Specialty PBM carve out services and tools that help employers manage specialty drug costs and utilization and improve patient outcomes.
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List of the top 6 Specialty PBM CarveOut Services in Shortlister as of October 2023, presented in the order they appear in the full Vendor Listing tab.
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... View Full Profile
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; ... View Full Profile
Payer Matrix, LLC is a Specialty Drug Cost Containment Company who partners with commercial plans, Taft Hartley Funds, and TPAs in the industry to help mitigate the financial risk and growing liability related to specialty drug costs.With over 30 years ... View Full Profile
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 – ... View Full Profile
AscellaHealth is an innovative Pharmacy Benefit Manager that focuses on providing custom and tailored pharmacy benefit management services to its clients. We are always looking to expand our team with talented individuals, if you are interested in learning ... View Full Profile
Paying for specialty healthcare the old way no longer works for all of us. Savings generated through network contracting and rebate pricing are not trickling down to group health plans, their participants nor their beneficiaries. Paydhealth is changing the ... View Full Profile
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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, ... View Full Profile
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 ... View Full Profile
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 ... View Full Profile
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 ... View Full Profile
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, ... View Full Profile
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... View Full Profile
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... View Full Profile
AcariaHealth, an Envolve Pharmacy Solution, is a national specialty pharmacy focused on improving care and outcomes for patients living with complex and chronic conditions. Our specialized care management services put patients first, bringing a personal touch ... View Full Profile
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 ... View Full Profile
eviCore healthcare (eviCore) offers proven, diversified medical benefits management solutions that help clients reduce costs while increasing quality of care for their members. The company provides these solutions to managed care organizations and risk-bearing... View Full Profile
Pharmacy Benefit Dimensions® stands alone from typical pharmacy benefit managers because we give you more. Our experience managing pharmacy and medical benefits gives us a more powerful approach to achieve better quality pharmacy benefits at the lowest ... View Full Profile
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 ... View Full Profile
WithMe Health is an innovative Pharmacy Benefit Manager (PBM) that puts members at the center of their healthcare experience. Through WithMe's clinically driven mPath360 technology and empathy-led medication guides, WithMe creates a truly personalized ... View Full Profile