Specialty PBM CarveOut Services

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Specialty PBM carve out services and tools that help employers manage specialty drug costs and utilization and improve patient outcomes.

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Rachel B

HR Director

Vendor Banner Specialty PBM CarveOut Services Q2  2024

Q2 June 2024: Winners

Top 6 Specialty PBM CarveOut Services

List of the top 6 Specialty PBM CarveOut Services in Shortlister as of June 2024, presented in the order they appear in the full Vendor Listing tab.

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22 Vendors
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Full Reviews Breakdown

Archimedes RX

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

Employees
Not Provided
Lives Serviced
Not Provided
Funding
Not Provided
Minimum Group Size
No Minimum
Features
Top Offerings
Average Cost
- - -
Key Clients
- - -
Clients Your Size
- - -
Reviews pending
Full Reviews Breakdown

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; ... View Full Profile

Employees
Not Provided
Lives Serviced
Not Provided
Funding
Minimum Group Size
No Minimum
Features
3rd Party Integrations
Live Customer Service
Third-party integrations
Top Offerings
Specialty Drug Management
Average Cost
- - -
Key Clients
- - -
Clients Your Size
- - -
Reviews pending
Full Reviews Breakdown

Payermatrix

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

Employees
Not Provided
Lives Serviced
Not Provided
Funding
Not Provided
Minimum Group Size
No Minimum
Features
Top Offerings
Average Cost
- - -
Key Clients
- - -
Clients Your Size
- - -
Reviews pending
Full Reviews Breakdown

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 – ... View Full Profile

Employees
Not Provided
Lives Serviced
Not Provided
Funding
Not Provided
Minimum Group Size
No Minimum
Features
Top Offerings
Average Cost
- - -
Key Clients
- - -
Clients Your Size
- - -
Reviews pending
Full Reviews Breakdown

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 ... View Full Profile

Employees
Not Provided
Lives Serviced
Not Provided
Funding
None
Minimum Group Size
No Minimum
Features
Top Offerings
Average Cost
- - -
Key Clients
- - -
Clients Your Size
- - -
Reviews pending
Full Reviews Breakdown

Paydhealth

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

Employees
Not Provided
Lives Serviced
Not Provided
Funding
Not Provided
Minimum Group Size
No Minimum
Features
Top Offerings
Average Cost
- - -
Key Clients
- - -
Clients Your Size
- - -

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Reviews pending
Full Reviews Breakdown

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, ... View Full Profile

Employees
Not Provided
Lives Serviced
300,000
Funding
Not Provided
Minimum Group Size
No Minimum
Features
Top Offerings
Pharmacy Benefit Manager (PBM)
Specialty Drug Management
Pharmacy Cost and Transparency Tools
Average Cost
- - -
Key Clients
- - -
Clients Your Size
- - -
Reviews pending
Full Reviews Breakdown

Kroger Prescription Plans

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, KSP established a... View Full Profile

Employees
Not Provided
Lives Serviced
800,000
Funding
None
Minimum Group Size
50 eligible
Features
3rd Party Integrations
Android Native Application
Employee Self-Service Tools
Top Offerings
Pharmacy Benefit Manager (PBM)
Specialty Drug Management
Pharmacy Cost and Transparency Tools
Average Cost
- - -
Key Clients
- - -
Clients Your Size
- - -
Reviews pending
Full Reviews Breakdown

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 ... View Full Profile

Employees
Not Provided
Lives Serviced
Not Provided
Funding
Not Provided
Minimum Group Size
No Minimum
Features
3rd Party Integrations
Employee Self-Service Tools
GDPR Compliant
Top Offerings
Pharmacy Cost and Transparency Tools
Specialty Drug Management
Pharmacy Benefit Group Purchasing Coalition
Average Cost
- - -
Key Clients
- - -
Clients Your Size
- - -
Reviews pending
Full Reviews Breakdown

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 ... View Full Profile

Employees
80
Lives Serviced
Not Provided
Funding
Not Provided
Minimum Group Size
No Minimum
Features
3rd Party Integrations
Employee Self-Service Tools
Live Customer Service
Top Offerings
Pharmacy Benefit Manager (PBM)
Specialty Drug Management
Pharmacy Cost and Transparency Tools
Average Cost
- - -
Key Clients
- - -
Clients Your Size
- - -
Reviews pending
Full Reviews Breakdown

