Jeffrey Wade
MedImpact is a San Diego-based healthcare company that provides pharmacy benefit management services. The company helps commercial and government healthcare payers manage their benefits and reduce drug costs. MedImpact's solutions are focused on providing low-net cost and quality member care. They work with health plans, self-funded employers, and government entities to reduce prescription drug costs, improve member health, and increase medication adherence and safety. MedImpact's technology compares a member's out-of-pocket cost to third-party discount programs, ensuring that members pay the lowest price.
| Characteristics | Values |
|---|---|
| Mission | To make pharmacy benefits affordable, understandable, and transparent |
| Number of members served | 20 million+ |
| Annual pharmacy transactions | $40 billion+ |
| Consumers served | 55 million+ |
| Type of entity | Largest independent, trend-focused pharmacy benefit manager (PBM) |
| Services | Administrative systems, automation, workflow, and IT services |
| Features | Rx portal and mobile app |
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What You'll Learn
MedImpact's commitment to lowering prescription drug costs
MedImpact is an independent, trend-focused pharmacy benefit manager (PBM) that puts clients and consumers first. For over 30 years, MedImpact has been committed to making pharmacy benefits affordable, understandable, and transparent.
MedImpact serves more than 50 million consumers in the US and around the world, processing more than $40 billion in pharmacy transactions annually. MedImpact works with health plans, self-funded employers, and government entities to help reduce prescription drug costs, improve member health, and increase medication adherence and safety.
In 2024, MedImpact announced its first-of-its-kind solution, MedImpactSaveTM, which integrates prescription coverage with third-party discount programs to reduce drug costs for both plans and members. This program saved consumers an average of $18.88 per prescription, with some patients saving up to $2,516 per fill for medications like Teriflunomide for multiple sclerosis. MedImpactSaveTM also reduced drug spend for healthcare payers, demonstrating MedImpact's commitment to lowering prescription drug costs for all stakeholders.
MedImpact also offers an Rx portal and mobile app that help members manage their medications and related costs. The app includes features such as daily medication reminders, tracking adherence, and providing information about pharmacy closures. Additionally, MedImpact provides a prescription discount card program and works with health plans to ensure convenient and reliable access to medications, especially during challenging times like the Coronavirus pandemic.
MedImpact's integrated solution helps health plans reduce member drug costs and obtain more complete data on utilization and adherence. By capturing claims data and applying cash claims to the member's deductible, MedImpact can provide members with lower annual drug costs and an improved pharmacy benefit experience. MedImpact's pharmacy- and manufacturer-neutral approach offers members access to therapeutically equivalent, lower-cost alternatives, further demonstrating their commitment to lowering prescription drug costs.
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MedImpact's mobile app for medication management
MedImpact is a pharmacy benefit manager (PBM) that offers solutions focused on low-net costs and quality member care. They work with health plans, self-funded employers, and government entities to help reduce prescription drug costs, improve member health, and increase medication adherence and safety. MedImpact serves more than 50 million consumers in the US and worldwide.
MedImpact's mobile app is designed to help members easily manage their medications and related costs. The app includes features such as daily medication reminders, tracking adherence, and access to pharmacy benefits. This is in addition to the Rx portal, which helps members access and understand their prescription benefits and save money on medications.
The MedImpact app is part of a broader trend of mobile apps for medication management. These apps aim to help users understand and take their medications, addressing challenges such as integrating medications into daily routines, understanding their effects and side effects, and monitoring outcomes. Mobile apps offer a personalized support tool that is accessible on the go, improving patient engagement and compliance with treatment.
The MedImpact app specifically helps members save time and money by providing convenient access to their medications and pharmacy benefits. It also includes features such as tracking medication adherence and setting reminders, ensuring that members follow their prescription regimens effectively. This is particularly important during times of pharmacy closures or other disruptions that may impact medication access.
Overall, MedImpact's mobile app is a valuable tool for medication management, empowering members to take control of their health, save costs, and conveniently access the medications they need.
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MedImpact Direct: home delivery services
MedImpact Direct is a home delivery service that allows members to save time, money, and a trip to the drugstore. Members can log in to their accounts to learn more about this service and how to access it. MedImpact is committed to making it easier for members to manage their medications and related costs.
