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Pharmacy Benefit Mgmt SaaS

17 companies in this category

17
Total
$80M
Median ARR
$150.0B
Top ARR
0%
Free tier %

CVS Caremark (CVS Health)

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CVS Caremark, a division of CVS Health, is one of the largest PBMs, providing comprehensive pharmacy benefit management services to a wide range of clients.

ARR $150.0BsubscriptionUSA1994

Optum Rx (UnitedHealth Group)

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Optum Rx, a part of UnitedHealth Group, is a leading PBM offering a full spectrum of pharmacy care services, aiming to improve health and lower costs.

ARR $100.0BsubscriptionUSA1994

Express Scripts (Cigna Group)

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Express Scripts, a part of The Cigna Group, is a major PBM providing pharmacy benefit and health management services to millions of Americans.

ARR $100.0BsubscriptionUSA1986

Humana Pharmacy Solutions

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Humana Pharmacy Solutions provides pharmacy benefit management services, often integrated with Humana's health insurance plans, focusing on holistic health.

ARR $30.0BsubscriptionUSA

Navitus Health Solutions

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Navitus Health Solutions is a transparent pass-through PBM committed to lowering drug costs and improving health outcomes.

ARR $5.0BsubscriptionUSA2003

Centene (CenteneRx)

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Centene, a diversified multinational healthcare enterprise, offers extensive pharmacy benefit management services, often integrated with its health insurance plans.

ARR $200MsubscriptionUSA1984

Capital Rx

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Capital Rx is a full-service pharmacy benefit manager (PBM) that unifies an advanced technology platform with a clinical-first philosophy to improve patient outcomes and drive down costs.

ARR $150MsubscriptionUSA2017

AscellaHealth

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AscellaHealth provides a full-service PBM, specialty pharmacy solutions, and comprehensive programs for managing complex conditions.

ARR $90MsubscriptionUSA2017

RxAdvance

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RxAdvance offers an innovative cloud-based PBM platform designed to manage pharmacy benefits, improve health outcomes, and reduce costs for payers and members.

ARR $80MsubscriptionUSA2013

MaxorPlus

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MaxorPlus is a PBM offering a full suite of services for managing pharmacy benefits, emphasizing clinical management and cost savings.

ARR $80MsubscriptionUSA1993

Liviniti

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Liviniti (formerly Southern Scripts) is a PBM focused on delivering transparent and value-driven pharmacy benefits to employers and health plans.

ARR $75MsubscriptionUSA2011

Arjuna Health (formerly SmithRx)

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Arjuna Health provides a modern, transparent PBM platform using technology to make prescription benefits more affordable and easier to understand for employers and their members.

ARR $70MsubscriptionUSA2014

NovoLogix

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NovoLogix (acquired by CVS Health/CVS Caremark) provides an electronic prior authorization and medical necessity review platform for pharmacy and medical benefits.

ARR $50MsubscriptionUSA1999

MedOne

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MedOne is a pharmacy benefit manager providing transparent and high-touch customer service for employers and health plans.

ARR $45MsubscriptionUSA2004

EmsanaRx

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EmsanaRx is a not-for-profit PBM company created by employers for employers, aiming to deliver transparent, high-quality, and cost-effective prescription drug benefits.

ARR $40MsubscriptionUSA2021

Arjuna Health

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Arjuna Health provides a transparent pharmacy benefit management solution aiming to reduce prescription drug costs for employers and health plans.

ARR $30MsubscriptionUSA2017

Nira Health

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Nira Health offers an AI-powered PBM platform that strives to optimize drug spending and improve member health outcomes.

ARR $20MsubscriptionUSA2020