EmpiRx Health
- Company typePrivate
- Founded2014
- HeadquartersMontvale, United States
- Headcount251–500
- GTM typeB2B
- OfferingServices
EmpiRx Health firmographics
Firmographics- Name
- EmpiRx Health
- Legal name
- EmpiRx Health, LLC
- Website
- https://empirxhealth.com
- Company type
- Private
- Founded year
- 2014
- Operating status
- Operating
- Headcount range
- 251–500 employees
- Ownership category
- akta.pro rank
EmpiRx Health industry classification
Industry- Product category
- Pharmacy Benefits Management
- NAICS
- Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds (524292)
- SIC
- Hospital & Medical Service Plans (6324)
- akta.pro primary industry
- Formulary Management & Clinical Pharmacy Programs (HLAEAKAA)
- akta.pro secondary industries
- PBM Technology Platforms (ePA/eRx/Real-Time Benefit Tools) (HLAEAKAL), Medication Pricing, Copay Assistance & Patient Financial Support Tools (HLACAKAN)
Keywords
Where EmpiRx Health is headquartered
LocationHeadquarters
- HQ city
- Montvale
- HQ country
- United States
- HQ region
- North America
Offices3 records
Markets served
EmpiRx Health business model
Business model- GTM type
- B2B
- Offering type
- Services
- Cost components
- Personnel, Technology or R&D, Operations, Marketing or Sales, Infrastructure
Revenue model
- Pharmacy Benefits Management Services: EmpiRx Health generates revenue as a pharmacy benefits management company providing services to plan sponsors. The company operates on a value-based model with guaranteed savings (average 15% reduction in drug spending). Revenue is derived from fees for PBM services, likely including administration fees and/or a share of savings achieved.
- Medication Optimization Savings Guarantee: The company offers guaranteed clinical savings through its MO operating model. If EmpiRx Health misses on the MO Savings Guarantee, they reimburse clients dollar-for-dollar. This creates an outcome-based revenue model where the company is accountable for delivering measurable savings.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Outcome Based/ Performance | Annual | Standard PBM Services with MO Operating Model |
Go-to-market motion3 records
Distribution channels3 records
Marketing channels9 records
EmpiRx Health product offering
Product offeringCore offering
EmpiRx Health is a pharmacist-led pharmacy benefits management (PBM) company that provides value-based pharmacy care services to plan sponsors, including employers, unions, and government entities. Its core service is the Medication Optimization (MO) operating model, which uses AI-powered population health analytics and in-house clinical pharmacists to optimize medication therapies and guarantee reductions in drug spending. The company supplements this with infusion therapy management, clinical review messaging, electronic prior authorization, member care advocacy, and complex care management.
Product overview
EmpiRx Health is a pharmacist-led pharmacy benefits management (PBM) company offering a clinically-driven pharmacy care model built on its proprietary Clinically™ technology platform. The core product is the Medication Optimization (MO) Operating Model, which uses AI-powered technologies and in-house pharmacists to optimize patient drug therapies. Supporting this platform are multiple integrated solutions including AllyRx (national pharmacy care network for retailers), Infusion Therapy Management, Clinical Review Messaging, ePA, Population Health Engine, and Claims Adjudication Platform. Additional services include Member Care Advocacy, Complex Care Management, and EGWP Program. The company also operates the PATH Coalition for industry advocacy.
Differentiator
Problem solved
Functional benefit
Brands
- Clinically™: The industry's first clinically-driven pharmacy care technology platform that integrates claims adjudication, clinical review software, and a Population Health Engine based on Johns Hopkins ACG model.
- AllyRx
- PATH (Pharmacy Allies Transforming Healthcare)
- MO (Medication Optimization)
Products and services
- Clinically™ Platform EmpiRx Health's proprietary clinically-driven pharmacy care technology platform that integrates AI-powered solutions for pharmacy claims adjudication, clinical reviews, and population health management, powering the company's pharmacist-led care model for plan sponsors.
- Medication Optimization (MO) Operating Model Pharmacist-led operating model that uses AI-powered technologies to optimize patient drug therapies and shift away from volume- and rebate-driven PBM practices. Guarantees an average 15% reduction in drug spending in the first year for plan sponsors using the model.
