We’re on a mission to
take pharmacy care
to a healthier, more
affordable future.

Learn More

We’re on a mission to
take pharmacy care
to a healthier, more
affordable future.

Learn More

We’re on a mission to
take pharmacy care
to a healthier, more
affordable future.

Learn More
That future is right now.

It starts with a unique and proven pharmacy care operating model that prioritizes improving patient health outcomes and lowering drug costs. We call it Medication Optimization, or MO for short.

MO puts our expert pharmacists and AI-powered population health technologies front and center to optimize your members’ drug mix. That ensures they always receive the most clinically appropriate medications at the lowest net cost.

What can MO do for you and your pharmacy benefits plan?

No More “PBM Math”

You know the old PBM shell game, based on driving more drug volumes to fuel higher rebate profits? EmpiRx Health doesn’t play that game. Our outcomes-based MO operating model emphasizes guaranteed, clinically driven savings.

15% Savings in Year One

That’s the average savings in drug spend you can expect in your first year through MO. Even better, by continually optimizing your drug spending, MO compounds those savings over time.

Get Ready for Exceptional

We’re passionate about providing the highest quality, highest touch service for your members – and you. Example: Our industry-leading Member Care Advocacy team takes your members’ experience to a whole new level of personalized support and healthy results.

MO puts the control back where it belongs – with you and your members. Here’s how:

Assess

First, EmpiRx Health’s proprietary Assess software analyzes pharmacy claims data from the plan sponsor’s incumbent PBM. This is how EmpiRx Health determines the clinical savings opportunities that can be guaranteed for each plan. This is the “MO Savings Guarantee.”

Identify

At the heart of MO, EmpiRx Health’s in-house pharmacists deploy a custom-built Population Health Engine, integrated in the company’s Clinically™ Technology Platform. The plan sponsor’s population is risk-stratified and proprietary rules are applied to identify intervention opportunities. This ensures the most clinically appropriate medication therapies are utilized.

Collaborate

EmpiRx Health’s expert pharmacists work peer-to-peer with prescribing physicians to optimize patient therapies. The unique MO operating model ensures that the right drug is provided to the right patient, at the right dosage and cost.

Track & Reconcile Savings

Auditable savings are tracked and shared with the plan sponsor. If EmpiRx Health misses on the MO Savings Guarantee, they reimburse clients dollar-for-dollar.

Medication Optimization Case Studies

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Annual Savings

How: EmpiRx Health’s Clinical Pharmacist recommended clinically appropriate medication not covered by former PBM. Counseled patient on new therapy and monitored condition over the next year. READ MORE

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Annual Savings

How: Our Clinical Pharmacist used EmpiRx Health’s AI-powered analytics technology to recommend a crucial change in the dosage and frequency of a 9-year-old patient’s medication for Crohn’s disease. READ MORE

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Annual Savings

How: Leveraging EmpiRx Health’s population health engine, our Clinical Pharmacist worked with the patient’s physician to recommend an alternative medication that better controlled their disease. READ MORE

Customer Success Stories

“We found that the collaboration between EmpiRx Health’s clinical pharmacists and our members has been the leading driver of our success to date. EmpiRx Health’s clinically-driven care model is much better than the traditional PBM approach that emphasizes rebates and drug volume rather than healthcare value.”

Bob Sankey - Healthcare Plan Benefits Coordinator, Roman Catholic Diocese of Altoona – Johnstown, PA

“We partner with organizations that deliver AI out of the box… EmpiRx Health helps us drive the best, most cost effective clinical outcomes and that’s a big, big deal.”

Glenn Di Biasi - Fund Administrator UFCW National Health and Welfare Fund

We love our customers!

District 1199J
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Canal Barge
Momentive
NHC
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Want to learn more about how MO can transform your pharmacy benefits plan?

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