The pharmacy benefit management (PBM) industry plays a critical role in the healthcare sector. Typically, these companies interact with pharmacies and drug manufacturers, aiming to control drug costs and advance the prescription medication needs of their clientele. They offer services like negotiating discounts with drug manufacturers, verifying prescription coverage, and ensuring patient compliance to medication regimens. In Michigan, a variety of PBMs cater to the local market, serving different customers such as health insurers, third-party administrators, and employers. With the industry's evolving landscape propelled by technological advancements and regulatory policies, PBMs are expected to continue to innovate and adapt.


Top 22 pharmacy benefit management companies in Michigan

1. MeridianRx

MeridianRx is a healthcare company that offers pharmacy benefits management services. They provide transparent pricing and access to a wide range of prescription drugs for health plans, third party administrators, and employer groups.


2. ScriptGuideRX, Inc (SGRX)

  • Website: sgrxhealth.com
  • Headquarters: Grosse Pointe Park, Michigan, United States
  • Founded: 2001
  • Headcount: 11-50
  • LinkedIn

ScriptGuideRX (SGRX) is a company that offers cost-effective Prescription Benefit Management tailored to meet the unique needs of its clients, without compromising on quality or service.


3. RDS Services

RDS Services is an expert in Retiree Drug Subsidy Re-Opening, Administrative Services and RX Optimization programs, providing comprehensive assistance to plan sponsors. With over two billion in recoveries and pharmacy savings, they offer strategic partnerships, program administration, reopening services, and retiree drug plans.


4. ClaimChoice Administrators

ClaimChoice helps employers navigate self-funded healthcare options and choose better solutions for their organization. They offer guidance and coverage to ensure both people and businesses are happy and healthy with increased customization and flexibility.


5. Great Lakes Benefit Group

Great Lakes Benefit Group offers data-driven solutions to assist employer groups in identifying excesses in the healthcare supply chain while creating a smart and disruptive approach to maximize benefits and contain costs.


6. Insight Benefit Administrators LLC

  • Website: insightba.net
  • Headquarters: Grand Rapids, Michigan, United States
  • Founded: 2016
  • Headcount: 11-50
  • LinkedIn

Insight Benefit Administrators is a third party administrator that provides seamless benefit solutions through high technology and implementation of the industry's leading benefit management services. They offer services such as health benefits, short term disability, COBRA management, dental and vision coverage, and post-65 medical coverage. Their goal is to provide speedy and accurate paperless claim processing, with 97% of claims received and processed electronically and 90% adjudicated within 24 hours.


7. ASR Health Benefits

  • Website: asrhealthbenefits.com
  • Headquarters: Grand Rapids, Michigan, United States
  • Founded: 1984
  • Headcount: 11-50

ASR Health Benefits is a health insurance provider offering self-funded health plans to employers and their members, with access to the Cofinity/First Health Employers Members MultiPlan network.


8. Varipro

  • Website: varipro.com
  • Headquarters: Grand Rapids, Michigan, United States
  • Founded: 1990
  • Headcount: 11-50
  • LinkedIn

Varipro is a third party administrator (TPA) that specializes in customized employee and/or retiree healthcare benefit plans. They provide personal, responsive service to help organizations control costs and make informed decisions about their benefit programs.


9. Northwood, Inc.

Northwood Inc. is a company specializing in health plan benefit administration for durable medical equipment, prosthetics, orthotics, and medical supplies. They offer innovative solutions and industry-leading methods to ensure proper indemnification for claimants. Their services include workers' comp, benefit management, infusion services, home health services, home modifications, and more.


10. EHIM, Inc.

  • Website: ehimrx.com
  • Headquarters: Southfield, Michigan, United States
  • Founded: 1987
  • Headcount: 51-200
  • LinkedIn

EHIM is a company that provides employee health insurance management solutions. They offer services such as pharmacy locators, drug searches, and at-home COVID test kit information.


