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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Content Hub
May 13, 2021
Understanding COVID’s Economic Squeeze on U.S. Hospitals & Health Systems
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The Complete Guide to Maximizing Pharmacy Benefits for Hospitals

8 days ago

Using Provider Scorecards to Improve Hospital Pharmacy Benefits Management

10 days ago
Content Hub
Hospital & Health Systems

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Clinical / Utilization Management

Pharmacy Trends

Benefit Plan Design

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News & Events

8 days ago

RxBenefits’ Chief Client Officer Talks Membership Growth Amid Rising Benefits Costs on Health Pro Radio

Chief Client Officer Nathan White recently sat down with Health Professional Radio, sharing all there is to know about the…

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16 days ago

Meet Our Expert: Alan Palmer, Director of Customer Experience

Alan Palmer, Director of Customer Experience, joined RxBenefits in 2019 as Senior Manager of Member Services. Before joining RxBenefits, Alan…

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Events
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?

The Complete Guide to Maximizing Pharmacy Benefits for Hospitals

12 min read8 days ago

Drug Rebate Yield: What It Is & Why You Need to Know It

4 min read18 days ago

Specialty Medication Dose Creep: What It Is and How to Avoid It

4 min read22 days ago

Complex Condition Intervention Saves School System $947K

4 min read29 days ago

Manufacturer Assistance Program Saves Municipality $13.33 PMPM on Specialty Rx

3 min readMarch 31, 2021

Independent Prior Authorization Reviews

1 min readMarch 17, 2021

Thorough Rx Surveillance Saves a School System $1.5M in Just 1 Quarter

3 min readJanuary 7, 2021