EnvisionRxOptions

What EnvisionRxOptions does

EnvisionRxOptions is a privately held pharmacy benefit manager (PBM) headquartered in Twinsburg, Ohio that administers prescription drug benefits on behalf of health plan sponsors, including employers, unions, and government programs. Founded in 2001, the company previously operated under the name Elixir Solutions and has rebranded to MedImpact while maintaining continuity in its service team and prescription card infrastructure. Its core offering is a prescription benefit administration platform that generates revenue through administrative fees, drug manufacturer rebates, and spread pricing on prescription claims, which is the standard economic model for the PBM sector.

The company's product surface is anchored by a Member Portal and cross-platform mobile applications (iOS and Android) that enable members to review coverage, locate in-network pharmacies, access drug pricing, display or print prescription ID cards, and manage prescription history. These digital channels are extended by two operational modules: Birdi (mail order pharmacy) for 90-day home delivery of maintenance medications with free standard shipping, and Specialty by Birdi for complex chronic-condition therapies that require cold storage, close follow-up, and administration guidance, with indications such as cancer and hepatitis C called out in source material. Distribution is completed through an in-network retail pharmacy channel, giving sponsors a multi-modal fulfillment footprint accessed by members through a single prescription benefit identity.

Go-to-market follows an enterprise field sales motion: the company sells through B2B relationships with health plan sponsors, and individual member adoption is driven by employer- or health plan-sponsored enrollment. No public pricing schedule is disclosed; specific copays, deductibles, and coverage terms are mediated through the member portal on a sponsor-by-sponsor basis. The company is privately held with no disclosed institutional investors, parent company, or funding rounds in the provided data, and publicly listed financial metrics such as revenue, headcount, or ARR are not available.

Name

EnvisionRxOptions

Legal name

MedImpact

Website

https://elixirsolutions.com

Company type

Private

Founded year

2001

Operating status

Operating

Short description

EnvisionRxOptions (rebranded to MedImpact; formerly Elixir Solutions) is a privately held pharmacy benefit manager that administers prescription drug benefits for health plan sponsors and their members via a member portal, mobile apps, Birdi mail order, and Specialty by Birdi.

Ownership category

akta.pro rank

Product category

Pharmacy Benefit Management

NAICS

Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds (524292), Pharmacies and Drug Retailers (456110), Pharmacies and Drug Retailers (45611)

SIC

Hospital & Medical Service Plans (6324), Pharmaceutical Preparations (2834), Retail-Drug Stores And Proprietary Stores (5912)

akta.pro primary industry

Pharmacy Benefit Management (PBM) & Pharmacy Network Administration (HLAFALAI)

akta.pro secondary industries

Specialty Pharmacy Benefit Management (Specialty PBM) (HLAEAKAE), Pharmacy Benefit Management (PBM) & Formulary Management IT (HLACAKAD), Pharmacy Benefit Analytics, Reporting & Employer Consulting (HLAEAKAK)

Keywords

• Pharmacy benefit management
• Prescription drug benefits
• Mail order pharmacy
• Specialty pharmacy services
• Health plan administration

Headquarters

HQ city

Twinsburg

HQ country

United States

HQ region

North America

Markets served

GTM type

B2B

Offering type

Services

Cost components

Personnel, Operations, Supply Chain, Technology or R&D, Marketing or Sales, Infrastructure

Revenue model

1. Pharmacy Benefit Management Services: As a pharmacy benefit manager (PBM), the company provides prescription drug benefit administration services to health plan sponsors including employers, unions, and government programs. Revenue is generated through administrative fees, drug rebates from manufacturers, and spread pricing on prescription claims.

Go-to-market motion1 record

Distribution channels5 records

Marketing channels3 records

Core offering

EnvisionRxOptions (doing business as MedImpact) operates as a pharmacy benefit manager (PBM) that administers prescription drug benefits on behalf of health plan sponsors including employers, unions, and government programs. It serves enrolled members through a Member Portal, iOS and Android mobile applications, in-network retail pharmacy access, and Birdi mail order and specialty pharmacy fulfillment for maintenance and complex chronic condition medications.

Product overview

EnvisionRxOptions (now operating as MedImpact following rebrand from Elixir) provides pharmacy benefit management services through a member-facing digital platform. The core offering consists of a Member Portal and mobile application that enable members to manage prescription benefits, access drug pricing, find network pharmacies, and handle administrative tasks. The service is enhanced through two specialized modules: Mail Order (Birdi) for home delivery of maintenance medications with 90-day supplies and free standard shipping, and Specialty by Birdi for managing complex specialty medications requiring cold storage and personal support for chronic conditions.

