US-RX Care
US-RX Care is a fiduciary pharmacy benefits manager serving self-insured employers, union trust funds, and health plans. Its proprietary clinical optimization platform and Right Rx overlay reduce pharmacy benefit spend by 30-50% under ERISA-compliant, fee-based revenue.
- Company typePrivate
- Founded2007
- HeadquartersHollywood, United States
- Headcount101–250
- GTM typeB2B
- OfferingServices
What US-RX Care does
US-RX Care is a privately held, fiduciary pharmacy benefits manager (PBM) headquartered in Hollywood, Florida, founded in 2007 by Renzo Luzzatti. The company is structured as an ERISA fiduciary to self-insured employers, union trust funds, and at-risk health plans (Medicare, Medicaid, commercial), and reports coverage of more than 5 million insured individuals across Medicare Part D and employer-sponsored plans. All manufacturer rebates and pharmacy discounts are contractually passed through 100% to plan sponsors; revenue is derived solely from administrative fees, eliminating rebate retention, spread pricing, and pharmacy-ownership conflicts of interest that define the dominant PBM model.
The core product platform is a proprietary clinical pharmacy management and claims-analysis engine organized as a PBM plus a set of clinical overlays. The Right Rx Therapeutic Optimization Program monitors prescription claims against a library of more than 1,500 cost-savings targets, achieving a 70% case conversion rate and approximately 80% member approval for therapy-change recommendations, generating average savings of $4-$8 PEPM on non-specialty medications and $8-$12 PEPM on specialty medications. Surrounding modules include Specialty Rx Management, Non-Specialty Rx Management, a member portal and Apple/Android mobile app, prior-authorization services, drug-coverage and pharmacy-search tools, and mail-order fulfillment through a third-party pharmacy (Prescription Mart, Beaumont TX). The platform does not own or operate pharmacies.
US-RX Care goes to market through a sales-led direct channel targeting enterprise employers and union trust funds, complemented by a channel-partner motion through benefits advisors and consultants who use Right Rx to overlay incumbent PBM relationships. Marketing is anchored on thought-leadership content (white papers, webinars, PBM University, blog, industry newsletters) and active participation in employer health coalitions including the National Alliance of Healthcare Purchaser Coalitions (2021 Innovator Award finalist), the National Business Group on Health, the Employers Health Purchasing Coalition, and multiple regional coalitions. Independent third-party verification is provided by the Validation Institute on contractual integrity, cost savings, and clinical outcomes. The company is free from outside financial influence and has operated continuously under its fiduciary model since founding.
US-RX Care firmographics
Firmographics- Name
- US-RX Care
- Legal name
- US-Rx Care
- Website
- https://usrxcare.com
- Company type
- Private
- Founded year
- 2007
- Operating status
- Operating
- Headcount range
- 101–250 employees
- Short description
- US-RX Care is a fiduciary pharmacy benefits manager serving self-insured employers, union trust funds, and health plans. Its proprietary clinical optimization platform and Right Rx overlay reduce pharmacy benefit spend by 30-50% under ERISA-compliant, fee-based revenue.
- Ownership category
- akta.pro rank
US-RX Care 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), Insurance Agents, Brokers & Service (6411)
- akta.pro primary industry
- Formulary Management & Clinical Pharmacy Programs (HLAEAKAA)
- akta.pro secondary industries
- Pharmacy Benefit Management (PBM) & Pharmacy Network Administration (HLAFALAI), Manufacturer Contracting, Rebates & Revenue Management (HLAEAKAD), Claims Processing, Adjudication & Payment Integrity (HLAEAKAC), Pharmacy Benefit Management (PBM) & Formulary Management IT (HLACAKAD), Specialty Pharmacy Benefit Management (Specialty PBM) (HLAEAKAE)
Keywords
Where US-RX Care is headquartered
LocationHeadquarters
- HQ city
- Hollywood
- HQ country
- United States
- HQ region
- North America
Offices1 record
Markets served
US-RX Care business model
Business model- GTM type
- B2B
- Offering type
- Services
- Cost components
- Personnel, Technology or R&D, Operations, Marketing or Sales, Infrastructure
Revenue model
- Fiduciary PBM Administrative Fees: US-Rx Care operates as a fiduciary pharmacy benefit manager, generating revenue through simple administrative fees as the sole source of revenue. The company does not retain manufacturer rebates, dispensing profits, or engage in spread pricing. All manufacturer rebates and pharmacy discounts are passed through 100% to plan sponsors. Revenue is structured to align with reducing total pharmacy spend rather than benefiting from higher prices.
