Specialty PBM CarveOut Services

Easily navigate the crowded vendor landscape

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 Q1  2024

Q1 March 2024: Winners

Top 6 Specialty PBM CarveOut Services

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

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20 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

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

Employees
Not Provided
Lives Serviced
Not Provided
Funding
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

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

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

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
200M Series C
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

Crumdale Partners

Revolutionize the self-funded insurance space through innovative products and cost saving solutions that deliver better employee benefits at a lower cost. At Crumdale, people come first. We strive to make a positive impact on the people we serve. We believe ... View Full Profile

Employees
200
Lives Serviced
500,000
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

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

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
- - -
Reviews pending
Full Reviews Breakdown

Pharmacy Benefit Dimensions

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

Employees
130
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

Phoenix Benefits Management

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

Employees
25
Lives Serviced
220,000
Funding
Minimum Group Size
No Minimum
Features
3rd Party Integrations
Android Native Application
Employee Self-Service Tools
Top Offerings
Pharmacy Benefit Manager (PBM)
Formulary Consulting
Pharmacy Cost and Transparency Tools
Average Cost
- - -
Key Clients
- - -
Clients Your Size
- - -