πŸ“‚ Subcategories

πŸ”§ Tools in Pharmacy Benefits

DrFirst iPrescribe

Modern E-Prescribing. Built for Today's Providers.

A mobile e-prescribing app that provides full prescribing capabilities and clinical decision support on a smartphone.

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RXNT

The single-source for healthcare software.

Offers a cloud-based suite of healthcare software, including a certified E-Prescribing solution.

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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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CVS Caremark

A pharmacy benefit manager dedicated to helping each of our members on a path to better health by getting them the prescriptions they need when they need them.

Manages prescription drug benefits for health plans, employers, and government programs.

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Model N Revenue Cloud for Pharma

Revenue optimization and compliance for pharmaceutical, medtech and high-tech innovators.

An integrated platform for managing contracts, pricing, rebates, and government compliance for life sciences.

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Epic Willow

The pharmacy system for all settings of care.

An integrated pharmacy application within the Epic EHR for inpatient and ambulatory settings.

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MicroMD

Your prescription for a healthy practice.

Offers an EMR/EHR and practice management software with a comprehensive e-prescribing module.

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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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Express Scripts

Creating a better future for healthcare.

A leading pharmacy benefit manager, now part of Cigna's Evernorth health services portfolio.

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Vistex for Life Sciences

Go-to-Market Solutions to drive revenue and reduce leakage.

Manages pricing, contracts, trade, and rebate programs for pharmaceutical companies.

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Omnicell

The leader in medication management.

Provides automated medication management solutions, including dispensing cabinets and adherence packaging.

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Practice Fusion

The #1 cloud-based ambulatory EHR platform.

A cloud-based EHR for small, independent practices that includes integrated e-prescribing and formulary checks.

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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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OptumRx

Connecting the health care system with services and solutions that help people live healthier lives.

The pharmacy benefit management arm of UnitedHealth Group, providing a range of pharmacy care services.

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Kalderos Drug Discount Management Platform

Powering a transparent future for drug discount programs.

A platform that identifies and resolves non-compliant drug discounts, focusing on 340B and Medicaid.

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Surescripts Network Alliance

Trusted Health Intelligence Sharing.

A health information network that enables the electronic exchange of clinical and benefit information.

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CoverMyMeds

Helping people get the medicine they need to live healthier lives.

Provides electronic prior authorization (ePA) solutions to connect providers, pharmacists, and payers.

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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

Helping people get the medicine they need to feel better and live well.

A pharmacy benefit manager collectively owned by several Blue Cross and Blue Shield (BCBS) health plans.

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EVERSANA Revenue Management

Integrated commercial services platform for the life sciences industry.

Offers outsourced services and technology for revenue management, including rebates and government pricing.

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MEDITECH Expanse Pharmacy

One complete pharmacy solution.

A fully integrated pharmacy solution within the MEDITECH Expanse EHR.

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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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FDB (First Databank)

The leading provider of drug and medical device knowledge that helps healthcare professionals make precise decisions.

Provides integrated drug databases and clinical decision support solutions for healthcare systems.

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MedImpact

The PBM that puts clients and members first.

An independent, trend-focused pharmacy benefit manager serving health plans, hospitals, and government entities.

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Optum Rx

Transforming pharmacy benefit management.

A major Pharmacy Benefit Manager (PBM) offering rebate negotiation and management services to plan sponsors.

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Oracle Health Pharmacy (formerly Cerner)

Connecting pharmacy to the broader care journey.

An integrated pharmacy management solution within the Oracle Health EHR platform.

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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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Wolters Kluwer - Medi-Span

Embedded drug data solutions to support your medication-related decisions across the continuum of care.

Provides drug databases and clinical screening solutions for healthcare systems and payers.

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Navitus Health Solutions

The pharmacy benefit manager that’s committed to bringing humanity to pharmacy benefits.

A full pass-through, transparent pharmacy benefit manager focused on lowering costs and improving health.

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ProCare Rx

Managing your pharmacy benefit, one prescription at a time.

A PBM with its own claims processing system offering flexible rebate management services.

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CPSI Evident Thrive Pharmacy

A fully integrated pharmacy management system.

An integrated pharmacy management system for community hospitals, part of the Evident EHR.

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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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Arrive Health

Clearing the way for better health decisions.

Delivers real-time cost and coverage data into clinical workflows to improve medication affordability and access.

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Capital Rx

The full-service PBM and PBA, on a mission to change the way prescription drugs are priced and patients are serviced.

A health technology company changing the administration of pharmacy benefits through a transparent pricing model and a modern technology platform.

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Abarca Health

Finding a better way in PBM.

A PBM and healthcare technology company with a modern platform, Darwin, for managing pharmacy benefits.

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CoverMyMeds

Breaking barriers to medication access.

A healthcare technology platform focused on streamlining the electronic prior authorization (ePA) process.

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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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Optum Rx

Pharmacy care services that deliver better health outcomes at lower costs.

