PBM Platform Companies 2024-2025 Overview

Many pharmacy benefit managers (PBMs) developed their technology platforms for business practices a number of years ago. These practices included a system for eligibility, membership, prescribers, claims, pharmacy network contracts, pricing, benefits, formularies, authorizations, compliance, and more.

Recently, an increasing number of new companies have been entering the market with advanced PBM technology platforms. This technology may leverage advanced business intelligence capabilities with data analytics, AI/machine learning, and proprietary technology and be offered to the market as a solution to help drive down the high costs of pharmacy benefits.

Last year’s Blue Shield of California decision to take an unbundled approach to pharmacy benefits management was considered a major step to an alternative strategy to managing pharmacy benefits with advanced PBM technology platforms.

The 2024-2025 PBM Platform Companies Overview (135+ pages) offers comprehensive intelligence on over 45 of companies offering PBM technology enabled platforms. The report provides a profile for each company that includes: company background, strategy, top executives, financial/investor information, products and services, and recent activities.

Table of Contents

PBM Market

• Introduction – pgs. 5-6

PBM Platform Company Profiles

• Abarca Health – pgs. 8-11
• Agadia Systems – pgs. 12-13
• Apexon – pgs. 14-15
• Arrive Health – pgs. 16-19
• Cadence Rx, Inc. – pgs. 20-21
• Capital Rx – pgs. 22-25
• Cervey, LLC – pgs. 26-28
• Conduent Pharmaceuticals and Life Sciences – pgs. 29-31
• EHO360 – pgs. 32-34
• Encora – pgs. 35-36
• Exouza, Inc. – pgs. 37-38
• Flipt – pgs. 39-40
• Free Market Health – pgs. 41-42
• FutureRx – pgs. 43-46
• Gainwell Technologies – pgs. 47-49
• GeriScript – pgs. 50-51
• GoodRoot/Nuwae – pgs. 52-53
• Health Plan Data Solutions – pgs. 54-55
• InfinityRx – pgs. 56-58
• Laker Software – pgs. 59-60
• Levrx Technology Inc. – pgs. 61-63
• LucyRx – pgs. 64-66
• MC-Rx – pgs. 67-69
• Milliman SkySail – pgs. 70-72
• nirvanaHealth – pgs. 73-76
• OnePoint Patient Care – pgs. 77-78
• PharmPix Corporation – pgs. 79-81
• Prescryptive Health – pgs. 82-84
• Procella Health – pgs. 85-86
• Prodigy Rx – pgs. 87-89
• RedSail Technologies, LLC – pgs. 90-93
• Rightway Healthcare – pgs. 94-98
• RxBenefits Inc. – pgs. 99-101
• RxLogic – pgs. 102-103
• RxParadigm pgs. 104-106
• RxPreferred Benefits – pgs. 107-109
• RxSense – pgs. 110-112
• Scripta Insights – pgs. 113-115
• SlateRx – pgs. 116-117
• SmithRx – pgs. 118-120
• SPS Health – pgs. 121-122
• SS&C/DomaniRx – pgs. 123-125
• Tredium Solutions – pgs. 126-127
• Truveris – pgs. 128-130
• VativoRx – pgs. 131-133
• Waltz Health – pgs. 134-135
• Xevant – pgs. 136-138

AMI’s complementary report, Pharmacy Benefit Managers (PBMs) 2024-2025 Review, was published in April 2024.