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Minnesota's Top 23 Pharmacy Benefit Management Companies

4
min read
Top 23 pharmacy benefit management companies in Minnesota Main

Minnesota's Top 23 Pharmacy Benefit Management Companies

4
min read
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Top 23 pharmacy benefit management companies in Minnesota Main
Top firms trust Inven to find niche companies

The pharmacy benefit management industry in Minnesota comprises companies focusing on managing prescription drug benefits on behalf of health insurers and other payers. These companies, which include Prime Therapeutics, ClearScript, and Excelsior Solutions, negotiate with drug manufacturers, process claims, and implement strategies to manage drug costs while maximizing patient outcomes. Their roles are becoming increasingly crucial as drug prices rise and healthcare legislation continues to evolve.


Top 23 pharmacy benefit management companies in Minnesota

1. Prime Therapeutics

Prime Therapeutics is a pharmacy benefit management company that offers tools and resources to make pharmacy benefit management easy. They work with health plans, employers, and consultants to improve health outcomes and lower the total cost of care through effective PBM.


2. ClearScript, pharmacy benefit management

ClearScript is a pharmacy benefit management (PBM) partner that offers flexible and tailored pharmacy benefit programs for healthcare organizations, self-funded organizations, third-party administrators, tribal nations, and the public sector. They understand the complexity of self-funded health plans and provide innovative cost savings and wellness solutions. With their deep bench of medical and pharmacy professionals, they focus on client success by lowering healthcare costs and improving member health.


3. Excelsior Solutions

Excelsior Solutions is a leading pharmacy benefit management consulting company. They offer services such as specialty drug management and Medicare & Medicaid consulting. With their cutting-edge expertise and resources, they help clients effectively manage their pharmacy programs, contain costs, and achieve accountability.


4. Sterling340B

Sterling340B is a company that helps healthcare providers to navigate and optimize the 340B program, ensuring compliance and maximizing savings.


5. ClearStone Solutions, Inc.

ClearStone Solutions is a professional support services company that specializes in optimizing Part D programs, minimizing risk exposure, and providing quality benefits for members. They offer consulting services to help organizations gain a competitive edge in Medicare and Medicaid markets. ClearStone Solutions also provides solutions to streamline PBM selection, oversight, and management duties, or offers the option to outsource them.


6. UCare

  • Website: ucare.org
  • Headquarters: Minneapolis, Minnesota, United States
  • Founded: 1984
  • Headcount: 1001-5000
  • Latest funding type: Acquired
  • LinkedIn

UCare.org is a Minnesota-based health insurance provider offering a range of health plans, including Medicare, individual and family plans, Medicaid, and assisted living/nursing home plans. They aim to improve the health of their members through comprehensive coverage and access to a network of providers. UCare also offers dental benefits and various health management services. Their customer service team is dedicated to assisting members with any inquiries or concerns.


7. Laker Software

LakerSoftware is a technology leader that provides modern scalable systems and solutions for the pharmaceutical industry. They continually update and enhance their systems to meet the growing needs of their customers and offer the fastest, most flexible, and most durable system available. Laker works closely with their customers to develop, test, and implement new products, allowing them to better compete and succeed in the market.


8. Nexben

  • Website: nexben.com
  • Headquarters: Minneapolis, Minnesota, United States
  • Founded: 2015
  • Headcount: 51-200
  • Latest funding type: Series Unknown
  • LinkedIn

Nexben is a company that offers innovative solutions for employee benefits management. They provide a comprehensive platform that simplifies the administration of various benefit programs, ensuring efficiency and cost-effectiveness.


9. EBSO, Inc.

90 Degree Benefits EBSO, Inc. is a company that offers benefits-related services.


10. HealthEZ

  • Website: healthez.com
  • Headquarters: Bloomington, Minnesota, United States
  • Founded: 1982
  • Headcount: 51-200
  • Latest funding type: Acquired
  • LinkedIn

HealthEZ is a healthcare benefits company that puts employers back in control of healthcare spending. They offer self-funded plans with savings of up to 25% compared to fully-insured benefits. Their services include custom plan design, cost and risk management, and provider networks. With easy-to-use mobile and online tools, members can manage their benefits efficiently. They prioritize excellent coverage and offer knowledgeable support 24/7.


11. Benesyst, A TASC Company

  • Website: benesyst.net
  • Headquarters: Minneapolis, Minnesota, United States
  • Founded: 1993
  • Headcount: 51-200
  • LinkedIn

Benesyst COBRA Continuation Services is a company that offers world-class services in benefits outsourcing and education assistance. They provide comprehensive solutions for managing COBRA benefits, education assistance programs, and tuition discounts. With a focus on customer care and innovative technology, they deliver excellent service to their clients.