- AllyRx Pharmacy Care Network National pharmacy care network built specifically for pharmacy and grocery retailers, providing pharmacist-led PBM services to improve employee health outcomes while reducing prescription drug costs for retailer workforces.
- Infusion Therapy Management Solution that shifts infusion therapy coverage from the medical benefit to the pharmacy benefit to provide greater pricing transparency and cost savings, delivering 10%+ savings for benefit plan sponsors with 24/7 hands-on care management support.
- Employer Group Waiver Plan (EGWP) Program Medicare Advantage plan offered by plan sponsors and unions to retirees and eligible employees, offering reduced costs, improved benefits, and streamlined administrative processes.
- Member Care Advocacy Program Concierge service model providing compassionate, consistent, and proactive outreach to members with healthcare complexities, serving as a single point of contact coordinating pharmacy care.
- Complex Care Management (CCM) AI-powered model that identifies members with greatest need, including high risk, comorbidities, multi-drug utilization, depression, and opioid/controlled substance abuse, for targeted care management.
Quantifiable outcome
- 15% average reduction in drug spend in first year of MO implementation
- +7 more outcomes
Companies that use EmpiRx Health
Customer profileNamed customers8 records
Segments5 records
Ideal customer profiles3 records
EmpiRx Health technology and API
TechnologyTechnology focussed Yes
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Integration1 record
AI capability5 records
Feature7 records
EmpiRx Health partnerships and signals
Strategic signalPartnerships
Eight partnerships are on record, tiered core and minor.
- PATH Coalition (Pharmacy Allies Transforming Healthcare)coreNational coalition launched by EmpiRx Health to protect and empower community pharmacies. PATH brings together pharmacies, pharmacists, employers, policymakers, and healthcare stakeholders to advocate for PBM reform and preserve community pharmacy access. Focus areas include advocacy for PBM reform legislation, education about pharmacy role, and activation of coalition members.
- AllyRx Network Partners (Pharmacy and Grocery Retailers)coreFirst-ever national pharmacy care network built specifically for pharmacy and grocery retailers. AllyRx provides pharmacist-led PBM services to help retailers improve employee health outcomes while reducing prescription drug costs. The network leverages EmpiRx Health's unique pharmacist-centric service model and AI-powered technology platform.
- National Community Pharmacists Association (NCPA)minorNCPA CEO Douglas Hoey commented on PATH coalition launch, indicating alignment on protecting community pharmacies and advocating for PBM reform.
- Giant EagleminorRegional pharmacy chain whose former executive Jim Tsipakis has publicly praised EmpiRx Health's MO operating model. Partnership mentioned in blog archives.
- Leaf HealthminorCollaboration with Leaf Health to deliver meaningful results for clients. EmpiRx Health sponsored the 2026 Leaf Health Roundtable in Austin, TX where team members presented on AI-Enabled Population Health.
- UFCW National Health and Welfare FundminorUnion health fund that has partnered with EmpiRx Health and provided quotes supporting the company's clinically-driven PBM model and PATH coalition.
- Nourishing Change MovementminorEmpiRx Health sponsored and participated in the 2026 Nourishing Change Conference to advance whole-person care and discuss PBM evolution.
- GallagherminorBenefits consulting firm. EmpiRx Health participated in 2026 Gallagher National Pharmacy and Health Plan Services Educational Forum.
Scale indicators12 records
Recent moves5 records
Expansion highlights6 records
EmpiRx Health competitors and assessment
Company assessmentDirect peers
- Navitus Health Solutions: Mid-market, transparent PBM serving employer, health plan, and government clients with a pass-through, lower-rebate model. Closest direct comparable to EmpiRx Health's clinically-driven, value-based positioning and customer mix.
- Capital Rx: Tech-forward PBM built on a proprietary operating platform (Judi) that emphasizes transparency and clinical management for employer and union plans. Competes head-to-head with EmpiRx Health for similar accounts with a similar technology-led value proposition.
