MC-Rx
MC-Rx is a privately held, direct-source pharmacy benefit management company serving health plans, employer groups, Medicare/Medicaid programs, and government payers across the United States and Puerto Rico via its proprietary eProCare claims platform and a network of nearly 70,000 pharmacies.
- Company typePrivate
- Founded1998
- HeadquartersCaguas, Puerto Rico
- Headcount501–1,000
- GTM typeB2B
- OfferingServices
What MC-Rx does
MC-Rx is a full-service, direct-source Pharmacy Benefit Management (PBM) company operating across the United States and Puerto Rico, serving health plans, self-insured employer groups, Medicare Part D and Medicare/PACE plans, Medicaid Managed Care organizations, TPAs, unions, hospice organizations, workers' compensation programs, 340B program sponsors, and cash discount card sponsors. The company is privately held, operated by Burgess Information Systems, Inc. d/b/a ProCare Rx, and combines the legacy of predecessor entities ProCare Rx (US operations) and MC-21 (Puerto Rico operations) for a combined business presence exceeding 50 years. Leadership is founder-led, with Roger Burgess as Founder, POE and Chairman and Barbara Rambo as Chief Executive Officer, supported by Marileny Lugo as President and Dan Colucci as Chief Strategist/Operations Officer for US operations.
The company's core technology is the proprietary eProCare claims processing and adjudication platform, which applies benefit and formulary design rules at the point of service and integrates prior authorization, e-prescribing, coordination of benefits, TrOOP tracking, and drug utilization review. The company maintains direct pharmacy network contracts with nearly 70,000 US pharmacies and over 900 Puerto Rico pharmacies, operates a URAC-accredited mail order pharmacy (ProCare PharmacyCare) shipping to all 50 states, and runs a specialty pharmacy program with 100% clinical intervention coverage in managed cases. Product modules include MC-Rx CARES for chronic condition management, the WON Card for workers' compensation, the Flex 90 maintenance medication program, a Biosimilar/Biologic Program, a Diabetes Prevention Program, and an HIV PrEP adherence intervention. The company holds URAC accreditations across PBM, Mail Service Pharmacy, and Specialty Pharmacy since 2010, along with HITRUST, NIST SP 800-53, and AICPA SOC 1 Type 2 and SOC 2 Type 2 + HIPAA certifications.
MC-Rx generates revenue through administrative fees, claims processing services, and rebate and pass-through arrangements under a full-transparency model. Pricing is negotiated on a per-client basis and is not publicly disclosed. Go-to-market relies on direct enterprise field sales to large plan sponsors, supplemented by channel partnerships with brokers, consultants, and TPAs, with dedicated account management teams supporting bespoke contract design. Headcount is reported at 501-1000 employees, with offices in Gainesville, Georgia (US headquarters) and Caguas, Puerto Rico (regional headquarters). The company is not publicly traded, has no disclosed external funding, and has not announced acquisitions, mergers, or restructuring events in available source data.
MC-Rx firmographics
Firmographics- Name
- MC-Rx
- Legal name
- Burgess Information Systems, Inc.
- Website
- https://mc-rx.com
- Company type
- Private
- Founded year
- 1998
- Operating status
- Operating
- Headcount range
- 501–1,000 employees
- Short description
- MC-Rx is a privately held, direct-source pharmacy benefit management company serving health plans, employer groups, Medicare/Medicaid programs, and government payers across the United States and Puerto Rico via its proprietary eProCare claims platform and a network of nearly 70,000 pharmacies.
