Top 24 Virginia-based Pharmacy Benefit Management Companies
Top 24 Virginia-based Pharmacy Benefit Management Companies
Pharmacy Benefit Management companies, or PBMs, operate in the healthcare industry and are intermediaries between insurers, drugmakers, and pharmacies. These companies negotiate drug prices on behalf of health insurance companies, manage drug benefit programs, provide home delivery of medication, and promote medication adherence. Their services aid in the structure and management of prescription drug programs which subsequently impacts drug cost and accessibility. The industry landscape has been evolving with shifts towards greater transparency and price regulation, and pharmacies themselves offering competing PBM services. This article explores the top 24 PBM companies situated in Virginia.
Top 24 pharmacy benefit management companies in Virginia
1. RxEOB
- Website: rxeob.com
- Headquarters: Richmond, Virginia, United States
- Founded: 2000
- Headcount: 11-50
RxEOB is a health information technology firm that has been helping health plans and PBMs engage their members for 20 years. They optimize the clinical and financial effectiveness of programs through intelligent communications and measurable outcomes. Their solutions leverage current programs, technologies, and vendors to improve performance and reduce costs.
2. Scott Insurance
- Website: scottins.com
- Headquarters: Lynchburg, Virginia, United States
- Founded: 1864
- Headcount: 201-500
Scott Insurance is a leading independent agency that specializes in providing customized insurance solutions for mid-market companies. With over 150 years of experience, we offer property & casualty, employee benefits, captive insurance, and surety bonds solutions, as well as personal insurance services.
3. Avizva
- Website: avizva.com
- Headquarters: Reston, Virginia, United States
- Founded: 2011
- Headcount: 201-500
Avizva is a company that builds solutions to solve complex business challenges. They offer a cloud-based CRM platform tailored for a leading Pharmacy Benefit Manager (PBM).
4. Benefit Plan Administrators, Inc.
- Website: bpatpa.com
- Headquarters: Roanoke, Virginia, United States
- Founded: 1965
- Headcount: 51-200
BPA (Benefit Plan Administrators) is a company that provides strategic cost-containment and risk management for health plans. They offer high-quality care from nationwide networks, health and wellness support, data analytics tools, and a dedicated expert team. Their solutions help employers save money on self-funded benefit plans and prioritize employee well-being.
5. Virginia Premier
- Website: virginiapremier.com
- Headquarters: Richmond, Virginia, United States
- Founded: 1995
- Headcount: 1001-5000
Virginia Premier is a healthcare company that offers Medicaid and Medicare Advantage health plans. They provide coverage for doctor visits, emergency care, hospital stays, prescriptions, and additional no-cost extra benefits for their members.
6. Surescripts
- Website: surescripts.com
- Headquarters: Arlington, Virginia, United States
- Founded: 2001
- Headcount: 501-1000
Surescripts is a healthcare technology company that offers prescription benefit intelligence to clinicians, enabling them to find appropriate and affordable medications. They focus on improving the network-wide Quality Index Score for electronic prescriptions, ensuring safer and more affordable prescriptions for patients.
7. WorkCentric.com
- Website: workcentric.com
- Headquarters: Sterling, Virginia, United States
- Founded: 2020
- Headcount: 51-200
WorkCentric offers comprehensive HR Outsourcing solutions that combine innovative technology and people, delivering a strong balance of services that empower your company to work smarter and tackle challenges efficiently.
8. HCI-EBS, Inc
- Website: hci-ebs.com
- Headquarters: Lynchburg, Virginia, United States
- Founded: 1971
- Headcount: 11-50
HCI-EBS is a health care consulting and benefits company that offers services such as employee benefits services, dental business solutions, financial and practice management, billing services, and payroll and retirement plan administration.
9. Spherient Advisors
- Website: spherient.com
- Headquarters: Richmond, Virginia, United States
- Founded: 2018
- Headcount: 11-50
Spherient Advisors is an insurance and benefits consulting firm that offers comprehensive programs to strengthen businesses and individuals. They provide services for retirement plans, health & welfare plans, property & casualty insurance, and personal insurance.
10. Universal Rx
- Website: universalrx.com
- Headquarters: Roanoke, Virginia, United States
- Founded: 1995
- Headcount: 11-50
Universal Rx offers international prescription benefits, cost containment solutions, and discount savings programs for employers and health plans.
