Prescryptive Health
Prescryptive Health is a healthcare technology company that operates a direct access marketplace for prescription drugs, serving consumers, independent pharmacies, self-funded employers, and pharmaceutical manufacturers through its myPrescryptive, emPBM, AI Pricing, and Direct Pharma Marketplace products.
- Company typePrivate
- Founded2017
- HeadquartersWashington, United States
- Headcount101–250
- GTM typeB2B and B2C
- OfferingSoftware
What Prescryptive Health does
Prescryptive Health is a private healthcare technology company founded in 2017 and headquartered in Redmond, Washington, that operates a direct access marketplace for prescription drugs. The company's cloud-based platform connects four distinct user groups: consumers, independent pharmacies, self-funded employers, and pharmaceutical manufacturers. Core products include myPrescryptive (a patient-facing prescription management experience delivered via text message with price comparison, therapeutic alternatives, and pharmacy choice), emPBM (a transparent pharmacy benefit management solution for employers), Prescryptive AI Pricing (an AI-driven cash pricing engine for independent pharmacies), and the Direct Pharma Marketplace with Direct-to-Business and Direct-to-Patient channels that let manufacturers set net prices and reach patients without traditional PBM intermediaries. The infrastructure layer, branded Prescryptive Direct, exposes five connected capabilities: access at the moment of prescribing, real net prices, direct transactions, an open 60,000+ pharmacy network, and point-of-care patient engagement.
The business model combines subscription SaaS (employer PBM and pharmacy AI Pricing), transaction fees on prescription processing through the pharmacy network, and platform fees from pharmaceutical manufacturers for direct-to-business and direct-to-patient programs. Go-to-market is multi-channel: enterprise field sales to employers and health systems, inside sales and self-service enrollment for independent pharmacies, a direct-to-consumer consumer app, and OEM/white-label partnerships (notably LillyDirect for Eli Lilly). The company is SOC 2 Type 2, HITRUST e1, and HIPAA compliant, holds a patent on its digital prescription technology, and reports case-study outcomes such as $2,564 in average first-year savings per employee, 97% employer retention in 2023, and 102% profit uplift per prescription for pharmacies using AI Pricing.
Prescryptive Health firmographics
Firmographics- Name
- Prescryptive Health
- Legal name
- Prescryptive Health, Inc.
- Website
- https://prescryptive.com
- Company type
- Private
- Founded year
- 2017
- Operating status
- Operating
- Headcount range
- 101–250 employees
- Short description
- Prescryptive Health is a healthcare technology company that operates a direct access marketplace for prescription drugs, serving consumers, independent pharmacies, self-funded employers, and pharmaceutical manufacturers through its myPrescryptive, emPBM, AI Pricing, and Direct Pharma Marketplace products.
- Ownership category
- akta.pro rank
Prescryptive Health industry classification
Industry- Product category
- Pharmacy Benefit Management Software
- NAICS
- Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds (524292)
- SIC
- Services-Prepackaged Software (7372)
- akta.pro primary industry
- Pharmacy Benefit Management (PBM) & Pharmacy Network Administration (HLAFALAI)
- akta.pro secondary industries
- PBM Technology Platforms (ePA/eRx/Real-Time Benefit Tools) (HLAEAKAL), Group Pharmacy Benefit (Rx) Coverage & PBM-Integrated Plans (FSAIAFAN), Telepharmacy & Prescription Fulfillment Marketplaces (HLALALAF), Health & Pharmacy Omnichannel (CRAFAEAK), Copay Assistance, Patient Support & Affordability Programs (HLAEAKAI)
Keywords
Where Prescryptive Health is headquartered
LocationHeadquarters
- HQ city
- Washington
- HQ country
- United States
- HQ region
- North America
Offices1 record
Markets served
Prescryptive Health business model
Business model- GTM type
- B2B and B2C
- Offering type
- Software
- Cost components
- Personnel, Technology or R&D, Marketing or Sales, Operations, Infrastructure
Revenue model
- emPBM Services: Pharmacy benefit management services for employers including clinical programs, formulary management, and member engagement tools. Revenue generated from managing prescription drug benefits for self-funded employers.
- AI Pricing Platform Licensing: AI-driven pricing engine licensed to independent pharmacies for cash pricing optimization. Pharmacies pay for the service to improve cash prescription profitability while offering competitive prices.
- Direct Pharma Marketplace: Platform fees from pharmaceutical manufacturers for direct-to-market access including direct-to-business and direct-to-patient channels. Manufacturers pay for pricing control, compliance, and patient access infrastructure.
- Transaction Fees: Transaction-based revenue from prescription processing through the 60,000+ pharmacy network. Fees are collected per prescription transaction for claims adjudication and payment flow.
