Specialty PBM CarveOut Services

Product Info

Company Overview

Founded

2016

Employees

0

Funding Summary

Not Provided

Clients Your Size

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

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VIVIO Health, Inc.

5.0 (1)

Product Info

Min. Group Size

1,000 eligible

Lives Serviced

50,000

Average Cost

12 RFI Questions

23 Specific Questions

Product Features

Pass-Through, Admin Fee Only Contracts

Rebate Administration

No pharmacy profit interest

All Specialty Pharmacies Allowed

Not Provided.

Product Description

VIVIO Specialty Drug Management tackles a core industry problem: specialty drugs are just 2% of prescriptions but drive over 50% of pharmacy spend, and the traditional PBM model is built to push costs... Show More

Company Overview

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ShaRX

Reviews pending

Product Info

Company Overview

Founded

2017

Employees

0

Funding Summary

Not Provided

Clients Your Size

About ShaRX

SHARx (pronounced “Sharks”) was designed to helpemployees and their dependents affordably access their high cost maintenance and specialty medications.The SHARx program procures these targeted medications for members through alternate access points – many times at $0 cost to the member.
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AscellaHealth LLC

Reviews pending

Product Info

Company Overview

Founded

2013

Employees

0

Funding Summary

None

Clients Your Size

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

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Kroger Prescription Plans

Reviews pending

Product Info

Min. Group Size

50 eligible

Lives Serviced

400,000

Average Cost

12 RFI Questions

23 Specific Questions

Product Features

Patient Assistance Program (PAP)

Manufacturer Assistance Fill-In

Alternative drug sourcing

Pass-Through, Admin Fee Only Contracts

Not Provided.

Product Description

Unlike other specialty carve-out programs. Our mission is to be the preferred pharmacy for people undergoing complex medication therapies by optimizing clinical outcomes and providing a high-touch, caring experience. To best support patients,... Show More

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MMA Rx Solutions

Reviews pending

Product Info

Company Overview

Founded

2016

Employees

0

Funding Summary

Not Provided

Clients Your Size

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."
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ManifestRx

Reviews pending

Product Info

Company Overview

Founded

2021

Employees

0

Funding Summary

Not Provided

Clients Your Size

About ManifestRx

ManifestRx strives to provide price transparency and a frictionless pharmacy experience. ManifestRx is removing the barriers, frustration, and confusion associated with third-party contracting and delivering a convenient, simple solution. The family of companies delivers integrated pharmaceutical delivery with Manifest Pharmacy and enterprise pharmacy benefit solutions through ManifestRx.

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Payer Matrix

Reviews pending

Product Info

Min. Group Size

1 eligible

Lives Serviced

1,500,000

Average Cost

12 RFI Questions

23 Specific Questions

Product Features

Patient Assistance Program (PAP)

Manufacturer Assistance Fill-In

Alternative drug sourcing

Pass-Through, Admin Fee Only Contracts

Not Provided.

Product Description

Payer Matrix focuses on providing quality care management and advocacy for specialty drugs, providing a substantial cost saving to our clients and members who may not otherwise have this type of discounted access... Show More

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PharmPix Corp

Reviews pending

Product Info

Company Overview

Founded

2009

Employees

150

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

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Sav-Rx Prescription Services

Reviews pending

Product Info

Company Overview

Founded

1966

Employees

350

Funding Summary

Not Provided

Clients Your Size

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

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US-Rx Care

Reviews pending

Product Info

Company Overview

Founded

01/2007

Employees

200

Funding Summary

Not Provided

Clients Your Size

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

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Espresa

Reviews pending

Product Info

Min. Group Size

250 eligible

Lives Serviced

1,000,000

Average Cost

12 RFI Questions

23 Specific Questions

Product Features

All Specialty Pharmacies Allowed

Formulary Customization

Multiple Formulary Options

Flexible plan design options

Not Provided.

Product Description

Espresa offers Specialty Care Accounts (SCA), which provide employees with a dedicated annual allowance for high-demand specialty care, including GLP-1s, hormone therapy, mental health services, and other medical expenses, while giving employers a... Show More

Company Overview

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Integrated Prescription Management

Reviews pending

Product Info

Company Overview

Founded

2009

Employees

0

Funding Summary

Not Provided

Clients Your Size

About Integrated Prescription Management

IPM is now part of LucyRx

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

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MedImpact Healthcare Systems, Inc.

Reviews pending

Product Info

Company Overview

Founded

1989

Employees

1,606

Funding Summary

1 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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MedOne Pharmacy Benefit Solutions

4.0 (1)

Product Info

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.
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Vivid Clear Rx

Reviews pending

Product Info

Company Overview

Founded

2020

Employees

0

Funding Summary

Not Provided

Clients Your Size

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.
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Amazon One Medical

Reviews pending

Product Info

Company Overview

Founded

2007

Employees

3,300

Funding Summary

Not Provided

Clients Your Size

About Amazon One Medical

One Medical challenges the notion that delivering high-quality, accessible health care is unachievable and prohibitively expensive. In fact, we’re working to prove that just the opposite is possible — a system where quality care is affordable and available to everyone. To bring this vision to life, we rely on people-centered design, smart application of technology, and a team of talented primary care providers who have the time and tools to make the right decisions. The integration of these elements allows us to offer a seamless experience that not only saves our patients time and money but also leads to better... Show More

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TrueScripts

4.2 (1)

Product Info

Company Overview

Founded

2014

Employees

200

Funding Summary

None

Clients Your Size

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

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Advanced Medical Pricing Solutions (AMPS)

Reviews pending

Product Info

Company Overview

Founded

2005

Employees

400

Funding Summary

Clients Your Size

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

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AcariaHealth

Reviews pending