A Pharmacy Benefit Manager (PBM) is a third-party administrator that manages prescription drug benefits on behalf of health plan sponsors, including employers, insurance companies, and government programs. PBMs serve as the intermediary between plan sponsors, pharmacies, and drug manufacturers, negotiating drug pricing, processing claims, developing formularies (the list of covered medications), and ensuring members have access to the medications they need. By consolidating these functions, a PBM helps plan sponsors control pharmacy costs while maintaining quality care for their members.

Transparency means that plan sponsors have full visibility into every aspect of their pharmacy benefit, with no hidden fees, no spread pricing, and no undisclosed revenue streams. At ProCare Rx, we believe you should know exactly what you are paying for every claim, how drug costs are calculated, and what, if any, rebates or administrative fees are being collected on your behalf. That commitment is embodied in our ClearSight Transparency platform, which gives plan sponsors full, ad-hoc insight into their data right at their fingertips, including access to a library of hundreds of reports that can be scheduled for recurring runs or pulled as needed. Monthly billing details are built from the claim level up, providing a complete picture of every cost component, from ingredient cost to administrative fees and beyond. With ClearSight, there is no guesswork, just clear, actionable data that ensures your interests and ours remain fully aligned.

ProCare Rx is a specialty pharmacy-focused PBM built for plan sponsors who demand more than the status quo. While traditional PBMs treat specialty pharmacy as an afterthought, we have built our entire model around managing the complexity, cost, and clinical needs that specialty medications require. This means deeper expertise in high-cost drug management, stronger clinical oversight, and a more personalized approach to service, giving employers the tools and insights they need to make smarter, more informed benefit decisions. We combine the scale of a full-service PBM with the precision and accountability of a specialty-focused partner.