OptumRx specializes in the delivery, clinical management and affordability of prescription medications and consumer health products. Our high-quality pharmacy care services help deliver optimal member outcomes, smart savings and outstanding customer service. We are an Optum® company — a leading information and technology-enabled health services business dedicated to making the health system work better for everyone.
PerformRx℠ is an NCQA and URAC-accredited, pharmacy benefits manager located in Philadelphia, PA. Formed in 1999, PerformRx maintains a clinical culture, providing cost-effective therapies and extensive evidence-based programs at an optimal cost to its clients. PerformRx’s best-in-class pharmacy benefit management services include formulary development, drug therapy management and rebate management. PerformSpecialty® is PerformRx’s wholly-owned and integrated specialty pharmacy. Markets serviced by PerformRx include Medicaid, Medicare, commercial and employer group.
CVS Health is the nation's premier health innovation company helping people on their path to better health. The company is pioneering a bold new approach to total health by making quality care more affordable, accessible, simple and seamless.
CVS Health is community-based and locally focused, engaging consumers with the care they need when and where they need it. The company has approximately 9,900 retail locations, ~1,100 walk-in medical clinics, a leading pharmacy benefits manager with more than 102M plan members, a dedicated senior pharmacy care business serving more than one million patients per year and expanding specialty pharmacy services. https://www.cvshealth.com>
|Cigna is a global health service company dedicated to improving the health, well-being and peace of mind of those we serve. Cigna delivers choice, predictability, affordability and access to quality care through integrated capabilities and connected, personalized solutions that advance whole person health.
Express Scripts is a health care opportunity company. Empowered by our legacy as an industry innovator, we dare to imagine — and deliver — a better health care system with greater choice, predictability, affordability and improved outcomes. From pharmacy and medical benefits management, to specialty pharmacy care and everything in between, we uncover opportunities to make health care better.
Movers and Shakers
Magellan Rx Management is a next-generation, full-service pharmacy benefit manager (PBM) that helps our customers and members solve complex pharmacy challenges. We do this by connecting them to the people, technology and information they need to make smarter healthcare decisions. As experts in pharmacy management, we are energized by discovering new and better ways to deliver solutions in today’s rapidly evolving healthcare environment.
|MedImpact is the PBM that puts clients and consumers first. Always. For 30 years, we have had a single mission: To help make pharmacy benefits affordable, understandable, and honest. Today, our team and technology serve many large employers and plans and more than 55 million consumers in the U.S. and around the world. We are an independent company that answers to our clients, consumers, pharmacy partners, and employees, not Wall Street. We are passionate about providing access to the lowest cost prescriptions. Learn more at pbm.medimpact.com @MedImpact.
|Rx Savings Solutions works on behalf of health plans and self-insured employers to help their members reduce out-of-pocket prescription drug costs and the plan’s pharmacy spend. The solution layers on top of a client’s existing pharmacy benefit and analyzes individual claims to identify and present cost-saving alternatives to each member. Whenever savings opportunities are found, members are proactively notified through preferred communication channels. They engage with the solution through a personal online portal, mobile app and/or live, concierge-style member support provided by certified pharmacy technicians. Rx Savings Solutions currently serves more than 6 million members nationwide.
|RxEOB is a health information technology company with deep roots in pharmacy and medical claims and related data.
From predictive pricing and preferred alternatives to intelligent algorithms that account for individualized benefit coverage, patient-specific characteristics including social factors, demographic data elements and behavioral and claim history, we provide relevant communications and trusted engagement programs to plan membership, while keeping on top of regulatory compliance – Having achieved HiTrust CSF Certification RxEOB demonstrates its commitment to the highest standards of compliance.
|Abarca is igniting a revolution in healthcare. It started by redefining pharmacy benefits, but that’s just the beginning. For more than a decade, they’ve leveraged smarter technology and a straightforward business approach to provide a better experience for payers and consumers. Today, Abarca manages more than $2 billion in drug spend for millions of members. So, call them a PBM for discussion purposes, but they are unlike any other company out there. Join the revolution at abarcahealth.com.
Envolve Pharmacy Solutions transforms the traditional pharmacy benefit delivery model though flexible services that improve outcomes for members and manage costs. Serving more than 10.5 million members across the US, Envolve Pharmacy Solutions offers total drug management, including integrated pharmacy benefit management, specialty pharmacy and medication delivery services. Our national comprehensive specialty pharmacy, AcariaHealth, focuses on improving care and outcomes for patients living with complex and chronic health conditions. Our specialized care management services put patients first, bringing a personal touch to specialty drug management.
|WellDyne is a full-service pharmacy benefit manager, with 25 years of success keeping clients’ pharmacy costs low and quality of care high. Moving beyond the traditional PBM approach, the company leverages technology, data analytics, clinical programs and personalized engagement to manage total cost of care and improve outcomes – particularly in the area of specialty pharmacy. With bold thinking and flawless execution, WellDyne is committed to low-cost, first-line therapies and not just brands with rebates. To learn more about our customized, industry leading solutions, visit our website – https://welldyne.com/
|Prime Therapeutics LLC (Prime) makes health care work better by helping people get the medicine they need to feel better and live well. Prime provides total drug management solutions for health plans, employers, and government programs including Medicare and Medicaid. The company processes claims and offers clinical services for people with complex medical conditions. Prime serves more than 28 million people. For more information, visit www.primetherapeutics.com or follow @Prime_PBM on Twitter.
|EnvisionRx manages your pharmacy benefits. We’re here to help you get the medications you need at prices you can afford, and we want to make it fast and easy to manage your prescriptions—online and on the run. At EnvisionRx, we go to work every day trying to improve the quality of life and quality of care for people in need. Call us with any questions you have about your medications 24 hours a day, seven days a week at 800-361-4542, ext. 2 (TTY 711). Register for easy online access to information about copays, covered medications, pharmacies in your network, getting a replacement prescription card and much more at envisionrx.com.
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