- Pharmacy Risk Management Services: End-to-end pharmacy benefits management services including clinical management, formulary optimization, and cost containment. Compensation is not tied to drug list prices. Revenue model designed to eliminate conflicts of interest inherent in traditional PBM models.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Other | Annual | Fiduciary PBM Services - Custom quoting based on organization size and needs |
Go-to-market motion2 records
Distribution channels3 records
Marketing channels11 records
US-RX Care product offering
Product offeringCore offering
US-RX Care operates as a fiduciary pharmacy benefits manager (PBM) providing transparent pharmacy benefit risk management services to self-insured employers, union trust funds, and health plans. Its core offering combines clinical pharmacy management, formulary optimization, and prescription cost containment under contractual ERISA fiduciary standards, passing 100% of manufacturer rebates and discounts through to plan sponsors. The Right Rx overlay program supplements existing PBM relationships with proprietary clinical algorithms that identify therapeutic cost-saving opportunities on specialty and non-specialty medications.
Product overview
US-Rx Care is a fiduciary pharmacy benefits management company offering a platform-plus-modules architecture. The core offering is Pharmacy Benefits Management (PBM), a fiduciary service providing transparent pharmacy risk management with contractual ERISA fiduciary standards. This core platform is supplemented by Right Rx, a clinical prescription management overlay that works alongside existing PBM relationships. Additional modules include Specialty Rx Management and Non-Specialty Rx Management for medication-specific oversight, plus member-facing tools including the Member Portal, Mobile App, Drug Coverage Search, and Pharmacy Search. Prior Authorization Services support providers, and Mail Order Pharmacy provides home delivery options. The company serves self-insured employers, union trust funds, and health plans managing over 5 million insured individuals.
Differentiator
Problem solved
Functional benefit
Brands
- Right Rx: Clinical management services that overlay existing PBM relationships to deliver enhanced savings through prescription optimization, therapeutic alternatives, and lowest-cost sourcing for plan sponsors and enrollees.
Products and services
- Pharmacy Benefits Management (PBM) Fiduciary pharmacy benefits management service controlling pharmacy benefit costs for self-insured employers, union trust funds, and health plans without changing benefit design. Includes 100% pass-through of rebates and discounts, no spread pricing, and over 30 years of pharmacy risk management experience.
- Right Rx Clinical Optimization Overlay
Quantifiable outcome
- 30-50%+ reduction in pharmacy benefit spend within 12 months without changing benefit design
- +7 more outcomes
Companies that use US-RX Care
Customer profileNamed customers8 records
Segments4 records
Ideal customer profiles4 records
US-RX Care technology and API
TechnologyTechnology focussed Yes
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Feature4 records
US-RX Care partnerships and signals
Strategic signalPartnerships
Ten partnerships are on record, tiered core and minor.
- National Alliance of Healthcare Purchaser CoalitionscoreFinalist for the 2021 Innovator Award recognizing innovative pharmacy benefits management solutions. Active participant in National Alliance forums and educational programs.
- National Business Group on HealthminorParticipating member in the National Business Group on Health Innovator Forum, sharing insights on pharmacy benefits management innovation with large employer health benefits leaders.
- Employers Health Purchasing CoalitionminorSpotlight featured speaker and active participant in Employers Health coalition programs focused on pharmacy benefits cost management.
- Validation InstitutecoreIndependent verification organization that has validated US-Rx Care's contractual integrity, transparency, cost savings, and clinical outcomes.
- Dallas/Fort Worth Business Coalition on HealthminorRegional health coalition partnership focused on pharmacy benefits education and cost management for employers.
- Houston Business Coalition on HealthminorRegional health coalition partnership for pharmacy benefits education and employer outreach.
- Pittsburgh Business Coalition on HealthminorRegional health coalition partnership for pharmacy benefits education.
- Florida Alliance for Healthcare ValueminorRegional health coalition partnership in Florida for pharmacy benefits education and employer outreach.
- Lehigh Valley Business Coalition on Health (LVBCH)minorRegional health coalition partnership for pharmacy benefits education.
- Keenan Pharmacy Management ServicesminorPartnership with Jeffrey Hall of Keenan Pharmacy Management Services to discuss how US-Rx Care partners with benefits advisors.
