ClearScript
ClearScript is a transparent, nonprofit-owned pharmacy benefit manager (PBM) founded in 2005 by Fairview Health System, administering pharmacy benefits for self-funded employers, healthcare organizations, tribal nations, public sector entities, and TPAs through 100% pass-through pricing and integrated Fairview pharmacy services.
- Company typePrivate
- Founded2005
- HeadquartersMinneapolis, United States
- Headcount11–50
- GTM typeB2B
- OfferingServices
What ClearScript does
ClearScript is a transparent pharmacy benefit manager (PBM) founded in 2005 and wholly owned by the nonprofit Fairview Health System, headquartered in Shoreview, Minnesota. The company administers pharmacy benefits for self-funded employers, healthcare organizations, tribal nations, public sector entities, school districts, brokers, consultants, and third-party administrators, distinguishing itself from publicly traded Big Three PBMs through 100% pass-through pricing, a single transparent admin fee, and claim-level rebate reporting. Its core offering is a unified PBM platform anchored by clinical and formulary expertise, with measurable savings claims of up to 45% reduced plan spend, $11.89 PMPM formulary cost avoidance, and 98% client satisfaction.
The product portfolio extends beyond core PBM administration into cost containment tools (ClearScript Assist, ClearPrescription Insight), prescriber-facing digital decision support (Real-Time Prescription Benefits, ePriorAuthorization), member-facing tools (Member Portal, MyRxInfo mobile app with Apple Watch integration), clinical programs (MedEmpower Fuel for weight loss and diabetes management in partnership with Good Measures), and sub-brands targeted at specialized segments (TribalRx Solutions for tribal nations, School District Advantage). Specialty, mail order, retail, home infusion, and compounding pharmacy services are delivered through the Fairview pharmacy ecosystem, including Fairview Specialty Pharmacy, Fairview Mail Service Pharmacy, Fairview Home Infusion, Fairview Compounding Pharmacy, and IntegraDose 503B facility. Biosimilar formulary management and GLP-1 cost management capabilities are highlighted as differentiated clinical programs.
ClearScript's business model is built on recurring subscription-style transparent administration fees, distributed via direct enterprise field sales and channel partnerships with brokers, consultants, and TPAs. The firm monetizes through one clear admin fee rather than hidden spread economics, with revenue mechanics anchored to pass-through drug pricing. Customer acquisition is supported by educational content marketing (Coffee with ClearScript podcast, webinars, ClearScript Insights blog, PBM 101 educational courses) and industry conference participation. With 11-50 employees and no external funding rounds disclosed, the firm operates as a profitable, self-sustaining nonprofit subsidiary rather than a venture-backed growth entity.
ClearScript firmographics
Firmographics- Name
- ClearScript
- Legal name
- ClearScript
- Website
- https://clearscript.org
- Company type
- Private
- Founded year
- 2005
- Operating status
- Operating
- Headcount range
- 11–50 employees
- Short description
- ClearScript is a transparent, nonprofit-owned pharmacy benefit manager (PBM) founded in 2005 by Fairview Health System, administering pharmacy benefits for self-funded employers, healthcare organizations, tribal nations, public sector entities, and TPAs through 100% pass-through pricing and integrated Fairview pharmacy services.
- Ownership category
- akta.pro rank
ClearScript industry classification
Industry- Product category
- Pharmacy Benefit Management
- NAICS
- Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds (524292)
- SIC
- Insurance Agents, Brokers & Service (6411)
- 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), PBM Technology Platforms (ePA/eRx/Real-Time Benefit Tools) (HLAEAKAL), Pharmacy Benefit Analytics, Reporting & Employer Consulting (HLAEAKAK), Prior Authorization, Utilization Management & Step Therapy (HLAEAKAG), Manufacturer Contracting, Rebates & Revenue Management (HLAEAKAD), Specialty Pharmacy Benefit Management (Specialty PBM) (HLAEAKAE)
Keywords
Where ClearScript is headquartered
LocationHeadquarters
- HQ city
- Minneapolis
- HQ country
- United States
- HQ region
- North America
Offices1 record
Markets served
ClearScript business model
Business model- GTM type
- B2B
- Offering type
- Services
- Cost components
- Personnel, Operations, Technology or R&D, Marketing or Sales, Infrastructure, Supply Chain
Revenue model
- Pharmacy Benefit Management Services: ClearScript generates revenue through transparent administration fees for managing pharmacy benefits for self-funded employers and organizations. They use a 100% pass-through pricing model with fully disclosed fees, eliminating hidden costs. They offer one clear admin fee structure.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Subscription | Annual | Transparent PBM Administration |
Go-to-market motion3 records
Distribution channels5 records
Marketing channels8 records
ClearScript product offering
Product offeringCore offering
ClearScript delivers transparent pharmacy benefit management (PBM) services with 100% pass-through pricing, one clear admin fee, and claim-level reporting to self-funded employers, healthcare organizations, tribal nations, public sector entities, school districts, brokers/consultants, and third-party administrators. The company pairs core PBM administration with affiliated Fairview-owned mail service and specialty pharmacies, clinical programs such as MedEmpower Fuel and Biosimilar Formulary Management, and member/prescriber digital tools (Member Portal, MyRxInfo mobile app, Real-Time Prescription Benefits, ePriorAuthorization) to lower net-cost pharmacy benefits.
