RxUtility
- Company typePrivate
- Founded2023
- HeadquartersNashville, United States
- Headcount1–10
- GTM typeB2B
- OfferingSoftware
RxUtility firmographics
Firmographics- Name
- RxUtility
- Legal name
- Last Mile Health, LLC
- Website
- https://rxutility.com
- Company type
- Private
- Founded year
- 2023
- Operating status
- Operating
- Headcount range
- 1–10 employees
- Ownership category
- akta.pro rank
RxUtility industry classification
Industry- Product category
- Healthcare Pricing API Platform
- NAICS
- Software Publishers (513210), Computing Infrastructure Providers, Data Processing, Web Hosting, and Related Services (518)
- SIC
- Services-Prepackaged Software (7372), Accident & Health Insurance (6321)
- akta.pro primary industry
- PBM Technology Platforms (ePA/eRx/Real-Time Benefit Tools) (HLAEAKAL)
- akta.pro secondary industries
- Patient Billing, Statements & Payment Processing (HLACACAG), Group Pharmacy Benefit (Rx) Coverage & PBM-Integrated Plans (FSAIAFAN)
Keywords
Where RxUtility is headquartered
LocationHeadquarters
- HQ city
- Nashville
- HQ country
- United States
- HQ region
- North America
Offices1 record
Markets served
RxUtility business model
Business model- GTM type
- B2B
- Offering type
- Software
- Cost components
- Technology or R&D, Personnel, Marketing or Sales, Operations, Infrastructure
Revenue model
- API Platform / Subscription Access: RxUtility provides access to its prescription pricing API platform via subscription, with a free sandbox trial and paid full production access. Customers (health plans, PBMs, employers, pharmacies, providers, consumer health apps) pay for API access and usage, with integration and data feed capabilities.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Freemium | Pay-as-you-go | Free Sandbox / Trial |
| Subscription | Annual | Production API Access |
Go-to-market motion2 records
Distribution channels3 records
Marketing channels9 records
RxUtility product offering
Product offeringCore offering
RxUtility is an AI-driven prescription affordability platform that aggregates insurance copay, manufacturer copay coupons, cash discount card prices, and DTC/specialty pricing into a single unified data layer. The platform exposes this data through a REST API and an MCP Server for AI agent integration, enabling healthcare technology companies to deliver real-time best-price decisioning for any drug, pharmacy, and patient combination across 68,000+ U.S. pharmacies.
Product overview
RxUtility is a modular AI-powered healthcare pricing platform for medication affordability. The core offering consists of the Prescription Pricing API platform with three main endpoints (Best Price, Copay Coupon Eligibility, and Cash Discount Prices), layered with AI-powered Affordability Intelligence for best price decisioning. The platform aggregates data from the Copay Coupon Catalog (1,800+ offers across 1,300+ brands) and Best Cash Price Catalog (68,000+ pharmacies). The company offers Mimi, a personalized AI companion for consumer price comparison, and provides sector-specific solutions (Consumer Health Apps, Providers, Pharmacy, Patient Engagement, Employers, Health Plans/PBMs) that all plug into the same unified API platform. The MCP Server enables AI agent connectivity, and the platform is available via full API access in 5-10 business days with free sandbox trial.
Differentiator
Problem solved
Functional benefit
Brands
- Mimi: An AI-powered personalized companion designed to help consumers compare prescription drug prices across all U.S. pharmacies and find the lowest-cost options based on their insurance coverage, location, and budget.
Products and services
- Prescription Pricing API A healthcare pricing API that aggregates prescription drug prices across insurance copay, manufacturer coupons, and cash discount options into a single platform, enabling real-time best price determination for any drug, pharmacy, and patient context. Targeted at healthcare technology platforms integrating prescription pricing into their products.
- Affordability Intelligence AI-powered best price decisioning engine that compares every available pricing option in real time and returns the single best price for any patient, drug, pharmacy, and plan combination, delivered via MCP Server for AI agent queries.
- Copay Coupon Catalog Aggregated database of 1,800+ manufacturer copay coupon offers across 1,300+ brands with production-ready endpoints, continuously updated, with eligibility logic built in for checking copay program eligibility.
