RazorMetrics
RazorMetrics is a private, Austin-based healthcare technology company that operates RxEdge, a cloud-based pharmacy cost containment platform using AI to deliver medication cost-saving recommendations directly to prescribers, serving health plans, self-funded employers, PBMs, and state governments.
- Company typePrivate
- Founded2018
- HeadquartersAustin, United States
- Headcount51–100
- GTM typeB2B
- OfferingSoftware
What RazorMetrics does
RazorMetrics is a private, Austin-based healthcare technology company founded in 2018 by Tom Dorsett and Dr. Siva Mohan that operates a cloud-based pharmacy cost containment platform. The company's flagship RxEdge product, powered by the proprietary RazorCodex clinical decision engine, identifies and executes cost-saving opportunities through medication switching, deprescribing, deduplication, and biosimilar utilization by delivering recommendations directly to prescribers within their existing clinical workflow, achieving a 76% physician response rate and a 41% acceptance rate. A patent-pending polypharmacy analysis technology targets the most complex multi-drug regimens that account for an estimated 25-50% of achievable savings, and the platform processes over 100 million claims annually, providing the data scale necessary to refine its AI-driven recommendations.
RazorMetrics monetizes primarily through a per-member-per-month subscription model with no implementation or integration fees, supplemented by performance-based savings share economics, and offers a 2X ROI guarantee in the first year. The platform is sold via direct enterprise sales to health plans, self-funded employers, Medicare Advantage plans, and state government programs, alongside a channel partner network comprising benefits consultants, brokers, TPAs, and PBMs. RxAdvocate, launched in 2024, extends the offering to members through a web portal that surfaces medication history, switch opportunities, and discount card integration without requiring an app download.
Documented customer outcomes include over $500 million in cumulative savings delivered, $34 million across 1.1 million Texas members over 24 months, $11 million across 60,000 Ohio residents, and nearly $60 million across 246,000+ Florida members since March 2023. The company has earned SOC 2 Type II and HIPAA compliance certifications, ranks No. 18 on the 2025 Inc. 5000 and No. 12 on the Deloitte Technology Fast 500, and was recognized with the 2025 EY Entrepreneur Of The Year Gulf South Award for its co-founders.
RazorMetrics firmographics
Firmographics- Name
- RazorMetrics
- Legal name
- RazorMetrics, Inc.
- Website
- https://razormetrics.com
- Company type
- Private
- Founded year
- 2018
- Operating status
- Operating
- Headcount range
- 51–100 employees
- Short description
- RazorMetrics is a private, Austin-based healthcare technology company that operates RxEdge, a cloud-based pharmacy cost containment platform using AI to deliver medication cost-saving recommendations directly to prescribers, serving health plans, self-funded employers, PBMs, and state governments.
- Ownership category
- akta.pro rank
RazorMetrics industry classification
Industry- Product category
- Pharmacy Cost Containment Software
- NAICS
- Custom Computer Programming Services (541511)
- SIC
- Services-Offices & Clinics Of Doctors Of Medicine (8011)
- akta.pro primary industry
- PBM Technology Platforms (ePA/eRx/Real-Time Benefit Tools) (HLAEAKAL)
- akta.pro secondary industries
- Pharmacy Information Systems (PIS) & Dispensing Workflow (HLACAKAC), Medication Therapy Management (MTM) & Clinical Pharmacy Services Tools (HLACAKAH), Pharmacy/Medication Management & Virtual MTM (Payer-Sponsored) (HLALACAK)
Keywords
Where RazorMetrics is headquartered
LocationHeadquarters
- HQ city
- Austin
- HQ country
- United States
- HQ region
- North America
Offices1 record
Markets served
RazorMetrics business model
Business model- GTM type
- B2B
- Offering type
- Software
- Cost components
- Personnel, Technology or R&D, Marketing or Sales, Operations, Infrastructure
Revenue model
- Per-Member Per-Month (PMPM) Subscription: RazorMetrics charges a flat per-member-per-month fee for access to its RxEdge pharmacy cost containment platform. The pricing model is designed for clarity with no hidden setup fees or surprise charges. The company guarantees 2X ROI in the first year or provides a money-back guarantee.
- Performance-Based Savings Share: Revenue is generated through measurable prescription drug savings delivered to clients (health plans, employers, PBMs). The company's value proposition centers on cutting drug spend by 10% or more, with documented savings outcomes.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Subscription | Monthly | Flat per-member per-month pricing |
Go-to-market motion3 records
Distribution channels4 records
Marketing channels6 records
RazorMetrics product offering
Product offeringCore offering
RazorMetrics operates a cloud-based, AI-driven pharmacy cost containment platform (RxEdge™) that analyzes pharmacy claims, formulary, and clinical data to surface medication cost-saving opportunities (therapeutic switches, deprescribing, deduplication, biosimilar utilization, and polypharmacy optimization) and delivers those recommendations to prescribers inside their existing clinical workflow. A member-facing companion portal (RxAdvocate™) provides medication history, savings information, and discount-card integrations, while the underlying RazorCodex™ engine continuously adapts to each client's formulary and plan design.
Differentiator
Problem solved
Functional benefit
Brands
- RxEdge: The core pharmacy cost containment solution — an effortless, automated platform that identifies cost-saving opportunities through medication switching, deprescribing, deduplication, and biosimilar utilization. Powered by the proprietary RazorCodex algorithm engine.
- RxAdvocate
- RazorCodex
Products and services
- RxEdge™ Automated pharmacy cost containment solution that identifies and initiates cost-saving opportunities through medication switching, deprescribing, deduplication, polypharmacy management, and biosimilar utilization. Powered by the RazorCodex™ engine, it delivers recommendations directly to prescribers within their existing clinical workflow. Sold to health plans, self-funded employers, PBMs, and state government programs.
