Sempre Health runs a behavior‑based pricing platform that links drug manufacturers, health plans, and patients to provide real‑time, adherence‑driven discounts on chronic prescription medications at the pharmacy counter. By automating refill submissions and insurer communications, the service lowers out‑of‑pocket costs for patients who consistently take their meds, while delivering cost‑saving analytics to payers and manufacturers.
Funding
$20M 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.
3OCFounders
Product
Problem
Many patients, especially those with limited income, struggle to afford chronic prescription medications, leading to reduced adherence, health complications, and financial stress. Traditional pricing models do not align incentives between manufacturers, payers, and patients, making cost savings difficult to achieve at the point of sale.
Solution
Sempre Health operates a two‑sided, behavior‑based pricing platform that connects drug manufacturers, health plans, and patients to deliver real‑time discounts on single‑source chronic medications. By analyzing patient adherence data, the platform offers dynamic rebates that are applied directly at the pharmacy counter, reducing out‑of‑pocket costs for patients who consistently take their medication. The system automates refill submissions and communicates with insurers to resolve coverage issues, streamlining the pharmacy experience. Savings are passed to patients instantly, encouraging continued adherence while generating cost efficiencies for payers and manufacturers. Sempre also provides location‑based notifications to alert patients of available discounts when they arrive at a pharmacy.
Target Audience
Primary customers are patients with chronic conditions who require regular medication, as well as pharmacy benefit managers, health plans, and pharmaceutical manufacturers seeking to improve adherence and reduce drug spend.
Features
- Dynamic, adherence‑driven rebate engine that adjusts discounts based on patient medication‑taking behavior
- Real‑time, in‑store discount application at the pharmacy counter via integration with point‑of‑sale systems
- Automated prescription refill processing and insurer communication to resolve coverage gaps
- Patient-facing mobile alerts that notify users of available savings when they are near a participating pharmacy
- Data analytics dashboard for payers and manufacturers to monitor adherence improvements and cost savings
- Secure, HIPAA‑compliant handling of patient health data throughout the pricing and rebate workflow