MedImpact
The PBM that puts clients and members first.
Overview
MedImpact is a large, independent PBM that provides services to health plans, hospitals, and government entities. The company prides itself on a transparent, pass-through business model, which it claims better aligns its interests with those of its clients. They offer a full range of PBM services, including formulary management, clinical programs, and claims processing, without owning their own mail-order or specialty pharmacies.
✨ Key Features
- Formulary Management
- Transparent, Pass-Through Pricing Model
- Clinical and Cost-Management Programs
- Government Program Expertise (Medicaid, Medicare)
- Claims Adjudication
- Pharmacy Network Management
🎯 Key Differentiators
- Independence from health plans and pharmacies, allowing for unbiased decision-making.
- Focus on a pass-through pricing model and transparency.
- Strong emphasis on clinical management to control drug trend.
Unique Value: Provides an independent and transparent PBM solution focused on clinical excellence and cost containment, free from the conflicts of interest associated with PBMs owned by insurers or pharmacies.
🎯 Use Cases (3)
✅ Best For
- Serving as the PBM for over 55 million members.
💡 Check With Vendor
Verify these considerations match your specific requirements:
- Clients seeking a PBM that is vertically integrated with its own large-scale mail and specialty pharmacies.
🏆 Alternatives
Offers greater transparency and a business model solely focused on the client's best interest, unlike vertically integrated competitors.
💻 Platforms
🔌 Integrations
🛟 Support Options
- ✓ Email Support
- ✓ Phone Support
- ✓ Dedicated Support (Client tier)
🔒 Compliance & Security
💰 Pricing
Free tier: NA
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