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 ... View Full Profile

Employees
140
Lives Serviced
1,000,000,000
Funding
Not Provided
Minimum Group Size
No Minimum
Features
Top Offerings
Pharmacy Benefit Manager (PBM)
Specialty Drug Management
Average Cost
- - -
Key Clients
- - -
Clients Your Size
- - -
Reviews pending
Full Reviews Breakdown

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... View Full Profile

Employees
1606
Lives Serviced
52,642,631
Funding
Corporate Round
Minimum Group Size
No Minimum
Features
3rd Party Integrations
Android Native Application
Employee Self-Service Tools
Top Offerings
Pharmacy Benefit Manager (PBM)
Specialty Drug Management
Average Cost
- - -
Key Clients
- - -
Clients Your Size
- - -
Reviews pending
Full Reviews Breakdown

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... View Full Profile

Employees
Not Provided
Lives Serviced
Not Provided
Funding
Not Provided
Minimum Group Size
250 eligible
Features
3rd Party Integrations
Employee Self-Service Tools
Live Customer Service
Top Offerings
Pharmacy Benefit Manager (PBM)
Specialty Drug Management
Pharmacy Cost and Transparency Tools
Average Cost
- - -
Key Clients
- - -
Clients Your Size
- - -
Reviews pending
Full Reviews Breakdown

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... View Full Profile

Employees
240
Lives Serviced
1,000,000
Funding
126M Series D
Minimum Group Size
2000 eligible
Features
3rd Party Integrations
Android Native Application
Employee Self-Service Tools
Top Offerings
Healthcare Center of Excellence
Benefits Navigation Platform
Primary Care – Virtual Care
Average Cost
- - -
Key Clients
- - -
Clients Your Size
- - -
Reviews pending
Full Reviews Breakdown

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 ... View Full Profile

Employees
88
Lives Serviced
Not Provided
Funding
Not Provided
Minimum Group Size
No Minimum
Features
3rd Party Integrations
Dashboard analytics
Employee self-service
Top Offerings
Reference Based Pricing (RBP)
Pharmacy Benefit Manager (PBM)
Subrogation Recovery & Audit solutions
Average Cost
- - -
Key Clients
- - -
Clients Your Size
- - -
Reviews pending
Full Reviews Breakdown

Beanstalk Benefits

Our partner is an infrastructure company that provides pharmacy benefit management (PBM) and clinical pharmacy services to businesses desiring to control the fastest growing component of the benefits portfolio. You may have all the benefits of ownership ... View Full Profile

Employees
8
Lives Serviced
400
Funding
7.5M Seed Round
Minimum Group Size
No Minimum
Features
3rd Party Integrations
Android Native Application
Dashboard analytics
Top Offerings
Child Care
Average Cost
- - -
Key Clients
- - -
Clients Your Size
- - -
Reviews pending
Full Reviews Breakdown

AcariaHealth

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

Employees
Not Provided
Lives Serviced
Not Provided
Funding
Not Provided
Minimum Group Size
No Minimum
Features
Top Offerings
Average Cost
- - -
Key Clients
- - -
Clients Your Size
- - -
Reviews pending
Full Reviews Breakdown

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 ... View Full Profile

Employees
Not Provided
Lives Serviced
Not Provided
Funding
Not Provided
Minimum Group Size
No Minimum
Features
3rd Party Integrations
Android Native Application
Dashboard analytics
Top Offerings
Emerging Products
Pharmacy Benefit Group Purchasing Coalition
Stop Loss Coverage
Average Cost
- - -
Key Clients
- - -
Clients Your Size
- - -
Reviews pending
Full Reviews Breakdown

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 ... View Full Profile

Employees
140
Lives Serviced
1,000,000,000
Funding
Not Provided
Minimum Group Size
No Minimum
Features
Top Offerings
Pharmacy Benefit Manager (PBM)
Specialty Drug Management
Average Cost
- - -
Key Clients
- - -
Clients Your Size
- - -
Reviews pending
Full Reviews Breakdown

eviCore Healthcare

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

Employees
5000
Lives Serviced
108,000,000
Funding
Not Provided
Minimum Group Size
No Minimum
Features
Top Offerings
Average Cost
- - -
Key Clients
- - -
Clients Your Size
- - -