What The Pharmacy Group does

The Pharmacy Group (TPG) is a privately held, founder-owned healthcare consulting firm headquartered in Glastonbury, Connecticut, operating since October 1997 as the parent of the "TPG Family of Companies." The firm sits between two customer sides of the US healthcare ecosystem: (1) health plans, PBMs, employers, and unions that need help evaluating and managing pharmacy benefit programs, negotiating PBM contracts, and running fraud/waste/abuse analytics; and (2) healthcare vendors — pharmaceutical companies, healthcare IT firms, and service providers — that need help generating qualified leads, running advisory boards, and gaining entry at payors. Core products are organized across four operating subsidiaries: The Pharmacy Group (TPG) for vendor-side consulting and market development, TPG Healthcare Consulting (TPG-HC) for payor-side PBM evaluation and contract negotiation, TPG Data Services (TPG-DS) for clinical and financial analytics including proprietary Fraud, Waste, and Abuse prevention tools, and TPG International Health Academy (TPG-IHA, acquired in 2002) for week-long international Educational Summits attended by US healthcare executives and sponsored by patron organizations. Go-to-market is enterprise field sales via senior consultants averaging 20+ years of healthcare experience, supported by content marketing, a podcast ("Conversations with Perry and Friends"), advisory boards, and event-driven summit recruitment; pricing is quote-based with multi-year contracts typical.

TPG's technology layer is intentionally light. TPG-DS holds proprietary claims analytics IP including a Claims Invoice Snapshot Tool for contract compliance auditing and F/W/A pattern detection tools delivered against medical and pharmacy claims data; these analytics have produced documented outcomes such as a 20x ROI and $6M annual savings on a PMPM-cost program for LA Care Health Plan. The firm does not develop platform software products and is not a SaaS company. Revenue mechanics mix four streams: professional services fees from payor consulting, professional services and lead generation retainers from vendors, project-based analytics fees from TPG-DS, and summit delegate fees plus patron sponsorships from TPG-IHA. Customer base spans over 200 client relationships including most major BCBS plans, United Healthcare, Kaiser, Aetna, LA Care, and MedImpact.

TPG is led by co-founder and CEO Perry Cohen (45+ years of managed care experience; AMCP co-founder, past president, and fellow) following the 2025 death of co-founder Michael J. Sax, PharmD. Leadership is rounded out by a President of TPG-DS/TPG-HC, an SVP of Finance, and a deep bench of Senior Consultants recruited from former senior roles at United Healthcare, Health Net, OptumRx, Express Scripts, Toney Healthcare, Tabula Rasa, and other operators. Recognition includes AMCP Advocate of the Year (2023), ACAP Preferred Vendor status (2025), and multiple Top 100 Healthcare Leader/Visionary honors for Senior Consultant Winston Wong.

Name

The Pharmacy Group

Legal name

TPG Family of Companies

Website

https://thetpgfamily.com

Company type

Private

Founded year

1997

Operating status

Operating

Headcount range

11–50 employees

Short description

The Pharmacy Group is a privately held, founder-owned US healthcare consulting firm operating the TPG Family of Companies (TPG, TPG-HC, TPG-DS, TPG-IHA), providing PBM evaluation, payor analytics, vendor market development, and international educational summits to health plans, employers, PBMs, and healthcare vendors.

Ownership category

akta.pro rank

Product category

Healthcare Consulting Services

NAICS

Management Consulting Services (54161), Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds (524292)

SIC

Services-Management Consulting Services (8742), Services-Health Services (8000)

akta.pro primary industry

Pharmacy Benefit Analytics, Reporting & Employer Consulting (HLAEAKAK)

akta.pro secondary industries

Claims Processing, Adjudication & Payment Integrity (HLAEAKAC), Pharmacy Benefit Management (PBM) & Pharmacy Network Administration (HLAFALAI), Group Pharmacy Benefit (Rx) Coverage & PBM-Integrated Plans (FSAIAFAN), Medicare Plan Administration & Third-Party Services (TPA/BPO, Enrollment, Billing) (FSAIAGAI)

Keywords

• Pharmacy benefit consulting
• Healthcare consulting services
• Pharmacy benefit management
• Clinical data analytics
• Healthcare market research

Headquarters

HQ city

South Glastonbury

HQ country

United States

HQ region

North America

Offices2 records

Markets served

GTM type

B2B

Offering type

Services

Cost components

Personnel, Marketing or Sales, Operations

Revenue model

1. Healthcare Consulting Services: Consulting fees for services to payors including pharmacy benefit management consulting, PBM evaluation and selection, contract negotiation, benchmarking, pharmacy program evaluation, and specialty pharmacy strategic planning. Target clients are healthcare service providers, IT companies, and pharmaceutical companies wanting to reach payors.
2. Data Analytics Services (TPG-DS): Clinical and financial analytics services to providers and payors. Includes fraud, waste, and abuse prevention services and financial auditing. Fees based on project scope and analytics needs.
3. Educational Summits and Programs (TPG-IHA): Revenue from delegate attendance fees for international Educational Summits, patron sponsorships from healthcare companies, and association partnerships. Programs are week-long educational events studying healthcare systems in different countries.
4. Lead Generation and Sales Support: Services to help healthcare vendors identify qualified sales leads among payors, support sales efforts through organizational decision-making processes, and access key decision-makers through advisory boards and marketing events.

Pricing tiers

Go-to-market motion3 records

Distribution channels3 records

Marketing channels5 records

Core offering

The Pharmacy Group (TPG) is a healthcare consulting firm that helps payors, healthcare service providers, IT companies, and pharmaceutical companies grow revenue and manage costs. Services include tailored marketing strategies, product development consulting, PBM evaluation and contract negotiation, clinical and financial analytics (including fraud, waste, and abuse detection), and international educational summits for US healthcare executives.

