Top 25 Pharmacy Benefit Management Enterprises in Colorado
Top 25 Pharmacy Benefit Management Enterprises in Colorado
The pharmacy benefit management industry orchestrates the procurement and delivery of prescription drugs within Colorado's healthcare space. The companies in this sector provide a variety of services, encompassing the negotiation of drug prices, administration of prescription drug plans, and retail pharmacy networking. These enterprises strive to minimize drug costs, enhance medication effectiveness, and improve patient safety. While these roles often lie in the background of the healthcare industry, their impact is remarkable, accounting for almost 30% of every healthcare dollar spent. Despite being currently subject to policy scrutiny and increasing demands for transparency, the industry's trajectory is poised towards expansion due to population aging and the increasing prevalence of chronic diseases in Colorado.
Top 25 pharmacy benefit management companies in Colorado
1. Premier Pharmacy Group
- Website: premierrxgroup.com
- Headquarters: Colorado Springs, Colorado, United States
- Founded: 2004
- Headcount: 11-50
PremierRx Group is a leading provider of comprehensive pharmacy benefits management services to self-insured employers and health plans across the United States.
2. Corporate Benefits Consortium LLC
- Website: cobecon.com
- Headquarters: Englewood, Colorado, United States
- Founded: 2007
- Headcount: 11-50
Cobecon is a corporate benefits consulting company that specializes in providing highly customized health plan designs, integrated wellness programs, and healthcare acquisition and risk management strategies to mid-market employers for drastically reducing their healthcare spending.
3. Resource Management Systems
- Website: rms-peo.com
- Headquarters: Greenwood Village, Colorado, United States
- Founded: 1985
- Headcount: 11-50
Resource Management Systems (RMS) is a company based in Greenwood Village, CO that offers payee statement services for employers enrolled in ALE member's self-insured health plan. They provide accurate and timely statements upon request.
4. Next Wave Payroll Solutions
- Website: nextwavepayroll.com
- Headquarters: Greenwood Village, Colorado, United States
- Founded: 2015
- Headcount: 11-50
Next Wave Payroll Solutions is a full-service payroll firm that offers time and attendance, HR outsourcing, and benefits administration. Their solutions include a dynamic payroll, human resources and tax management system powered by Evolution HCM (Human Capital Market), a cloud-based, green technology system that is easy to use for both the employer and employees. They also provide ancillary services such as retirement planning and background checks.
5. PharmaStrategies, LLC
- Website: pharmastrategiesllc.com
- Headquarters: Black Hawk, Colorado, United States
- Founded: 2007
- Headcount: 1-10
PharmaStrategies offers consulting services for Pharmacy Benefits Management in a dynamic environment. Their suite of products and services provides clear navigation through the complex industry.
6. Tier 1 Pharmacy Consulting, Inc.
- Website: tierone-pc.com
- Headquarters: Denver, Colorado, United States
- Founded: 2018
- Headcount: 1-10
Tier 1 Pharmacy Consulting offers administration and management services to healthcare plans that offer prescription drug benefits. We provide our clients with smart, effective pharmacy solutions that meet the needs of their members, keep their best interests at heart and ultimately save them money. We understand the dynamics of pharmacy benefit management and the ever-changing healthcare industry, especially crucial pharmacy benefits. Tier 1 works to improve quality, streamline operations, address important regulatory requirements, handle compliance pressures, and – perhaps most of all – improve overall plan performance. The team at Tier 1 are experts in Medicare Part D compliance. We have a thorough understanding of the ins and outs of Medicare, so partnering with us guarantees your health plan aligns with federal and state rules, regulations and guidance in the event of an audit by the Centers for Medicare and Medicaid Services (CMS) or other agencies. Keep in mind, most health plans undergo two audits a year at a minimum. Tier 1 provides consultation and support during each audit by reviewing data, identifying issues, answering questions and coming up with solutions to heighten compliance as well as offer peace of mind and positive outcomes for health plans everywhere. What’s more, we are skilled in the PBM needs of virtually every other industry, too. Teaming up with Tier 1 Pharmacy Consulting gives your health plan an advocate and partner with a solid foundation in pharmacy benefit management combined with the patient-focused aspect of pharmacy itself. We are committed to enhancing pharmacy benefit performance for health plans of all shapes, sizes and regulatory needs. If your health plan offers prescription drug benefits, we are a great partner for you. Let’s get started.
