MedalistRx™ Information

MedalistRx is a full-service national pharmacy benefit management company offering the resources and capabilities of a large PBM, while providing personal care to our clients needs. We believe in an innovative model that is proactive, not reactive. Our approach to service anticipates our members‘ needs and finds solutions to avoid disruption. MedalistRx’s intuitive technical processes and expertly trained staff produce a combination that offers high touch member care and oversight. We call this type of service “Every Claim Every Day.” We want human eyes and safeguards on every prescription to ensure that the right drug is chosen, a fair price is charged, and the experience is the best in healthcare. MedalistRx has pursued personal service, cost-saving techniques, and technical advances to create a PBM that puts the member’s needs at the center of everything we do. • The call center makes four times more outbound calls than it receives inbound. • Monitoring pharmacies in real time allows the team to stop a mistake before it happens. • Collecting data on patients with high cost claim needs allows us to apply for and receive copay assistance for a staggering 96% of the patients served. • Reporting accurate, real-time out-of-pocket information makes MedalistRx the most proactive PBM in the industry. • Our API integrations are helping to shape the pharmacogenetics success stories for patients and payers. • We are expertly communicating and migrating employees over to high quality generic products the moment at which they become available with an 86% success rate.