- Ownership category
- akta.pro rank
MC-Rx industry classification
Industry- Product category
- Pharmacy Benefit 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
- PBM Technology Platforms (ePA/eRx/Real-Time Benefit Tools) (HLAEAKAL), Claims Processing, Adjudication & Payment Integrity (HLAEAKAC), Specialty Pharmacy Benefit Management (Specialty PBM) (HLAEAKAE), Formulary Management & Clinical Pharmacy Programs (HLAEAKAA), Pharmacy Benefit Management (PBM) & Formulary Management IT (HLACAKAD), Group Pharmacy Benefit (Rx) Coverage & PBM-Integrated Plans (FSAIAFAN)
Keywords
Where MC-Rx is headquartered
LocationHeadquarters
- HQ city
- Caguas
- HQ country
- Puerto Rico
- HQ region
- Latin America
Offices2 records
Markets served
MC-Rx business model
Business model- GTM type
- B2B
- Offering type
- Services
- Cost components
- Personnel, Technology or R&D, Operations, Marketing or Sales, Supply Chain
Revenue model
- Pharmacy Benefit Management Administration: MC-Rx serves as a full-service Pharmacy Benefit Management company providing customized plans and administrative services to health plans, employer groups, Medicare Part D, Medicaid Managed Care organizations, TPAs, unions, hospice organizations, insurance companies, government entities, and self-paying sponsors. Revenue is generated through administrative fees, claims processing services, and rebate/pass-through arrangements under a transparent full transparency model.
Go-to-market motion2 records
Distribution channels6 records
Marketing channels6 records
MC-Rx product offering
Product offeringCore offering
MC-Rx is a full-service Pharmacy Benefit Management (PBM) company that provides customized pharmacy benefit plans and administrative services to health plans, employer groups, Medicare Part D, Medicaid Managed Care, TPAs, unions, hospice organizations, insurance companies, and government entities. The company delivers claims processing through its proprietary eProCare platform, formulary management, clinical services, cost-containment strategies, mail order, specialty pharmacy, and a transparent pass-through pricing model, supported by a national retail pharmacy network of nearly 70,000 US pharmacies and 900+ Puerto Rico pharmacies.
Product overview
MC-Rx is a full-service Pharmacy Benefit Management (PBM) company that operates as a direct-source, transparent PBM with wholly owned systems. The core platform centers on the eProCare proprietary claims processing and adjudication system, supported by the MC-Rx CARES chronic condition management program. The product portfolio includes multiple sub-brands: ProCare PharmacyCare (URAC-accredited mail order and specialty pharmacy), ProCare HospiceCare (hospice-exclusive PBM), and the Specialty Pharmacy Program. Additional modules include Clinical Services, Cost Management Programs, Mail Order/Home Delivery, Medicare Part D Services, Workers' Compensation solutions (WON Card), and the Flex 90 maintenance medication program. The company provides pharmacy network access to nearly 70,000 US pharmacies and 900+ Puerto Rico pharmacies, along with member and client web portals. All services are delivered through their proprietary technology platform with a full transparency model.
Differentiator
Problem solved
Functional benefit
Brands
- MC-Rx CARES: Direct-sourced system designed to manage chronic conditions and patient medication compliance while reducing costs
- WON Card
- eProCare
- ClearSight Transparency
Products and services
- MC-Rx Core PBM Platform
Quantifiable outcome
- One client's implementation of GLP-1 cost-containment strategies achieved $382,000 in cost avoidance for GLP-1 medications.
- +5 more outcomes
Companies that use MC-Rx
Customer profileSegments9 records
Ideal customer profiles5 records
MC-Rx technology and API
TechnologyTechnology focussed Yes
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Feature7 records
MC-Rx partnerships and signals
Strategic signalScale indicators4 records
Recent moves6 records
Expansion highlights6 records
MC-Rx competitors and assessment
Company assessmentBroad incumbents
- CVS Health (Caremark): Largest US PBM by prescription volume, vertically integrated with CVS retail pharmacies, Aetna, and Caremark specialty. Competes with MC-Rx across employer, health plan, Medicare Part D, and Medicaid segments, but with vastly greater scale and captive distribution.
- Humana Pharmacy Solutions: PBM and pharmacy operation embedded within Humana, with strong Medicare Part D and MA focus. Comparable to MC-Rx in Medicare Part D services and member-facing pharmacy operations, but at much greater scale and as part of a vertically integrated health plan.
- UnitedHealth Group (OptumRx): OptumRx is the PBM arm of UnitedHealth Group and the largest by lives covered. Competes with MC-Rx across all payer segments and is the dominant benchmark on data analytics, vertical integration, and government program scale.