- Best Cash Price Catalog Real-time cash discount pricing aggregated across all major vendors, updated continuously across 68,000+ pharmacies nationwide, providing the most accurate cash price data available.
- Mimi AI Companion Personalized AI companion designed to help consumers compare prescription drug prices across all U.S. pharmacies and find the lowest-cost options based on their insurance coverage, location, and budget, surfacing savings proactively.
- MCP Server Model Context Protocol Server that serves as the intelligence layer above data endpoints, making every API queryable by AI agents, EHR systems, and LLM-powered applications in real time.
- Health Plan & PBM Solution Complete price transparency solution for health plans and PBMs, with comprehensive real-time view of prescription pricing across cash, coupon, insurance, and DTC channels, formulary-level analytics, and regulatory compliance support.
- Employer Solution Surface copay coupons and cash alternatives through existing benefits portals with proactive savings alerts, analytics on savings captured vs. left on the table, and REST API integration with benefits navigation platforms and HRIS systems.
- Pharmacy Solution Real-time best-price selection across cash, coupon, and insurance at point of dispensing with automatic copay coupon application at point of sale and dynamic pricing updates across all discount card networks.
- Provider Solution Real-time affordability data embedded at the point of prescribing inside provider workflows, with automatic copay coupon eligibility check by drug, dosage, and insurance plan, and FHIR-compatible API endpoints for EHR integration.
- Patient Engagement Solution Proactive savings surfacing to patients before they fill prescriptions, with automated copay coupon matching by drug, dosage, and insurance plan type, and specialty medication support with manufacturer hub program data.
- Consumer Health App Solution Embedded prescription pricing solution for consumer health apps that surfaces every savings option directly to patients at the moment of prescription, including copay coupons, cash prices, and insurance costs side-by-side.
Quantifiable outcome
- Average patient savings of $247/year per member using RxUtility-integrated platforms
- +5 more outcomes
Companies that use RxUtility
Customer profileNamed customers7 records
Segments6 records
Ideal customer profiles6 records
RxUtility technology and API
TechnologyTechnology focussed Yes
API detail
- Has API
- Yes
- API docs
- API detail
Core technology
AI maturity
App detail
AI capability5 records
Feature9 records
RxUtility partnerships and signals
Strategic signalPartnerships
Two partnerships are on record, tiered core.
- Scripta InsightscoreRxUtility and Scripta Insights announced a strategic partnership to integrate RxUtility's drug pricing intelligence into Scripta's Rx Navigation platform. The collaboration expands visibility into copay assistance, cash pay options, and other pricing pathways to help employers, members, and prescribers make more informed prescription decisions. The partnership addresses growing prescription benefits complexity as transparency requirements, including the Transparency in Coverage rule, increase the need for accurate and complete pricing data.
- Buzz HealthcoreRxUtility and Buzz Health partnered to integrate medication pricing transparency tools into pharmacy, provider, and healthcare systems, combining RxCompare's discount card network and dynamic pricing APIs with RxUtility's infrastructure. The integration enables real-time visibility into cash prices, copay coupons, and other discount options at the point of prescribing and fulfillment, giving consumers greater control over medication costs.
Scale indicators12 records
Recent moves5 records
Expansion highlights5 records
RxUtility competitors and assessment
Company assessmentDirect peers
- GoodRx: GoodRx is the dominant consumer prescription discount and price comparison platform, aggregating cash discount prices, manufacturer coupons, and pharmacy pricing. RxUtility competes most directly with GoodRx on the cash-discount / copay-coupon aggregation layer, though RxUtility's B2B/API distribution differentiates its go-to-market.
- Scripta Insights: Scripta Insights is a medication savings and navigation platform for employers and members that integrates copay assistance and cash pricing. It is both a customer/partner of RxUtility and a direct peer in the employer Rx savings space.
- SingleCare: SingleCare operates a prescription savings platform that negotiates cash discount prices and partners with pharmacies and telehealth providers. It is a direct comparator to RxUtility's cash discount and coupon aggregation capabilities, and a potential API/distribution partner.
- RxSaver: RxSaver (owned by RetailMeNot) provides prescription drug price comparison and discount cards across U.S. pharmacies. It overlaps directly with RxUtility's cash discount catalog and consumer-facing pricing transparency offering.
