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Abarca Health

A better way in pharmacy benefits.

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Overview

Abarca Health is a pharmacy benefit manager that has built a more modern, user-friendly, and powerful technology platform, called Darwin, to manage pharmacy benefits. They offer PBM services to health plans and other payers, emphasizing a better user experience, greater transparency, and more flexibility than legacy systems. Their platform handles everything from formulary management and claims processing to clinical programs.

✨ Key Features

  • Cloud-Native PBM Platform (Darwin)
  • Real-Time Formulary Management
  • Advanced Claims Adjudication
  • Clinical Program Builder
  • API-First Architecture
  • Transparent and Flexible PBM Services

🎯 Key Differentiators

  • Modern, AI-powered technology platform (Darwin)
  • Strong focus on transparency and a better user experience
  • A 'virtual vertical integration' approach offering best-in-class services a la carte.

Unique Value: Combines a modern, AI-powered technology platform with a commitment to transparency to deliver a more efficient, personalized, and cost-effective pharmacy benefits experience.

🎯 Use Cases (3)

Serving as the PBM for health plans seeking a modern, technology-forward partner. Replacing legacy PBM platforms with a more flexible, cloud-based solution. Quickly building and deploying custom clinical and formulary rules.

✅ Best For

  • Managing millions of lives on its Darwin platform for various health plans.

💡 Check With Vendor

Verify these considerations match your specific requirements:

  • Organizations that are not ready to move away from traditional, legacy PBM systems.

🏆 Alternatives

Optum Rx Navitus Health Solutions Capital Rx

Unlike PBMs built on older, legacy technology, Abarca offers a more agile and user-friendly platform designed to provide clearer insights and greater flexibility.

💻 Platforms

Web API

🔌 Integrations

API-first design allows for flexible integration with third-party apps and client systems.

🛟 Support Options

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

🔒 Compliance & Security

✓ SOC 2 ✓ HIPAA ✓ BAA Available ✓ SSO ✓ SOC 1 ✓ SOC 2

💰 Pricing

Contact for pricing

Free tier: NA

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