What Southern Scripts does

Southern Scripts, operating commercially as Liviniti, is a U.S. pharmacy benefit manager founded in 2011 and headquartered in Natchitoches, Louisiana, with 51-100 employees. The company serves self-funded employers and health systems with a 100% transparent, pass-through PBM platform under which employers are charged exactly what the PBM pays the pharmacy, 100% of drug rebates and discounts are returned to the plan sponsor, and a single flat all-inclusive administrative fee is the only disclosed source of PBM revenue. The company does not mandate use of owned mail-order or specialty pharmacies, positioning this as a fiduciary-aligned alternative to traditional spread-pricing PBMs.

The product surface centers on the Liviniti PBM Platform, augmented by a lowest-net-cost prior authorization program and a newer add-on module called LivLite that helps clients manage costs for GLP-1 weight-loss drugs. Technology differentiation is grounded in contractual transparency and drug-cost analytics rather than any disclosed AI/ML capability; no proprietary AI models, APIs, or integrations are documented in the available data. Marketing relies on a content/blog presence, a Podchat podcast, LinkedIn, industry events, and a self-serve 'Get A Quote' evaluation tool.

Go-to-market is sales-led and primarily domestic, with direct enterprise engagement of plan sponsors, a dedicated Health Systems vertical motion, and a quote-based pricing model whose individual rates are not publicly disclosed. The company advertises 30-40% employer savings versus traditional PBMs, earned three independent service awards in H1 2026, and counts a $100M growth-equity round from Water Street Healthcare Partners (January 2021) as its disclosed funding event.

Name

Southern Scripts

Legal name

Southern Scripts

Website

https://southernscripts.net

Company type

Private

Founded year

2011

Headcount range

51–100 employees

Short description

Southern Scripts, operating as Liviniti, is a transparent pass-through pharmacy benefit manager founded in 2011 that serves self-funded U.S. employers and health systems with a single disclosed administrative fee, 100% rebate pass-through, and no owned-pharmacy mandates.

Ownership category

akta.pro rank

Product category

Pharmacy Benefit Management

NAICS

Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds (524292)

SIC

Insurance Agents, Brokers & Service (6411)

akta.pro primary industry

Pharmacy Benefit Analytics, Reporting & Employer Consulting (HLAEAKAK)

akta.pro secondary industries

Formulary Management & Clinical Pharmacy Programs (HLAEAKAA), PBM Technology Platforms (ePA/eRx/Real-Time Benefit Tools) (HLAEAKAL), Group Pharmacy Benefit (Rx) Coverage & PBM-Integrated Plans (FSAIAFAN)

Keywords

• Pharmacy benefit management
• Transparent pass-through PBM
• Prescription drug benefits
• Specialty pharmacy management
• GLP-1 cost management

Headquarters

HQ city

Natchitoches

HQ country

United States

HQ region

North America

Markets served

GTM type

B2B

Offering type

Services

Cost components

Personnel, Operations, Technology or R&D, Marketing or Sales, Infrastructure, Others

Revenue model

1. PBM Administrative Fees: Single, fully disclosed administrative fee charged to plan sponsors (employers and health systems). The fee is a flat, all-inclusive rate for standard PBM services, contractually guaranteed, and represents the one and only source of PBM revenue — no undisclosed mark-ups, spread pricing, or hidden fee sources.

Pricing tiers

Go-to-market motion1 record

Distribution channels3 records

Marketing channels7 records

Core offering

Southern Scripts, operating as Liviniti, is a pharmacy benefit manager (PBM) that delivers transparent, pass-through pharmacy benefit management services to self-funded employers and health systems. Its offering centers on a single fully disclosed flat administrative fee, 100% pass-through of pharmacy charges and rebates to the client, open pharmacy network access (no mandated owned pharmacies), and specialized programs including lowest-net-cost prior authorization and LivLite for GLP-1 weight-loss drug cost management.