Emerging players
- Capital Rx: Capital Rx is a technology-led PBM operating a fully integrated claims processing platform (Judi) with a focus on transparency and real-time pricing. It is an emerging PBM tech player with a similar API-first, transparency-oriented posture to RxUtility's payer/PBM solution.
- Turquoise Health: Turquoise Health is a healthcare price transparency platform focused on payer-provider negotiated rates and shoppable services under the Transparency in Coverage rule. While focused on medical procedures rather than pharmacy, it shares the regulatory tailwind and data-aggregation thesis with RxUtility.
Broad incumbents
- Surescripts: Surescripts operates the dominant health information network for e-prescribing and real-time prescription benefit (RTPB) tools used by EHRs and payers. It is a broad incumbent in the same real-time benefit / ePA category as RxUtility's provider and PBM-facing APIs.
- CoverMyMeds: CoverMyMeds (a McKesson company) provides electronic prior authorization, real-time benefit check, and medication decision support integrated into EHRs. It is a broad incumbent in ePA and real-time benefit tools that overlap with RxUtility's provider-facing affordability solution.
- Amazon Pharmacy: Amazon Pharmacy offers home delivery of prescriptions with cash discount pricing and integration with Prime. It competes with RxUtility at the consumer pricing transparency layer and could expand into B2B price transparency APIs.
- Optum Real-Time Benefit Tools: Optum (UnitedHealth Group) operates real-time prescription benefit tools integrated into EHR workflows through its PBM and analytics portfolio. It is a broad incumbent competitor to RxUtility's provider- and payer-facing real-time benefit offering.
Market position
Strengths5 records
Weaknesses5 records
Competitive moat5 records
Key risks6 records
Key highlights7 records
Customer concentration
RxUtility social profiles
Digital presenceRxUtility financial estimates
Financial estimateRevenue estimate
Valuation estimate
RxUtility leadership team
Management profileNumber of profiles
Profiles1 record
RxUtility funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
RxUtility 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 RxUtility
What does RxUtility do?
RxUtility is an AI-driven prescription affordability platform that aggregates insurance copay, manufacturer copay coupons, cash discount card prices, and DTC/specialty pricing into a single unified data layer. The platform exposes this data through a REST API and an MCP Server for AI agent integration, enabling healthcare technology companies to deliver real-time best-price decisioning for any drug, pharmacy, and patient combination across 68,000+ U.S. pharmacies.
Is RxUtility a public or private company?
RxUtility is a private company. It is classified as founder individual operated bootstrapped and is currently operating.
When was RxUtility founded?
RxUtility was founded in 2023. It employs 1 to 10 people.
Where is RxUtility based?
RxUtility is headquartered in Nashville, United States, in the North America region.
How does RxUtility make money?
One revenue line is on record: API Platform / Subscription Access.
Who are RxUtility's main competitors?
Direct peers on record are GoodRx, Scripta Insights, SingleCare and RxSaver. Emerging players are Capital Rx and Turquoise Health. Broad incumbents are Surescripts, CoverMyMeds, Amazon Pharmacy and Optum Real-Time Benefit Tools.
Does RxUtility have an API?
Yes. RxUtility offers a prescription pricing API with three main endpoints: GET /v1/prices/best (Best Price - returns lowest patient cost across insurance, coupon, and cash options with <200ms latency), GET /v1/coupons/eligible (Copay Coupon Eligibility - checks eligibility for manufacturer copay programs with <150ms latency), and GET /v1/cash/prices (Cash Discount Prices - real-time pricing across discount card vendors with <180ms latency). The API provides production-ready endpoints with full access in 5-10 business days. An MCP (Model Context Protocol) Server is available for connecting AI agents and LLM applications to RxUtility. Developer documentation is at rxutility.com/prescription-api.
What industry is RxUtility in?
RxUtility's product category is Healthcare Pricing API Platform. Its primary akta.pro industry code is HLAEAKAL, PBM Technology Platforms (ePA/eRx/Real-Time Benefit Tools), with a secondary code of HLACACAG, Patient Billing, Statements & Payment Processing. Its NAICS code is 513210 and its SIC code is 7372.