Rx Savings Solutions

Name

Rx Savings Solutions

Legal name

Rx Savings Solutions

Website

https://rxsavingssolutions.com

Company type

Private

Founded year

2014

Operating status

Acquired

Headcount range

251–500 employees

Ownership category

akta.pro rank

Product category

Pharmacy Benefits Management Software

NAICS

Computing Infrastructure Providers, Data Processing, Web Hosting, and Related Services (5182), Custom Computer Programming Services (541511)

SIC

Accident & Health Insurance (6321), Services-Prepackaged Software (7372)

akta.pro primary industry

PBM Technology Platforms (ePA/eRx/Real-Time Benefit Tools) (HLAEAKAL)

akta.pro secondary industries

Group Pharmacy Benefit (Rx) Coverage & PBM-Integrated Plans (FSAIAFAN), Customer Experience (CX) & Digital Experience (BPAHAEAC)

Keywords

• Pharmacy benefits management
• Prescription cost transparency
• Healthcare consumerism software
• Pharmacy savings solutions
• Medication affordability platform

Headquarters

HQ city

Overland Park

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Software

Cost components

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

Revenue model

1. Health Plan and Plan Sponsor Services: RxSS provides pharmacy transparency and cost savings services to health plans and self-insured employers. The company analyzes pharmacy claims and engages members to drive medication cost savings, with revenue derived from service agreements with plan sponsors.

Go-to-market motion1 record

Distribution channels3 records

Marketing channels7 records

Core offering

Rx Savings Solutions (RxSS) is a pharmacy cost transparency platform that connects health plan members and plan sponsors to real-time savings opportunities throughout the medication journey. The platform combines patented clinical technology that analyzes pharmacy claims and generates lower-cost medication alternatives with a pharmacist-led member engagement and support service that helps members navigate pharmacy benefits and switch to affordable options.

Product overview

Rx Savings Solutions (RxSS) is a unified pharmacy cost transparency platform consisting of patented clinical technology, member engagement services, and support capabilities. The core RxSS platform serves as the central offering, connecting members and health plans to real-time transparency across the medication journey to identify lower-cost prescription alternatives.

Differentiator

Problem solved

Functional benefit

Products and services

• Rx Savings Solutions (RxSS) Platform

Quantifiable outcome

• 1 in 3 engaged members change to a lower-cost option when presented with savings suggestions
• +2 more outcomes

Named customers10 records

Segments5 records

Ideal customer profiles4 records

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature2 records

Partnerships

Three partnerships are on record, tiered core.

• Select HealthcoreStrategic or Co-development PartnerSelect Health partnered with RxSS to implement pharmacy transparency solutions. The health plan believed that delivering the best care would drive cost savings, and found that RxSS's technology and engagement model delivered both clinical care quality and financial outcomes simultaneously.
• Security Health PlancoreStrategic or Co-development PartnerSecurity Health Plan collaborated with RxSS to develop an innovative approach to member engagement that drives pharmacy savings. A case study documents their joint success in increasing member engagement and reducing pharmacy costs.
• Purdue UniversitycoreGTM or Marketing PartnerPurdue University's AVP of Benefits & Payroll co-presented with RxSS at Conference Board '26, demonstrating a collaborative go-to-market relationship where the client serves as a reference and thought leadership partner.

Scale indicators5 records

Recent moves6 records

Expansion highlights5 records

Direct peers

• GoodRx: GoodRx is a consumer-facing prescription savings and transparency platform that helps individuals find lower-cost medications. It is the most direct comparand to RxSS in terms of driving medication-cost transparency and lower-cost prescription switching, although GoodRx is consumer-led and RxSS is enterprise-led.
• Capital Rx: Capital Rx operates a technology-driven PBM platform (Judi) that combines real-time benefit tools, transparency, and claims processing for self-insured employers and health plans. It is a direct competitor to RxSS in modern, transparent PBM technology for employer plan sponsors.
• SmithRx: SmithRx is a modern PBM serving self-insured employers with a tech-forward, transparent pricing model and real-time benefit tools. It directly competes with RxSS for self-insured employer pharmacy benefit spend and shares the thesis of disrupting traditional PBM economics.
• Truveris: Truveris provides pharmacy benefit analytics, audit, and transparency software used by employers, plans, and consultants. It is a direct comparand in the pharmacy transparency and benefits analytics category that RxSS targets.
• RxBenefits: RxBenefits is a PBM consulting and procurement firm that helps self-insured employers and brokers optimize pharmacy benefit programs. It competes for the same buyer (self-insured employer / benefits consultant) and overlaps with RxSS on transparency and cost-control tooling.

Broad incumbents

• OptumRx: OptumRx is the PBM arm of UnitedHealth Group and the largest U.S. PBM. It is a broad incumbent offering vertically integrated PBM services, rebate management, and member-facing tools that increasingly overlap with the transparency and member-engagement layer where RxSS operates.
• Express Scripts: Express Scripts (Cigna) is one of the three largest U.S. PBMs, providing pharmacy benefit management, mail-order, and specialty drug services to health plans and employers. As a broad incumbent, it competes for the same plan-sponsor wallet that RxSS addresses with its transparency and member-engagement platform.
• CVS Caremark: CVS Caremark is the PBM business of CVS Health and a leading U.S. PBM serving health plans and large employers. It is a broad incumbent that competes with RxSS by bundling pharmacy benefit administration, retail pharmacy, and increasingly cost-transparency functionality.

Emerging players

• Healthcare Bluebook: Healthcare Bluebook provides healthcare cost and quality transparency tools used by self-insured employers and health plans. It is an emerging player that intersects with RxSS in employer-facing cost transparency, though it is broader (medical + pharmacy) and less PBM-specialized.
• HealthJoy: HealthJoy is a benefits navigation and virtual-care platform for self-insured employers that includes pharmacy savings as part of a broader employee benefits experience. It is an emerging player that competes for the same benefits-decision-maker and overlaps with RxSS on pharmacy cost transparency.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

• YouTubeyoutube.com/channel/UCb3FCCm0dQ3PGtwDa3OArfA
• LinkedInlinkedin.com/company/rx-savings-solutions
• Xx.com/RxSavings
• Facebookfacebook.com/rxsavingssolutions

Compliance1 record

Revenue estimate

Valuation estimate

Number of profiles

Profiles8 records

Funding overview

Funding rounds2 records

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 Rx Savings Solutions