Generation Health
Generation Health is a private U.S. health management company founded in 2008, headquartered in Upper Saddle River, New Jersey, with 10,000+ employees and co-founder Per Lofberg.
- Company typePrivate
- Founded1963
- HeadquartersWoonsocket, United States
- Headcount10,001+
- GTM type—
- OfferingServices
What Generation Health does
Generation Health is a private, for-profit health management company founded in 2008 and headquartered in Upper Saddle River, New Jersey, in the United States. The firm operates with 10,000+ employees, placing it among the larger private entities in U.S. healthcare management by headcount. Per Lofberg is identified as a co-founder of the company in the leadership data provided. The company's website is listed as mygenerationhealth.com.
The input data does not contain Generation Health-specific detail on products, technology architecture, pricing mechanics, customer base, revenue model, or competitive positioning. The structured data blocks (gtm_motion, technology, revenue_model, distribution channels, marketing channels, awards, partnerships) all describe CVS Caremark operations rather than Generation Health, and the ownership commentary in the structured blocks explicitly confirms that no Generation Health-specific ownership, revenue, or operational data was located in the source material. The management_team, investments, mergers_and_acquisitions, product_launches, and corporate_structural_moves arrays are all empty for Generation Health. Consequently, the company's specific service lines, technology stack, pricing, go-to-market mechanics, and customer composition cannot be described from the available input.
Generation Health firmographics
Firmographics- Name
- Generation Health
- Website
- https://mygenerationhealth.com
- Company type
- Private
- Founded year
- 1963
- Headcount range
- 10,001+ employees
- Short description
- Generation Health is a private U.S. health management company founded in 2008, headquartered in Upper Saddle River, New Jersey, with 10,000+ employees and co-founder Per Lofberg.
- Ownership category
- akta.pro rank
Generation Health industry classification
Industry- Product category
- Pharmacy Benefit Management
- NAICS
- Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds (524292)
- akta.pro industry
- Formulary Management & Clinical Pharmacy ProgramsPrior Authorization, Utilization Management & Step TherapySpecialty Pharmacy Benefit Management (Specialty PBM)Pharmacy Benefit Management (PBM) & Formulary Management ITHealthcare & Life Sciences/Digital Health & Health IT/ePrescribing, Medication Management & Pharmacy ITManufacturer Contracting, Rebates & Revenue Management
Keywords
Where Generation Health is headquartered
LocationHeadquarters
- HQ city
- Woonsocket
- HQ country
- United States
- HQ region
- North America
Markets served
Generation Health business model
Business model- Offering type
- Services
- Cost components
- Operations, Technology or R&D, Personnel, Supply Chain, Infrastructure
Revenue model
- Pharmacy Benefit Management Services: CVS Caremark manages prescription plans for health plan sponsors and employers, processing pharmacy claims and providing formulary management, prior authorization, and drug therapy management services. Revenue is generated through administration fees, prescription processing, and negotiated pharmacy reimbursement rates.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Subscription | Monthly | Plan-dependent prescription coverage with member cost-sharing |
Go-to-market motion2 records
Distribution channels5 records
Marketing channels5 records
Generation Health product offering
Product offeringCore offering
Generation Health operates as a health management company providing pharmacy benefit management (PBM) services that administer prescription drug benefits for health plan sponsors and employers. The service encompasses formulary management, prior authorization, drug therapy management, prescription claims processing, mail service pharmacy delivery of 90-day maintenance medication supplies, specialty pharmacy for complex medications, and digital self-service tools for plan members to check drug costs, identify savings opportunities, and locate network pharmacies.
Differentiator
Problem solved
Functional benefit
Quantifiable outcome
- Mail service pharmacy delivers 90-day supplies of maintenance medications with no delivery fee
Companies that use Generation Health
Customer profileNamed customers3 records
Segments1 record
Ideal customer profiles2 records
Generation Health technology and API
TechnologyTechnology focussed Yes
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Feature5 records
Generation Health partnerships and signals
Strategic signalPartnerships
One partnership is on record.
- CVS PharmacycoreCVS Caremark is part of the CVS Health family, which includes CVS Pharmacy retail locations, MinuteClinic, and CVS HealthHUB. CVS Caremark manages prescription benefits while CVS Pharmacy locations serve as network pharmacies for prescription pickup. The integration creates a unified healthcare ecosystem.
