22 Top Pharmacy Benefit Management Companies in Ohio
22 Top Pharmacy Benefit Management Companies in Ohio
The pharmaceutical industry in Ohio is diverse, ranging from local pharmacies to extensive pharmacy benefit management companies. These firms specialize in liaising between the world of prescriptions, insurance providers, and pharmaceutical industries to manage prescription programs. They focus on providing cost-effective solutions for prescription medications and enhance the value of pharmacy benefits. Services offered by these companies include pharmacy claims processing, administration of benefits, plan designs, and cost management strategies. With the growing focus on health, these companies play a key role in the development of efficient healthcare systems. This thriving industry is set to continue its growth trajectory, powered by technological advancements and evolving healthcare needs.
Top 22 pharmacy benefit management companies in Ohio
1. Pharmacy Data Management, Inc. (PDMI)
PDMI is a pharmacy benefit services company based in Poland, OH. They offer transparent and pass-through pharmacy claims processing and benefit administration services for private label Pharmacy Benefit Managers (PBMs), health plans, and hospital systems. PDMI provides data ownership and accessibility to their clients, ensuring efficient and effective solutions.
2. Columbus Prescription Pharmacy
- Website: columbusrx.com
- Headquarters: Dayton, Ohio, United States
- Headcount: 11-50
ColumbusRx is a pharmacy benefit management company that provides customized plan designs and holistic approaches to manage prescription costs.
3. MedBen
- Website: medben.com
- Headquarters: Newark, Ohio, United States
- Founded: 1938
- Headcount: 51-200
MedBen is a company that specializes in employee benefits administration. They offer services such as third-party administration, plan design, cost-saving solutions, and reimbursement strategies. Their goal is to provide insights and guidance to help employers effectively manage their health plans.
4. Appro-Rx
- Website: approrx.com
- Headquarters: Waynesville, Ohio, United States
- Founded: 2000
- Headcount: 11-50
Appro-Rx is a company that offers prescription benefit management services to employer/payer, third party administrators, and brokers. They provide solutions to transform business needs into creative clinical decisions.
5. HealthPlan Data Solutions
- Website: hds-rx.com
- Headquarters: Columbus, Ohio, United States
- Founded: 2009
- Headcount: 11-50
- Latest funding type: Series Unknown
HDS-Rx is a pharmacy data analytics solutions provider. They offer customized services to optimize pharmacy benefit performance, including pharmacy data insights, payment intelligence, campaign management, and compliance solutions. They serve commercial payers, government payers, third-party administrators, and brokers/consultants.
6. Alius Health
- Website: aliushealth.com
- Headquarters: Columbus, Ohio, United States
- Founded: 2017
- Headcount: 11-50
Alius Health is a Pharmacy Benefit Manager (PBM) focused on excellent patient care, service, and transparency. They provide a transparent way to reduce workers’ compensation medication spend by offering pass-through pricing and unlocking their profit from the cost of medication.
7. Kroger Prescription Plans, Inc.
- Website: kpp-rx.com
- Headquarters: Cincinnati, Ohio, United States
- Founded: 1993
- Headcount: 11-50
Kroger Prescription Plans is a platform integrated with the Kroger Health Ecosystem, providing personalized care, robust programs, excellent guidance, and great service to help people live healthy lives.
8. Healthy Way Rx
- Website: healthywayrx.com
- Headquarters: Avon Lake, Ohio, United States
- Headcount: 11-50
Healthywayrx.com is a pharmacy network that offers affordable medications to consumers. They partner with international pharmacies to verify and compare prescription drug prices, saving customers up to 70% compared to US prices.
9. SummaCare
- Website: summacare.com
- Headquarters: Akron, Ohio, United States
- Founded: 1993
- Headcount: 201-500
SummaCare is a healthcare company that offers a range of health plans and services. They prioritize the health and safety of their members and provide solutions to common health conditions. SummaCare empowers individuals to take charge of their health through preventive screenings and regular health exams. They also offer Medicare plans and pharmacy benefits. The company focuses on improving the quality of healthcare services and ensuring optimal health for their customers.
10. Custom Design Benefits
- Website: customdesignbenefits.com
- Headquarters: Cincinnati, Ohio, United States
- Founded: 1991
- Headcount: 51-200
Custom Design Benefits is a company that specializes in cost containment solutions for hospitals and providers. They negotiate costs to provide greater price transparency for self-funded employee health plans and other benefits. They offer personalized service and account management, functioning as an extension of the HR department. Their goal is to break free from cookie-cutter insurance plans and never-ending cost increases.
