway

Rightway

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

Founded

2017

Employees

500

Funding Summary

130M Corporate Round

Clients Your Size Clients Your Size

Clients size is Locked

About Rightway

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
Imagine360

Imagine360

5.0 (2)
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
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
Transcarent

Transcarent

2.0 (1)
Visit Profile
View Profile
Select Vendor to Compare
Product Info
Company Overview

Founded

2020

Employees

2,350

Funding Summary

950M Series D

Clients Your Size Clients Your Size

Clients size is Locked

About Transcarent

Transcarent is the One Place for Health and Care, bringing medical, pharmacy, and point solutions together with the WayFindingTM experience, the first and only generative, agentic, AI-powered health and care platform for health consumers. Our WayFinding experience, paired with transparent and consumer-driven pharmacy care, 2nd.MD expert medical opinions, and Virtual Care, works seamlessly with comprehensive Care Experiences – Cancer Care, Surgery Care, and Weight Health – to support Members with all of their health needs, simple or serious. We also provide seamless access to the leading point solutions through our Experience Store. More than 1,700 employers and health plans rely... Show More
TrueScripts

TrueScripts

4.2 (1)
Visit Profile
View Profile
Select Vendor to Compare
Product Info
Company Overview

Founded

2014

Employees

200

Funding Summary

None

Clients Your Size Clients Your Size

Clients size is Locked

About TrueScripts

TrueScripts is an independent, employee-owned pharmacy benefit manager (PBM) founded on a simple belief: prescription benefits should serve employers and members, not the PBM. Since 2014, we have built our organization around transparency, accountability, and delivering measurable value through a conflict-free business model that includes 100% pass-through rebates, open-book reporting, and no pharmacy ownership.

Today, TrueScripts serves more than 850 employer groups, plan sponsors, brokers, and TPAs nationwide, supporting over 450,000 members through innovative clinical programs, cost-containment strategies, and a service philosophy known as Amazing Care. Our proprietary Distinct Rx Advantage approach combines solutions such as specialty... Show More
VIVIO Health, Inc.

VIVIO Health, Inc.

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

Founded

2016

Employees

60

Funding Summary

None

Clients Your Size Clients Your Size

Clients size is Locked

About VIVIO Health, Inc.

With programs spanning specialty, non-specialty, and medical drugs, VIVIO is the only partner that manages every category of drug spend. VIVIO leverages data from clinical trials, individual patient information, and market prices - including cash - to deliver the right drug for the right patient at the right price. VIVIO reduces fiduciary risk by ensuring lowest net cost.

No rebate games. No formularies. No out-of-network pharmacies. Show More
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

400

Funding Summary

Clients Your Size Clients Your Size

Clients size is Locked

About Advanced Medical Pricing Solutions (AMPS)

AMPS is a healthcare technology company transforming how organizations manage healthcare costs by connecting the industry's most critical cost-saving strategies into one accountable ecosystem. Rather than forcing employers, health plans, TPAs, and brokers to manage disconnected vendors across medical, pharmacy, and payment integrity, AMPS brings these capabilities together under a single partner focused on one outcome: delivering the lowest net cost while improving the member experience.

Powered by more than two decades of proprietary data, physician expertise, legal advocacy, and intelligent technology, AMPS fine-tunes every aspect of the healthcare spend. From prospective payment integrity and medical claim... Show More
BeneCard PBF

BeneCard PBF

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

Founded

1989

Employees

525

Funding Summary

Not Provided

Clients Your Size Clients Your Size

Clients size is Locked

About BeneCard PBF

BeneCard PBF provides self-funded prescription benefit program administration with a personalized approach through focused, clinical expertise. Our transparent business model operates on a customized claim processing system offering unlimited capability and flexibility to respond to client needs in an evolving marketplace.

Advanced clinical programs and advanced technology provide the framework to maximize the use of all data elements available. This allows BeneCard PBF to filter the information, focus on clinical opportunities and facilitate interaction between the physician, the pharmacist and the patient to effectively promote complete health care.

 Show More
Best Money Moves LLC

Best Money Moves LLC

4.6 (14)
Visit Profile
View Profile
Select Vendor to Compare
Product Info
Company Overview

Founded

2016

Employees

20

Funding Summary

750K Seed Round

Clients Your Size Clients Your Size

Clients size is Locked

About Best Money Moves LLC

Best Money Moves is a mobile-first financial wellness program that combines technology, information, tools and live money coaching to help employees measure their level of financial stress in 15 categories, and then sends relevant information and tools to help them reduce that stress. An ongoing engagement strategy keeps usage well above EAP rates.

