Top 20 Pharmacy Benefit Managers in New Jersey
Top 20 Pharmacy Benefit Managers in New Jersey
Pharmacy Benefit Management companies (PBMs) play a crucial role in the health care sector by managing prescription drug benefits on behalf of insurers. These companies negotiate on behalf of insurance companies to secure discounts from drug manufactures and pharmacies. They also provide a gamut of services such as claim processing, pharmacy network management, and medication utilization reviews. With the escalating cost of medications, the demand for PBMs in New Jersey is on the rise, propelling the industry towards meaningful innovation and growth.
Top 20 pharmacy benefit management companies in New Jersey
1. Benecard PBM
- Website: benecard.com
- Headquarters: Lawrenceville, New Jersey, United States
- Founded: 1990
- Headcount: 51-200
Benecard Association Benefit Advisors & Employees offer a unique Rx benefit program with fixed and guaranteed costs for clients, ensuring their Rx budget remains intact. They provide expert advice, comprehensive proposals, and timely prescription programs to employee benefit advisors. Benecard is a Pharmacy Benefit Manager (PBM) that understands the pharmacy benefit landscape.
2. Zillcare
- Website: zillcare.com
- Headquarters: Cherry Hill, New Jersey, United States
- Founded: 2019
- Headcount: 11-50
Zillcare is a pharmacy benefits management company that powers its pharmacy network to provide direct clinical care to the local community. They offer a pharmacy-driven, supply-side PBM model that maximizes patient health while returning clinical and economic control to pharmacies.
3. IngenioRx
- Website: ingenio-rx.com
- Headquarters: Morristown, New Jersey, United States
- Founded: 2017
- Headcount: 1001-5000
IngenioRx is a member-focused pharmacy benefit manager that works to protect clients from fraud, waste, and abuse in specialty medications.
4. EmpiRx Health
- Website: empirxhealth.com
- Headquarters: Montvale, New Jersey, United States
- Founded: 2014
- Headcount: 201-500
EmpiRx Health is a company that guarantees a certain amount of savings for employers by putting their own capital on the line. They offer personalized healthcare solutions that improve health outcomes and deliver cost savings through population health management and drug utilization management. Their innovative approach combines advanced technology, analytics, and personalized care to drive better health outcomes.
5. Pharmacy Benefit Management Institute
- Website: pbmi.com
- Headquarters: Cranbury, New Jersey, United States
- Founded: 1995
- Headcount: 1-10
- Latest funding type: Acquired
PBMI is the nation’s leading provider of research and education that informs, advises, and influences the industry on drug cost management.
6. Flipt
- Website: fliptrx.com
- Headquarters: Jersey City, New Jersey, United States
- Founded: 2010
- Headcount: 11-50
Fliptrx.com offers a free-market solution to prescription drug pricing. They provide transparency by sharing the real costs of medications and pass on 100% of rebates and savings to customers. Their high-tech, high-touch approach empowers plan sponsors, reduces drug expenses, and improves member well-being.
7. Horizon Blue Cross Blue Shield of New Jersey
- Website: horizonblue.com
- Headquarters: Newark, New Jersey, United States
- Founded: 1932
- Headcount: 5001-10000
Horizon Blue Cross Blue Shield of New Jersey is a health insurance company that offers fully insured and self-insured health plans. They provide coverage for medical services, including testing for COVID-19. Horizon BCBSNJ offers a range of health plans and works with pharmacies and healthcare providers to administer benefits to their members.
8. Frier Levitt
- Website: frierlevitt.com
- Headquarters: Pine Brook, New Jersey, United States
- Founded: 2000
- Headcount: 51-200
Frier Levitt is a law firm specializing in healthcare and pharmaceutical law. They provide legal support and advisory services to healthcare organizations, medical practices, and pharmaceutical companies. Their expertise includes administrative and insurance defense law, antitrust, clinical trials, fraud and abuse counseling, and telemedicine.
9. Medco Health Solutions
- Website: medco.com
- Headquarters: Franklin Lakes, New Jersey, United States
- Headcount: 10001+
Medco is a company that offers healthcare services through mail order prescriptions and specialty pharmacy services.