11. Elixir
- Website: elixirsolutions.com
- Headquarters: Twinsburg, Ohio, United States
- Founded: 2001
- Headcount: 1001-5000
Elixir Solutions is a trusted provider of savings programs for uninsured and under-insured consumers, offering prescription insurance that can save customers 60% or more per prescription.
12. BBG, Inc.
- Website: bbginc.net
- Headquarters: Beachwood, Ohio, United States
- Founded: 2003
- Headcount: 11-50
BBG, Inc. offers solutions for employers to lower costs and manage employee benefits, regulatory issues, and workforce challenges. They provide comprehensive insurance services, policy management, and specialized medical, prescription, and claims services.
13. Alloy Employer Services
- Website: alloyemployer.com
- Headquarters: New Albany, Ohio, United States
- Founded: 1999
- Headcount: 10001+
Alloy Employer is a national organization offering solutions for workers' compensation, payroll administration, employee benefits, and risk management to support a healthy and productive workforce.
14. Chelko Consulting Group
- Website: chelkogroup.com
- Headquarters: Westlake, Ohio, United States
- Founded: 2001
- Headcount: 11-50
Chelko Group offers a broad range of services to organizations wanting to manage the cost drivers of their health, life, and disability plans. With a focus on personalized benefit statements and strategic advice, they empower clients to control traditional and specialty drug costs, improve employee health, and outperform competition.
15. Employers Health
- Website: employershealthco.com
- Headquarters: Canton, Ohio, United States
- Founded: 1983
- Headcount: 51-200
Employers Health is a first-of-its-kind initiative for depression in the workplace, providing resources, tools, and expertise to help plan sponsors deliver access to high-quality health benefits at a sustainable cost. They offer membership, programs, and services that support the delivery of employee benefits and aim to assist in delivering quality employee benefits to clients.
16. Rx Ohio Collaborative
RxOC is a data analytics membership company affiliated with The Ohio State University. It offers an integrated claims database that combines medical and pharmacy data as well as laboratory test results to look for the best overall solutions to possible health care problems and issues.
17. ResourceRxs' National Medical Marijuana Accreditation Organization (NMMAO), LLC
- Website: resourcerxs.com
- Headquarters: Cleveland, Ohio, United States
- Founded: 2015
- Headcount: 11-50
ResourceRxs is a consulting firm that specializes in offering specialized, state-specific independent audits, accreditation services, and managed care and pharmacy benefit management consulting services to medical marijuana dispensaries.
18. AmeriHealth Caritas Ohio
- Website: amerihealthcaritasoh.com
- Headquarters: Dublin, Ohio, United States
- Founded: 2022
- Headcount: 5001-10000
AmeriHealth Caritas Ohio is a Medicaid managed care provider that offers high-quality managed care options for Ohio Medicaid members and providers.
19. EnvisionInsurance
- Website: envisionrxplus.com
- Headquarters: Twinsburg, Ohio, United States
- Headcount: 1001-5000
Elixir RxPlus is a prescription drug plan for Medicare beneficiaries offered by Elixir Insurance Company. It provides reliable and affordable drug coverage through its pharmaceuticals and convenient pharmacies located in its network.
20. GuidantRx
- Website: guidantrx.com
- Headquarters: Milford, Ohio, United States
- Founded: 1993
- Headcount: 11-50
GuidantRx, a subsidiary of Enclara Healthcare, is a strategic partner for biopharma, HUBs, and Patient Assistance Programs where we specialize in building co-pay card programs, provider reimbursements, and specialty pharmacy workflows with them. Through our customizable and innovative technology solutions, we help our partners streamline eligibility and reimbursement functions to create efficient access to medicines. Founded in 1993, GuidantRx has always been committed to providing flexibility and accountability to our customers. GuidantRx also provides full service Pharmacy Benefit Management (PBM) that differentiates itself from other PBMs by being completely independent of pharmaceutical manufacturers, insurance companies and pharmacies. We focus on creating cost effective solutions for our clients by having the freedom to develop and implement solutions that are dedicated to meeting the needs of our clients and their individual members.
21. Toic
- Website: toicadvisory.com
- Headquarters: Cincinnati, Ohio, United States
- Headcount: 11-50
TOIC is a consulting platform focused on providing health care solutions with a specialized expertise in data analytics.
22. Vitori Health
- Website: vitorihealth.com
- Headquarters: Boston-Cleveland-Charleston-Kansas City, Ohio, United States
- Founded: 2020
- Headcount: 51-200
- Latest funding type: Series Unknown
Vitori Health is a company that offers quality alternatives to outdated employer-sponsored health insurance plans. They focus on maximizing savings and cost control while providing comprehensive health benefits and high-touch member support. Their approach removes excess costs and waste from health plan benefits, allowing employers to gain durable control over cost and value.
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