11. Automated Benefit Services, Inc.

  • Website: abs-tpa.com
  • Headquarters: Sterling Heights, Michigan, United States
  • Founded: 1997
  • Headcount: 201-500
  • LinkedIn

ABS is a benefits management company that specializes in claims and billing management for the healthcare industry. They focus on creating clarity and efficiency in the healthcare experience by ensuring services are billed correctly and providing information for informed decision-making. With exceptional customer service and a powerful product portfolio, ABS helps employers deliver great benefit packages to their employees. They also assist individuals in understanding and maximizing their benefits. ABS has been serving clients nationwide since 1997.


12. Pharmacy Advantage Specialty Pharmacy

PharmacyAdvantageRx is a specialty pharmacy that aims to improve people's lives through excellence in healthcare and healing. They offer a range of specialty pharmacy services and provide free home delivery. With a vision to transform lives and communities through health and wellness, they strive to serve their customers on an individual basis.


13. BenePro

  • Website: benepro.com
  • Headquarters: Royal Oak, Michigan, United States
  • Founded: 1990
  • Headcount: 11-50
  • LinkedIn

BenePro is an employee benefits consulting company that specializes in providing comprehensive solutions for HR and benefit administration. They offer a range of services including benefits consulting, strategic partnerships, and compliance management.


14. CoStaff Services, LLC

CoStaff Services is a full-service HR and benefits solutions provider that simplifies employment administration. They offer payroll and tax administration, benefits administration, flexible spending accounts, 401k, and human resource services. Their platform connects businesses to sophisticated HR software that enhances the employee lifecycle. With CoStaff, businesses can save time, reduce risk, and focus on growing their business.


15. Cornerstone Financial Services, LLC

Cornerstone Financial Services is an independent investment firm that serves a diverse range of clients, including early stage high income earners, retirement savers, and business owners seeking financial independence. With their Cornerstone ROADMAP 360 method, they provide personalized needs analysis and comprehensive wealth management services to help clients achieve their financial goals. They offer alternative investments alongside traditional securities, ensuring a well-rounded portfolio in today's investment climate.


16. Guardian Finance and Advocacy Services

YourGuardian.org is a financial and advocacy services company that specializes in trust management, guardianship, conservatorship, representative payee services, power of attorney, and VA fiduciary services.


17. Omega Talent

  • Website: omegahro.com
  • Headquarters: Clinton Township, Michigan, United States
  • Founded: 1999
  • Headcount: 11-50
  • LinkedIn

OmegaHRO is a company offering advanced HR outsourcing solutions. They provide services such as payroll management, benefits administration, and employee onboarding. With their expertise in HR technology, OmegaHRO helps businesses streamline their HR processes and improve efficiency.


18. BCN Services

BCN Services provides human resource solutions for businesses, offering assistance with recruiting, onboarding, and reducing recordkeeping liability. They specialize in HR expertise, compliance management, and employee retention strategies.


19. DM Payroll Solutions

DM Payroll Solutions is a payroll and workforce management company that helps businesses capture, display, and transform their data. With over 60 years of experience, they offer intuitive software workflows and complementary services to simplify payroll processing. They also provide solutions for talent management, benefits administration, and time tracking.


20. FlexChecks, Inc.

  • Website: flexchecks.com
  • Headquarters: Grand Rapids, Michigan, United States
  • Founded: 1997
  • Headcount: 11-50
  • LinkedIn

Flexchecks is a company that offers payroll and HR services for businesses of all sizes. They provide solutions for managing employee timekeeping, benefits administration, applicant tracking, and more.


21. Schechter Benefits Advisors

Schechter Benefits is a company that offers comprehensive benefits and retirement planning solutions. They provide personalized strategies to help individuals and businesses maximize their benefits and plan for a secure future.


22. Teamployer

Teamployer.com provides expert HR and payroll services and solutions to cannabis businesses, helping employers retain talent and create a desirable work culture. Their offerings include talent management, payroll administration, HR administration, and employee benefits.


Want to find more pharmacy benefit management companies?


If you want to find more companies that offer a variety of services including prescription coverage, cost control, and patient adherence programs you can do so with Inven. This list was built with Inven and there are hundreds of companies like these globally.


With Inven you'll also get to know the company's:


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...and a lot more!