Capital Rx

About Capital Rx

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.

```xml <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. </problem> <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. </solution> <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 </features> <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. </target_audience> <revenue_model> Capital Rx generates revenue through full-service PBM offerings, unbundled pharmacy benefits solutions, and fees from their discount card program. </revenue_model> ```

What does Capital Rx do?

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.

Where is Capital Rx located?

Capital Rx is based in East New York, United States.

When was Capital Rx founded?

Capital Rx was founded in 2017.

How much funding has Capital Rx raised?

Capital Rx has raised 362000000.

Location
East New York, United States
Founded
2017
Funding
362000000
Employees
696 employees
Major Investors
Prime Therapeutics

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Capital Rx

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Executive Summary

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.

cap-rx.com50K+
cb
Crunchbase
Founded 2017East New York, United States

Funding

$

Estimated Funding

$200M+

Major Investors

Prime Therapeutics

Team (500+)

No team information available.

Company Description

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.

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

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.

Revenue Model

Capital Rx generates revenue through full-service PBM offerings, unbundled pharmacy benefits solutions, and fees from their discount card program.

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