7. Faces Human Capital Management
- Website: faceshcm.com
- Headquarters: Denver, Colorado, United States
- Founded: 2015
- Headcount: 11-50
Faces HCM is a Professional Employee Organization that offers optimized Human Resource solutions for small businesses. With expertise across various industries, they provide services including payroll, benefits, compliance and worker’s compensation. Their goal is to help businesses save time and money by handling administrative and employee-related tasks.
8. Monument Systems
- Website: monumentsystemsllc.com
- Headquarters: Denver, Colorado, United States
- Founded: 1999
- Headcount: 11-50
Monument Systems LLC is an information technology solutions provider that offers administrative solutions to healthcare payers, including managed care, Medicare, Medicaid, and commercial markets. Its solution empowers payers with information integration, medical management, workflow automation, and process improvement.
9. Hach
- Website: hach.com
- Headquarters: Loveland, Colorado, United States
- Founded: 1947
- Headcount: 1001-5000
Hach.com is a company that provides information and documents related to health insurance marketplace exchange notices, policy handbooks, posting regulations, and other workplace guidelines. They offer a variety of resources for individuals and businesses looking to navigate healthcare and employment regulations.
10. Methodical
- Website: methodicalinc.com
- Headquarters: Denver, Colorado, United States
- Founded: 2002
- Headcount: 11-50
Methodical Inc. is a company offering business consulting services to help organizations streamline their operations and improve efficiency.
11. MedKeeper
- Website: medkeeper.com
- Headquarters: Lakewood, Colorado, United States
- Founded: 2001
- Headcount: 51-200
- Latest funding type: Acquired
MedKeeper is a company that offers pharmacy management solutions, including tools to enable the pharmacy team to manage its USP <795>, <797>, and <800> cleanroom documentation. They also provide access to continuing education and resources for compounding pharmacies.
12. Rio Grande Hospital (Valley Citizens Foundation for Health Care)
- Website: riograndehospital.org
- Headquarters: Del Norte, Colorado, United States
- Founded: 1996
- Headcount: 51-200
Rio Grande Hospital is a healthcare facility offering emergency room, clinic, telehealth, and pharmacy services. They provide world-class care with a dedicated team of specialists in various fields like cardiology, ophthalmology, OB/GYN, surgery, and ENT. They prioritize convenience and accessibility in delivering the healthcare services needed by their customers.
13. COPIC Companies
- Website: callcopic.com
- Headquarters: Denver, Colorado, United States
- Founded: 1981
- Headcount: 51-200
COPIC Insurance Company is an insurance provider that offers various coverage options and benefits, including medical liability insurance, individual disability insurance, individual life insurance, and cyber liability coverage. The company aims to protect individuals and businesses from unexpected disruptions and ensure the safety and well-being of their customers.
14. Ccig
- Website: thinkccig.com
- Headquarters: Englewood, Colorado, United States
- Founded: 1985
- Headcount: 51-200
CCIG is a strategic insurance, benefits, and risk management solutions provider in various industries. They offer proactive optimization of service and value to clients.
15. CRS Insurance Brokerage
- Website: crsdenver.com
- Headquarters: Englewood, Colorado, United States
- Founded: 1993
- Headcount: 51-200
CRS Insurance Brokerage is a full-service insurance agency that provides a comprehensive suite of insurance, loss control, surety, and employee benefit solutions. They aim to protect their customers' assets and help them lead their businesses and lives with confidence and peace of mind.
16. Tilt
- Website: hellotilt.com
- Headquarters: Fort Collins, Colorado, United States
- Founded: 2017
- Headcount: 51-200
- Latest funding type: Series A
Tilt is a leave management software company that helps businesses streamline and automate the management of employee leave. Their platform offers comprehensive HR dashboards, employee insights, and resources, allowing HR departments to easily track leave status and manage compliance. Tilt aims to provide a best-in-class experience for both HR professionals and employees, offering efficient and compassionate solutions for navigating critical life moments.
