Capital Rx offers a pharmacy benefit management platform, JUDI®, that centralizes operations for Commercial, Medicare, and Medicaid plans, enabling real-time claims processing for over 180 million lives. The platform provides transparent financial management without hidden fees, addressing inefficiencies and lack of customization in traditional pharmacy benefit solutions.
Funding
$362M raised to dateRaised to date based on public sources. This may differ from the amount the company actually raised and is based only on what is publicly available on the internet.
PTFounders
Product
Problem
Traditional pharmacy benefit management (PBM) systems often lack transparency, operate with hidden fees and create administrative inefficiencies for payers. Existing solutions struggle to adapt to evolving plan designs and regulatory requirements, leading to increased costs and operational complexities.
Solution
Capital Rx offers a pharmacy benefit management platform, JUDI®, designed to centralize and streamline operations for Commercial, Medicare, and Medicaid plans. JUDI® provides real-time claims processing and transparent financial management, eliminating hidden fees and rebate complexities. The platform's cloud-based architecture allows for rapid plan design changes and easy integration with existing systems, reducing IT resource requirements. Capital Rx offers both full-service and unbundled PBM solutions, providing flexibility and customization to meet the specific needs of self-funded plan sponsors.
Target Audience
The primary target audience includes employers, unions, public sector entities, hospitals & health systems, coalitions, and third-party administrators (TPAs) seeking affordable and transparent pharmacy benefit solutions.
Features
- Cloud-native enterprise health platform unifying PBM operations
- Real-time claims processing capable of servicing 180 million lives
- Transparent network and rebate agreements with no hidden admin costs
- Customizable plan designs that can be implemented in minutes
- Full compliance with state and federal regulations
- Single sign-on (SSO) and granular data access permissions for enhanced security
- Discount card program with a flat $0.99 fee for members
- Mobile app for members to view benefits on the go