Clinical / Utilization Management

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Who We Serve

Employee Benefit Consultants
Create unrivaled client value with best-in-class pharmacy benefits solutions.

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Self-Funded Employers
Putting the benefit back in pharmacy benefits at a price your company can afford.

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Hospitals & Health Systems
Partner with a pharmacy benefits provider well-equipped to meet your complex requirements.

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Third Party Administrators
Offer a flexible, yet scalable, pharmacy benefits solution to meet clients’ unique needs.

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Solutions

Self-Funded Employers Solutions
Curb rising costs and derive greater value through our balanced approach to pharmacy benefits.

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Hospitals & Health Systems Solutions
Craft a tailored solution that meets your needs as both an employer and a healthcare provider.

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Third Party Admin Solutions
Partner with us for the best rates, rebates, services, and clinical strategies without the hassle.

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Request for Proposal (RFP)
Ensure your pharmacy evaluation process is concise, thorough, and delivers the results you need.

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NewContent Hub
September 17, 2020
Managing Specialty Rx from a Contract Perspective
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Rx Problem-Solving Saves a School Board $7.30 PMPM in Just 6 Months

6 days ago

Lesson on Limited Distribution Drugs & Specialty Rebate Guarantees

7 days ago
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Clinical / Utilization Management

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NewNews & Events

7 days ago

Latest Executive Order Pushes “Most Favored Nation” Drug Pricing Policy Test

On Sept. 13, 2020, President Trump signed an executive order amending the version he signed on Friday, July 24 relating…

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27 days ago

Kelly Chillingworth Featured in Drug Store News

“Safely Navigating a Storm,” focuses on the importance of ensuring patient safety in the retail drug industry.

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About Us

About Us
RxBenefits is the employee benefit industry’s first and only technology-enabled pharmacy benefits optimizer (PBO). Headquartered in Birmingham, AL, we focus exclusively on delivering value to employee benefit consultants and their self-funded clients.

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Leadership Bryan StathamCEO Robert GamblePresident, CFO Nathan WhiteChief Client Officer Cynthia JohnsonVice Chair
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Culture
A growing team of more than 500 pharmacy pricing, contract, service, technology, data, and clinical experts that work together as one team towards one common goal: putting the benefit back in pharmacy benefits.

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What is a Pharmacy Benefits Optimizer?
RxBenefits is the industry's first and only Pharmacy Benefits Optimizer, or PBO. So what exactly is a PBO? We're glad you asked.

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800.377.1614 Are you a member?

Rx Problem-Solving Saves a School Board $7.30 PMPM in Just 6 Months

4 min read6 days ago

Real Examples of How Clinical Rx Management Protects Members & Plans

4 min read21 days ago

The Clinical & Economic Value of Driving Members to Alternative Medications

4 min read26 days ago

Pharmacy Benefit Strategies for Hospitals & Health Systems

9 min read27 days ago

Removing $18.25 PMPM of Wasteful Rx Spending through Improved Clinical Oversight

4 min readAugust 14, 2020

Large Cost Claimants: What They Are & How to Address Them

2 min readJuly 2, 2020

Definitive Guide to Optimizing Pharmacy Benefits

33 min readJune 29, 2020

Parity Pricing Dose Optimization Saves Hospital $5.85 PMPM

3 min readJune 26, 2020

Getting Started with Clinical Strategies to Better Manage Drug Spend

3 min readJune 18, 2020

Utilizing A Data-Driven Approach for Pharmacy Benefits Decision-Making

2 min readJune 11, 2020