- RxBenefits: PBM and pharmacy benefit optimizer focused on mid-market and jumbo self-funded employers, distributing heavily through benefits consultants and brokers. Shares EmpiRx Health's consultant-channel GTM and mid-market employer customer profile.
- MedImpact Healthcare Systems: Independent, mid-to-large PBM serving health plans, employers, and government programs with a transparent, client-aligned model. A direct competitor for self-funded employer and union plan sponsors, and notable as the acquirer of EmpiRx Health executive Rand Greenblatt's prior company, Elixir.
- Abarca Health: PBM and pharmacy technology company serving health plans, employers, and government programs with a member-centric, clinically driven model. Direct competitor in the employer and plan-sponsor segment, and a prior employer of an EmpiRx Health SVP.
- Elixir (acquired by MedImpact): Former independent PBM focused on self-funded employers and unions, sold to MedImpact in early 2024. Closely comparable in size and customer mix; its acquisition path illustrates both the consolidation pressure on mid-market PBMs and the exit opportunity for similar players.
Emerging players
- SmithRx: Fast-growing technology-led PBM focused on self-funded employers with a transparent pricing model. Comparable as a smaller, tech-forward competitor pursuing the same anti-rebate narrative in the employer PBM segment.
Broad incumbents
- OptumRx (UnitedHealth Group): Largest PBM in the U.S. and part of UnitedHealth's vertically integrated payer-provider-pharmacy stack. Sets the competitive ceiling on pricing and network access that EmpiRx Health must work around to win employer accounts.
- CVS Caremark (CVS Health): PBM arm of CVS Health with the largest retail pharmacy footprint in the country. A major incumbent PBM whose vertically integrated model EmpiRx Health's AllyRx network is partly designed to compete against.
- Express Scripts (Cigna Group): One of the three largest U.S. PBMs and a Cigna subsidiary. A frequent incumbent displaced by EmpiRx Health in employer RFPs and a benchmark for what the company must outperform on rebate economics and clinical outcomes.
Market position
Strengths4 records
Weaknesses4 records
Competitive moat5 records
Key risks6 records
Key highlights6 records
Customer concentration
EmpiRx Health social profiles
Digital presenceEmpiRx Health financial estimates
Financial estimateRevenue estimate
Valuation estimate
EmpiRx Health leadership team
Management profileNumber of profiles
Profiles14 records
EmpiRx Health funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
EmpiRx Health 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 EmpiRx Health
What does EmpiRx Health do?
EmpiRx Health is a pharmacist-led pharmacy benefits management (PBM) company that provides value-based pharmacy care services to plan sponsors, including employers, unions, and government entities. Its core service is the Medication Optimization (MO) operating model, which uses AI-powered population health analytics and in-house clinical pharmacists to optimize medication therapies and guarantee reductions in drug spending. The company supplements this with infusion therapy management, clinical review messaging, electronic prior authorization, member care advocacy, and complex care management.
Is EmpiRx Health a public or private company?
EmpiRx Health is a private company. It is classified as founder individual operated bootstrapped and is currently operating.
When was EmpiRx Health founded?
EmpiRx Health was founded in 2014. It employs 251 to 500 people.
Where is EmpiRx Health based?
EmpiRx Health is headquartered in Montvale, United States, in the North America region.
How does EmpiRx Health make money?
Two revenue lines are on record. Pharmacy Benefits Management Services are the primary driver. The others are medication Optimization Savings Guarantee.
Who are EmpiRx Health's main competitors?
Direct peers on record are Navitus Health Solutions, Capital Rx, RxBenefits, MedImpact Healthcare Systems, Abarca Health and Elixir (acquired by MedImpact). SmithRx is listed as an emerging player. Broad incumbents are OptumRx (UnitedHealth Group), CVS Caremark (CVS Health) and Express Scripts (Cigna Group).
Does EmpiRx Health have an API?
No public API is recorded for EmpiRx Health.
What industry is EmpiRx Health in?
EmpiRx Health's product category is Pharmacy Benefits Management. Its primary akta.pro industry code is HLAEAKAA, Formulary Management & Clinical Pharmacy Programs, 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 6324.