Product overview

Liviniti is a pharmacy benefit management (PBM) company offering a single, unified transparent pass-through model. The core platform is the Liviniti PBM Platform, which provides transparent pricing, rebate pass-through, and fiduciary protection for plan sponsors (employers and health systems). Add-on modules include LivLite Weight Loss for GLP-1 cost management and a Prior Authorization Program designed to identify the lowest net cost medications. The company does not mandate use of owned mail order or specialty pharmacies.

Differentiator

Problem solved

Functional benefit

Products and services

• Liviniti PBM Platform Core pharmacy benefit management (PBM) platform offering transparent, pass-through pricing for self-funded employers and health systems, with 100% of rebates and discounts passed back to clients, a single fully disclosed flat administrative fee as the only revenue source, and no mandate to use owned mail-order or specialty pharmacies.
• LivLite Weight Loss A specialized cost-savings program within Liviniti's PBM services designed to help plan sponsors manage rising costs of GLP-1 weight loss drugs, addressing an emerging high-cost therapy category.
• Lowest Net Cost Prior Authorization Program A prior authorization program designed to place patients on medications with the lowest net cost, leveraging Liviniti's zero-profit-on-drug-spend model so the only incentive is selecting the most cost-effective medication for the client.

Quantifiable outcome

• Employers can save 30-40% by switching to Liviniti from traditional PBMs

Segments2 records

Ideal customer profiles2 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature3 records

Scale indicators3 records

Recent moves6 records

Expansion highlights5 records

Direct peers

• Navitus Health Solutions: Navitus is a transparent, pass-through PBM that passes 100% of rebates and discounts to clients and charges a flat admin fee, directly mirroring Liviniti's core model. It serves employer, health plan, and government clients and is among the most direct comparables in the transparent PBM category.
• SmithRx: SmithRx is a venture-backed transparent PBM focused on small and mid-sized self-funded employers, offering pass-through pricing and technology-driven administration. It targets the same primary customer segment as Liviniti with a closely aligned business model.
• Capital Rx: Capital Rx operates a transparent PBM with a proprietary technology platform (JUDI) and 100% rebate pass-through to employer and health plan clients. It is a direct competitor in the technology-enabled transparent PBM category serving self-funded employers.
• RxBenefits: RxBenefits is a PBM partner focused on self-funded employers and brokers, providing transparent pricing and clinical programs tailored to mid-market employer plans. It directly competes for the same self-funded employer customer base as Liviniti.
• Emisar Health Partners: Emisar Health Partners operates as a transparent, pass-through PBM built specifically around fiduciary alignment for self-funded plans, with similar pass-through and rebate-return positioning. It is a direct competitor in the transparent PBM segment.

Broad incumbents

• CVS Caremark: CVS Caremark is the largest U.S. PBM and a subsidiary of CVS Health, offering full-service PBM with rebate retention, spread pricing, and owned mail-order/specialty pharmacy capabilities. It is the dominant incumbent against which Liviniti positions its transparent alternative.
• Express Scripts: Express Scripts, a Cigna subsidiary, is one of the 'Big 3' PBMs serving national employer, health plan, and government clients with traditional spread-pricing and rebate-retention economics. It competes with Liviniti for large employer RFPs.
• OptumRx: OptumRx is the PBM arm of UnitedHealth Group and the largest PBM by prescription volume, offering integrated pharmacy, care delivery, and data capabilities. It represents the broadest incumbent competitive threat to Liviniti.

Emerging players

• Zelis Healthcare: Zelis provides claims cost management and pharmacy benefit cost containment services to health plans and self-funded employers, with adjacent capabilities to PBMs. It overlaps with Liviniti in serving self-funded employers seeking cost reduction.

Regional players

• ProAct Inc. ProAct is a PBM serving employer groups, health plans, and government programs primarily in the Northeast U.S. with pass-through pricing options. It is a regional PBM competitor with partial overlap in transparent model positioning.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks5 records

Key highlights7 records

Customer concentration

• Xx.com/ss_pbm

Revenue estimate

Valuation estimate

Number of profiles

Profiles2 records

Funding overview

Funding rounds1 record

Investors1 record

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Southern Scripts