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At A Glance

Privately held, founded by independent pharmacy representatives and insurance industry experts
Offering full line of management solutions focused on transparency, guaranteed savings and cost-containment
Headquartered in High Point, NC, mission-driven, outperforming expectations and dedicated to growing jobs

About ProRx Solutions

Innovative, transparent solutions that eliminated any conflicts of interest and that are fully aligned with your goals as a plan sponsor

Unlike traditional pharmacy benefit managers, ProRx Solutions focuses solely on aligning your goals as a plan sponsor by designing a custom prescription benefit plan. At ProRx Solutions we take the time to understand your unique needs and challenges. We work closely with you to custom-tailor a plan to provide the lowest possible pharmacy costs and most appropriate care at a price you and your employees can afford.

Our custom care solution eliminates the hidden mark-up on pharmacy claims or "spreads". We do not retain rebates or incentives which may occur at other PBMs. Instead, we pass the savings and rebates to you through a readily verifiable and auditable system sitting right on your desktop.

This strategy of complete transparency ensures our motivation as a steward of your best interests. We maximize generic savings, select the lowest net cost brands in the formulary decision process, and implement cost-reduction strategies that will decrease you and your member costs, working with you to decrease lost work days and increase the health of your members.

We can develop customized networks to address both access and cost containment. Clients have access to more than 62,000 pharmacies for both traditional prescription filling and value added services such as Medication Therapy Management.
Our team of pharmacy specialists assist our clients in a holistic way
  • - Aligning the plan design to meet defined objectives
  • - Designing a pharmacy network to balance employee access and cost savings
  • - Selecting a value driven, unbiased Preferred Drug List
  • - Maximizing generic use and negotiating brand rebate dollars where and when they make sense
  • - Developing reward programs that incentivize positive member behavior
  • - Assembling the business intelligence necessary to manage their healthcare dollar