Pharmacy500 Marketplace

PSAOs, Revenue Cycle Management, Reconciliation

Leaders in Pharmacy Claim Processing, RX Switch Services, Billing Technology, Prescription Claim Payment & Reconciliation, Revenue Cycle & Reconciliation Consulting...

Aisle OVERVIEW

Pharmacy PSAO (Pharmacy Services Administrative Organization) refers to a third-party organization that acts as an intermediary between pharmacies and Pharmacy Benefit Managers (PBMs) or health insurance plans. PSAOs provide a range of administrative and business services to independent pharmacies, enabling them to more effectively manage relationships with PBMs, negotiate reimbursement rates, and streamline operational processes. Pharmacy PSAOs play a crucial role in enhancing the business operations of independent pharmacies by helping them manage relationships with PBMs, negotiate better terms, and ensure compliance with regulatory requirements.

Company Profiles

ScriptPro
Third Party Management System for Improved Financial Health

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Third Party Management System for Improved Financial Health

ScriptPro’s Third Party Management System (TPMS) gives you real-time visibility paired with real accountability. TPMS combines transparency with action, helping clients navigate the blizzard of third party transactions with ease. It oversees all aspects of third party contracts, third party insurance, and private-pay billings, plus facilitates timely and accurate collection of third party prescription reimbursements, including 340B. TPMS isolates and reports on various fees charged by PBMs including adjudication fees, DIR fees, network access fees, and audit recoups. Powerful exceptions reporting, comprehensive revenue cycle management, and robust financial metrics empower clients to take back the reins of their financial health and gain control over their pharmacy operations.

Pharmacy500

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The Pharmacy500 is awarded to 500 pharmacy supply chain businesses and associations that significantly impacted dispensing pharmacies in the U.S. over the past year.

Pharmacy500 Benefits

The following are complimentary benefits extended to Pharmacy500 companies and associations (coming this spring!)

  1. Company listings in the Platinum Pages Buyer’s Guide, 20Ways publications, and RXinsider website
  2. Company inclusion in the 20Ways themed Buyer’s Guide
  3. Unlimited job postings in the Pharmacy500 Career Center *Unlimited through 2025
  4. Tradeshow promotional resources including Pharmacy500 floor stickers and lanyards
  5. Two posts (annually) in RXinsider’s Pharmacy Market BUZZ news feed

Who are the Pharmacy500 and what are the selection criteria?

The Pharmacy500 includes:

  1. Companies within the Pharmacy Supply Chain
  2. National Pharmacy Trade Associations

The Pharmacy500 Selection Committee applies the following criteria to determine the list of 500:

  • Offers and actively markets at least one product or service to dispensing pharmacies
  • Dispensing pharmacies comprise at least 25% of their customer base
  • Has an estimated annual revenue exceeding $500,000
  • Has five or more full-time employees, and has been in business for more than two years
  • Has a national presence
  • Exhibited at one of the following national conferences in the previous year: APhA; ASCP Annual Meeting & Exhibition; Asembia’s Summit; ASHP Midyear Clinical Meetings & Exhibition; Cardinal Health RBC; McKesson ideaShare; NACDS Total Store Expo; NASP Annual Meeting & Expo; NCPA Annual Convention and Expo; Pharmacy Futures (ASHP Summer); ThoughtSpot.

The following supply chain segments are critical to pharmacy operations and patient care, but are excluded from the Pharmacy500 simply due to volume:

  • Manufacturers and Merchandisers of Pharmaceuticals
  • Manufacturers and Merchandisers of Devices and OTC Products
  • Colleges of Pharmacy
  • State Associations
  • Government Agencies and State Boards of Pharmacy
  • Pharmacy Fraternities & Sororities
  • Dispensing Pharmacies, Health Systems, Chains, Payors, and PBMs

Net-Rx Is Your Pharmacy’s Source for Business Intelligence and Financial Analytics

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Net-Rx, an MHA Solution, has specialized in providing operational and technology-driven services exclusively for pharmacies for more than 10 years. Led by industry-recognized experts, we provide a platform for advanced business analytics that drives operational excellence and optimum financial performance across reconciliation, reimbursement verification, and prescription pricing.

As a market leader in pharmacy solutions, Net-Rx has deep industry expertise and is a trusted partner to many of the most recognizable pharmacies in the country. These pharmacies have come to rely on Net-Rx for superior support, actionable insights, and proven results. Net-Rx is committed to exceeding the expectations of our customers, partners, and associates.

Here’s how we help Community Retail Pharmacies, Long Term Care Pharmacies, and Retail Chain Pharmacies achieve optimum performance:

  • EditRx -Protect revenues by detecting billing and database errors
  • Metric-Rx™ – Optimize pharmacy operations through actionable business analytics
  • Price-It Rx – Improve profitability with customized market-driven pricing
  • RecRx – Ensure accurate third-party reimbursement
  • Reimbursement Suite – Maximize the combined value of EditRx, Metric-Rx and RecRx
  • Contract Assure – Recover missing revenue by assuring accurate payments on MHA contracted rates.

The recognized leader in pharmacy reimbursement and business analytic solutions!

Product Highlight SHOWCASE

Subject Matter Expert & Thought Leader PROFILES

Resources & Awareness

This visual represents the comprehensive structure of the modern pharmacy landscape, capturing the interconnected roles, settings, specializations, and operational elements that support patient care and drug distribution. Developed by RXinsider, the ecosystem map is designed to serve as a foundational reference for education, training, communication, and strategic planning across the pharmacy industry.

Discover the stories, research, and reports from real retail, independent, LTC, and specialty pharmacies.

RXinsider’s Pharmacy500 Stock ETF is a stock portfolio comprised of the largest publicly traded companies in the Pharmacy500.

This report offers a concise snapshot of the Pharmacy500 companies by highlighting new company additions, and examining regional distributions, practice settings, supply chain categories, and the key conferences attended.

Pharmacy500

Agadia
American HealthCare Capital
American Pharmacy Cooperative, Inc. (APCI)
Americorp Financial, LLC
AssistRx
AssureCare, LLC
Atlas Health
Buy-Sellapharmacy.com
Byline Bank
Cardinal Health
CarepathRx
Cervey
Clearway Health
CoverMyMeds (McKesson Corporation)
CPESN USA, LLC
CuraScriptSD
D2 Solutions
EnlivenHealth
EPIC Rx
First Financial Bank, Inc.
GeriMed, Inc.
Hayslip Rx Brokers Inc.
HealthTrust
Inmar Inc.
Innovatix, LLC
Inovalon
Integrity Pharmacy Consultants
Lincoln Savings Bank
Live Oak Bank
Managed Health Care Associates, Inc. (MHA)
McKesson Corporation
Net-Rx (an MHA Solution)
Mobile MediClaim, Inc.
OmniSYS (XiFin Pharmacy Solutions)
Optum, Inc.
Outcomes
Paragon Ventures
Pharmacists Mutual Insurance Company
Pharmacy Brokers
Pharmacy Consulting Broker Services
Pharmacy First
PharmaPoint, LLC
PPOk
PRS Pharmacy Services
QRx Solutions
R.J. Hedges & Associates
RedSail Technologies, LLC
Revelation Pharma
RxOwnership (McKesson Corporation)
RxPreferred
ScriptPro LLC
ServRx, Inc.
Shields Health Solutions
STACK, LLC
Surescripts
Sykes & Company, P.A.
The Craneware Group
The Medicine Shoppe Pharmacy
Value Drug Company
Veridikal
Visante
Workflow Services

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