12. Value Vision Media

Pearsonbenefitsus.com offers a range of benefits to its employees such as medical, dental, vision, and life insurance, tax-advantaged accounts, and employee assistance programs.


13. Apprize Technology

Apprize Technology is a leading provider of tailored technology solutions for benefits administration. With expertise in payroll and HRIS data integration, they simplify the management of benefits for employers and brokers. Their comprehensive platform offers ACA compliance, decision support, HCM integration, and more. Backed by industry-leading customer service, Apprize guarantees business success in the complex world of benefit administration.


14. Aris Group

Aris Benefit Group, also known as Aris Group, is a company that provides worksite benefit offerings and insurance solutions. They offer support and policy claims management, as well as virtual healthcare services. Aris Group aims to help individuals and employers secure affordable and accessible healthcare options. They have multiple locations across the United States.


15. Universal Data Corporation

  • Website: udcsite.com
  • Headquarters: Minneapolis, Minnesota, United States
  • Founded: 1999
  • Headcount: 11-50
  • LinkedIn

UDC offers compensation and benefits consulting services to employers to streamline and enhance program effectiveness with the help of its leading-edge solutions.


16. SevenHills Benefit Partners

Seven Hills Benefit Partners is a premier employee benefits consulting company that provides insurance solutions with a high level of care and coverage. The company strives to establish long-term relationships with clients and aims to be a trusted advisor.


17. The Grove Agency

The Grove Agency is a full-service enrollment company providing benefits administration system case building, call center staff, a national enrollment team to integrate with multiple carriers and vendors to offer cost-efficient benefits management for employers.


18. Mitten Software Inc

Mitten Software is a software development company that specializes in the design, implementation, and optimization of custom software solutions for businesses and organizations.


19. HighRoad Partners

HighRoad Partners is a team of HR and benefit experts providing customized benefits and HR solutions, big company technology for all companies, and transparent pricing designed to meet your needs today and in the future.


20. Silverback Rx

  • Website: silverbackrx.com
  • Headquarters: Shorewood, Minnesota, United States
  • Headcount: 1-10

SilverbackRx is a national, full service Pharmacy Benefit Management company, specializing in customized prescription solutions for individual employers, tribal groups, hospitals, and third party administrators We are an independent PBM, with no ownership ties to pharmacies or insurance companies. We operate transparently, and with full disclosure, and are committed to delivering the best programs at the lowest net cost, along with excellent customer service. We work collaboratively with our clients to design a pharmacy benefit that not only controls costs, but provides better outcomes for their members. We provide: An extensive retail pharmacy network, over 67,000 pharmacies strong, including all major chains, and most independent pharmacies Formulary and rebate management services Fully integrated mail order and specialty pharmacy services Comprehensive reporting and analysis Customized client dashboards Hands on, knowledgeable account management


21. Labor Value Rx

Labor Value Rx was founded to fill a need. This need came directly from Taft Hartley funds who told us their existing Prescription Benefit Manager (PBM) strategy just wasn’t working. They needed something new, something better. They wanted something built just for them. So we listened and built a solution together. Labor Value Rx is a national, full service Pharmacy Benefit Management company, specializing in customized prescription solutions for Labor and Trust groups. We are an independent PBM with no ownership ties to pharmacies or insurance companies. We operate transparently and with full disclosure, and are committed to delivering the best programs at the lowest net cost, along with excellent customer service. We work collaboratively with our Labor clients to design a pharmacy benefit that not only controls costs, but provides better outcomes for their members. We provide: •An extensive retail pharmacy network, over 67,000 pharmacies strong, including all major chains, and most independent pharmacies •Formulary and rebate management services •Fully integrated mail order and specialty pharmacy services •Comprehensive reporting and analysis •Customized client dashboards •Hands on, knowledgeable account management


22. RedBrick Health

RedBrick Health is a health and wellbeing platform that provides employers with data-driven engagement programs to close gaps in care, manage chronic conditions and reduce healthcare costs


23. HR Invaderz

  • Website: hrinvaderz.com
  • Headquarters: Minneapolis, Minnesota, United States
  • Headcount: 1-10

HR Invaderz provides management and human resources consulting services. Our consulting services are provided on-site or off-site, or a combination that best meets our client's needs. The primary role of HR Invaderz is to identify and facilitate , necessary change within an organization in order to enhance the success of the company.


Want to find more pharmacy benefit management companies?


If you want to find more companies that offer strategic management of prescription drug benefits 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:


  • Ownership: Which of these are private equity backed? Which are family-owned?
  • Contact data: Who are the owners and CEO's? What are their emails and phone numbers?
  • Financials: How do these companies perform financially? What are their revenues and profit margins?

...and a lot more!

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