11. Pay Check Inc.
- Website: paycheckinc.net
- Headquarters: Manassas, Virginia, United States
- Founded: 1995
- Headcount: 11-50
Paycheck Inc. is a provider of HR and payroll-related services to small and mid-sized companies. It offers payroll service, timekeeping, onboarding service, workers’ compensation insurance, and retirement plan service. It also provides IRS representation and resolution, back office outsourcing, accounting/bookkeeping, business consulting, and audit services. Their clients have a dedicated representative to provide simple billing, and its employee self-service portal can help streamline HR-related tasks.
12. Checkright
- Website: checkright.net
- Headquarters: Glen Allen, Virginia, United States
- Headcount: 11-50
Checkright provides human resources and payroll solutions to small and medium-sized businesses. They offer services such as payroll, benefit administration, time and attendance tracking, and workers' compensation.
13. Employers Health Risk Consortium (EHRC)
- Website: myehrc.com
- Headquarters: Harrisonburg, Virginia, United States
- Founded: 2014
- Headcount: 51-200
The Employers Health Risk Consortium is a collective that partners with organizations to help them navigate the insurance market as an entity greater than the sum of its parts.
14. The Menges Group
- Website: themengesgroup.com
- Headquarters: Arlington, Virginia, United States
- Founded: 2013
- Headcount: 1-10
The Menges Group is a consulting firm specializing in healthcare managed care organizations and pharmacy benefit manager assessments, public policy analyses, and operational support for managed care optimization.
15. Advantage Health Center, LLC
- Website: advantagehealth.services
- Headquarters: Charlottesville, Virginia, United States
- Headcount: 11-50
Advantage Health Services LLC is committed to providing high-quality care management services and education to all patients. They offer a comprehensive approach to total patient health using integrative medicine combined with remote patient monitoring.
16. Covington Care LLC
- Website: charx.com
- Headquarters: Covington, Virginia, United States
- Founded: 2006
- Headcount: 11-50
Covington Healthcare Associates, LLC provides innovative, value-based pharmacy solutions for health plans, employers, and workers' compensation.
17. National Cancer Treatment Alliance
- Website: nctacancer.com
- Headquarters: Virginia Beach, Virginia, United States
- Founded: 2020
- Headcount: 1-10
NCTA is a national network of independent community oncology practices that connects employers and plan sponsors who pay for cancer care with oncology practices that deliver it. Through their clinically integrated national network of practices and pharmacies, they boost quality, improve patient experience, and reduce costs.
18. ReadySetDental.com
- Website: readysetdental.com
- Headquarters: Roanoke, Virginia, United States
- Headcount: 11-50
Ready Set Dental is a dental benefits management company that provides comprehensive oral health management services.
19. Benefit Plan Services
- Website: benefit-plan-services.com
- Headquarters: Newport News, Virginia, United States
- Headcount: 11-50
Benefit Plan Services is a company that provides customized and comprehensive benefit plans to organizations to help manage and reduce employee benefit costs while also attracting and retaining top talent.
20. BerkleyNet (a Berkley Company)
- Website: berkleynet.com
- Headquarters: Manassas, Virginia, United States
- Founded: 2006
- Headcount: 51-200
BerkleyNet is an insurance company subsidiary of W. R. Berkley Corporation. They offer insurance products and services to businesses, focusing on providing coverage for injured employees and helping them get back to work.
21. MC Innovations LLC
- Website: mcinnovations.com
- Headquarters: Richmond, Virginia, United States
- Founded: 1996
- Headcount: 11-50
MC Innovations specializes in managing self-insured workers compensation and loss control programs, as well as property and casualty programs for both public and private organizations.
22. Hilb Group
- Website: hilbgroup.com
- Headquarters: Richmond, Virginia, United States
- Founded: 2009
- Headcount: 1001-5000
- Latest funding type: Acquired
The Hilb Group is an insurance and risk management company in Leesburg, VA. They offer services and products such as property and casualty insurance, employee benefits, and industry practice groups. They serve a diverse range of customers in the DC metropolitan area and surrounding states.
23. AHT Insurance
- Website: ahtins.com
- Headquarters: Leesburg, Virginia, United States
- Founded: 1921
- Headcount: 201-500
AHT Insurance is a company that provides a comprehensive range of insurance and risk management solutions. They offer services to a wide variety of industries, including aviation, aerospace, construction, education, financial institutions, government contractors, and more.
24. Branch Group
- Website: branchgroup.com
- Headquarters: Roanoke, Virginia, United States
- Founded: 1963
- Headcount: 501-1000
Branch Group is a company that provides opportunities for veterans to use their skills in building roads, schools, and hospitals. As employee owners, veterans become shareholders and contribute to their communities. The company offers a 401k plan and employee benefits, and has a focus on safety and promoting a culture of accountability.
Want to find more pharmacy benefit management companies?
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