Scale indicators6 records
Recent moves5 records
Expansion highlights5 records
US-RX Care competitors and assessment
Company assessmentBroad incumbents
- Humana Pharmacy Solutions: Humana's PBM division serves Medicare Part D and employer plans, overlapping directly with US-Rx Care's Medicare Part D member base and at-risk health plan segment.
- Express Scripts (Cigna): Express Scripts is the second-largest PBM and a frequent reference point in US-Rx Care's content due to the 2026 FTC settlement; its scale and owned-pharmacy economics define the incumbent model.
- CVS Health (Caremark): Caremark is the largest US PBM, vertically integrated with CVS retail pharmacies and Aetna, dominating employer and health plan PBM contracts and setting the industry standard US-Rx Care positions against.
- OptumRx (UnitedHealth Group): OptumRx is the third major PBM, embedded in UnitedHealth's payor and provider ecosystem, and a key incumbent competitor for health plan and large employer PBM contracts.
Direct peers
- Capital Rx: Capital Rx is a technology-driven transparent PBM offering Judi® as its adjudication platform with a fiduciary alignment model aimed at self-insured employers and unions—directly comparable to US-Rx Care.
- SmithRx: SmithRx is a transparent PBM targeting self-funded employers with flat admin fees, no spread pricing, and 100% rebate pass-through, competing head-to-head with US-Rx Care's core PBM offering.
- Navitus Health Solutions: Navitus is a pass-through, transparent PBM serving health plans, employers, and government programs with full rebate pass-through and clinical management—a near-perfect direct peer to US-Rx Care's fiduciary model.
- MedImpact Healthcare Systems: MedImpact is an independent, pass-through PBM serving health plans, employers, and government programs; its transparent model and clinical programs make it a direct competitor to US-Rx Care.
- RxBenefits: RxBenefits is a PBM optimizer for self-funded employers, brokers, and consultants that negotiates PBM contracts and offers clinical oversight—overlapping with US-Rx Care's advisor-channel and risk-management positioning.
- EmpiRx Health: EmpiRx Health is a pass-through, clinically focused PBM for self-insured employers with a population health management overlay, closely matching US-Rx Care's Right Rx-style clinical overlay model.
Market position
Strengths5 records
Weaknesses5 records
Competitive moat4 records
Key risks6 records
Key highlights6 records
Customer concentration
US-RX Care social profiles
Digital presenceUS-RX Care compliance and trust
Trust signalCompliance1 record
US-RX Care financial estimates
Financial estimateRevenue estimate
Valuation estimate
US-RX Care leadership team
Management profileNumber of profiles
Profiles1 record
US-RX Care funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
US-RX Care 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 US-RX Care
What does US-RX Care do?
US-RX Care operates as a fiduciary pharmacy benefits manager (PBM) providing transparent pharmacy benefit risk management services to self-insured employers, union trust funds, and health plans. Its core offering combines clinical pharmacy management, formulary optimization, and prescription cost containment under contractual ERISA fiduciary standards, passing 100% of manufacturer rebates and discounts through to plan sponsors. The Right Rx overlay program supplements existing PBM relationships with proprietary clinical algorithms that identify therapeutic cost-saving opportunities on specialty and non-specialty medications.
Is US-RX Care a public or private company?
US-RX Care is a private company. It is classified as founder individual operated bootstrapped and is currently operating.
When was US-RX Care founded?
US-RX Care was founded in 2007. It employs 101 to 250 people.
Where is US-RX Care based?
US-RX Care is headquartered in Hollywood, United States, in the North America region.
How does US-RX Care make money?
Two revenue lines are on record. Fiduciary PBM Administrative Fees are the primary driver. The others are pharmacy Risk Management Services.
Who are US-RX Care's main competitors?
Broad incumbents on record are Humana Pharmacy Solutions, Express Scripts (Cigna), CVS Health (Caremark) and OptumRx (UnitedHealth Group). Direct peers are Capital Rx, SmithRx, Navitus Health Solutions, MedImpact Healthcare Systems, RxBenefits and EmpiRx Health.
Does US-RX Care have an API?
No public API is recorded for US-RX Care.
What industry is US-RX Care in?
US-RX Care's product category is Pharmacy Benefits Management. Its primary akta.pro industry code is HLAEAKAA, Formulary Management & Clinical Pharmacy Programs, with a secondary code of HLAFALAI, Pharmacy Benefit Management (PBM) & Pharmacy Network Administration. Its NAICS code is 524292 and its SIC code is 6324.