Mission, Vision, and Values
At RxBenefits, we make prescription medications more affordable for working individuals and the businesses that employ them. We challenge traditional pharmacy benefits approaches by delivering innovative, transparent solutions designed to cut pharmacy costs while putting clients and their members first.
Who We Are
RxBenefits is the first and leading pharmacy benefits optimizer (PBO) in the employee benefits industry. Since 1995, we’ve partnered with benefits consultants to provide pharmacy cost-containment solutions to self-insured employers of all sizes. Based in Birmingham, AL, we employ over 1,000 experts in pharmacy pricing, clinical management, consulting, and data analysis.
Our goal is simple—deliver savings without compromising member care. With transparency and integrity at the forefront, we help clients achieve both cost sustainability and access to high-quality pharmacy benefits.
What Sets Us Apart
We’re redefining the pharmacy benefits landscape with five key differentiators:
- Client-Aligned Economics: At RxBenefits, we don’t profit from formulary placement incentives, spread pricing, rebate withholds, or dispensing fees. We’re paid directly by our clients via a flat administrative fee and by the nation’s leading PBMs for the services we provide on their behalf—prioritizing your best interests.
- Curated Solutions Marketplace: Attracted by our market-leading size and scale, both traditional and transparent PBMs eagerly compete in our solutions marketplace. This competition drives down client costs and offers more options for tailored plans.
- Data-Driven Insights: Our technology-driven financial analysis makes it quick and easy to do an apples-to-apples comparison of multiple offers. Our expert consultants provide tailored recommendations to help each client understand their options and design the optimal benefit to achieve their unique goals. We never force clients into a cookie cutter solution.
- Independent Clinical Expertise: Our clinical programs contain specialty costs by redirecting prescribers and members to safe, cost-effective alternatives such as biosimilars and specialty generics. This approach delivers superior outcomes at lower pharmacy costs.
- Award-Winning Service: Our U.S.-based service team emphasizes client-centricity, proactive consultation, empathy, and efficient resolution, supported by convenient, digital self-service tools. With a Net Promoter Score (NPS) of 48—far above the industry average—we deliver exceptional results and high satisfaction.
Timeline
Founded in Birmingham, AL, as Prescription Benefits, Inc. (PBI)
Established relationship with first PBM serving 2,500 member lives (with three employees)
Established relationship with second PBM serving 30,000 member lives (with five employees)
Introduced our Claims Repricing Platform
Established relationship with third PBM
Took on new private equity partner to facilitate growth
Launched our proprietary RxAnalyzer data analytics platform
Topped $2B in annual drug spend under management
Celebrated 25 years by taking on a second private equity partner
Acquired Confidio, bringing us up to 700+ employees, nearly 3M member lives and $3B in annual pharmacy spend under management
Expanded our portfolio of clinical utilization management programs with the addition of high-touch therapeutic interchange and real-time PA status alerts via SMS, launched new online broker and member self-service applications
