InScript
InScript is a privately held, Beth Israel Lahey Health-affiliated healthcare technology company that offers transparent pharmacy benefits management, a 340B Claims Qualification Engine, and a rare disease patient identification platform (PICCS) to healthcare systems, drug manufacturers, and employer-funded plans.
- Company typePrivate
- Founded2016
- HeadquartersMassachusetts, United States
- Headcount1–10
- GTM typeB2B
- OfferingSoftware
What InScript does
InScript is a privately held, health system-backed healthcare technology company founded in 2016 and headquartered in the Massachusetts area, operating as a strategic affiliate of Beth Israel Lahey Health (BILH). The company builds and sells three core solutions: a fully transparent Pharmacy Benefits Management (PBM) offering for healthcare system employer-funded plans (HCSEF) and general employer-funded plans (GEF); the 340B Claims Qualification Engine (CQE), which uses proprietary algorithms to match prescriptions to eligible encounters and patient information by combining dispensing pharmacy data with 340B Covered Entity EHR data; and the Patient Identification and Care Coordination Services (PICCS) platform, which helps health systems and drug manufacturers identify rare disease therapy candidates and accelerate treatment access. Underlying technology combines claims-matching logic with patient-identification workflows integrated to dispensing pharmacy and EHR data sources, supported by a patient portal (inscript.myrxplan.com) and a provider support portal for formulary, prior authorization, and pharmacy lookup functions.
InScript serves three primary customer segments: healthcare systems (340B program optimization, claims qualification, and PBM), drug manufacturers (rare disease patient identification via PICCS), and employer-funded plans (transparent PBM services). Pricing is quote-based and tailored per client; revenue model types include subscription/recurring for PBM services and managed services for CQE and PICCS engagements. The company uses an enterprise field-sales GTM focused on consultation-based selling to health systems, drug manufacturers, and employer-funded plan sponsors, with a B2B content marketing and LinkedIn presence supporting top-of-funnel demand generation and direct consultation requests as the bottom-of-funnel conversion mechanism.
The business is privately held with no disclosed funding rounds; ownership is retained within the BILH network and there is no public stock listing. InScript launched services nationally in 2023 and partnered with its first pharmaceutical industry partner the same year for PICCS; in 2024 it launched PBM services with the Beth Israel Lahey Health Plan. Distribution leverages BILH's pharmacy as the preferred pharmacy partner for plan members and channels through enterprise direct sales for external clients. Revenue is not publicly disclosed, and the company's public scale metrics (members covered, claims processed, hospitals participating in PICCS) are reported as zero on the website.
InScript firmographics
Firmographics- Name
- InScript
- Legal name
- InScript
- Website
- https://inscriptrx.org
- Company type
- Private
- Founded year
- 2016
- Operating status
- Operating
- Headcount range
- 1–10 employees
- Short description
- InScript is a privately held, Beth Israel Lahey Health-affiliated healthcare technology company that offers transparent pharmacy benefits management, a 340B Claims Qualification Engine, and a rare disease patient identification platform (PICCS) to healthcare systems, drug manufacturers, and employer-funded plans.
- Ownership category
- akta.pro rank
InScript industry classification
Industry- Product category
- Healthcare Technology (Pharmacy Benefits Management)
- NAICS
- Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds (524292), Direct Health and Medical Insurance Carriers (524114)
- SIC
- Services-Health Services (8000), Services-Misc Health & Allied Services, Nec (8090), Insurance Agents, Brokers & Service (6411)
- akta.pro primary industry
- PBM Technology Platforms (ePA/eRx/Real-Time Benefit Tools) (HLAEAKAL)
- akta.pro secondary industries
- Pharmacy Benefit Management (PBM) & Formulary Management IT (HLACAKAD), Pharmacy Benefit Analytics, Reporting & Employer Consulting (HLAEAKAK), Group Pharmacy Benefit (Rx) Coverage & PBM-Integrated Plans (FSAIAFAN), Pharmacy Interoperability, Standards & Integration (FHIR/NCPDP) (HLACAKAO)
Keywords
Where InScript is headquartered
LocationHeadquarters
- HQ city
- Massachusetts
- HQ country
- United States
- HQ region
- North America
Offices1 record
Markets served
InScript business model
Business model- GTM type
- B2B
- Offering type
- Software
- Cost components
- Personnel, Technology or R&D, Operations, Marketing or Sales, Others
Revenue model
- Pharmacy Benefits Management (PBM) Services: Transparent pharmacy benefit management services for healthcare system employer-funded plans and general employer-funded plans. Provides customized, transparent solutions that optimize costs and improve care.
