22 Noteworthy Pharmacy Benefit Management Companies in New York
22 Noteworthy Pharmacy Benefit Management Companies in New York
Pharmacy benefit management companies form a crucial subset of the healthcare industry. These companies have the responsibility of managing prescription drug programs, primarily for healthcare insurance companies and corporations. Essentially, their services include the negotiation with pharmaceutical manufacturers and pharmacies for drug prices, ensuring the safety and appropriateness of medication use, facilitating medication adherence programs, and conducting drug utilization reviews. The industry is currently evolving with technological advancements such as the adoption of data analytics and AI-based tools for drug utilization review and claims processing.
Top 22 pharmacy benefit management companies in New York
1. Pharmacy Benefit Dimensions
- Website: pbdrx.com
- Headquarters: Buffalo, New York, United States
- Founded: 1998
- Headcount: 51-200
Pharmacy Benefit Dimensions (PBDRX.com) is a pharmacy benefit management company that provides information and services to help individuals optimize their prescription drug plans. They offer mail-order prescription delivery, formulary services, drug management and safety programs, and medication therapy management. PBDRX.com also works with employers and plan sponsors to provide comprehensive pharmacy benefits and wellness programs. They focus on delivering exceptional value and service to their members and are committed to quality care and improved patient outcomes.
2. Araya
- Website: arayarx.com
- Headquarters: Latham, New York, United States
- Founded: 1997
- Headcount: 11-50
Araya Pharmacy Benefit Management is a company that offers comprehensive pharmacy benefit management services to healthcare organizations. Their services include formulary management, medication therapy management, and claims processing. They aim to optimize medication-related outcomes while controlling costs.
3. Kinney Drugs
- Website: kinneydrugs.com
- Headquarters: Gouverneur, New York, United States
- Founded: 1903
- Headcount: 1001-5000
Kinney Drugs is a pharmacy and retail company that offers high-quality pharmacy, health, and retail services at fair and competitive prices. They strive to serve and satisfy the needs of their customers and provide for the continued growth of their business.
4. RPO Group, Inc
- Website: therpogroup.com
- Headquarters: White Plains, New York, United States
- Headcount: 11-50
The RPO Group provides a range of employee benefits and insurance solutions to businesses, including medical, dental, disability, life insurance, telemedicine, self insurance, and pharmacy benefit management.
5. ProAct Pharmacy Services
- Website: proactrx.com
- Headquarters: East Syracuse, New York, United States
- Founded: 1999
- Headcount: 11-50
ProAct is an employee-owned pharmacy benefit manager that offers flexible drug benefit solutions and high-touch service.
6. Opus Advisory Group
- Website: opusadvisory.com
- Headquarters: White Plains, New York, United States
- Headcount: 11-50
Opus Advisory Group is an independent employee benefits management company that offers a unique and personalized approach to renewing employee benefits. With a focus on high touch service and creative financial resources, they help companies align their renewal process with their specific needs.
7. MagnaCare
- Website: magnacare.com
- Headquarters: Ny, New York, United States
- Founded: 1990
- Headcount: 201-500
- Latest funding type: Acquired
MagnaCare is a trusted healthcare solutions provider with over 30 years of experience. They offer a large, high-quality, and affordable network in New York, New Jersey, and Connecticut. Their services are utilized by local, regional, national, and international TPAs and carriers. MagnaCare provides group health plan solutions, including medical management, utilization management, population health, cost containment, nurse case management, care navigation, and opioid oversight.
8. Mesa Rx Innovations
- Website: mesarxinnovations.com
- Headquarters: Albany, New York, United States
- Headcount: 1-10
Mesa RX Innovations levels the pharmacy benefit playing field by analyzing employer pharmacy claims data.
9. Sextant Self Funding
- Website: ssfllc.com
- Headquarters: Syracuse, New York, United States
- Founded: 2012
- Headcount: 1-10
Sextant Self Funding is a full service Medical Stop Loss Managing General Underwriter, located in Syracuse, New York. Our management team represents over 45 years in the Stop Loss field. Our company is built on a foundation of premier customer service that sets us apart from our competition. With the support of our carrier and reinsurance partners, we will deliver to our network of producers, fair and competitive Stop Loss products, program management and Self Funding support and guidance, to assist in building your client’s trust and commitment.
10. Capital Rx
- Website: cap-rx.com
- Headquarters: New York, New York, United States
- Founded: 2017
- Headcount: 201-500
- Latest funding type: Series C
Capital Rx is built around the mission of changing the way prescription drugs are priced and patients are serviced. A health technology company daring to reimagine the pharmacy benefits industry, Capital Rx is executing on that mission through its Clearinghouse Model® - the first ethical framework for drug pricing. Capital Rx's enterprise pharmacy platform, JUDI™, connects every aspect of the pharmacy ecosystem in one platform, enabling patient engagement, and increasing efficiency to achieve the highest standards of clinical care.