Product overview
ClearScript is a pharmacy benefit manager (PBM) offering a unified platform built on transparency and nonprofit health system ownership (Fairview Health System). The core ClearScript PBM Platform provides 100% pass-through pricing and claim-level reporting, supplemented by cost containment tools (ClearScript Assist®, ClearPrescription Insight®), specialty pharmacy services (Fairview Specialty Pharmacy), and mail service (Fairview Mail Service Pharmacy). Specialized offerings include TribalRx℠ Solutions for tribal nations, School District Advantage for education clients, and Pharmacy Carve-Out Solutions for health plans. Digital member-facing tools include the Member Portal, MyRxInfo mobile app, Real-Time Prescription Benefits (prescriber tool), and ePriorAuthorization. The MedEmpower Fuel™ program provides diabetes/weight management through Good Measures partnership. Biosimilar Formulary Management supports cost-effective biosimilar utilization through P&T Committee evaluation and tier placement.
Differentiator
Problem solved
Functional benefit
Brands
- ClearScript Assist®: Cost containment solutions and copay assistance programs
- ClearPrescription Insight®
- MedEmpower Fuel™
- Fairview Specialty Pharmacy (FSP)
- Fairview Home Infusion
- Fairview Mail Service Pharmacy
- Fairview Compounding Pharmacy
- IntegraDose
- Fairview Infusion Consulting Services (FICS)
- Medication Therapy Management (MTM)
Products and services
- ClearScript PBM Platform Core pharmacy benefit management platform providing transparent 100% pass-through pricing, one clear admin fee, claim-level rebate reporting, and clinically-grounded strategies to deliver lower net-cost pharmacy benefits for self-funded employers, healthcare organizations, tribal nations, public sector entities, and third-party administrators.
- MedEmpower Fuel Standalone whole-health program for weight loss, diabetes prevention, and diabetes management offered in collaboration with Good Measures, with three tiers (Healthy Weight, Diabetes Prevention, Diabetes Management) featuring specialty-trained Registered Dietitians and Lifestyle Coaches; reports 2:1 ROI and 87% engagement.
- ClearScript TribalRx Solutions Specialized pharmacy benefit management program for tribal nations and Native American communities that respects tribal sovereignty and addresses the complexity of tribal healthcare delivery systems and federal/contract health funding constraints.
- School District Advantage Tailored pharmacy benefit plans for K-12 school districts that address the complexity of benefit plans and union benefit offerings while preserving taxpayer funding for students.
- Fairview Mail Service Pharmacy URAC-accredited preferred home delivery pharmacy service delivering prescription medications to members' homes or other locations through the Fairview Pharmacy Services affiliate, with no charge for regular postage.
- Fairview Specialty Pharmacy Nationally recognized preferred specialty drug provider offering monthly refill reminders, billing and authorization support, financial assistance navigation, specialized clinical support, and free temperature-controlled delivery in 1-2 business days for high-cost specialty medications.
Quantifiable outcome
- Up to 45% reduced plan spend from one solution
- +7 more outcomes
Companies that use ClearScript
Customer profileNamed customers3 records
Segments7 records
Ideal customer profiles5 records
ClearScript technology and API
TechnologyAPI detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Integration1 record
Feature6 records
ClearScript partnerships and signals
Strategic signalPartnerships
Ten partnerships are on record, tiered flagship, core and minor.
- Fairview Health SystemflagshipClearScript is wholly owned by Fairview Health System, a nonprofit health system with 100+ years of clinical excellence. This ownership structure enables ClearScript to operate as a transparent, patient-first PBM focused on stewardship rather than profit maximization.
- Fairview Mail Service PharmacycoreClearScript's preferred home delivery pharmacy service provider for prescription medications, offering delivery to homes or other locations with no charge for regular postage.
- Fairview Specialty PharmacycoreClearScript's preferred specialty drug provider offering specialized clinical support, financial assistance navigation, and free temperature-controlled delivery in 1-2 business days. Recognized nationally for excellence in specialty pharmacy care delivery.
- Fairview Home InfusioncorePatient-focused home infusion therapy provider for adults and children offering medications from routine antibiotics to IVIG, biologics, TPN, chemotherapy, and more, with 35 years of experience.
- Fairview Infusion Consulting Services (FICS)minorConsulting services organization that assists other health systems in building or improving infusion strategies within infusion centers or for in-home infusion, leveraging Fairview's expertise.
- Fairview Compounding PharmacyminorExtensive compounding and consulting services pharmacy with state-of-the-art facility offering sterile, non-sterile, and hazardous compounding capabilities with expert staff and pharmacist oversight.