- 340B Claims Qualification Engine: Claims matching and qualification services for 340B Drug Pricing Program optimization. Helps covered entities capture more eligible 340B claims for increased savings and compliance.
- Patient Identification and Care Coordination Services (PICCS): Patient identification technology services for healthcare systems and drug manufacturers to identify rare disease therapy candidates and accelerate patient access to treatments.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Subscription | Annual | Custom enterprise pricing based on client needs and plan size |
Go-to-market motion1 record
Distribution channels4 records
Marketing channels3 records
InScript product offering
Product offeringCore offering
InScript is a health system-backed healthcare technology company that delivers three integrated offerings: a transparent Pharmacy Benefits Management (PBM) service for general employer-funded and healthcare-system employer-funded health plans, a proprietary 340B Claims Qualification Engine (CQE) that matches prescriptions to eligible encounters using dispensing pharmacy and Covered Entity EHR data, and a Patient Identification and Care Coordination Services (PICCS) platform that helps healthcare systems and drug manufacturers identify rare disease patients and connect them with appropriate therapies.
Product overview
InScript offers a portfolio of three integrated healthcare technology solutions: Pharmacy Benefits Management (PBM) provides transparent prescription benefit management for employer-funded plans; the 340B Claims Qualification Engine (CQE) maximizes 340B drug pricing program savings through advanced claim matching algorithms; and Patient Identification and Care Coordination Services (PICCS) leverages patient identification technology to connect rare disease patients with appropriate therapies. These products serve healthcare systems, drug manufacturers, and funded plans, functioning both independently and as complementary solutions within the healthcare ecosystem.
Differentiator
Problem solved
Functional benefit
Brands
- 340B Claims Qualification Engine (CQE): A supporting system that utilizes advanced algorithms to match prescriptions to eligible encounters and patient information using dispensing pharmacy and 340B Covered Entity electronic health record (EHR) data.
- Patient Identification and Care Coordination Services (PICCS)
Products and services
- Pharmacy Benefits Management (PBM) Transparent pharmacy benefits management solution that lowers prescription costs and improves access to medications for employer-funded health plans, including general employer-funded (GEF) plans and healthcare-system employer-funded (HCSEF) plans. Customized, transparent solutions optimize costs and improve care.
- 340B Claims Qualification Engine (CQE) Algorithm-based system that matches prescriptions to eligible encounters and patient information using dispensing pharmacy and 340B Covered Entity electronic health record (EHR) data, enhancing 340B savings and compliance for healthcare systems.
- Patient Identification and Care Coordination Services (PICCS) Innovative patient identification technology that identifies potential rare disease therapy candidates, ensuring rapid treatment access and enabling healthcare systems and drug manufacturers to connect patients with appropriate therapies.
Quantifiable outcome
- Claims qualified through CQE
- +2 more outcomes
Companies that use InScript
Customer profileNamed customers2 records
Segments5 records
Ideal customer profiles3 records
InScript technology and API
TechnologyTechnology focussed Yes
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Feature3 records
InScript partnerships and signals
Strategic signalPartnerships
Three partnerships are on record, tiered core and minor.
- Beth Israel Lahey HealthcoreBeth Israel Lahey Health (BILH) is the parent health system backing InScript. BILH expanded the 340B CQE to additional clients and partnered with InScript to launch PBM services with Beth Israel Lahey Health Plan in 2024. BILH pharmacy serves as the preferred pharmacy partner for InScript plan members.
- First Pharmaceutical Industry PartnercoreInScript partnered with its first pharmaceutical industry partner in 2023 for the Patient Identification and Care Coordination Services (PICCS) program, enabling rare disease patient identification and treatment access for drug manufacturers.