10. Axe Prime LLC
- Website: axeprime.com
- Headquarters: Mt. Laurel, New Jersey, United States
- Headcount: 11-50
AXE PRIME LLC is a full-service subscription benefit administrator that provides affordable access to various benefits such as dental, vision, and telehealth. They offer pharmacy benefit administration services including set-up, implementation, and management of direct-to-consumer pharmacy savings programs. Additionally, they provide modern office space for small business owners and mid-size employers, offering furnished offices, conference rooms, and on-site management.
11. Conner Strong & Buckelew
- Website: connerstrong.com
- Headquarters: Camden, New Jersey, United States
- Founded: 1959
- Headcount: 201-500
Conner Strong & Buckelew is a company that specializes in insurance and risk management solutions. They offer a wide range of services including employee benefits, property and casualty insurance, and specialty areas such as captive insurance and enterprise risk management.
12. Advantage Point Solutions
- Website: apsconsulting.com
- Headquarters: Oradell, New Jersey, United States
- Headcount: 1-10
Advantage Point Solutions is a pharmaceutical consulting agency working with both manufacturers and payers, offering groundbreaking formulary, contracting, and outcomes strategies for over 20 years.
13. Retiree First
- Website: retireefirst.com
- Headquarters: Mount Laurel, New Jersey, United States
- Founded: 2005
- Headcount: 51-200
RetireeFirst is a retiree healthcare management firm dedicated to providing the highest quality of service and results for employers, plan sponsors, and their Medicare-eligible retirees to preserve and enhance retiree benefits.
14. EverythingBenefits
- Website: everythingbenefits.com
- Headquarters: New Providence, New Jersey, United States
- Founded: 2015
- Headcount: 10001+
- Latest funding type: Acquired
EverythingBenefits is a company that provides comprehensive employee benefits administration solutions. Their offerings include benefits enrollment and management, automated new hire reporting, financial and carrier connectivity, COBRA administration, benefits reconciliation, payments and collections, and dependent eligibility audit.
15. Broad Reach Benefits, an Alera Group Company
- Website: broadreachbenefits.com
- Headquarters: Parsippany, New Jersey, United States
- Founded: 1991
- Headcount: 1001-5000
Broad Reach Benefits is an employee benefit broker company offering a range of insurance and benefit plans such as private exchange, medical, dental, disability income, group life, vision insurance benefits, and executive reimbursement plans.
16. Extensis Group
- Website: extensisgroup.com
- Headquarters: Woodbridge, New Jersey, United States
- Founded: 1997
- Headcount: 201-500
Extensis Group LLC is a professional employer organization (PEO) that specializes in helping small businesses navigate the complexities of human resources (HR). With the changing HR regulations and evolving expectations of the workforce, Extensis offers customized solutions to streamline HR processes and provide comprehensive support. They partner with benefits brokers and their clients, offering expertise and guidance in managing HR functions effectively.
17. Secova
- Website: secova.com
- Headquarters: Budd Lake, New Jersey, United States
- Founded: 1989
- Headcount: 201-500
Secova is an altruistic company that offers outsourced employee benefits administration services. They provide analysis and consultation on healthcare networks, health plan performance, and online enrollment services. Their aim is to simplify the identification of ineligible dependents and provide tailored programs for each client.
18. Asrm, LLC
- Website: asrmllc.com
- Headquarters: Moorestown, New Jersey, United States
- Founded: 1991
- Headcount: 51-200
ASRM LLC is a benefit management platform for the 21st century. They provide meaningful and cost-efficient management of employee benefits.
19. Agadia
- Website: agadia.com
- Headquarters: Parsippany, New Jersey, United States
- Founded: 2007
- Headcount: 51-200
Agadia is a software company specializing in healthcare services. They offer solutions for electronic prior authorization, medication therapy management, and healthcare utilization management. Their software, PAHub, streamlines and automates the prior authorization process, improving compliance and reducing costs. Agadia's solutions are used across all lines of business in the managed care market.
20. Labor First, LLC
- Website: laborfirst.com
- Headquarters: Mount Laurel, New Jersey, United States
- Founded: 2005
- Headcount: 51-200
- Latest funding type: Private Equity
RetireeFirst is a team of experienced retiree healthcare advocates dedicated to providing the highest quality of service and results for our clients.
Want to find more pharmacy benefit management companies?
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