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 (109)
Sort by:
Sponsored sort by
Rightway

Rightway

Reviews pending
Visit Profile
Send icon Get a Quote 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
Best Money Moves LLC

Best Money Moves LLC

4.6 (14)
Visit Profile
Send icon Get a Quote 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
Transcarent

Transcarent

Reviews pending
Visit Profile
Send icon Get a Quote View Profile
Select Vendor to Compare
Product Info
Company Overview

Founded

2020

Employees

240

Funding Summary

126M Series D

Clients Your Size Clients Your Size

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
Alluma

Alluma

Reviews pending
Visit Profile
Send icon Get a Quote View Profile
Select Vendor to Compare
Product Info
Company Overview

Founded

Employees

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
Express Scripts

Express Scripts

Reviews pending
Visit Profile
Send icon Get a Quote 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
Navitus Health Solutions

Navitus Health Solutions

Reviews pending
Visit Profile
Send icon Get a Quote 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
Sav-Rx Prescription Services

Sav-Rx Prescription Services

Reviews pending
Visit Profile
Send icon Get a Quote 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
VIVIO

VIVIO

Reviews pending
Visit Profile
Send icon Get a Quote View Profile
Select Vendor to Compare
Product Info
Company Overview

Founded

2016

Employees

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
WellDyne

WellDyne

Reviews pending
Visit Profile
Send icon Get a Quote View Profile
Select Vendor to Compare
Product Info
Company Overview

Founded

1990

Employees

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
AscellaHealth LLC

AscellaHealth LLC

Reviews pending
Visit Profile
Send icon Get a Quote View Profile
Select Vendor to Compare
Product Info
Company Overview

Founded

2013

Employees

Funding Summary

None

Clients Your Size Clients Your Size

Clients size is Locked

About AscellaHealth LLC

A premier, tech-enabled Specialty Pharmacy and Healthcare Services organization serving Patients, Payers, Life Sciences, and Providers with innovative, cutting-edge clinical programs and services to improve health outcomes and enhance the patient journey.

We are always looking to expand our team with talented individuals, if you are interested in learning more, please send us an email to careers@ascellahealth.com and attach your resume. Show More
BeneCard PBF

BeneCard PBF

Reviews pending
Visit Profile
Send icon Get a Quote View Profile
Select Vendor to Compare
Product Info
Company Overview

Founded

2008

Employees

219

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
ClaimChoice Administrators

ClaimChoice Administrators

Reviews pending
Visit Profile
Send icon Get a Quote View Profile
Select Vendor to Compare
Product Info
Company Overview

Founded

2018

Employees

29

Funding Summary

Not Provided

Clients Your Size Clients Your Size

Clients size is Locked

About ClaimChoice Administrators

ClaimChoice Administrators is one of the largest independent administrators of self-funded union, traditional and association health plans in the country bringing more than 30 years of staff experience in delivering integrated, customized benefit solutions, that blend flexibility and customization, unlike anyone else in the marketplace. Show More
Crumdale Partners

Crumdale Partners

Reviews pending
Visit Profile
Send icon Get a Quote View Profile
Select Vendor to Compare
Product Info
Company Overview

Founded

2014

Employees

Funding Summary

Not Provided

Clients Your Size Clients Your Size

Clients size is Locked

About Crumdale Partners

Crumdale Partners is a diversified insurance firm providing custom, self-funded healthcare solutions to a bespoke set of brokers, consultants, and agents nationwide. We optimize the fragmented health benefits supply chain to reduce health benefit costs and create better outcomes for employers and employees. We sell integrated and unbundled solutions to brokers looking for flexibility in their self-funded and level-funded health plans, pharmacy benefits, stop-loss, actuarial and compliance needs.­ Show More
EmpiRx Health

EmpiRx Health

Reviews pending
Visit Profile
Send icon Get a Quote 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
MakoRx

MakoRx

Reviews pending
Visit Profile
Send icon Get a Quote 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
MedImpact Healthcare Systems, Inc.

MedImpact Healthcare Systems, Inc.

Reviews pending
Visit Profile
Send icon Get a Quote 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
Nomi Health

Nomi Health

Reviews pending
Visit Profile
Send icon Get a Quote View Profile
Select Vendor to Compare
Product Info
Company Overview

Founded

May 2019

Employees

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
OptumRx

OptumRx

Reviews pending
Visit Profile
Send icon Get a Quote View Profile
Select Vendor to Compare
Product Info
Company Overview

Founded

2015

Employees

243

Funding Summary

Not Provided

Clients Your Size Clients Your Size

Clients size is Locked

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. Show More
Prescryptive Health

Prescryptive Health

Reviews pending
Visit Profile
Send icon Get a Quote 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
Prime Therapeutics

Prime Therapeutics

Reviews pending
Visit Profile
Send icon Get a Quote View Profile
Select Vendor to Compare
Product Info
Company Overview

Founded

1987

Employees

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

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.

×