- Contract PharmaciesminorNetwork of contract pharmacies integrated with InScript's 340B Claims Qualification Engine. The CQE connects dispensing pharmacy data with covered entity EHR data to capture eligible 340B claims.
Scale indicators4 records
Recent moves5 records
Expansion highlights5 records
InScript competitors and assessment
Company assessmentEmerging players
- Shields Health Solutions: Health system specialty pharmacy integrator with 340B optimization services. Comparable in customer base (health systems) and pharmacy services focus.
- Surescripts: Health information network for ePrescribing and clinical interoperability. Comparable to InScript's pharmacy data integration and eligibility matching capabilities.
- Trellis Rx: Health system-focused specialty pharmacy and 340B enablement partner. Comparable to InScript's health system-backed model and specialty pharmacy ambitions.
Broad incumbents
- Express Scripts (Cigna): Major PBM offering pharmacy benefits management to employer and health plan clients. Provides the same core PBM service as InScript but at national scale.
- CVS Caremark: Top-three PBM owned by CVS Health. Directly comparable to InScript's PBM product for employer-funded plans but bundled with CVS retail and clinical assets.
- OptumRx (UnitedHealth Group): Largest PBM in the US, part of UnitedHealth Group. Overlaps significantly with InScript on PBM administration but operates at far greater scale and offers a much broader portfolio.
Direct peers
- CaptureRx: 340B software and services provider for covered entities and contract pharmacies. Directly comparable to InScript's 340B Claims Qualification Engine product.
- MacroHelix: 340B program management and split-billing software vendor for covered entities. Closely comparable to InScript's 340B CQE in target customer and functionality.
- Capital Rx: Transparent PBM serving employer-funded plans with technology-driven administration. Closely comparable to InScript's transparent PBM positioning and employer-funded segment focus.
- SmithRx: Transparent PBM targeting employer-sponsored health plans. Same transparent-pricing thesis and employer-funded plan customer segment as InScript.
Market position
Strengths5 records
Weaknesses5 records
Competitive moat5 records
Key risks6 records
Key highlights6 records
Customer concentration
InScript social profiles
Digital presenceInScript financial estimates
Financial estimateRevenue estimate
Valuation estimate
InScript leadership team
Management profileNumber of profiles
Profiles5 records
InScript funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
InScript 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 InScript
What does InScript do?
InScript is a health system-backed healthcare technology company that delivers three integrated offerings: a transparent Pharmacy Benefits Management (PBM) service for general employer-funded and healthcare-system employer-funded health plans, a proprietary 340B Claims Qualification Engine (CQE) that matches prescriptions to eligible encounters using dispensing pharmacy and Covered Entity EHR data, and a Patient Identification and Care Coordination Services (PICCS) platform that helps healthcare systems and drug manufacturers identify rare disease patients and connect them with appropriate therapies.
Is InScript a public or private company?
InScript is a private company. It is classified as corporate owned and is currently operating.
When was InScript founded?
InScript was founded in 2016. It employs 1 to 10 people.
Where is InScript based?
InScript is headquartered in Massachusetts, United States, in the North America region.
How does InScript make money?
Three revenue lines are on record. Pharmacy Benefits Management (PBM) Services are the primary driver. The others are 340B Claims Qualification Engine and patient Identification and Care Coordination Services (PICCS).
Who are InScript's main competitors?
Emerging players on record are Shields Health Solutions, Surescripts and Trellis Rx. Broad incumbents are Express Scripts (Cigna), CVS Caremark and OptumRx (UnitedHealth Group). Direct peers are CaptureRx, MacroHelix, Capital Rx and SmithRx.
Does InScript have an API?
No public API is recorded for InScript.
What industry is InScript in?
InScript's product category is Healthcare Technology (Pharmacy Benefits Management). Its primary akta.pro industry code is HLAEAKAL, PBM Technology Platforms (ePA/eRx/Real-Time Benefit Tools), with a secondary code of HLACAKAD, Pharmacy Benefit Management (PBM) & Formulary Management IT. Its NAICS code is 524292 and its SIC code is 8000.