We're a team of more than 1,000 pharmacy pricing, clinical management, consulting, and data analysis experts working together toward one common goal: putting the benefit back in pharmacy benefits. Founded in 1995 in Birmingham, Alabama, we pioneered the pharmacy benefits optimizer (PBO) model to help self-insured employers of all sizes access the same robust negotiating power as Fortune 100 companies. Unlike traditional PBMs, we operate on a flat-fee structure without misaligned incentives like spread pricing or rebate withholds, so our interests stay aligned with our clients' success.
Our mission drives everything we do - making prescription medications more affordable for working people and the companies that employ them. We've built a culture around integrity, transparency, and meaningful results, both for the clients we serve and the teammates who make this work possible. Whether it's through our curated solutions marketplace, independent clinical programs, or U.S.-based service team, we focus on delivering strategic savings without compromising member care. Over three decades, we've grown from a small operation started in a founder's home to managing billions in annual pharmacy spend, but our commitment to doing what's right hasn't changed.