VerusRx
VerusRx is a Dallas-based pharmacy benefit management company offering transparent drug pricing, claims processing, formulary management, and specialty drug management for self-funded employers, Third Party Administrators (TPAs), and brokers, powered by RxSense's RxAgile platform.
- Company typePrivate
- Founded2021
- HeadquartersDallas, United States
- Headcount101–250
- GTM typeB2B
- OfferingServices
What VerusRx does
VerusRx is a Pharmacy Benefit Management (PBM) company headquartered in Dallas, Texas that provides prescription drug pricing, claims processing, formulary management, prior authorization, and specialty drug management services to self-funded employers, Third Party Administrators (TPAs), and insurance brokers. The company was launched in January 2021 as the pharmaceutical division of National Healthcare Solutions, Inc. (NHSI), and positions itself as a transparent alternative to incumbent PBMs, emphasizing fully pass-through manufacturer rebates, fully disclosed administration fees with no hidden clauses, and total cost clarity. The core operating model is built on RxSense's RxAgile claims processing platform under a core technology partnership, with member-facing tools including the Gio mobile application and Member Portal that surface savings, claims, pharmacy location, and ID card functionality.
VerusRx firmographics
Firmographics- Name
- VerusRx
- Legal name
- VerusRx, LLC
- Website
- https://verus-rx.com
- Company type
- Private
- Founded year
- 2021
- Operating status
- Operating
- Headcount range
- 101–250 employees
- Short description
- VerusRx is a Dallas-based pharmacy benefit management company offering transparent drug pricing, claims processing, formulary management, and specialty drug management for self-funded employers, Third Party Administrators (TPAs), and brokers, powered by RxSense's RxAgile platform.
- Ownership category
- akta.pro rank
VerusRx 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
- Pharmacy Benefit Management (PBM) & Pharmacy Network Administration (HLAFALAI)
- akta.pro secondary industries
- Claims Processing, Adjudication & Payment Integrity (HLAEAKAC), Formulary Management & Clinical Pharmacy Programs (HLAEAKAA), Manufacturer Contracting, Rebates & Revenue Management (HLAEAKAD), Specialty Pharmacy Benefit Management (Specialty PBM) (HLAEAKAE)
Keywords
Where VerusRx is headquartered
LocationHeadquarters
- HQ city
- Dallas
- HQ country
- United States
- HQ region
- North America
Offices2 records
Markets served
VerusRx business model
Business model- GTM type
- B2B
- Offering type
- Services
- Cost components
- Personnel, Technology or R&D, Operations, Marketing or Sales, Supply Chain, Infrastructure
Revenue model
- PBM Administration Services: VerusRx provides pharmacy benefit management services including formulary management, network negotiation, and claims processing. Revenue derived from all-inclusive administration fees passed through to clients with fully disclosed pricing.
- Pharmacy Network Rebates and Discounts: VerusRx negotiates discounts from pharmacies and rebates from pharmaceutical manufacturers, passing savings directly to clients. Rebates are fully pass-through with transparency.
- Specialty Pharmacy Services: Specialty medications require prior approval and are provided through specialty pharmacies, with cost containment strategies to manage high-cost products.
- Free Discount Card Program: Prescription discount card powered by SingleCare, allowing members to save up to 80% on medications. Available for those with potential limits to employee funded benefits.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Subscription | Annual | Customizable PBM plans tailored to client needs |
Go-to-market motion3 records
Distribution channels5 records
Marketing channels4 records
VerusRx product offering
Product offeringCore offering
VerusRx is a pharmacy benefits management (PBM) company that administers prescription drug benefit programs for self-funded employers, third-party administrators (TPAs), and insurance brokers. The company provides transparent drug pricing, formulary management, claims processing through RxSense's RxAgile platform, specialty drug management, and access to a network of 60,000+ retail pharmacies, with fully disclosed administration fees and pass-through manufacturer rebates.
Product overview
VerusRx is a pharmacy benefit management (PBM) company offering a comprehensive platform for managing prescription drug benefits. The core VerusRx PBM Platform provides transparent drug pricing, formulary management, and claims processing for self-funded employers, TPAs, and brokers. Supporting the core platform are multiple modules and services: the Gio mobile app and Member Portal for member-facing access; a Retail Pharmacy Network of 60,000+ locations plus Mail Order Pharmacy for prescription fulfillment; Specialty Drug Management with dedicated specialty pharmacies; Prior Authorization tools (online and fax); a Free Discount Card powered by SingleCare; dedicated Account Management services; Elite and Base Formularies; and Direct Member Reimbursement capabilities. VerusRx is backed by National Healthcare Solutions, Inc. and powered by RxSense's RxAgile claims processing platform.
Differentiator
Problem solved
Functional benefit
Brands
- Gio by VerusRx: Virtual pharmacist assistant mobile app enabling members to find and apply pharmacy savings, manage prescriptions, check drug interactions, and access specialty pharmacy information.