- Health System Integration: Revenue from health systems for EHR integration and patient engagement solutions. Health systems pay for technology that increases patient adherence and retention.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Subscription | Monthly | emPBM for Employers - Quote-based enterprise pricing |
| Subscription | Monthly | AI Pricing for Pharmacies - Subscription model |
| Freemium | Monthly | SmartPRICE - Free program for members |
Go-to-market motion4 records
Distribution channels6 records
Marketing channels6 records
Prescryptive Health product offering
Product offeringCore offering
Prescryptive Health operates a direct access marketplace platform for prescription drugs, connecting pharmaceutical manufacturers, employers, pharmacies, and patients without traditional PBM intermediaries. Its core offerings include emPBM (transparent pharmacy benefit management for self-funded employers), Prescryptive AI Pricing (AI-driven cash pricing engine for independent pharmacies), the Direct Pharma Marketplace (direct-to-business and direct-to-patient channels for pharma manufacturers), and myPrescryptive (a patient-facing mobile prescription management platform).
Product overview
Prescryptive Health operates as a healthcare technology platform enabling a direct access marketplace for prescription drugs. The product portfolio centers on four core offerings: myPrescryptive® serves consumers as a mobile prescription management platform with real-time alerts and price comparison; emPBM provides transparent pharmacy benefit management for employers; Prescryptive AI Pricing delivers AI-optimized cash pricing for pharmacies; and the Direct Pharma Marketplace enables pharmaceutical manufacturers to reach employers and patients through Direct-to-Business and Direct-to-Patient channels. The ecosystem is unified by Prescryptive Direct infrastructure, which provides real-time pricing, direct transactions, and patient engagement capabilities across all segments.
Differentiator
Problem solved
Functional benefit
Brands
- myPrescryptive®: Patient-facing mobile prescription management platform enabling price transparency, prescription alerts, and pharmacy comparison.
- emPBM
- Prescryptive AI Pricing
- Prescryptive Powered
- Prescryptive Direct
Products and services
- myPrescryptive Patient-facing mobile prescription management platform that delivers real-time prescription alerts, enables price comparison between pharmacies, identifies lower-cost alternatives, and allows management of prescriptions for family members. No app download required—accessed via text message.
- emPBM (Employer Pharmacy Benefit Management) Transparent PBM solution for self-funded employers that provides clinical programs, savings through member engagement, and formulary management. Focuses on low net-cost strategy rather than rebate chasing.
- Prescryptive AI Pricing AI-driven cash pricing engine for independent pharmacies that analyzes claims data and competitive information to optimize pricing decisions. Delivers enhanced analytics, real-time reports, and customized dynamic pricing to maximize pharmacy profitability while offering competitive patient prices.
- PrescryptivePRO Portal for pharmacy users to manage pricing, view reports, and access Prescryptive AI Pricing tools and analytics.
- Direct Pharma Marketplace Direct-to-market ecosystem connecting pharmaceutical manufacturers directly to employers and patients. Powers direct pricing, compliance management, and real-time data through Direct-to-Business and Direct-to-Patient channels.
- Prescryptive Direct Purpose-built infrastructure platform enabling a direct access marketplace with five connected capabilities: access at point of prescribing, real net prices distributed, direct transactions between participants, open pharmacy network, and patient engagement at point of care.
- SmartPRICE Cash pharmacy discount program included with Prescryptive accounts at no additional cost. Enables patients to compare insurance copay versus cash price and access savings on prescriptions.
Quantifiable outcome
- Up to 90% savings for patients using SmartPRICE program
- +7 more outcomes
Companies that use Prescryptive Health
Customer profileNamed customers10 records
Segments5 records
Ideal customer profiles5 records
Prescryptive Health technology and API
TechnologyTechnology focussed Yes
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
AI capability3 records
Feature6 records
Prescryptive Health partnerships and signals
Strategic signalPartnerships
Nine partnerships are on record, tiered core and minor.
- Eli Lilly and CompanycorePrescryptive serves as a technology platform helping to power LillyDirect, supporting a simpler, more coordinated digital experience. The platform brings together pricing, fulfillment, patient consent, and coordination in a unified digital experience for LillyDirect patients.
- Ilant HealthcoreCollaboration to help employers access transparent GLP-1 pricing alongside outcomes-driven clinical care for obesity treatment. Combines Prescryptive's direct-to-market platform with Ilant's Center of Excellence model for clinically governed obesity care with predictable economics.
- TranscarentcorePartnership to put patients at the center of an improved pharmacy care experience. Prescryptive powers Transcarent's pharmacy experience, providing a more individualized experience for members and their families.
- National Community Pharmacists Association (NCPA)minorPartnering to help NCPA imagine an AI-powered path into the future for independent pharmacies. Building community based on shared values.
- Chancy DrugscoreFamily-owned pharmacy with seven locations in southern Georgia. Early adopter of Prescryptive AI Pricing. All seven stores use the solution, achieving $4 average uplift per cash prescription.
- Boone Drugs Inc.core12 pharmacies across eastern Tennessee and western North Carolina using Prescryptive AI Pricing. 37% uplift in gross margin per prescription after three months.
- HomeTown Pharmacycore30+ pharmacies across Michigan, Indiana, and Ohio using Prescryptive AI Pricing. 102% increase in average profit per prescription, 91% average savings for patients.
- Kerrville Drug Co.coreSingle independent pharmacy in rural Texas using Prescryptive AI Pricing. 96% increase in per prescription profitability in 30 days, 88% average savings for patients.
