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
How to Get the Benefits of Self-Funding without the Risks
There are typically two approaches to securing health coverage for your staff — group health insurance or self-funding.
New Class-Action Lawsuits Target Group Health Plan Tobacco Surcharges
A new wave of class-action lawsuits is targeting group health plan tobacco surcharges, accusing...
Why Non-Fiduciary PBMs are Tipping the Scales Against Employers’ Best Interests
At the U.S. Senate Committee on Health, Education, Labor, and Pensions hearing on September 24,...
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