- Fairview Retail PharmaciescoreOver 30 regional community pharmacies offering easy refill options, vaccinations, free blood pressure checks, and free delivery through Fairview Mail Service Pharmacy.
- IntegraDoseminorFairview organization compounding sterile products for hospitals and surgery centers with a 503B facility meeting all regulations with five cleanrooms and onsite/external lab testing.
- Good MeasurescorePartner for MedEmpower Fuel whole-health approach to weight loss, diabetes prevention, and diabetes management, providing specialty-trained Registered Dietitians and Lifestyle Coaches.
- National Native American Human Resources Association (NNAHRA)minorNonprofit HR professional organization in Indian Country with whom ClearScript collaborates on educational content regarding PBM services for tribal nations.
Scale indicators11 records
Expansion highlights5 records
ClearScript competitors and assessment
Company assessmentBroad incumbents
- CVS Caremark (CVS Health): CVS Caremark is a Big Three PBM integrated with retail, mail, and specialty pharmacy. ClearScript references Big Three PBMs as the foil against its transparent model.
- Express Scripts (Evernorth/Cigna): Express Scripts is one of the Big Three PBMs serving insurer and employer-sponsored plans. Included as a direct incumbent against which ClearScript positions its pass-through pricing.
- Optum Rx (UnitedHealth Group): Optum Rx is one of the Big Three PBMs controlling the majority of the U.S. pharmacy benefit market. ClearScript explicitly differentiates against the Big Three's opaque pricing model.
Direct peers
- Navitus Health Solutions: Navitus is a transparent, pass-through PBM that operates on a similar philosophy to ClearScript, serving health plans, employers, and government programs with full disclosure of rebates and admin fees. It is among the closest direct comparables in mission, pricing model, and customer base.
- MedImpact Healthcare Systems: MedImpact is an independent (non-Big Three) PBM serving health plans, employers, and government programs with transparent pass-through models. Comparable as an established independent PBM with similar employer/plan-sponsor customer mix.
- RxBenefits: RxBenefits is a PBM that partners with brokers, consultants, and TPAs to serve mid-market self-funded employers with transparent pricing. Direct match on distribution channel and customer profile.
- SmithRx: SmithRx is a transparent PBM purpose-built for self-funded employers, leveraging pass-through pricing and technology. Direct match on customer segment (self-funded employers), pricing approach, and employer size range.
- Capital Rx: Capital Rx is a transparent, tech-forward PBM operating the Judius platform with claims-processing-as-a-service capabilities. Comparable in transparency and target customer base, with technology as a differentiating competitive angle.
Regional players
- Humana Pharmacy / CenterWell: Humana operates a sizable PBM and pharmacy services business serving Medicare Advantage, employer, and individual populations. Comparable as a vertically integrated payer-PBM with specialty pharmacy distribution.
Emerging players
- EmpiRx Health: EmpiRx Health is a fast-growing transparent, tech-enabled PBM focused on self-funded employers and clinical-driven utilization management. Comparable on transparency model and self-funded employer focus.
Market position
Strengths5 records
Weaknesses5 records
Competitive moat6 records
Key risks6 records
Key highlights7 records
Customer concentration
ClearScript social profiles
Digital presenceClearScript financial estimates
Financial estimateRevenue estimate
Valuation estimate
ClearScript leadership team
Management profileNumber of profiles
ClearScript subsidiaries and ownership
Company hierarchySubsidiaries9 records
ClearScript funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
ClearScript 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 ClearScript
What does ClearScript do?
ClearScript delivers transparent pharmacy benefit management (PBM) services with 100% pass-through pricing, one clear admin fee, and claim-level reporting to self-funded employers, healthcare organizations, tribal nations, public sector entities, school districts, brokers/consultants, and third-party administrators. The company pairs core PBM administration with affiliated Fairview-owned mail service and specialty pharmacies, clinical programs such as MedEmpower Fuel and Biosimilar Formulary Management, and member/prescriber digital tools (Member Portal, MyRxInfo mobile app, Real-Time Prescription Benefits, ePriorAuthorization) to lower net-cost pharmacy benefits.
Is ClearScript a public or private company?
ClearScript is a private company. It is currently operating.
When was ClearScript founded?
ClearScript was founded in 2005. It employs 11 to 50 people.
Where is ClearScript based?
ClearScript is headquartered in Minneapolis, United States, in the North America region.
How does ClearScript make money?
One revenue line is on record: pharmacy Benefit Management Services.
Who are ClearScript's main competitors?
Broad incumbents on record are CVS Caremark (CVS Health), Express Scripts (Evernorth/Cigna) and Optum Rx (UnitedHealth Group). Direct peers are Navitus Health Solutions, MedImpact Healthcare Systems, RxBenefits, SmithRx and Capital Rx. Humana Pharmacy / CenterWell is listed as a regional player. EmpiRx Health is listed as an emerging player.
Does ClearScript have an API?
No public API is recorded for ClearScript.
What industry is ClearScript in?
ClearScript's product category is Pharmacy Benefit 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 6411.