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Capital Rx JUDI

The industry's first enterprise pharmacy platform.

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Overview

Capital Rx has developed JUDI, a cloud-native enterprise pharmacy platform that connects all aspects of the pharmacy benefit lifecycle, from underwriting and implementation to claims adjudication and reporting. A key function of the platform is to perform all necessary drug utilization review processes in real-time during adjudication. It supports prospective, concurrent, and retrospective DUR with configurable clinical rules and analytics capabilities.

✨ Key Features

  • Unified platform for all PBM operations
  • Real-time claims adjudication
  • Configurable clinical programs and DUR rules
  • Prior authorization workflows
  • Advanced analytics and reporting
  • Single ledger model for financial transparency

🎯 Key Differentiators

  • Unified platform for medical and pharmacy claims
  • Transparent pricing model (Single-Ledger Model)
  • Modern, cloud-native, API-first architecture

Unique Value: To provide unprecedented workflow efficiency and a unified claims system to deliver the highest level of service at the lowest price point, reducing administrative waste.

🎯 Use Cases (3)

Serving as the core operating system for a Pharmacy Benefit Manager. Adjudicating pharmacy claims with real-time DUR checks. Administering complex clinical and utilization management programs for payers.

✅ Best For

  • Powering Capital Rx's own PBM services.
  • Licensing to other health plans and payers as a technology platform.

💡 Check With Vendor

Verify these considerations match your specific requirements:

  • Provider-facing e-prescribing tool.

🏆 Alternatives

Express Scripts OptumRx CVS Caremark

Unlike legacy PBM systems which are often 20+ years old and fragmented, JUDI is a modern, purpose-built platform that offers flexibility, scalability, and transparency.

💻 Platforms

Web API

🔌 Integrations

API Health Plan Systems Employer HRIS

🛟 Support Options

  • ✓ Email Support
  • ✓ Phone Support
  • ✓ Dedicated Support (Enterprise tier)

🔒 Compliance & Security

✓ SOC 2 ✓ HIPAA ✓ BAA Available ✓ SSO

💰 Pricing

Contact for pricing
Visit Capital Rx JUDI Website →