US-Rx Care

US-Rx Care is a pharmacy benefits risk management company serving employers, health plans, and managed care organizations seeking to control escalating drug costs while improving member outcomes. With over two decades of operational experience managing pharmacy benefits for more than 4 million lives, US-Rx Care has delivered more than $50 million i... n aggregate drug cost savings to its client base. The company's core expertise spans all aspects of pharmacy management, with particular strength in specialty pharmaceutical categories including cancer therapies, arthritis treatments, and infusion medicationsareas where traditional pharmacy benefit administration models often fall short. US-Rx Care differentiates itself by moving beyond conventional pharmacy benefit administration to actively manage pharmacy risk on behalf of clients, employing proprietary methodologies that produce sustainable per-member cost reductions while simultaneously delivering member out-of-pocket savings of 30 percent or greater. The company operates through three primary service models: Contract Risk Management, in which US-Rx Care manages pharmacy risk on a flat-rate or performance basis for clients who retain a separate pharmacy benefit manager for network and claims administration; Benefits and Risk Management, a comprehensive offering where US-Rx Care provides full claims processing, benefits administration, and pharmacy risk management, enabling clients to cap and fix monthly per-member pharmacy expenditures without modifying benefit designs; and Right Rx System License, a proprietary web-based pharmacy risk management platform that managed care organizations deploy internally to optimize their own pharmacy risk management operations. This same technology powers US-Rx Care's internal operations and client engagements. Clients typically realize a 4-to-1 or greater return on investment through measurable, real-dollar cost savings, making US-Rx Care's risk management approach a substantive departure from industry-standard pharmacy ...Read More