Specialty PBM CarveOut Services

Specialty PBM carve out services and tools that help employers manage specialty drug costs and utilization and improve patient outcomes.
  • All Vendors (46)
  • Top Vendors (7)
Sort by:
Sponsored sort by
Archimedes RX

Archimedes RX

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

Founded

2016

Employees

Funding Summary

Not Provided

Clients Your Size Clients Your Size

Clients size is Locked

About 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 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
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
Payermatrix

Payermatrix

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

Founded

2016

Employees

Funding Summary

Not Provided

Clients Your Size Clients Your Size

Clients size is Locked

About 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 experience in the Specialty Pharmacy business market, the Company was formed to address the rising costs of these medications. Payer Matrix focuses on procuring alternative funding for specialty drugs, providing a substantial cost saving to our clients and members who may not otherwise have this type of discounted access to the medication they need.
 Show More
ShaRX

ShaRX

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

Founded

2017

Employees

Funding Summary

Not Provided

Clients Your Size Clients Your Size

Clients size is Locked

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.
 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
Paydhealth

Paydhealth

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

Founded

2021

Employees

Funding Summary

Not Provided

Clients Your Size Clients Your Size

Clients size is Locked

About 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 funding of specialty healthcare to re-imagine the possibilities of bringing real savings to the purchaser of healthcare -- you.
 Show More
Integrated Prescription Management

Integrated Prescription Management

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

Founded

2009

Employees

Funding Summary

Not Provided

Clients Your Size Clients Your Size

Clients size is Locked

About 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, we take a collaborative approach to controlling costs without compromising care. Show More
Kroger Prescription Plans

Kroger Prescription Plans

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

Min. Group Size

50 eligible

Lives Serviced

400,000

Average Cost

Average Cost is Locked

12 RFI Questions Get access to vendor answered question RFIs.

RFI questions number is Locked

23 Specific Questions Specific Questions

Lock

Product Features

✓

Patient Assistance Program (PAP)

 ✓

Manufacturer Assistance Fill-In
✓

Alternative (International) Drug Sourcing Fill-In

 ✓

Pass-Through, Admin Fee Only Contracts
Show All Features

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
Company Overview
ManifestRx

ManifestRx

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

Founded

2021

Employees

Funding Summary

Not Provided

Clients Your Size Clients Your Size

Clients size is Locked

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.

Show More
MedOne Pharmacy Benefit Solutions

MedOne Pharmacy Benefit Solutions

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

Founded

1999

Employees

80

Funding Summary

Not Provided

Clients Your Size Clients Your Size

Clients size is Locked

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.
Show More
PharmPix Corp

PharmPix Corp

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

Founded

2009

Employees

140

Funding Summary

Not Provided

Clients Your Size Clients Your Size

Clients size is Locked

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
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

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
Vivid Clear Rx

Vivid Clear Rx

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

Founded

2020

Employees

Funding Summary

Not Provided

Clients Your Size Clients Your Size

Clients size is Locked

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.
 Show More
Transcarent

Transcarent

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

Founded

2018

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
A-S Medication Solution

A-S Medication Solution

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

Founded

1988

Employees

Funding Summary

Not Provided

Clients Your Size Clients Your Size

Clients size is Locked

About A-S Medication Solution

A-S Medication Solutions (ASM) and its affiliates are privately owned companies founded in 1968. ASM is the leading provider of on-site dispensing and currently services over 3,600 provider dispensing sites as well as several on-site close system pharmacies. ASM is registered with the FDA, DEA and licensed with all 50 states who focuses on a closed system distribution model capable of providing medications to both clinics and pharmacies at all levels. In addition, ASM is VAWD accredited with NABP, which validates a secure medical supply chain at the highest levels by the prestigious national association of boards of pharmacy. Finally,... Show More
Allign RX (GOODROOT)

Allign RX (GOODROOT)

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

Founded

Employees

Funding Summary

Not Provided

Clients Your Size Clients Your Size

Clients size is Locked

About Allign RX (GOODROOT)

Goodroot is an interconnected community of companies making every interaction between human and health accessible, affordable and seamless. As a proven healthcare innovation partner, Goodroot delivers transformative tech and proactive services that enable clients, partners and patients to reap more value from the money spent on health. We’re laser-focused on holistically reinventing healthcare, one system at a time, to improve affordability and accessibility for patients.

Our community of companies, founded in 2020, has attracted over 100 seasoned industry veterans, who left their previous roles behind to change the world. Together, we’ve removed $1 billion in wasteful... Show More
Appro-Rx

Appro-Rx

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

Founded

2000

Employees

Funding Summary

Not Provided

Clients Your Size Clients Your Size

Clients size is Locked

About Appro-Rx

Appro-Rx is a growing Health Information Technology (HIT) company dedicated to payer medical cost reduction and improvement in patient health outcomes via their provider network. Through the use of Pharmacy Benefit Management (PBM) technologies, Appro-Rx provides customers with prescription drug claims processing, prescription benefit management tools and other IT needs.

The principals of Appro-Rx believe strongly that the PBM model is broken, and we have set out to be industry game changers. We are targeting current practices – spread pricing on prescription drugs, manufacturers’ rebates and mandatory mail order programs that benefit PBMs instead of employers and... Show More
Beanstalk Benefits

Beanstalk Benefits

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

Min. Group Size

-

Lives Serviced

400

Average Cost

Average Cost is Locked

12 RFI Questions Get access to vendor answered question RFIs.

RFI questions number is Locked

23 Specific Questions Specific Questions

Lock

Product Features

Not Provided.

Product Description

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... Show More
Company Overview
Benesan

Benesan

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

Founded

2020

Employees

Funding Summary

Not Provided

Clients Your Size Clients Your Size

Clients size is Locked

About Benesan

Benesan is a business process outsourcing firm specializing in health benefits purchasing and population health management. We are paid exclusively by the employer and we have insider expertise in health care delivery and benefits purchasing and design, with a unique understanding of the trucking and logistics industry.

We provide an integrated health benefit plan that aligns with our customers and their employees to lower costs and improve the care experience.

We are bringing fresh thinking and strategy to a problem that has vexed employers for decades.

Show More
Blue Genes

Blue Genes

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

Founded

Employees

Funding Summary

Not Provided

Clients Your Size Clients Your Size

Clients size is Locked

About Blue Genes

It is time for a change in how prescription drugs are chosen. Blue Genes is an app-based tool that enables you to choose the right drugs for you based on how the drugs interact with each other and how the drugs interact with your specific biology. By optimizing the mix of drugs according to your genetic make-up and drug-to-drug interactions, you can be assured that the drugs you need are the right drugs for you! No more trial-and-error prescribing, you can get it right the first time. Blue Genes is the first program that considers both drug-drug and gene-drug interactions... Show More

Select up to 3 Vendors to Compare

×