17. Ascentia Real Estate Holding Company, LLC
- Website: ascentia.us
- Headquarters: Littleton, Colorado, United States
- Founded: 1974
- Headcount: 51-200
Ascentia is a contemporary manufactured home community company that offers comfortable and spacious homes for America's working families. They provide modern spaces with open floor plans, large kitchens, luxury floorings, and ample yards. With a focus on respectful and supportive service, Ascentia strives to create a strong culture of belonging and meaningful communication. They value diversity, motivation, and respect in their employees and offer competitive salaries and employee benefit programs.
18. Everside Health
- Website: eversidehealth.com
- Headquarters: Denver, Colorado, United States
- Founded: 2010
- Headcount: 1001-5000
- Latest funding type: Private Equity
Everside Health is a tech-driven healthcare company that offers employee benefits administration and personalized care services. They provide comprehensive healthcare solutions and resources for patients, including a care team and health tools through their app and portal. With a focus on cost savings and improved health outcomes, Everside Health partners with employers and unions across various industries.
19. National Script
- Website: nationalscript.com
- Headquarters: Superior, Colorado, United States
- Founded: 2014
- Headcount: 11-50
National Script is a full service PBM specializing in white glove customer care. Our management team has a combined experience of over 50 years in this industry.
20. BRIDGE Healthcare Partners
- Website: bridgehcp.com
- Headquarters: Denver, Colorado, United States
- Founded: 2011
- Headcount: 51-200
BRIDGE is a purpose-driven organization that provides information technology services and revenue cycle management services. They offer services such as revenue consulting, pharmacy billing, and point of service solution provider and payer credentialing. Their expertise also includes IT security and compliance, data center management, network management, and application management and support. They specialize in electronic health record (EHR) hosting, support, maintenance, customization, and development. BRIDGE values collaboration and integrity in building relationships with their clients.
21. Executive Security International
- Website: esibodyguardschool.com
- Headquarters: Grand Junction, Colorado, United States
- Founded: 1980
- Headcount: 11-50
Executive Security International (ESI) is a training company based in Grand Junction, CO. They offer a range of courses in executive protection, corporate security management, surveillance, covert protection, and more. With their comprehensive programs, ESI provides the highest quality training in the field. Contact them at 1-800-874-0888 or esi@esi-lifeforce.com.
22. Virtuoso Sourcing Group, LLC
- Website: virtuososourcing.com
- Headquarters: Denver, Colorado, United States
- Founded: 1997
- Headcount: 51-200
Virtuoso Sourcing Group is a fully functional omnichannel contact center that provides customer care, accounts receivable management, and contact center solutions. With a focus on innovation and superior performance, they offer custom solutions to keep consumers engaged and satisfied. Their stakeholder model prioritizes employees, clients, suppliers, and regulators to drive growth and compliance. Virtuoso Sourcing Group is known for its expertise, commitment, and dedication to providing affordable and high-quality products and services.
23. Velocity Global
- Website: velocityglobal.com
- Headquarters: Denver, Colorado, United States
- Founded: 2014
- Headcount: 501-1000
- Latest funding type: Series B
Velocity Global is a global workforce solutions provider that helps companies hire, manage, and pay global talent on one platform. They streamline onboarding, benefits, and payroll for permanent workforces, removing the friction of building distributed teams. With their trusted Global Work Platform, businesses can engage talent, onboard employees quickly, ensure compliance, and pay employees with just a click.
24. MedicalServiceQuotes.com
- Website: medicalservicequotes.com
- Headquarters: Castle Rock, Colorado, United States
- Founded: 2009
- Headcount: 11-50
MedicalServiceQuotes.com provides assistance to clients in navigating the maze of ancillary services and pharmacy management. They simplify transaction management and act as a single electronic pathway for all provider service coordination and billing processes.
25. College Pharmacy Inc. -Custom Compounding
- Website: collegepharmacy.com
- Headquarters: Colorado Springs, Colorado, United States
- Founded: 1974
- Headcount: 11-50
College Pharmacy is a compounding pharmacy that has been providing high-quality compounded preparations and exceptional customer service to healthcare practitioners and patients for over 40 years. They collaborate with patients and healthcare practitioners to provide innovative solutions for health and wellness success. Their expertise includes bioidentical hormone replacement, natural thyroid formulations, chelation therapy, autism spectrum disorder sensitive formulations, age management and aesthetic medicine formulations, pain management, discontinued medications, and veterinary compounding.
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