TrueScripts
TrueScripts is a transparent, pass-through pharmacy benefit manager founded in 2014 that serves self-insured employers and health plans nationwide via claims processing, drug-price transparency tools, and clinical programs including precision prescribing and weight management.
- Company typePrivate
- Founded2014
- HeadquartersWashington, United States
- Headcount11–50
- GTM typeB2B
- OfferingServices
What TrueScripts does
TrueScripts Management Services, LLC is a pharmacy benefit manager (PBM) headquartered in Washington, Indiana, founded in 2014 by licensed pharmacist Nathan Gabhart. The company operates a pass-through PBM model serving self-insured employers, health plans, and their members nationwide, distinguishing itself from spread-pricing incumbents by eliminating rebate retention and pricing markups in favor of disclosed administrative and per-claim transaction fees; the company reports this model delivers 15-20% lower per-member-per-month costs to clients.
The company's core technology and product suite centers on PriceProtector+, a member-facing prescription pricing tool launched in September 2023 and subsequently extended through a partnership with RxPartner. Clinical capabilities include a Precision Prescribing offering (PrecisionCare+) built on a pharmacogenomics partnership with GenXys/FlexHealth announced January 2023, a Weight Management Program launched in 2025 targeting GLP-1 utilization, and a biosimilar-first strategy for high-cost specialty categories. Operational integrity is anchored by SOC 2 Type II compliance achieved in July 2023.
TrueScripts generates revenue through administrative fees and per-transaction service fees under its transparent pricing model. The company transitioned to an Employee Stock Ownership Plan (ESOP) in December 2023 and at the time of analysis had 150+ team members. Dean Merder serves as CEO following a 2021 leadership transition. Distribution is anchored in benefits brokers and consultants, with named employer clients including Jasper Holdings and references to a school system and GM/Water District accounts.
TrueScripts firmographics
Firmographics- Name
- TrueScripts
- Legal name
- TrueScripts Management Services, LLC
- Website
- https://truescripts.com
- Company type
- Private
- Founded year
- 2014
- Operating status
- Operating
- Headcount range
- 11–50 employees
- Short description
- TrueScripts is a transparent, pass-through pharmacy benefit manager founded in 2014 that serves self-insured employers and health plans nationwide via claims processing, drug-price transparency tools, and clinical programs including precision prescribing and weight management.
- Ownership category
- akta.pro rank
TrueScripts industry classification
Industry- Product category
- Pharmacy Benefit Management
- NAICS
- Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds (524292)
- SIC
- Accident & Health Insurance (6321)
- akta.pro primary industry
- PBM Technology Platforms (ePA/eRx/Real-Time Benefit Tools) (HLAEAKAL)
- akta.pro secondary industries
- Specialty Pharmacy Benefit Management (Specialty PBM) (HLAEAKAE), Prior Authorization, Utilization Management & Step Therapy (HLAEAKAG), Copay Assistance, Patient Support & Affordability Programs (HLAEAKAI), Claims Processing, Adjudication & Payment Integrity (HLAEAKAC), Formulary Management & Clinical Pharmacy Programs (HLAEAKAA)
Keywords
Where TrueScripts is headquartered
LocationHeadquarters
- HQ city
- Washington
- HQ country
- United States
- HQ region
- North America
Offices1 record
Markets served
TrueScripts business model
Business model- GTM type
- B2B
- Offering type
- Services
- Cost components
- Personnel, Operations, Technology or R&D, Marketing or Sales, Supply Chain
Revenue model
- PBM Administrative Fees: Administrative fees charged for prescription benefit management services. TrueScripts operates a pass-through model where every dollar in drug cost billed to the client is the cost paid to the pharmacy, eliminating spread pricing revenue.
- Rebate Pass-Through: Contracted pricing and rebates pass through to the client. TrueScripts does not make revenue from the drugs that are filled but may earn administrative fees based on overall cost management.
Go-to-market motion3 records
Distribution channels4 records
Marketing channels7 records
TrueScripts product offering
Product offeringCore offering
TrueScripts is a pharmacist-founded, transparent pass-through pharmacy benefit management (PBM) company that provides self-insured employers, health plans, brokers, and benefit consultants with prescription benefit administration, specialty drug management, formulary management, price protection, and clinical programs. The company monetizes via PBM administrative and per-script service fees rather than spread-based rebate aggregation, and operates its own Mail Order Pharmacy Network for fulfillment.
