Capital Rx’s Non-Traditional PBM Model Fueling Success

Capital Rx is built around the mission of changing the way prescription drugs are priced and patients are serviced. A health technology company daring to reimagine the pharmacy benefits industry, Capital Rx is executing on that mission through its Clearinghouse Model® – the first equitable framework for drug pricing.

Capital Rx’s enterprise pharmacy platform, JUDI™, connects every aspect of the pharmacy ecosystem in one platform, enabling patient engagement, and increasing efficiency to achieve the highest standards of clinical care.

Capital Rx serves hundreds of thousands of covered lives, growing by 400% in 2020, and doubling in size in 2021. The company projects that it will have close to one million covered lives by the end of 2022.

Capital Rx was recently selected by WTW’s Rx Collaborative (RxC), as a new, transformative pharmacy benefits management (PBM) partner. Through this new RxC partner, employers will have access to Capital Rx’s cutting-edge technology and services.

Capital Rx was selected for its flexible business model and novel drug pricing approach. Capital Rx fills a vital role in executing WTW’s mission of adding transparency to PBM pricing and revenue sources, while offering significant financial value to employers.

Capital Rx was also recently selected by CDPHP as the health plan’s new pharmacy benefit manager (PBM). This decision, which takes effect on January 1, 2023, catapults the CDPHP pharmacy strategy ahead of its competitors, ensuring quality, cost, access, and transparency for patients, providers, and small and large businesses alike.

With more than 150 active clients covering more than one million lives, Capital Rx is one of the fastest growing health care companies in America and offers game-changing technology in both claims processing and benefit configuration.

CDPHP will leverage Capital Rx’s intuitive, cloud-native, enterprise pharmacy platform (EPP) JUDI™ to increase efficiency and achieve the highest standards of clinical care for its members. The platform enables real-time communication among physicians, pharmacies, patients, and plans, and facilitates faster and more efficient prescription processing for members.

Takeaway: Capital Rx is finding success in its mission to disrupt the traditional pharmacy benefits model and help employers gain more control over their prescription drug costs

Access Market Intelligence publishes its PBM Annual Review and PBM Platform Company Overview to provide comprehensive business intelligence on the pharmacy benefit market