A major Pharmacy Benefit Manager (PBM) offering comprehensive pharmacy care services, including formulary management.

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PerformRx

PBM Solutions built to perform.

A full-service pharmacy benefit manager with expertise in Medicaid, Medicare, and commercial markets.

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Prime Therapeutics

Helping people get the medicine they need to feel better and live well.

A PBM collectively owned by Blue Cross and Blue Shield Plans, focused on managing pharmacy benefits.

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IntegriChain ICyte Platform

Pharma's Leading Platform for Commercial and Government Rebate Management.

A platform for pharma manufacturers to manage contracts, pricing, payments, and rebates.

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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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CVS Caremark

Managing your prescription plan to ensure access to affordable medication.

The Pharmacy Benefit Management (PBM) subsidiary of CVS Health, providing comprehensive prescription benefit services.

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FDB MedKnowledge

The most reliable and widely used integrated drug database in the US and Canada.

A comprehensive drug knowledge base that integrates into healthcare IT systems to support clinical decisions.

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Magellan Rx Management

Leading humanity to healthy, vibrant lives.

A full-service pharmacy benefit manager focused on managing complex, high-cost areas of healthcare.

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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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Express Scripts

Pharmacy benefits that deliver greater choice, predictability and value.

A leading Pharmacy Benefit Manager (PBM), part of Cigna, that provides comprehensive pharmacy benefit solutions.

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Wolters Kluwer Medi-Span

Embedded drug data solutions to support your medication-related decisions across the continuum of care.

An embedded drug database and clinical screening solution that supports decision-making and business processes.

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Abarca Health

A better way in healthcare.

A technology-driven PBM that offers a more efficient and user-friendly approach to pharmacy benefits.

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Capital Rx

The first and only PBM with a fair and transparent pricing model.

A PBM built on a transparent, fee-based pricing model and a modern technology platform.

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RebateLogic by Xevant

The First Fully Transparent Drug Rebate Solution.

A solution that automates the management and optimization of drug rebates in real-time.

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VativoRx Rebate Management

Maximizing your expense offset through efficient and reliable rebate management.

A service that manages rebate programs to maximize savings for various healthcare organizations.

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PBIRx Rebate Aggregation Services

Skilled rebate aggregation services maximize savings.

Offers unbundled formulary management and rebate administration services for PBMs, health plans, and TPAs.

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Lyfegen Rebate Management Service (RMAS)

Reduce your admin burden and claim every rebate.

An end-to-end managed service that handles the complexity of drug rebate management for payers.

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EncompaaS for Pharma Rebates

Make Rebate Management a Dream with EncompaaS.

An AI-powered platform that inspects complex rebate contracts to extract data and improve visibility.

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Express Scripts

A pharmacy benefit manager that puts your well-being within reach.

One of the largest PBMs in the U.S., providing comprehensive pharmacy benefit services, including rebate management.

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CVS Caremark

Helping people on their path to better health.

A leading PBM that is part of CVS Health, offering integrated pharmacy benefit management services.

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Navitus Health Solutions

The PBM that dares to be different.

A PBM focused on a 100% pass-through, transparent model to lower prescription drug costs.

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SS&C Health

Solutions for a healthier healthcare system.

Provides technology and services for healthcare payers and PBMs, including claims and rebate management.

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Change Healthcare (part of Optum)

Inspiring a better healthcare system.

A healthcare technology company providing data and analytics solutions across the healthcare ecosystem.

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Veradigm

Powering a healthier world.

A healthcare technology company providing data, analytics, and PBM services to payers and life sciences.

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CoverMyMeds (part of McKesson)

Helping patients get the medicine they need to live healthier lives.

A platform that automates the prior authorization process and connects patients to affordability programs.

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RxAgile

PBM Solutions for Today's Healthcare.

A PBM offering agile and transparent solutions, including rebate management, for health plans and employers.

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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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Prime Therapeutics

Reimagining pharmacy management to provide the care we'd want for our loved ones.

A pharmacy benefit manager collectively owned by several Blue Cross and Blue Shield (BCBS) health plans.

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MedImpact

The PBM that puts clients and members first.

An independent, privately held pharmacy benefit manager focused on transparency and client alignment.

For more tool information ➜

Navitus Health Solutions

The PBM that dares to be different.

A pharmacy benefit manager committed to a 100% pass-through, transparent business model.

For more tool information ➜

Magellan Rx Management

Leading humanity to healthy, vibrant lives.

A specialty-focused, full-service pharmacy benefit manager, now part of Prime Therapeutics.

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SS&C Health

Empowering Better Health Solutions.

Provides technology and administrative services for healthcare organizations, including pharmacy benefit managers.

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Abarca Health

A better way in pharmacy benefits.

A PBM and technology company with a modern, cloud-native platform for managing pharmacy benefits.

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Inovalon

The power to empower data-driven healthcare.

Provides cloud-based data analytics and platforms for healthcare, including pharmacy and PBM solutions.

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Agadia

Revolutionizing Healthcare Management Technology.

