Connecticut's Top 20 Pharmacy Benefit Management Companies

4
min read
Top 20 pharmacy benefit management companies in Connecticut Main

Connecticut's Top 20 Pharmacy Benefit Management Companies

4
min read
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Top 20 pharmacy benefit management companies in Connecticut Main
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The pharmacy benefit management sector in Connecticut embodies a diverse array of companies, all poised to optimize drug costs for health insurers, employers, and individuals. These organizations deliver services such as drug utilization review, formulary management, and negotiation of discounts. At a time when our healthcare system is seeking ways to effectively control surging drug costs, these management companies offer relevant solutions. Connecticut, with its thriving businesses and healthcare industry, has become a fertile ground for such firms, revealing promising growth trends and possibilities.


Top 20 pharmacy benefit management companies in Connecticut

1. PBIRx

  • Website: pbirx.com
  • Headquarters: Milford, Connecticut, United States
  • Founded: 1993
  • Headcount: 11-50
  • LinkedIn

PBIRx is a company that specializes in pharmacy benefit management and offers services such as rebate aggregation, pharmacy benefit consulting, auditing, and specialty drug alternate funding. With a data-driven approach and a team of experts in various fields, PBIRx helps clients achieve significant savings in their pharmacy benefit programs.


2. WINFertility

WINFertility offers benefit solutions for employers, health plans, and patients. Their managed care solutions result in safer pregnancies with fewer hospitalizations. Their clients experience higher pregnancy rates, improved Rx utilization, and lower costs. They provide solutions through every step of the family-building journey.


3. RemedyOne

RemedyOne is a formulary optimization company that specializes in pharmacy benefits, offering cost savings and guidance for organizations. They have a unique understanding of the complex pharmaceutical world and work to uncover growth opportunities and drive value for their clients. Their services include pharmacy rebates, medical rebates, and rebate management. They believe in providing access and education to students and helping them lead healthier lives.


4. Pequot Health Care

Pequot Health Care is a professional health care benefit management company that offers cost-effective and high-quality health insurance solutions. They provide services such as claims processing, utilization review, and benefit design. They aim to solve problems and provide excellent customer service.


5. Access Market Intelligence

Access Market Intelligence provides market insights by blending primary and secondary research into actionable market insight. The Market Insight Series offers timely strategic recommendations on the issues and trends that emerge in the evolving healthcare market. Health Care Reform 2014-2017 Consumer-Directed Healthcare Market Access Strategy Public/Private Exchanges CDHPs/HDHPs Digital Pharma Physician Consolidation


6. Aetna, a CVS Health Company

  • Website: aetna.com
  • Headquarters: Hartford, Connecticut, United States
  • Founded: 1853
  • Headcount: 10001+
  • Latest funding type: Acquired
  • LinkedIn

Aetna is a healthcare company that offers insurance plans and healthcare services. They determine the medical necessity of services and supplies, based on clinical information and guidelines. They provide pharmacy plan information, doctor directories, and member account management. Aetna aims to provide high-quality and effective healthcare to its patients.


7. Veridikal Technologies, LLC.

  • Website: veridikal.com
  • Headquarters: Westport, Connecticut, United States
  • Founded: 2008
  • Headcount: 11-50
  • LinkedIn

Veridikal provides pharmacy data solutions to improve healthcare efficiency with their suite of analytic solutions for the healthcare industry, including DetectRx, ReAssureRx, and RxView.


8. Diversified Group

  • Website: dgb-online.com
  • Headquarters: Marlborough, Connecticut, United States
  • Founded: 1967
  • Headcount: 51-200
  • LinkedIn

Diversified Group is a Third Party Administrator specializing in self-funded health benefit plans. With 50 years of experience, we offer comprehensive and cost-effective approaches to healthcare. Our services include self-funded plans, reference-based pricing, telemedicine, and more.


9. Goodroot

Goodroot Inc. is a company committed to delivering more access to better healthcare at a lower cost. They reinvent healthcare by providing invaluable guidance, savings, and solutions for health plans, brokers, TPAs, and employer groups. Goodroot partners with PBMs, pharmaceutical manufacturers, and hospital systems to increase access to effective drugs at lower costs and decrease medical debt burden. They offer self-funding strategies and solutions to empower businesses to control rising benefit costs. Goodroot is dedicated to reshaping healthcare systems for good.


10. DST Health

Through two business units, SS&C DST Health provides pharmacy, healthcare administration, and health outcomes optimization solutions to health plans in the commercial and government sectors, PBMs, integrated health systems, and providers. We help plans optimize clinical, operational and financial outcomes by integrating data, analytics, and insights with leading technology, business services and strategic advisory. DST Pharmacy Solutions, Inc. Pharmacy Solutions helps plans optimize the value in pharmacy benefits and improve clinical outcomes for their members, improve financial performance, reduce administrative burdens, and manage compliance requirements. Our flexible administrative platform supports and operationalizes all plan types, which helps to reduce the resources needed to manage multiple systems, data silos and vendors. Our deep experience in data management and advanced analytics combine with clinical expertise to create convergent solutions that help transform and support coordinated care models and improve physician, pharmacy and member alignment. DST Health Solutions, LLC Health Solutions delivers contemporary healthcare technology and service solutions that enable its clients to thrive in a complex, rapidly evolving healthcare market. Supporting all plan types and healthcare providers, DST Health Solutions’ services include enterprise payer platforms, population health management analytics, care management, and business process outsourcing solutions - each designed to assist a company with managing the processes, information, and products that directly impact quality outcomes. DST Systems, Inc. was acquired by SS&C Technologies on April 16, 2018. SS&C provides the global financial services industry with a broad range of highly specialized software, software enabled-services and software as a service (SaaS) solutions for operational excellence. Additional information about SS&C is available at www.ssctech.com.


