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Guide, Feedback, and Issue Reporting


Member PortalContact Us
About Us


ABOUT US

Founded in 2017, Capital Rx has become the fastest growing healthtech company in
America. Our mission is to change the way prescriptions are priced and patients
are cared for to deliver enduring social change.


OUR STORY


OUR LEADERSHIP


EVENTS


TESTIMONIALS


CAREERS


DIVERSITY, EQUITY, & INCLUSION


CONTACT US


PRIVACY & SECURITY

Our Solutions


OUR SOLUTIONS

Delivering a new paradigm of service excellence, operational efficiency, and
cost savings to our clients and the patients that they serve.


PHARMACY BENEFITS MANAGER

FULL-SERVICE PBM

For self-funded plan sponsors looking for turn-key pharmacy benefit management
with affordable prescription drug costs.

UNBUNDLE PHARMACY BENEFITS

For large self-funded employers (50,000+ members) looking to customize benefits
with our Never Move Again™ solution.


PHARMACY BENEFITS ADMINISTRATOR

LEVERAGE OUR SOFTWARE

Meet JUDI®, a cloud-native enterprise health platform that unifies PBM
operations onto a single scalable platform.

MEDICARE PRESCRIPTION PAYMENT PLAN

This program allows Medicare Part D members to spread their out-of-pocket Part D
prescription drug costs throughout the plan year.


DISCOUNT CARD

FOR COMPANIES

Roll out a lower-fee discount card to your underinsured populations

FOR CONSUMERS

Download a FREE prescription savings card to unlock discounts

For Members


FOR MEMBERS

Our comprehensive suite of digital tools and resources provide full visibility
into your benefits. If you need more assistance, our award-winning customer care
representatives are available 24/7.

MEMBER PORTAL LOG-IN

Access key health and benefit information

DOWNLOAD OUR MOBILE APP

View your benefits on the go with our FREE app

FORMS & DOCUMENTS

View drug coverage lists, direct reimbursement forms, specialty mail enrollment,
and more

FAQS

MEMBER HELP DESK

1-888-832-2779

For Providers


FOR PROVIDERS

Offering efficient tools and resources to ensure the health and safety of our
members.


FOR PRESCRIBERS

FORMS & DOCUMENTS

Access Formulary Look-Up, Prior Authorization Forms, Pharmacy Network List, and
more

FAQS

PRESCRIBER HELP DESK

1-888-832-2779


FOR PHARMACISTS

FORMS & DOCUMENTS

View Payer Sheets, Reimbursement Forms, Prior Authorization Forms, Remittance,
and more

FAQS

PROVIDER HELP DESK

1-888-832-2779

Insights


INSIGHTS

On Capital Rx Insights, you'll find our press releases and news featuring
Capital Rx, as well as the Astonishing Healthcare podcast, Pharmacy Benefits 101
articles and other thought leadership content, webinar replays, and a wealth of
other information sourced directly from the real world experience of a genuinely
expert leadership team.


ARTICLES


PRESS RELEASES


PHARMACY BENEFITS 101


WEBINARS & VIDEOS


REPORTS & EBOOKS


PODCASTS


Member PortalContact Us


ABOUT US



OUR STORY

LEADERSHIP

IN THE PRESS

EVENTS

CAREERS

DIVERSITY, EQUITY, AND INCLUSION

CONTACT US

PRIVACY & SECURITY


OUR SOLUTIONS



PHARMACY BENEFITS MANAGER

PHARMACY BENEFITS ADMINISTRATOR

MEDICARE PRESCRIPTION PAYMENT PLAN (M3P)

DISCOUNT CARD FOR COMPANIES

DISCOUNT CARD FOR CONSUMERS


FOR MEMBERS



MEMBER PORTAL LOG-IN

DOWNLOAD OUR MOBILE APP

FORMS & DOCUMENTS

FAQS

MEMBER HELP DESK


FOR PRESCRIBERS



FORMS & DOCUMENTS

FAQS

PRESCRIBER HELP DESK


FOR PHARMACISTS



FORMS & DOCUMENTS

FAQS

PHARMACISTS HELP DESK

Insights



WE'RE HIRING. JOIN US NOW!

See our open positions


AFFORDABLE PHARMACY BENEFITS, POWERED BY MODERN INFRASTRUCTURE.


CENTRALIZE YOUR PBM OPERATIONS ON ONE PLATFORM, DESIGNED POST-MEDICARE PART D TO
SUPPORT COMMERCIAL, MEDICARE, AND MEDICAID PLANS.

Meet JUDI®




ONE ENTERPRISE HEALTH PLATFORM FOR ALL YOUR BACKEND PROCESSING NEEDS.

JUDI® ties all pharmacy benefit workflows into one astonishingly efficient and
scalable system.
Flexibility
Scalability
Cost Savings
Security

JUDI allows you to easily make plan design changes in minutes, meeting your
health plan's needs as they evolve.