- RxAdvocate™ Member-facing companion to RxEdge™ providing online access to medication, savings, and claims information including 12-month medication history across providers, pharmacies, and facilities. Includes incentives, discount card integration, and mail-delivery pharmacy options.
Quantifiable outcome
- Reduces prescription drug spend by 10%
- +6 more outcomes
Companies that use RazorMetrics
Customer profileNamed customers9 records
Segments5 records
Ideal customer profiles5 records
RazorMetrics technology and API
TechnologyTechnology focussed Yes
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
AI capability4 records
Feature5 records
RazorMetrics partnerships and signals
Strategic signalScale indicators12 records
Recent moves6 records
Expansion highlights5 records
RazorMetrics competitors and assessment
Company assessmentEmerging players
- HealthJoy: HealthJoy is an employee benefits navigation platform that includes pharmacy and care guidance; it overlaps with RazorMetrics' employer and broker buyers and competes for member-facing engagement mindshare.
- Sempre Health: Sempre Health uses dynamic pricing and member incentives to drive adherence and lower-cost medication choice, adjacent to RazorMetrics' member-facing RxAdvocate and biosimilar utilization use cases.
Broad incumbents
- CVS Caremark: CVS Caremark is the third major PBM and part of CVS Health; its scale, retail footprint, and Caremark formulary design set the baseline against which RazorMetrics must demonstrate measurable incremental savings.
- OptumRx (UnitedHealth Group): OptumRx is the largest U.S. PBM and a subsidiary of UnitedHealth Group; it competes broadly with RazorMetrics' employer and payer customers and could internalize comparable polypharmacy and prescriber-engagement capabilities.
- Express Scripts (Evernorth / Cigna): Express Scripts is one of the 'big three' PBMs serving most U.S. health plans and represents both a potential integration partner and a major competitive threat to RazorMetrics' PBM-channel strategy.
Direct peers
- Capital Rx: Capital Rx is a technology-led PBM operating its own claims engine and clinical management platform, competing for the same health plan and employer buyers who are evaluating RazorMetrics as a complementary cost containment layer.
- SmithRx: SmithRx is a next-generation PBM focused on self-funded employers and transparent pricing, directly comparable to RazorMetrics' employer and broker channel and PMPM-style commercial model.
- EmpiRx Health: EmpiRx Health is a clinically focused PBM emphasizing pharmacist-led intervention and formulary optimization, the closest analogue to RazorMetrics' prescriber-engagement and P&T-driven clinical approach.
- RxBenefits: RxBenefits provides PBM services and pharmacy benefit consulting to self-funded employers and brokers, competing in the same channel and buyer ecosystem as RazorMetrics' partner and employer motions.
- Rx Savings Solutions: Rx Savings Solutions offers a prescription transparency and cost containment platform for health plans, employers, and members, closely overlapping RazorMetrics' PMPM subscription model and target buyers in the self-funded employer and payer segments.
Market position
Strengths4 records
Weaknesses4 records
Competitive moat6 records
Key risks6 records
Key highlights7 records
Customer concentration
RazorMetrics social profiles
Digital presenceRazorMetrics compliance and trust
Trust signalCompliance2 records
RazorMetrics financial estimates
Financial estimateRevenue estimate
Valuation estimate
RazorMetrics leadership team
Management profileNumber of profiles
Profiles16 records
RazorMetrics funding detail
Funding detailFunding overview
Funding rounds2 records
Investors1 record
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
RazorMetrics M&A and investment
M&A and investmentM&A
Investments
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about RazorMetrics
What does RazorMetrics do?
RazorMetrics operates a cloud-based, AI-driven pharmacy cost containment platform (RxEdge™) that analyzes pharmacy claims, formulary, and clinical data to surface medication cost-saving opportunities (therapeutic switches, deprescribing, deduplication, biosimilar utilization, and polypharmacy optimization) and delivers those recommendations to prescribers inside their existing clinical workflow. A member-facing companion portal (RxAdvocate™) provides medication history, savings information, and discount-card integrations, while the underlying RazorCodex™ engine continuously adapts to each client's formulary and plan design.
Is RazorMetrics a public or private company?
RazorMetrics is a private company. It is classified as venture growth investor backed and is currently operating.
When was RazorMetrics founded?
RazorMetrics was founded in 2018. It employs 51 to 100 people.
Where is RazorMetrics based?
RazorMetrics is headquartered in Austin, United States, in the North America region.
How does RazorMetrics make money?
Two revenue lines are on record. Per-Member Per-Month (PMPM) Subscription is the primary driver. The others are performance-Based Savings Share.
Who are RazorMetrics's main competitors?
Emerging players on record are HealthJoy and Sempre Health. Broad incumbents are CVS Caremark, OptumRx (UnitedHealth Group) and Express Scripts (Evernorth / Cigna). Direct peers are Capital Rx, SmithRx, EmpiRx Health, RxBenefits and Rx Savings Solutions.
Does RazorMetrics have an API?
No public API is recorded for RazorMetrics.
What industry is RazorMetrics in?
RazorMetrics's product category is Pharmacy Cost Containment Software. Its primary akta.pro industry code is HLAEAKAL, PBM Technology Platforms (ePA/eRx/Real-Time Benefit Tools), with a secondary code of HLACAKAC, Pharmacy Information Systems (PIS) & Dispensing Workflow. Its NAICS code is 541511 and its SIC code is 8011.