About Us
A Leader in Pharmacy Benefits/Risk Management
US-Rx Care is a clinical pharmacy organization providing fiduciary pharmacy risk management services to self-insured employers, union trust funds, and health plans of all sizes encompassing over 5 million insured individuals. We grew up in the at-risk health plan environment, working for and consulting to multiple Medicare, Medicaid, and commercial health insurers for over thirty years. At US-Rx Care, clients have access to proven pharmacy risk management programs and solutions that have consistently delivered reductions in pharmacy benefit spend by 30%-50% or more for at-risk health plan sponsors. We have also assisted multiple plans to achieve dramatic increases in HEDIS / Stars quality scores to achieve a 5-star rating under Medicare.
Our Story
Learn about the important work US-Rx Care does on behalf of our clients in this podcast from Shape Shifters.
SOLUTIONS
Our clients and their members save 30%-50% or more in pharmacy spend on average in the first 12 months of service, with no changes to benefit design.
US-Rx Care Recognized by The Validation Institute
US-Rx Care is proud to have been independently verified by the well know and highly regarded Validation Institute for:
Contractual integrity and transparency
Significant cost savings compared to the traditional PBM model
Positive clinical outcomes
Industry Leadership
Speaker, sponsor, insight contributor, service provider
National Business
Group On Health
Innovator Forum
Finalist – 2021 National Alliance of Healthcare Purchaser Coalitions Innovator Award
Employers Health
Purchasing Coalition
Spotlight Featured Speaker
LVBCH
Corporate Health-Risk Innovation
Dallas/Fort Worth Business Coalition on Health
Houston Business Coalition on Health
Pittsburgh Business Coalition on Health
Florida Alliance for Healthcare Value
Explore the Latest News and Resources from US-Rx Care
Are Your Benefits Enough to See Employees Through a Crisis?
Middle class families — those with incomes of between roughly $50,000 and $100,000 per year — are becoming increasingly reliant on workplace benefits to ensure their financial well-being in case of a disability or critical illness.
Your Last-Minute Open Enrollment Checklist
By now you should be prepared and ready to go for your 2025 policy year employee benefits open enrollment. You should have all your plan documents and have prepared or held presentations for your staff to explain the benefits package and any major changes to plans that you offer.
3 in 4 Workers Would Accept Lower-Pay for Better Benefits: Survey
A new study has found three out of four U.S. workers would accept a job with a slightly lower salary if it offered better benefits — health care and medical coverage.
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