With streamlined pharmacy operations and an easy-to-integrate cloud-based
solution that requires minimal IT resources, JUDI is capable of real time claims
processing and servicing 180 million lives in a single instance.

No hidden admin costs or rebate fees; just financial alignment. Through JUDI,
you can manage finances directly or use our transparent network and rebate
agreement.

Developed and serviced in the US, JUDI is fully compliant with state and federal
regulations. Plus, SSO and granular data access permissions ensure only
authorized individuals can access your company’s data.

Learn more about our Enterprise Health Platform


PHARMACY BENEFIT MANAGEMENT, PERFECTED.

We are proud to serve employers, unions, public sector entities, school
districts and higher education institutions, hospitals & health systems,
coalitions & TPAs.


COST SAVINGS

 * Cut costs by reducing overhead through JUDI
 * Leverage our transparent network or manage your economics directly
 * No hidden costs or performance fees


IMPLEMENTATION

 * Guaranteed support from plan inception to go-live
 * Rigorous testing with ongoing visibility
 * Proactive go-live monitoring with rapid issue resolution


SERVICE EXCELLENCE

 * Expert guidance and support from a pharmacist-led account team
 * 24/7 award-winning customer service, reducing your member calls and resolving
   any issues faster


CLINICAL SUPPORT

 * Formulary designed for safe,  cost-efficient medications
 * Leverage programs for UM, cost containment, safety, population health, and
    personalized care

Learn More about our PBM SOLUTION


A DISCOUNT CARD PROGRAM DESIGNED TO SAVE YOUR MEMBERS MONEY

No hidden costs, just one flat, $0.99 fee.
Members & families can score prescription discounts instantly.
Guaranteed fair dispensing fees, no clawbacks – just honest business.
Roll out the Capital Rx Advantage Program with your branding


OUR CLIENTS' STORIES

Don’t take our word for it. Hear directly from our clients and learn why they’re
happy they made the switch to Capital Rx.

“Capital Rx continues to make strides in amazing me with its capabilities. They
ride the crest of the wave in the PBM market. I couldn't ask for a better team
to oversee my members. They will always do anything in their power to
accommodate your needs. They are a PBM that other PBMs need to look out for
because they are staying at the forefront!”

Maria Scheeler, Executive Director, Administrator
‍Teamsters Health & Welfare Fund of Philadelphia & Vicinity

Read the full case study

“Capital Rx has earned our trust. As a vendor, they're dedicated, they're
service-oriented, and they've really driven everything we've needed.”

Trudi McKenna, CFO
SoNE Health

Watch the video

"Capital Rx has done an outstanding job in implementing pharmacy benefit
coverage for our clients. The assigned implementation manager oversees all
required tasks and follows a thorough project plan. Weekly calls with the
implementation team, comprised of individuals from all company areas, ensure
that all necessary items are addressed."

Phil Frischer, CEBS, CPBS, Practice Lead
Caravus

View more testimonials

“We landed on Capital Rx, which is not only an innovator but really is changing
what we see happening in our community, in both the interest and transparency.”

Eileen Wood, EVP, Chief Pharmacy Officer
‍Capital District Physicians' Health Plan

Watch the video clip







NATIONALLY RECOGNIZED FOR OUR INNOVATION AND SERVICE MODEL.


100%


IMPLEMENTATION SATISFACTION

>90


CLIENT NET PROMOTER SCORE

99.5%


CLIENT RETENTION

>87


MEMBER NET PROMOTER SCORE


GET THE LATEST INSIGHTS


ELIMINATING “WASTEFUL” DRUGS CAN REDUCE HEALTHCARE SPENDING  

December 6, 2023




WEBINAR REPLAY: THE FUTURE OF PHARMACY CLAIMS PROCESSING

November 16, 2023




WHAT IS THE ROLE OF A PHARMACY BENEFITS MANAGER (PBM)?

January 4, 2024




PHARMACY BENEFITS 101: SUCCESSFUL IMPLEMENTATIONS

December 11, 2023

Read More industry insights


SIGN UP FOR OUR NEWSLETTER!

Get the latest information on JUDI news, webinars, and industry insights through
our newsletter. Sign up now!
Don't miss out!
Insights


Corporate Mailing Address

228 Park Avenue South, Suite 87234
New York, NY 10003

Contact Us
Our Solutions
 * Pharmacy Benefits Management
 * Pharmacy Benefits Administration
 * Medicare Prescription Payment Plan (M3P)
 * Prescription Savings Card

About Us
 * Home
 * Company Overview
 * Our Leadership
 * Privacy & Security

Life at Capital Rx
 * We're Hiring
 * Diversity, Equity & Inclusion
 * Capital Rx Medical Plans Machine Readable Files

Resources
 * For Members
 * For Providers
 * For Prescribers


Privacy Policy
Code of Conduct
Fraud, Waste, & Abuse
Privacy Policy - Discount Cards
Patents
Copyright © Capital Rx Inc. 2024