The pharmacy benefit management industry in Rhode Island is dynamic and diverse, composed of companies that offer a broad spectrum of services extending beyond conventional pharmacy-related operations. These companies manage benefits for insurers, providing services such as negotiating costs with drug manufacturers, processing claims, and quality assurance among other roles. They also venture into the territory of health screenings and wellness product provision, retiree health benefits advisory services, and even investment and private equity services related to the healthcare sector. The industry in Rhode Island seems poised for continuous growth and innovation, adapting to meet the ever-increasing demand for comprehensive, yet streamlined, healthcare services.


Top 21 pharmacy benefit management companies in Rhode Island

1. KTP Advisors

KTP Advisors is an advisory firm specializing in retiree health benefits for Labor market, Taft-Hartley funds, municipalities, corporations, universities, and other institutions.


2. CVS Caremark

  • Website: cvscaremark.com
  • Headquarters: Woonsocket, Rhode Island, United States
  • Headcount: 10001+

CVS Caremark is a pharmacy healthcare company that offers a range of services, including prescription refills, health screenings, and wellness products.


3. Nautic Partners LLC

  • Website: nautic.com
  • Headquarters: Providence, Rhode Island, United States
  • Founded: 1986
  • Headcount: 51-200
  • Latest funding type: Private Equity
  • LinkedIn

Nautic Partners provides investment and private equity services, focusing on three specialties: healthcare services, industrials, and IT solutions. They support the long-term value creation of their portfolio companies through operating advisors and strategic guidance. With a commitment to reliable, top-quality products and services, Nautic partners with businesses to enhance operations, execute growth strategies, and drive success.


4. RXinsider

  • Website: rxinsider.com
  • Headquarters: West Warwick, Rhode Island, United States
  • Founded: 1999
  • Headcount: 11-50
  • LinkedIn

RXinsider is a company that offers products and services to improve patient care and pharmacy profitability. They provide a wide range of solutions for pharmacies, including medication storage, patient education, and customer loyalty programs.


5. CORE Higher Education Group

  • Website: corehighered.com
  • Headquarters: West Warwick, Rhode Island, United States
  • Founded: 2006
  • Headcount: 11-50
  • Latest funding type: Private Equity
  • LinkedIn

CORE Higher Education Group is an education software company that offers scalable solutions for health sciences programs. Their streamlined software helps schools with implementation, training, and day-to-day operations. With a white glove experience and clinicians on staff, they understand the nuances of health science programs.


6. Abacus Health Solutions

Abacus Health Solutions is a pioneer in the behaviorally focused disease management field. They offer precision-focused interventions to attack high-cost drivers, improve health, reduce hospitalizations, and lower costs.


7. Simpson's Pharmacy

Simpsons Pharmacy is a third-generation, family-owned and operated durable medical equipment and pharmacy retailer based in Pawtucket, RI. They offer a wide selection of medical equipment, walking assistants, bathroom safety equipment, a variety of vaccines, compounding services, medication management, medication synchronization, and home delivery services.


8. The Egis Group

  • Website: egisgroup.com
  • Headquarters: Warwick, Rhode Island, United States
  • Founded: 1975
  • Headcount: 11-50
  • LinkedIn

The Egis Group is an insurance agency serving the New England area since 1975. They provide personalized and cost-effective insurance plans for businesses and individuals, covering services like property and casualty, life insurance, retirement planning, and more.


9. Ersri

  • Website: ersri.org
  • Headquarters: Warwick, Rhode Island, United States
  • Founded: 1936
  • Headcount: 11-50
  • LinkedIn

ERSRI is the Employees’ Retirement System of Rhode Island, offering a retirement benefits program and resources for retired payees.


10. PensionmarkMeridien

PensionmarkMeridien offers insurance and investment-based solutions to corporate and individual clients to help grow, maintain, and transfer wealth.


11. Delsie Catering and Events

Delsie Catering and Events is a catering and events management company that specializes in creating unforgettable experiences through customized menus and event planning services.


12. Hope Veterinary Care

Hope Veterinary Care provides high-quality medical care to cats and dogs. Their veterinary professionals strive to deliver the best possible care to their patients, offering services such as diagnostic testing, surgery, pain management, and pet products.


13. Family Health and Sports Medicine

  • Website: fhsmri.com
  • Headquarters: Cranston, Rhode Island, United States
  • Headcount: 11-50
  • LinkedIn

Family Health and Sports Medicine is a medical center providing high quality medical care for patients across their lifetime. Their services include minor dermatology procedures, annual physical exams, same-day sick visits and sports injury evaluations amongst others.


14. Virtual Pharmacy Trade Show

RXshowcase.com is a virtual trade show platform for pharmacy-related products and services. It acts as a one-stop resource for pharmacy decision-makers to research and connect with leading providers throughout every practice setting.


15. Readiness

Core Readiness is an eLearning company that develops custom learning centers for colleges, companies, and healthcare systems. The company offers an intuitive and accessible eLearning center that supports patient literacy, educational initiatives, and personal learning needs.


16. Blue Cross & Blue Shield of Rhode Island

  • Website: bcbsri.com
  • Headquarters: Providence, Rhode Island, United States
  • Founded: 1939
  • Headcount: 501-1000
  • LinkedIn

Blue Cross & Blue Shield of Rhode Island (BCBSRI) is an independent licensee of the Blue Cross and Blue Shield Association. They offer a wide range of medical plans, dental plans, and Medicare options to individuals, families, and employers. BCBSRI is committed to supporting the health and well-being of Rhode Islanders, providing integrated coverage, pharmacy services, and access to a network of doctors and hospitals.


17. CVS/Caremark

  • Website: cvshealth.com
  • Headquarters: Woonsocket, Rhode Island, United States
  • Founded: 1963
  • Headcount: 10001+
  • LinkedIn

CVS Health is a company that is committed to shaping a better world through their focus on environmental, social, and governance priorities. They offer various health care services and products, including prescription savings, mental health support, and other wellness services. CVS Health aims to provide affordable and accessible health care for individuals and communities.


18. CSC Paymaster INC.

CSC Paymaster is the largest independent payroll processor in Rhode Island with over 55 years of experience. They offer comprehensive workforce management solutions and draw on their expertise to provide efficient and accurate payroll processing services.


19. The Enrollment Network

The Enrollment Network (TEN) is a voluntary benefits consulting and enrollment firm that offers high-quality employee benefits due diligence, proven enrollment capabilities, and benefits communication delivery strategies to its clients.


20. Innovative Enrollment Solutions LLC

We've got enrollment locked up. Safe, secure, effortless enrollment services. Whether you are a broker, agent, carrier, benefits administrator or an employer, with iEnrollSolutions, the i is you. We have designed the iEnrollsolutions platform for users and clients that demand an efficient, flexible and successful enrollment process. Our intuitive platform supports agent assisted, call center, and self-enrollment scenarios.


21. Hilb Group New England

  • Website: hilbgroupne.com
  • Headquarters: Cranston, Rhode Island, United States
  • Founded: 1946
  • Headcount: 501-1000
  • LinkedIn

The Hilb Group of New England is a company that provides a range of insurance and risk management solutions for businesses. With a focus on creative problem-solving and tailored programs, they help clients thrive and achieve success in today's dynamic business environment.


Want to find more pharmacy benefit management companies?


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