Products and services
- VerusRx PBM Platform A pharmacy benefits management (PBM) platform providing transparent drug pricing, formulary management, claims processing, and cost containment for self-funded companies, TPAs, and brokers.
- Gio App by VerusRx A virtual pharmacist assistant mobile application for members to find and apply pharmacy savings instantly, manage prescriptions, check benefits, view claims, locate network pharmacies, and track account balances. Available on iOS App Store and Google Play.
- Member Portal Online portal for members to check benefits, view claim details, track account balances, print ID cards, and find in-network pharmacies.
- Specialty Drug Management Specialty drug management service providing access to VerusRx-approved specialty pharmacies for high-cost medications used to treat conditions such as cancer, rheumatoid arthritis, and multiple sclerosis, with prior authorization and cost containment strategies.
- Retail Pharmacy Network A network of 60,000+ retail pharmacies across the United States, including major chains, groceries, and independent pharmacies, enabling members to fill prescriptions conveniently nationwide.
- Mail Order Pharmacy Mail order pharmacy service allowing members to receive regular prescriptions by mail for ongoing medication needs.
- Prior Authorization System Prior authorization request system available online through paforms.com/verusrx and via fax using the official PA Request Form, enabling clinical approval workflows for certain medications.
- Free Discount Card A free prescription discount card powered by SingleCare, offering savings of up to 80% on medications for members with limited or no insurance coverage.
- Account Management Services Dedicated account management services assigning a trained account manager to each client, providing consulting on benefits selection, pharmacy network design, copay strategy, online portal setup, eligibility updates, cost containment options, reporting, and forecasting.
- Direct Member Reimbursement Reimbursement process allowing members to submit claims for out-of-network prescriptions, with a 3-month filing window and 15-day processing timeframe.
- VerusPath A pharmacy program within VerusRx focused on pathway management and clinical oversight of drug therapies.
Quantifiable outcome
- Members can save up to 80% on medications using the prescription discount card
- +1 more outcomes
Companies that use VerusRx
Customer profileSegments3 records
Ideal customer profiles3 records
VerusRx technology and API
TechnologyTechnology focussed No
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Integration2 records
Feature4 records
VerusRx partnerships and signals
Strategic signalPartnerships
Two partnerships are on record, tiered core.
- National Healthcare Solutions, Inc. (NHSI)coreNHSI launched VerusRx as part of its newly created Pharmaceutical Division in January 2021. This strategic expansion strengthens NHSI's position as a leader of integrated healthcare solutions. The combined mission focuses on bringing cost clarity and transparency to clients through honest dialogue. VerusRx integrates pharmacy data with medical management offering clinically appropriate therapies.
- RxSensecoreVerusRx partnered with RxSense for state-of-the-art claims processing technology. RxSense provides the RxAgile platform which offers real-time analytics for managing pharmacy benefits and cost containment strategies to minimize plan exposure to prescription drugs. RxSense was named among Fast Company's World Most Innovative Companies for 2020.
Scale indicators3 records
Recent moves7 records
Expansion highlights5 records
VerusRx competitors and assessment
Company assessmentMarket position
Strengths4 records
Competitive moat4 records
Key risks5 records
Key highlights6 records
Customer concentration
VerusRx social profiles
Digital presenceVerusRx compliance and trust
Trust signalCompliance3 records
VerusRx financial estimates
Financial estimateRevenue estimate
Valuation estimate
VerusRx leadership team
Management profileNumber of profiles
Profiles2 records
VerusRx subsidiaries and ownership
Company hierarchySubsidiaries2 records
VerusRx funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
VerusRx 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 VerusRx
What does VerusRx do?
VerusRx is a pharmacy benefits management (PBM) company that administers prescription drug benefit programs for self-funded employers, third-party administrators (TPAs), and insurance brokers. The company provides transparent drug pricing, formulary management, claims processing through RxSense's RxAgile platform, specialty drug management, and access to a network of 60,000+ retail pharmacies, with fully disclosed administration fees and pass-through manufacturer rebates.
Is VerusRx a public or private company?
VerusRx is a private company. It is classified as corporate owned and is currently operating.
When was VerusRx founded?
VerusRx was founded in 2021. It employs 101 to 250 people.
Where is VerusRx based?
VerusRx is headquartered in Dallas, United States, in the North America region.
How does VerusRx make money?
Four revenue lines are on record. PBM Administration Services are the primary driver. The others are pharmacy Network Rebates and Discounts, specialty Pharmacy Services and free Discount Card Program.
Does VerusRx have an API?
No public API is recorded for VerusRx.
What industry is VerusRx in?
VerusRx's product category is Pharmacy Benefits Management. Its primary akta.pro industry code is HLAFALAI, Pharmacy Benefit Management (PBM) & Pharmacy Network Administration, with a secondary code of HLAEAKAC, Claims Processing, Adjudication & Payment Integrity. Its NAICS code is 524292 and its SIC code is 6324.