The company has recently introduced new features to its Rx portal and mobile app, which allow members to manage their daily medications, set reminders, and track adherence. This is especially useful amidst pharmacy closures due to recent protests, as members can ensure they have access to the medications they need and can follow their prescription regimen.
MedImpact is the nation's largest independent, trend-focused pharmacy benefit manager (PBM), serving more than 50 million lives. They work with health plans, self-funded employers, and government entities to reduce prescription drug costs, improve member health, and increase medication adherence and safety. MedImpact's solutions are focused on low-net cost and quality member care.
MedImpact's first-of-its-kind solution integrates prescription coverage with third-party discount programs to reduce drug costs for both plans and members. When a member fills a prescription covered by their plan, MedImpact's technology compares the out-of-pocket cost to more than a dozen third-party discount programs. The member then pays the lowest price, which is applied to their deductible, even if the claim is not paid by the plan. This results in significant savings for both the member and the plan.
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MedImpact's work with health plans, self-funded employers, and government entities
MedImpact is an independent, trend-focused pharmacy benefit manager (PBM) that has been in operation for over 35 years. With a mission to make pharmacy benefits affordable, understandable, and transparent, MedImpact works with health plans, self-funded employers, and government entities to reduce prescription drug costs, improve member health, and increase medication adherence and safety.
MedImpact's scale, resources, and technology enable it to serve more than 50 million lives and process over $40 billion in annual pharmacy transactions. The company offers a robust cash card program and provides convenient access to pharmacy benefits, saving money and promoting healthier lives for its members.
MedImpact's recent strategic investment in health tech startup Bayvrio is a testament to its commitment to innovation. By leveraging Bayvrio's advanced technology platform, MedImpact can offer greater flexibility and control to health systems, pharmacy benefit managers, and third-party administrators in managing benefits, care, and costs.
MedImpact also integrates prescription coverage with third-party discount programs to reduce drug costs for both plans and members. Their technology compares a member's out-of-pocket cost to various third-party discount programs, ensuring members pay the lowest price, which is applied to their deductible. This approach not only benefits members but also reduces plan costs.
MedImpact's dedication to making pharmacy benefits accessible and affordable aligns with their work with health plans, self-funded employers, and government entities, ultimately improving the healthcare experience for millions.
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MedImpact's investment in health tech startup Bayvrio
On March 11, 2025, MedImpact Holdings announced its strategic investment in health tech startup Bayvrio. This investment accelerates the rollout of Bayvrio's advanced technology platform and its first-of-its-kind marketplace.
Bayvrio, founded in 2022, offers payers the technology, flexibility, and tools to take control of their pharmacy benefits and deliver a more affordable and simplified healthcare experience. Its modular, tech-driven approach allows clients to choose between a fully integrated modern, end-to-end platform or a curated list of best-in-class unbundled services.
MedImpact, on the other hand, is the largest independent pharmacy benefit and health solutions company, serving more than 20 million members and managing $40 billion in transactions annually. As a privately held enterprise, MedImpact has the freedom to invest boldly and think long-term, always keeping clients and members at the center of care.
The investment from MedImpact will enable Bayvrio to deliver its vision faster and across healthcare. The partnership between the two companies will result in technology and marketplace solutions that will be available to payers and PBMs, ultimately benefiting consumers by making healthcare more efficient, connected, and empowering.
"The disruptive thinking and the game-changing marketplace that we have collaborated to create will empower healthcare payers in ways the industry has not seen before, " said Fred Howe, Founder, Chairman, and CEO of MedImpact. "This investment is about a radically different vision for the future–one in which payers have greater control over how they manage their operations and finances and how they serve members."
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Frequently asked questions
MedImpact is an independent, trend-focused pharmacy benefit manager (PBM). They work with health plans, self-funded employers, and government entities to help reduce prescription drug costs, improve member health, and increase medication adherence and safety.
MedImpact provides services for more than 50 million lives, including a robust cash card program. They also offer a mobile app that helps members manage their daily medications, set reminders, and track adherence.
MedImpact's technology compares a member's out-of-pocket cost to more than a dozen third-party discount programs. The member then pays the lowest price, which is applied to their deductible, even if the claim is not paid by the plan.
MedImpact serves more than 20 million members and processes more than $40 billion in pharmacy transactions annually.