Product overview
TrueScripts is a pharmacist-founded, Team Member Owned Prescription Benefit Management (PBM) company offering a unified prescription benefits platform with integrated cost-containment and member care modules. The core TrueScripts PBM platform provides transparent, conflict-free prescription benefit management with pass-through pricing and no pharmacy ownership. Built around this core, the company offers multiple specialized programs including Specialty Care Program for high-cost medication management (potentially saving over 70% on specialty drugs), Formulary Guard Program for drug cost monitoring, PrecisionCare+ for pharmacogenetic-based medication optimization, PriceProtector+ for discount card price comparison (comparing to 24 networks including GoodRx), Brand Care Program for brand medication savings, Weight Management Program for GLP-1 medications, and Distinct Rx Advantage cost-plus arrangement. The custom-built Member Portal serves as the primary member-facing interface providing plan information, claims history, drug price lookup, and pharmacy locator. The ONE RING RESPONSE service standard differentiates customer service with >95% first-ring answer rate.
Differentiator
Problem solved
Functional benefit
Products and services
- Pharmacy Benefit Management (PBM) Services Transparent pass-through pharmacy benefit management services for self-insured employers, health plans, brokers, and benefit consultants, including claims processing, pharmacy network access, rebate administration, and clinical program integration.
- Specialty Care Program Clinical program focused on specialty drug cost management, adherence, and outcomes for members on high-cost specialty therapies, offered to employer and health plan clients.
- Formulary Guard Program Formulary management controls and clinical oversight program designed to manage prescription drug utilization, prior authorization, and spend for self-insured clients.
- PrecisionCare+ Clinical engagement and analytics program that supports targeted interventions and member adherence within the TrueScripts PBM offering.
- PriceProtector+ Price protection platform that monitors prescription pricing and protects clients from price spikes, providing transparent cost controls within the PBM offering.
- Brand Care Program Clinical program focused on brand-name medication management, including utilization management and cost-control strategies for employer and health plan clients.
- Weight Management Program Weight management clinical program providing therapeutic interventions and adherence support to members, offered as part of the PBM clinical portfolio.
- Distinct Rx Advantage Program addressing specialty and limited distribution drugs, providing clients access and management capabilities for hard-to-source medications.
- Mail Order Pharmacy Network Mail order pharmacy fulfillment service providing home delivery of maintenance medications to PBM members through TrueScripts' own mail order pharmacy network.
- Member Portal Self-service portal that enables PBM members to access pharmacy benefits information, order refills, and manage their prescriptions.
Quantifiable outcome
- 15-20% lower net PMPM than national average
- +5 more outcomes
Companies that use TrueScripts
Customer profileNamed customers3 records
Segments5 records
Ideal customer profiles1 record
TrueScripts technology and API
TechnologyTechnology focussed Yes
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Integration7 records
Feature6 records
TrueScripts partnerships and signals
Strategic signalPartnerships
Seven partnerships are on record, tiered core, strategic and minor.
- RxPartnercorePartnership for PriceProtector+ program enhancement. RxPartner enables comparison of network prices to 24 discount card networks including GoodRx to ensure members get the best available price at point of sale.
- GoodRxcorePartnership powering PriceProtector+ program to help lower out-of-pocket drug costs. Compares TrueScripts network prices to GoodRx discount card network for member savings.
- FlexHealthstrategicPartnership to accelerate precision prescribing efforts through pharmacogenetics integration.
- GenXysstrategicPartnership for precision prescribing through pharmacogenetics. Enables PrecisionCare+ program for personalized prescription care.
- HRD (A Leadership Development Company)minorLeadership development partnership focused on building leaders by taking team members through a development process and preparing them for career growth.
- PromptPAcorePreferred electronic prior authorization submission platform for fastest turnaround time and efficient processing of PA requests.
- CoverMyMedscoreSecondary electronic prior authorization option for providers to submit PA requests through CoverMyMeds platform.