Generation Health competitors and assessment
Company assessmentDirect peers
- Prime Therapeutics: PBM owned by a consortium of Blue Cross Blue Shield plans, providing formulary management, claims processing, mail service, and specialty pharmacy — comparable in serving health-plan-sponsored Rx benefits.
- Express Scripts (Cigna Group): The second-largest US PBM, serving employer, health plan, and government clients with mail-order pharmacy, formulary management, prior authorization, and specialty pharmacy — directly comparable in scale, product set, and customer base to CVS Caremark.
- OptumRx (UnitedHealth Group): Largest US PBM, embedded within UnitedHealth/Optum. Offers formulary management, mail service, specialty pharmacy, and integrated claims — the closest scaled competitor and mirror image of CVS Caremark's vertically-integrated model.
- Humana Pharmacy Solutions: PBM and mail-service pharmacy arm of Humana, serving Medicare Advantage and commercial plans with formulary and clinical pharmacy programs — comparable specialty and senior-focused PBM economics.
- MedImpact Healthcare Systems: Independent (non-vertically-integrated) PBM offering transparent pharmacy benefit administration, formulary management, and specialty pharmacy — closest direct competitor to CVS Caremark's core PBM product line.
Emerging players
- Amazon Pharmacy: Direct-to-consumer online pharmacy built on the PillPack acquisition, offering home delivery and price transparency for maintenance medications — competing on the same mail-service and DTC convenience axes CVS Caremark uses as differentiators.
- Mark Cuban Cost Plus Drug Company: Transparent cash-pay pharmacy that bypasses traditional PBM rebate economics — an emerging disruptor that compresses the spread-revenue model underlying CVS Caremark's negotiated reimbursement rates.
Broad incumbents
- Walgreens (Sycamore-owned): Major US retail pharmacy chain competing with CVS Pharmacy for in-store script volume, with VillageMD and specialty pharmacy adjacencies — relevant network competitor for member-fill convenience.
- Walmart Pharmacy: Largest US retail pharmacy by location count, offering low-cost generics and expanding into clinical services — competes with CVS Caremark for retail-script volume and network adequacy, though not a traditional PBM.
Others
- CVS Pharmacy (retail): Retail pharmacy arm of CVS Health and explicitly named in-network partner of the Caremark PBM — included for completeness to anchor the integrated ecosystem rather than as an external competitor.
Market position
Strengths5 records
Weaknesses5 records
Competitive moat3 records
Key risks5 records
Key highlights6 records
Customer concentration
Generation Health social profiles
Digital presenceGeneration Health financial estimates
Financial estimateRevenue estimate
Valuation estimate
Generation Health leadership team
Management profileNumber of profiles
Profiles1 record
Generation Health funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
Generation Health 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 Generation Health
What does Generation Health do?
Generation Health operates as a health management company providing pharmacy benefit management (PBM) services that administer prescription drug benefits for health plan sponsors and employers. The service encompasses formulary management, prior authorization, drug therapy management, prescription claims processing, mail service pharmacy delivery of 90-day maintenance medication supplies, specialty pharmacy for complex medications, and digital self-service tools for plan members to check drug costs, identify savings opportunities, and locate network pharmacies.
When was Generation Health founded?
Generation Health was founded in 1963. It employs 10,001+ people.
Where is Generation Health based?
Generation Health is headquartered in Woonsocket, United States, in the North America region.
How does Generation Health make money?
One revenue line is on record: pharmacy Benefit Management Services.
Who are Generation Health's main competitors?
Direct peers on record are Prime Therapeutics, Express Scripts (Cigna Group), OptumRx (UnitedHealth Group), Humana Pharmacy Solutions and MedImpact Healthcare Systems. Emerging players are Amazon Pharmacy and Mark Cuban Cost Plus Drug Company. Broad incumbents are Walgreens (Sycamore-owned) and Walmart Pharmacy. CVS Pharmacy (retail) is listed as an others.
Does Generation Health have an API?
No public API is recorded for Generation Health.
What industry is Generation Health in?
Generation Health's product category is Pharmacy Benefit Management. Its primary akta.pro industry code is HLAEAKAA, Formulary Management & Clinical Pharmacy Programs, with a secondary code of HLAEAKAG, Prior Authorization, Utilization Management & Step Therapy. Its NAICS code is 524292.