Provides enterprise software solutions for prior authorization and utilization management for payers.

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BeneCard PBF

A better pharmacy benefit manager.

A privately owned PBM focused on transparent pricing, clinical programs, and guaranteed savings.

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Surescripts

Advancing health intelligence to make healthcare more affordable, accessible, and convenient.

A health information network that connects pharmacies, PBMs, and clinicians for secure electronic data exchange.

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Veradigm

Powering a more intelligent, connected healthcare ecosystem.

Provides data, analytics, and technology solutions, including an e-prescribing platform with formulary checks.

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MMIT

The #1 source for market access insights.

Provides market access data, analytics, and insights on formulary coverage for pharmaceutical companies and payers.

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DxScript

Cloud-based e-Prescribing Solution.

A standalone, cloud-based e-prescribing solution with EPCS certification and formulary checking.

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Optum InterQual

Evidence-based clinical intelligence to support appropriate care and reimbursement.

A clinical decision support solution that provides evidence-based criteria for utilization management.

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Veradigm ePrescribe

Automate and Empower Your Prescribing Success.

A comprehensive, certified solution for electronic prescribing used by a large network of providers.

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Agadia RxMTM+

A Fully-Configurable Platform Leveraged to Automate your MTM Process.

A medication therapy management platform for health plans and PBMs to manage CMS-compliant MTM programs.

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AssureCare AssureRx

Empowering healthcare organizations through intelligent care.

A population health management platform with a dedicated solution for pharmacies to deliver clinical services.

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DocStation

The all-in-one platform that helps pharmacies launch and scale their clinical practice.

A unified pharmacy platform with tools for clinical services, billing, documentation, and scheduling.

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Zynx Health ZynxCare

Evidence-based clinical decision support at scale.

Provides evidence-based clinical improvement solutions, including order sets and care plans, integrated into EHRs.

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MedMe Health

The Operating System for Pharmacy Clinical Services.

A platform for pharmacists to schedule, document, and manage clinical services like MTM and immunizations.

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Arrive Health (formerly RxRevu)

Actionable data at the point of care.

A platform that delivers real-time cost and coverage data into the EHR to guide prescribing decisions.

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Prodigy Health

A new standard in pharmacy benefits.

A technology-driven Pharmacy Benefit Manager (PBM) that offers utilization management services.

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Capital Rx JUDI

The industry's first enterprise pharmacy platform.

A cloud-native enterprise pharmacy platform that unifies all PBM operations, including DUR.

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CSS Health (A CONVEY company)

Improving medication adherence and Star Ratings.

Provides MTM and medication adherence solutions for health plans, PBMs, and provider groups.

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AdhereHealth

Resolving social determinants of health and medication adherence barriers.

A technology company focused on improving medication adherence through data analytics and direct patient engagement.

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Outcomes (a Cardinal Health company)

Connecting pharmacies, payers and pharmaceutical companies to improve patient care.

A platform that connects payers with a large network of pharmacies to provide MTM and other clinical services.

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Inovalon Converged DUR

Empowering data-driven healthcare.

A data analytics platform providing clinical quality and utilization management solutions for payers.

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CenterX

The enterprise platform for prescription decision support.

A network and technology platform that manages prescription transactions and prior authorizations.

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VativoRx

A Better PBM Experience.

A Pharmacy Benefit Manager (PBM) offering concurrent and retrospective drug utilization review services.

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MRIoA

Clarity & Confidence in Every Clinical Decision.

Provides technology-driven clinical review solutions, including medication and utilization reviews.

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Elixir

A new kind of PBM.

A pharmacy benefit manager and solutions provider that is part of the Rite Aid corporation.

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ProCare Rx

Innovative. Transparent. Flexible.

An independent pharmacy benefit manager providing a suite of PBM services with in-house technology.

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Serve You Rx

A Different Kind of PBM.

An independent, family-owned pharmacy benefit manager focused on customized, high-touch service.

For more tool information ➜

BeneCard PBF

A Different Approach to Pharmacy Benefits.

An independent PBM offering transparent, pass-through pricing and a focus on clinical integrity.

For more tool information ➜

Surescripts

Advancing health intelligence.

A health information network that connects pharmacies, PBMs, providers, and health plans.

For more tool information ➜

Change Healthcare

Inspiring a better healthcare system.

A healthcare technology company providing data and analytics solutions, including pharmacy network services.

For more tool information ➜

CoverMyMeds

Helping patients get the medicine they need to live healthier lives.

A platform that automates the prior authorization process and connects providers, pharmacies, and payers.

For more tool information ➜

Inovalon

The power of data-driven healthcare.

A provider of cloud-based data analytics and platforms for healthcare, including pharmacy solutions.

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DrFirst

Unite the Healthiverse.

A healthcare technology company providing solutions for e-prescribing, medication management, and care collaboration.

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RxSense

The pharmacy benefits technology company.

A healthcare technology company providing enterprise solutions for pharmacy benefits and administration.

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