Differentiator

Problem solved

Functional benefit

Brands

• BirdiRx: Mail order prescription delivery service offering up to 90-day supplies of maintenance medications delivered to members' homes with free standard shipping.
• Specialty by Birdi

Products and services

• Member Portal Online platform for enrolled health plan members to review prescription drug coverage, find in-network pharmacies, access drug information and pricing, display/print prescription ID cards, access forms, and manage prescription benefits.
• MedImpact Mobile Application Mobile application for iOS and Android devices enabling enrolled health plan members to display their prescription ID card to pharmacists, review prescription history, and otherwise manage pharmacy benefits on mobile devices.
• Mail Order (Birdi) Home delivery mail order pharmacy service delivering up to 90-day supplies of maintenance medications for chronic conditions such as high blood pressure and diabetes directly to members' homes, with free standard shipping and expedited options available.
• Specialty by Birdi Specialty pharmacy service providing personal support for complex specialty medications used to treat chronic conditions such as cancer and hepatitis C, including cold storage handling, close follow-up care, and guidance on drug administration.

Segments2 records

Ideal customer profiles2 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature4 records

Partnerships

One partnership is on record.

• BirdiRxcoreStrategic or Co-development PartnerBirdiRx is the mail order and specialty pharmacy fulfillment partner for EnvisionRxOptions/MedImpact members. The partnership provides home delivery of maintenance medications (up to 90-day supplies) and specialty pharmacy services for complex chronic conditions. Members can enroll in mail order through BirdiRx to receive free standard shipping on prescriptions delivered to their door.

Recent moves4 records

Expansion highlights3 records

Emerging players

• Capital Rx: A technology-forward PBM offering a transparent, claims-engine-based pharmacy benefit administration platform to employers, unions, and government programs. It targets the same sponsor segments as EnvisionRxOptions/MedImpact with a distinct technology-led value proposition.
• SmithRx: A modern PBM serving small and mid-sized employers with transparent pharmacy benefit management, including specialty drug management. It overlaps with EnvisionRxOptions/MedImpact on the employer-sponsor GTM motion and competes for similar contracts.
• RxBenefits: A PBM and pharmacy benefit consultant focused on self-funded employers, providing benefit administration, clinical programs, and specialty drug management. It competes with EnvisionRxOptions/MedImpact for the employer-sponsored health plan segment.

Broad incumbents

• OptumRx: The PBM subsidiary of UnitedHealth Group, OptumRx administers prescription drug benefits for UnitedHealthcare and external plan sponsors. It is a vertically integrated incumbent and a key competitor in the same PBM services market as EnvisionRxOptions/MedImpact.
• Express Scripts (Cigna): Owned by The Cigna Group, Express Scripts is the largest standalone PBM in the US, administering pharmacy benefits for tens of millions of members. It is a broad incumbent in the same PBM/administrative services category as EnvisionRxOptions/MedImpact but at significantly greater scale.
• CVS Caremark: The PBM arm of CVS Health, Caremark provides integrated pharmacy benefit management alongside retail pharmacy and insurance assets. It competes with EnvisionRxOptions/MedImpact for health plan sponsor contracts and is a broad incumbent across the PBM value chain.
• Humana Pharmacy Solutions: Humana's PBM and mail-order pharmacy operation administers prescription drug benefits, with particular strength in Medicare Advantage and senior-focused plans. It overlaps with EnvisionRxOptions/MedImpact in core PBM administration and specialty/mail order fulfillment.

Direct peers

• MedImpact Healthcare Systems: Now the legal parent operating brand for EnvisionRxOptions/Elixir Solutions, MedImpact Healthcare Systems is one of the largest privately-held PBMs in the United States, providing prescription drug benefit administration, mail order, and specialty pharmacy services to health plan sponsors and members.
• Prime Therapeutics: A PBM owned by a coalition of Blue Cross and Blue Shield plans, Prime Therapeutics provides pharmacy benefit administration, specialty pharmacy, and mail order to health plan sponsors. It is a closely comparable direct peer to EnvisionRxOptions/MedImpact in sponsor-aligned PBM services.
• Navitus Health Solutions: A privately-held PBM providing transparent pharmacy benefit management, mail order, and specialty pharmacy services to health plans, employers, and government programs. It is closely comparable to EnvisionRxOptions/MedImpact in scale, business model, and target sponsor base.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat3 records

Key risks6 records

Key highlights6 records

Customer concentration

Revenue estimate

Valuation estimate

Number of profiles

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about EnvisionRxOptions