Scale indicators8 records
Recent moves7 records
Expansion highlights5 records
TrueScripts competitors and assessment
Company assessmentDirect peers
- EmpiRx Health: Transparent, pass-through PBM serving mid-market self-funded employers. Closely aligned model emphasizing clinical programs, transparency, and customer service similar to TrueScripts.
- SmithRx: Venture-backed transparent PBM focused on self-funded employers with pass-through pricing. Closest direct comparable to TrueScripts in target market, business model, and value proposition.
- Capital Rx: Transparent PBM operating the JUDI enterprise health platform, serving employers, unions, and TPAs. Directly comparable technology-forward approach and self-funded employer focus.
- RxBenefits: Pharmacy benefits consultant and optimizer for self-funded employers and brokers. Comparable go-to-market motion through broker relationships and self-funded employer segmentation.
- Navitus Health Solutions: Independent, pass-through PBM owned by Costco and SSM Health. Directly comparable full-service PBM with 100% pass-through pricing and no spread pricing.
- MedImpact Healthcare Systems: Independent, privately held PBM serving health plans, employers, and government programs. Comparable as a non-Big-3 alternative PBM competing on transparency and flexibility.
- WellDyneRx: Independent, mid-sized PBM focused on self-funded employers with emphasis on transparency and clinical programs. Comparable scale and target customer segment to TrueScripts.
Broad incumbents
- CVS Caremark (CVS Health): Largest U.S. PBM and part of CVS Health's integrated retail-PBM-care model. Sets the legacy spread-pricing, vertically integrated incumbent standard TrueScripts is positioned against.
- Optum Rx (UnitedHealth Group): PBM arm of UnitedHealth Group and one of the Big 3 PBMs. Broad incumbent with integrated payer, provider, and pharmacy data assets against which TrueScripts competes for large accounts.
- Express Scripts (Cigna): Big 3 PBM now part of Cigna/Evernorth. Represents the vertically integrated, scale-driven incumbent model TrueScripts' transparent positioning is differentiated against.
Market position
Strengths5 records
Weaknesses5 records
Competitive moat6 records
Key risks6 records
Key highlights7 records
Customer concentration
TrueScripts social profiles
Digital presenceTrueScripts compliance and trust
Trust signalCompliance1 record
TrueScripts financial estimates
Financial estimateRevenue estimate
Valuation estimate
TrueScripts leadership team
Management profileNumber of profiles
Profiles10 records
TrueScripts funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
TrueScripts 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 TrueScripts
What does TrueScripts do?
TrueScripts is a pharmacist-founded, transparent pass-through pharmacy benefit management (PBM) company that provides self-insured employers, health plans, brokers, and benefit consultants with prescription benefit administration, specialty drug management, formulary management, price protection, and clinical programs. The company monetizes via PBM administrative and per-script service fees rather than spread-based rebate aggregation, and operates its own Mail Order Pharmacy Network for fulfillment.
Is TrueScripts a public or private company?
TrueScripts is a private company. It is classified as management employee owned and is currently operating.
When was TrueScripts founded?
TrueScripts was founded in 2014. It employs 11 to 50 people.
Where is TrueScripts based?
TrueScripts is headquartered in Washington, United States, in the North America region.
How does TrueScripts make money?
Two revenue lines are on record. PBM Administrative Fees are the primary driver. The others are rebate Pass-Through.
Who are TrueScripts's main competitors?
Direct peers on record are EmpiRx Health, SmithRx, Capital Rx, RxBenefits, Navitus Health Solutions, MedImpact Healthcare Systems and WellDyneRx. Broad incumbents are CVS Caremark (CVS Health), Optum Rx (UnitedHealth Group) and Express Scripts (Cigna).
Does TrueScripts have an API?
No public API is recorded for TrueScripts.
What industry is TrueScripts in?
TrueScripts's product category is Pharmacy Benefit Management. Its primary akta.pro industry code is HLAEAKAL, PBM Technology Platforms (ePA/eRx/Real-Time Benefit Tools), with a secondary code of HLAEAKAE, Specialty Pharmacy Benefit Management (Specialty PBM). Its NAICS code is 524292 and its SIC code is 6321.