πŸ”§ Tools in PBM Software

Capital Rx JUDI

AI-powered enterprise health platform.

A cloud-native enterprise health platform that unifies all PBM operations for managing health benefits.

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Abarca Darwin

A smarter PBM platform.

A modern, cloud-based, and mobile-ready PBM platform available as a SaaS solution or for full-service PBM.

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SmithRx Drug Acquisition Platform (DAP)

Radically Transparent Pharmacy Benefits.

A technology-driven PBM alternative that focuses on transparency and cost savings through a 100% pass-through model.

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Navitus Health Solutions

Redefining Pharmacy Benefits with You.

A full-service PBM that operates on a 100% pass-through business model to lower drug costs and improve health.

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Prime Therapeutics

Transforming Pharmacy Benefit Management For Modern Healthcare.

A leading PBM, collectively owned by Blue Cross and Blue Shield Plans, focused on partnership and value-based solutions.

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Serve You Rx

A full-service pharmacy benefit manager (PBM) with unquestionable flexibility.

An independent and privately held PBM focused on flexibility, client service, and tailored, cost-effective benefit solutions.

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BeneCard PBF

A truly transparent PBM offering a pure pass-through business model.

A pharmacist-owned PBM focused on transparency, patient-centric care, and advanced clinical programs.

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MedImpact Healthcare Systems, Inc.

The largest independent pharmacy benefit solutions company.

An independent PBM offering innovative clinical programs, technology, and analytics to provide clarity and control over pharmacy benefits.

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ProCare Rx

Innovative. Flexible. Transparent.

A private healthcare technology provider specializing in transparent PBM services, claims processing, and data analytics.

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PerformRx

A different kind of PBM.

A full-service PBM specializing in serving Medicaid, Medicare, and managed care organizations with a focus on clinical services.

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Liviniti

Your PBM partner in savings.

A PBM operating on a completely transparent, pass-through pricing model to help employers save on prescription costs.

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RxBenefits

The employee benefits industry’s first and only technology-enabled pharmacy benefits optimizer (PBO).

A technology-enabled Pharmacy Benefits Optimizer (PBO) that provides solutions for self-funded employers.

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Sav-Rx

Let's FLIP THE SCRIPT in YOUR best interest.

An independent, family-operated Medication Benefits Manager focused on serving American workers and their health plans.

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Xevant

Automated Insights. Optimized Performance.

An intelligent analytics platform providing real-time data and insights for PBMs and other healthcare stakeholders.

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Artemetrx

Proactive PBM Oversight.

An analytics platform offering Rebate and Pricing Monitor solutions for health plans to validate PBM performance.

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Sonata Software PBM Solutions

Next-gen healthcare solutions tailored for Pharmacy Benefit Management (PBM) organizations.

A provider of technology solutions and testing services for PBMs, focusing on compliance, analytics, and member engagement.

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Magellan Rx Management

Leading humanity to healthy, vibrant lives.

A PBM specializing in managing benefits for complex, high-cost areas like specialty drugs and medical pharmacy.

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MaxorPlus

Better pharmacy benefits. Better business.

A PBM providing customized, clinically-driven pharmacy benefit solutions with a focus on transparency and service.

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WellDyne

The PBM that makes a difference.

A PBM known for user-centric platforms, intuitive interfaces, and efficient adjudication workflows.

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True Rx Health Strategists

A pharmacy benefit management (PBM) company with a pharmacist in its DNA.

A pharmacist-led PBM that focuses on a pass-through model and clinical strategies to manage pharmacy benefit costs.

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AffirmedRx

A PBM that puts people first.

A public benefit corporation PBM with a pass-through pricing model and a flat administration fee.

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EmpiRx Health

The industry's only value-based PBM.

A pharmacist-led, value-based PBM that focuses on clinical care and offers a pay-for-performance model.

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CVS Caremark

An integrated pharmacy benefit management model.

One of the largest PBMs in the US, part of CVS Health, offering a comprehensive and integrated suite of PBM services.

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Express Scripts

Part of Evernorth Health Services.

A leading PBM, part of Cigna's Evernorth, known for its innovative approach, real-time analytics, and predictive modeling.

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OptumRx

Pharmacy care services that deliver better health outcomes.

A major PBM and part of UnitedHealth Group, offering end-to-end PBM solutions that merge robust adjudication with clinical expertise.

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