11. ebm

  • Website: getebm.com
  • Headquarters: North Haven, Connecticut, United States
  • Founded: 2012
  • Headcount: 11-50
  • LinkedIn

ebm (Employee Benefit Management) is a company that provides comprehensive employee benefit solutions and services to brokers, carriers, and employers. Their streamlined platforms and technology allow businesses to manage employee benefits, stay compliant with regulations, and navigate the ever-changing healthcare reform landscape. They offer a choice in high-quality platforms that meet the needs of today's employment landscape.


12. gbac, inc.

  • Website: gbac.com
  • Headquarters: North Haven, Connecticut, United States
  • Founded: 1975
  • Headcount: 11-50
  • LinkedIn

gbac.com is a company that offers a wide range of services including Employee Benefits, HR Consulting, Property & Casualty, Workplace Wellness, and Private Marketplaces. With over 40 years of experience, they provide solutions and prioritize client satisfaction by keeping their best interests at heart.


13. HRMC- Human Resource Management Concepts, LLC

  • Website: hirehrmc.com
  • Headquarters: Hamden, Connecticut, United States
  • Founded: 2011
  • Headcount: 11-50
  • LinkedIn

HRMC is a human resource solutions company that offers scalable and personalized HR services with access to dedicated HR professionals on call or on site.


14. Cigna

  • Website: cigna.com
  • Headquarters: Bloomfield, Connecticut, United States
  • Founded: 1792
  • Headcount: 10001+
  • LinkedIn

Cigna is a global healthcare company that offers a variety of services and tools to help individuals manage their health and wellbeing. Through their Wellbeing App, users can access medical advice, telehealth consultations, and personalized tips for lifestyle improvements. Cigna also provides online coaching programs for chronic condition management, such as diabetes and cardiovascular disease.


15. Aon Hewitt

  • Website: aonhewitt.com
  • Headquarters: Farmington, Connecticut, United States
  • Founded: 1940
  • Headcount: 10001+
  • LinkedIn

Aon Hewitt is a global company offering consulting and outsourcing services in the areas of human resources, retirement, health and talent management. They provide solutions to organizations to optimize their workforce, enhance employee engagement and improve overall business performance.


16. Westport Healthcare Advisory Group

Our clients include money managers, payers, HCIT companies and health care organizations of all sizes looking to grow their business and understand the ""path not traveled."" We have deep domain knowledge in both the pharmacy and managed care industries and marketplace including operations, competition, fiscal evaluations, planning, benefits and growth. We serve money managers, private equity firms, payers and as a strategic adviser to companies currently operating, or are interested in, health care organizations. Copyright © 2020 Westport Healthcare Advisory Group - All Rights Reserved.


17. Benistar

  • Website: benistar.com
  • Headquarters: Avon, Connecticut, United States
  • Founded: 1978
  • Headcount: 11-50
  • LinkedIn

Benistar is a nationwide leader in group retiree medical benefits, providing retiree medical and prescription drug solutions for companies and organizations nationwide. They offer consulting expertise and flexible, cost-competitive retiree health plans. Their services include retiree benefit administration and prescription benefits.


18. The Pharmacy Group

  • Website: tpg-group.com
  • Headquarters: Glastonbury, Connecticut, United States
  • Founded: 1997
  • Headcount: 11-50
  • LinkedIn

TPG is a company that offers solutions in lead generation, market development, marketing solutions, and product development. They specialize in specialty pharmaceuticals and aim to solve top challenges in this industry.


19. Whittlesey

  • Website: wadvising.com
  • Headquarters: Hartford, Connecticut, United States
  • Founded: 1961
  • Headcount: 51-200
  • LinkedIn

Whittlesey is a professional services firm offering business planning and advisory services to national and international manufacturers and distributors. They provide thought-provoking advice on driving productivity, increasing profitability, and reducing business risks.


20. TPS Group, Inc.

  • Website: tpsgroup.com
  • Headquarters: North Haven, Connecticut, United States
  • Founded: 1964
  • Headcount: 51-200
  • LinkedIn

TPS Group provides retirement plan management, payroll, and benefit solutions to businesses. They offer services such as secure Act 2.0 knowledge, safe harbor 401(k) plan options, and retirement plan consulting. TPS Group aims to promote a secure financial future for all.


Want to find more pharmacy benefit management companies?


If you want to find more companies that offer unique solutions for managed drug costs and health benefits you can do so with Inven. This list was built with Inven and there are hundreds of companies like these globally.


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  • Ownership: Which of these are private equity backed? Which are family-owned?
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...and a lot more!

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