Product overview

The Pharmacy Group (TPG) operates as a family of four professional entities providing healthcare consulting services. The core offering consists of The Pharmacy Group (TPG) which provides tailored marketing strategies and product development consulting; TPG Data Services (TPG-DS) which delivers clinical and financial analytics including fraud detection; TPG Healthcare Consulting (TPG-HC) which focuses on pharmacy benefit management consulting for payors; and TPG International Health Academy (TPG-IHA) which hosts educational summits for healthcare executives. The portfolio is complemented by a podcast series 'Conversations with Perry and Friends' covering healthcare industry topics. The company serves over 200 clients including health plans, PBMs, pharmaceutical companies, and healthcare technology organizations.

Differentiator

Problem solved

Functional benefit

Products and services

• The Pharmacy Group (TPG) Provides consulting services focused on tailored marketing strategies and product development recommendations to maximize revenue for healthcare service providers, IT companies, and pharmaceutical companies seeking to position their products with national and regional health plans.
• TPG Healthcare Consulting (TPG-HC) Provides pharmacy benefit management consulting to payors including PBM evaluation, RFP development, contract negotiation, benchmarking, pharmacy program evaluation, and specialty pharmacy strategic planning. Targets Blue Cross and Blue Shield organizations, regional health plans, employers, and unions.
• TPG Data Services (TPG-DS) Provides clinical and financial analytics services transforming how providers and payors monitor healthcare information to control costs and enhance efficiencies. Includes Fraud, Waste, and Abuse (F/W/A) prevention analytics, Claims Invoice Snapshot Tool for contract compliance analysis, and clinical insights for C-suite executives at payors and employers.
• TPG International Health Academy (TPG-IHA) Hosts week-long Educational Summits around the world for US healthcare executives to study international healthcare systems. Features presentations from host country government officials and medical professionals, facility visits, and cultural excursions. Revenue from delegate attendance fees, patron sponsorships, and association partnerships.

Quantifiable outcome

• 7% PMPM cost decline, $12 PMPM savings, $6M annual savings, 20x ROI on Fraud/Waste/Abuse program for LA Care Health Plan
• +2 more outcomes

Named customers13 records

Segments5 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature3 records

Partnerships

Four partnerships are on record, tiered minor and core.

• Banjo HealthminorStrategic or Co-development PartnerBanjo Health is featured in TPG's podcast as a guest discussing AI in healthcare, specifically prior authorization solutions. The company provides AI services to healthcare organizations.
• Association of Community Affiliated Plans (ACAP)coreGTM or Marketing PartnerTPG-IHA partners with ACAP every other year on specific events where ACAP members typically make up 50% of the Academy delegation. Partnership provides value to ACAP members and others in healthcare space.
• MedImpact Healthcare SystemscoreGTM or Marketing PartnerMedImpact Healthcare Systems has been a long-standing patron of TPG-IHA Academy since its inception in the 1990s, sending patron representatives on almost every event.
• Employers HealthcoreGTM or Marketing PartnerCEO Chris Goff began attending TPG-IHA programs as a delegate in 2010, saw the value, and became a Patron bringing other healthcare executives on Academy events.

Scale indicators5 records

Recent moves13 records

Expansion highlights6 records

Direct peers

• Visante: Specialized pharmacy benefit consulting firm that helps health plans, PBMs, and providers optimize drug spend and pharmacy strategy - directly comparable to TPG-HC in offering, customer base, and boutique positioning.
• Avalere Health: Healthcare strategy and policy consulting firm serving payors, providers, and pharma with deep PBM and drug-pricing expertise - adjacent offering to TPG-HC and to TPG's vendor-to-payor lead generation practice.
• Pharmaceutical Strategies Group (PSG): PBM and specialty pharmacy consulting practice serving payors and employers with contract evaluation, auditing, and analytics services - direct overlap with TPG-HC and TPG-DS offerings on similar clients.
• HealthScape Advisors: Management consulting firm focused on healthcare payors and PBM clients with strategy, operational, and procurement services - highly comparable to TPG in boutique healthcare/payer consulting and target customer base.

Broad incumbents

• Willis Towers Watson (WTW): Major benefits, pharmacy, and healthcare consulting practice serving large employers and health plans - broadly competes with TPG's employer/union consulting and pharmacy benefit advisory work.
• Mercer (Marsh McLennon): Global benefits consulting firm with deep pharmacy benefit consulting and employer Rx practice - competes for the same employer and union RFP work that TPG-HC serves.
• Aon (Health & Benefits): Global benefits brokerage and consulting practice with Rx/pharmacy benefit advisory for large employers and health plans - competes with TPG-HC at the high end of the employer market.
• Segal Group: Independent employee benefits and healthcare consulting firm with pharmacy benefit consulting to plans and employers - comparable customer base to TPG's employer/union payor segment.
• Milliman (MedInsight): Large actuarial and healthcare consulting firm with a dedicated pharmacy and PBM analytics practice serving health plans, employers, and PBMs - overlaps TPG-DS claims analytics and F/W/A offerings at greater scale.

Emerging players

• Rx Savings Solutions: Tech-enabled PBM analytics and pharmacy benefit optimization platform for health plans and employers - competes with TPG-DS F/W/A and contract-compliance analytics via software rather than consulting.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks6 records

Key highlights7 records

Customer concentration

• LinkedInlinkedin.com/company/the-pharmacy-group

Revenue estimate

Valuation estimate

Number of profiles

Profiles10 records

Subsidiaries4 records

Funding overview

Funding rounds

Investors

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 The Pharmacy Group