11. Meritain Health
- Website: meritain.com
- Headquarters: Buffalo, New York, United States
- Founded: 1983
- Headcount: 1001-5000
Meritain Health is a company that offers innovative solutions for better member engagement, improved outcomes, and lower costs in healthcare. They provide versatile pharmacy solutions, operational excellence, and create connections in the healthcare industry.
12. CSSHealth
- Website: csshealth.com
- Headquarters: Buffalo, New York, United States
- Founded: 1999
- Headcount: 51-200
CSS Health revolutionizes medication management programs with their patient-centered approach. They offer secure and HITRUST digital solutions that seamlessly integrate with existing EHR and EMR systems, data warehouses, or health information exchange.
13. Apex Global Solutions
- Website: apexglobalus.com
- Headquarters: New York, New York, United States
- Founded: 2017
- Headcount: 201-500
Apex Global is a company that specializes in pharmacy cost containment and financial management. They offer advanced technology solutions that are specifically adapted for SNF. With a skilled team of accountants and cash management specialists, they help businesses manage costs and raise their bottom line.
14. Premier Consulting Associates
- Website: premierconsultingassoc.com
- Headquarters: Amherst, New York, United States
- Founded: 2004
- Headcount: 11-50
Premier is a Employee Benefits Consulting Firm. We believe that information reaches its full potential by putting that information to work for you. We will analyze your data, identify trends and best practices and offer programs tailored specifically for your Plan. We will use our experience and knowledge so that you can keep your costs down, provide maximum service to your members and add financial health to your Plan.
15. Independent Health
- Website: independenthealth.com
- Headquarters: Buffalo, New York, United States
- Founded: 1980
- Headcount: 1001-5000
Independent Health is a healthcare company that offers health insurance and related services. They provide a range of health plans for individuals, families, and employers. They also offer telemedicine services, wellness programs, and other benefits to help customers improve their health and manage their healthcare costs.
16. Psc Cuny Welfare Fund
- Website: psccunywf.org
- Headquarters: New York, New York, United States
- Founded: 1967
- Headcount: 11-50
PSC-CUNY Welfare Fund is an employee benefit fund that provides dental, vision, prescription and other healthcare benefits to active and retired employees of the City University of New York.
17. AlignRx
- Website: alignrxconsulting.com
- Headquarters: Williamsville, New York, United States
- Founded: 2016
- Headcount: 11-50
AlignRx Consulting provides pharmacy consulting solutions to health plans, brokers, third-party administrators, and employer groups to optimize their pharmacy drug spend. They offer cutting-edge technology, a network of pre-approved clinical and specialty partners, and maintain independence and objectivity for their clients.
18. International Benefits Administrators
- Website: ibatpa.com
- Headquarters: Garden City, New York, United States
- Founded: 1972
- Headcount: 11-50
IBA is a healthcare benefits company that offers HSA & HRA plans, dental & vision offerings, pharmacy solutions, and care management. They also provide self-funding options for employers to save money and add value. IBA works closely with clients to establish Stop-Loss plans and ensure compliance with HIPAA & COBRA requirements.
19. Srx
- Website: srx-tech.com
- Headquarters: Valley Stream, New York, United States
- Founded: 2015
- Headcount: 11-50
- Latest funding type: Acquired
SRX-Tech is a full-service solutions provider specializing in managing long-term care (LTC) drug costs. They offer a complete software solution for LTC facilities, providing pharmacy management, rebates, managed care, and employee Rx benefits solutions. Their proven results and expertise help facilities maximize savings, improve pharmacy relationships, and gain control over their drug costs.
20. Ocean Breeze Healthcare
- Website: oceanbreezehealthcare.com
- Headquarters: Staten Island, New York, United States
- Headcount: 11-50
Ocean Breeze Healthcare is a comprehensive healthcare services provider. They offer a range of services including payors benefits investigations, data analytics, interim drug programs, and resource center. With experienced professionals and caring staff, they deliver the highest level of service available. They specialize in growth disorder treatments and provide fast shipping and convenient delivery for complex medical conditions.
21. Tommie Copper Inc.
- Website: tommiecopper.com
- Headquarters: Mount Kisco, New York, United States
- Founded: 2010
- Headcount: 11-50
- Latest funding type: Debt Financing
Tommie Copper is a compression clothing company that offers comfortable and supportive apparel with their proprietary fabric and Copper Znergy technology that provides lasting anti-odor benefits.
22. Mercer
- Website: mercer.com
- Headquarters: New York, New York, United States
- Headcount: 10001+
Mercer is a global HR management solutions provider, offering a wide array of talent mobility strategies and international HR management solutions.
Want to find more pharmacy benefit management companies?
If you want to find more companies that offer an array of services like formulary management, drug safety programs, and medication therapy managements 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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