- Purdy Cost Less Pharmacycore24+ independent pharmacies in Pacific Northwest using Prescryptive AI Pricing. 58% revenue increase year-to-date, 16% revenue increase in first week.
Scale indicators24 records
Recent moves6 records
Expansion highlights6 records
Prescryptive Health competitors and assessment
Company assessmentDirect peers
- Capital Rx: Capital Rx is a transparent, technology-first PBM competing for self-funded employer business. It is the closest direct competitor to Prescryptive's emPBM offering, sharing the same enterprise sales motion and low-net-cost philosophy.
- SmithRx: SmithRx is a transparent PBM focused on small and mid-sized self-funded employers. It competes head-to-head with Prescryptive's emPBM for employer customers with a similar pass-through pricing model.
- RxSense: RxSense operates a PBM technology platform with transparent pricing tools and a pharmacy network, paralleling Prescryptive's AI Pricing and SmartPRICE capabilities for both payers and pharmacies.
- Truepill (TPG-backed): Truepill operates a digital pharmacy fulfillment and telehealth infrastructure platform that enables direct-to-patient prescription experiences for pharma and consumer health brands, overlapping Prescryptive's Direct-to-Patient offering.
- Alto Pharmacy: Alto Pharmacy is a tech-enabled pharmacy platform delivering prescriptions directly to patients with price transparency and digital management, closely mirroring the consumer-facing prescription experience myPrescryptive delivers.
Emerging players
- AffirmedRx: AffirmedRx is an emerging transparent PBM targeting self-funded employers and public-sector plans. It is a smaller, niche challenger in the same transparent PBM category as Prescryptive.
- Ro: Ro is a direct-to-patient telehealth and pharmacy platform offering cash-pay prescription access for specific therapeutic categories, paralleling Prescryptive's Direct-to-Patient channel and patient engagement approach.
Broad incumbents
- OptumRx: OptumRx is the largest PBM in the U.S. and the dominant incumbent competitor to Prescryptive's emPBM. It bundles PBM with broader Optum services, representing the legacy model Prescryptive is disrupting.
- Express Scripts: Express Scripts is a top-three incumbent PBM now owned by Cigna. It is the dominant contract holder for employer pharmacy benefits and the primary incumbent alternative to Prescryptive's transparent emPBM.
- CVS Caremark: CVS Caremark is the PBM arm of CVS Health and another top-three incumbent. Its vertically integrated retail, mail-order, and PBM model is the legacy structure Prescryptive's direct-access marketplace is built to bypass.
Market position
Strengths5 records
Weaknesses5 records
Competitive moat6 records
Key risks6 records
Key highlights7 records
Customer concentration
Prescryptive Health social profiles
Digital presencePrescryptive Health compliance and trust
Trust signalCompliance4 records
Prescryptive Health financial estimates
Financial estimateRevenue estimate
Valuation estimate
Prescryptive Health leadership team
Management profileNumber of profiles
Profiles15 records
Prescryptive Health funding detail
Funding detailFunding overview
Funding rounds2 records
Investors5 records
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
Prescryptive Health M&A and investment
M&A and investmentM&A1 record
Investments
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about Prescryptive Health
What does Prescryptive Health do?
Prescryptive Health operates a direct access marketplace platform for prescription drugs, connecting pharmaceutical manufacturers, employers, pharmacies, and patients without traditional PBM intermediaries. Its core offerings include emPBM (transparent pharmacy benefit management for self-funded employers), Prescryptive AI Pricing (AI-driven cash pricing engine for independent pharmacies), the Direct Pharma Marketplace (direct-to-business and direct-to-patient channels for pharma manufacturers), and myPrescryptive (a patient-facing mobile prescription management platform).
Is Prescryptive Health a public or private company?
Prescryptive Health is a private company. It is classified as venture growth investor backed and is currently operating.
When was Prescryptive Health founded?
Prescryptive Health was founded in 2017. It employs 101 to 250 people.
Where is Prescryptive Health based?
Prescryptive Health is headquartered in Washington, United States, in the North America region.
How does Prescryptive Health make money?
Five revenue lines are on record. emPBM Services are the primary driver. The others are AI Pricing Platform Licensing, direct Pharma Marketplace, transaction Fees and health System Integration.
Who are Prescryptive Health's main competitors?
Direct peers on record are Capital Rx, SmithRx, RxSense, Truepill (TPG-backed) and Alto Pharmacy. Emerging players are AffirmedRx and Ro. Broad incumbents are OptumRx, Express Scripts and CVS Caremark.
Does Prescryptive Health have an API?
No public API is recorded for Prescryptive Health.
What industry is Prescryptive Health in?
Prescryptive Health's product category is Pharmacy Benefit Management Software. Its primary akta.pro industry code is HLAFALAI, Pharmacy Benefit Management (PBM) & Pharmacy Network Administration, with a secondary code of HLAEAKAL, PBM Technology Platforms (ePA/eRx/Real-Time Benefit Tools). Its NAICS code is 524292 and its SIC code is 7372.