- Cigna (Express Scripts): Top-three PBM (Express Scripts) integrated with Cigna's health services. Direct competitor for large employer and government PBM contracts; benchmarks MC-Rx on scale, rebate leverage, and integrated specialty/mail order capabilities.
Direct peers
- Navitus Health Solutions: Pass-through, transparent PBM owned by a coalition of health plans and SSM Health. Comparable to MC-Rx in its full-transparency model, focus on commercial and government program clients, and emphasis on clinical cost management.
- SmithRx: Tech-enabled, transparent PBM focused on self-funded employers with a modern technology stack and pass-through pricing. Comparable to MC-Rx in target customer (self-insured employers), transparent model, and reliance on differentiated technology versus scale.
- Capital Rx: Independent, technology-forward PBM operating a proprietary claims adjudication platform (Judi) with a transparent, pass-through model. Closely comparable to MC-Rx in its emphasis on in-house technology, transparency, and serving self-funded employer and health plan clients.
- Elixir Pharmacy (EnvisionRx): Independent PBM and pharmacy services company with transparent, pass-through pricing serving health plans, employer groups, and government programs. Comparable to MC-Rx in segment mix (commercial, Medicare, Medicaid) and transparent model.
- MedImpact Healthcare Systems: Independent, third-party PBM offering transparent, flexible pharmacy benefit management to health plans, employers, and government programs. Closely comparable in business model (independent, transparent, multi-segment payer services) and scale profile.
Emerging players
- Walmart Health / Walmart Rx: Walmart's pharmacy and emerging health-services platform leverages the world's largest retail footprint to disrupt pharmacy pricing and care delivery. Relevant comparable as a low-cost, transparent-leaning alternative that pressures traditional PBM economics in employer and cash-pay segments.
Market position
Strengths5 records
Weaknesses5 records
Competitive moat5 records
Key risks6 records
Key highlights7 records
Customer concentration
MC-Rx social profiles
Digital presenceMC-Rx compliance and trust
Trust signalCompliance7 records
MC-Rx financial estimates
Financial estimateRevenue estimate
Valuation estimate
MC-Rx leadership team
Management profileNumber of profiles
Profiles5 records
MC-Rx subsidiaries and ownership
Company hierarchySubsidiaries3 records
MC-Rx funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
MC-Rx 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 MC-Rx
What does MC-Rx do?
MC-Rx is a full-service Pharmacy Benefit Management (PBM) company that provides customized pharmacy benefit plans and administrative services to health plans, employer groups, Medicare Part D, Medicaid Managed Care, TPAs, unions, hospice organizations, insurance companies, and government entities. The company delivers claims processing through its proprietary eProCare platform, formulary management, clinical services, cost-containment strategies, mail order, specialty pharmacy, and a transparent pass-through pricing model, supported by a national retail pharmacy network of nearly 70,000 US pharmacies and 900+ Puerto Rico pharmacies.
Is MC-Rx a public or private company?
MC-Rx is a private company. It is classified as founder individual operated bootstrapped and is currently operating.
When was MC-Rx founded?
MC-Rx was founded in 1998. It employs 501 to 1,000 people.
Where is MC-Rx based?
MC-Rx is headquartered in Caguas, Puerto Rico, in the Latin America region.
How does MC-Rx make money?
One revenue line is on record: pharmacy Benefit Management Administration.
Who are MC-Rx's main competitors?
Broad incumbents on record are CVS Health (Caremark), Humana Pharmacy Solutions, UnitedHealth Group (OptumRx) and Cigna (Express Scripts). Direct peers are Navitus Health Solutions, SmithRx, Capital Rx, Elixir Pharmacy (EnvisionRx) and MedImpact Healthcare Systems. Walmart Health / Walmart Rx is listed as an emerging player.
Does MC-Rx have an API?
No public API is recorded for MC-Rx.
What industry is MC-Rx in?
MC-Rx'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 HLAEAKAL, PBM Technology Platforms (ePA/eRx/Real-Time Benefit Tools). Its NAICS code is 524292 and its SIC code is 6324.