Employees use the program’s point-based rewards system, which assigns point values to every action possible: setting up income and expenses inside the budget tool, reading articles, measuring stress, etc. All of these items, plus the leaderboard, are seen on the Employee Dashboard.
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
Kroger Prescription Plans

Kroger Prescription Plans

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

Founded

1993

Employees

30

Funding Summary

None

Clients Your Size Clients Your Size

Clients size is Locked

About Kroger Prescription Plans

Kroger Prescription Plans (KPP) is a pharmacy benefit manager (PBM) within Kroger Health, designed to deliver integrated, transparent, and outcomes-driven pharmacy solutions for employers and coalitions. KPP’s model emphasizes transparency, cost predictability, and aligned incentives, moving away from legacy pricing complexity toward a clinically driven approach that reinvests savings into better outcomes.
A core differentiator is KPP’s ability to leverage Kroger’s national footprint and “Food as Medicine” strategy—integrating nutrition, pharmacy, and clinical care into a consumer-centric experience that drives healthier behaviors and measurable outcomes. 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
MMA Rx Solutions

MMA Rx Solutions

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 MMA Rx Solutions

MMA Rx Solutions is Marsh & McLennan Agency’s proprietary pharmacy management approach for self-insured clients that lowers prescription unit cost, protects the integrity of pharmacy contracts and helps make employees better pharmacy consumers. 

MMA Rx Solutions is a unique approach in that it is compatible with every PBM and TPA and can enhance carve-in, carve-out or coalition arrangements – whichever best suits the client.

By partnering with MMA Rx Solutions employers gain more visibility into their pharmacy arrangement, a more competitive contract, best-in-class pricing and a more engaged and educated membership."
 Show More
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
Nomi Health

Nomi Health

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

Founded

May 2019

Employees

0

Funding Summary

110M Series A

Clients Your Size Clients Your Size

Clients size is Locked

About Nomi Health

From patient care to provider payments, we're rebuilding no-nonsense healthcare that is truly direct and affordable by changing how healthcare is delivered, purchased, and paid for. 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
Company Overview

Founded

2015

Employees

358

Funding Summary

None

Clients Your Size Clients Your Size

Clients size is Locked

About RxSense

RxSense is a health technology company, founded in 2015 – combining PBM industry veterans with industry-leading tech talent – that quickly became a leader in SaaS technology. In our PBM lives, we experienced, firsthand, the pain of being tied to antiquated, traditional PBM legacy systems, and we solved for these challenges in our enterprise platform solution, RxIQ® Enterprise, for pharmacy benefit administration and business intelligence.

With this unifying platform as a core and eliminating data friction, embedded with machine learning and AI-based automation, we have expanded our innovation in new directions to encompass a product spectrum with... Show More
UMR

UMR

4.4 (4)
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

Select up to 3 Vendors to Compare

Frequently Asked Questions

What Is Pharmacy Benefit Management?

Pharmacy benefit management (PBM) is a service that coordinates and administers prescription drug benefits on behalf of health insurers, employers, pharmacies, and other payers. PBM providers act as intermediaries, negotiating lower drug costs, processing claims, and administering pharmacy networks to ensure cost-effective and efficient medication delivery.

What Is a Pharmacy Benefit Manager?

Pharmacy Benefit Managers (PBMs) are third-party administrators who operate and manage prescription drug benefits for health plans. They create formularies, negotiate rebates, process claims, manage pharmacy networks, and review drug utilization.

How Pharmacy Benefit Management Works?

Pharmacy benefit management serves as a bridge between all parties involved in delivering medications to the patient. The managers negotiate lower drug prices and rebates with drug manufacturers. They manage prescription drug plans for insurers and ensure pharmacies are reimbursed. Then, PBMs handle prescription claims processing, making it easier for patients to get their medications.

What Is the Difference Between Medical Benefits and Pharmacy Benefits?

Medical benefits typically include doctor visits, hospitalization, surgeries, and other medical procedures. On the other hand, pharmacy benefits specifically cover prescription medications and related services, including drug formulary management and medication distribution through pharmacy networks.

×