PBM Systems and Services

Established, Privately Held Technology-Based Company

  • One of the nation’s largest privatelyowned healthcare information technology companies with a 30+ year history of focusing on pharmacy benefit management systems and services
  • Independently owned and operated so clients are not contracting with an entity that directly affiliated with a “Big 3 PBM”, is a brand new PBM or one for which pharmacy benefit plan management is a  secondary offering

Time-tested, Internally Developed and Maintained PBM Systems

  • Cloud-based administration and  web-based reporting applications in place since 2004; one of the first PBM claim processing vendors to safely and securely utilize the internet for online processing of pharmacy transactions

Highly Scalable

  • Currently configured to process >500,000,000 transactions per year; unlimited scale based upon hardware configuration

Highly Configurable

  • Currently administering 100,000+ benefit designs across 15,000+ unique Plan IDs in 250+ different pharmacy network configurations

Servicing Multiple Payer Types

  • Health Plans, Medicare, Medicaid, Commercial, TPAs, Unions, Hospice, PACE, 340B, Worker’s Compensation, Discount Card Sponsors, COB Programs, Patient Assistance Programs, and Other Payer Types

Designed for Interoperability

  • Multiple APIs and data exchange capabilities with client systems and third party vendors
  • Integrated web-based administration tool (e.ProCare) with role-based security for real-time data viewing and PBM data administration
  • Multiple supporting tools and applications to aid in client set-up, program maintenance, and ongoing PBM activities

Full Range of Services

  • Robust reportinganalytics and data services
  • Clinical, Account Management, Pharmacy Network, and Other Administrative Services

Range of Business Models

  • Software as a Service (SaaS)
  • Private Label Pharmacy Benefit Administration


Contact Us Today to find out how your Organization can be “Powered by ProCare Rx”

Featured Items

URAC Certification URAC Certification
EXPIRES 01/01/2021
PBM Services Provided by ProCare PBM
EXPIRES 04/01/2021
Mail Order Provided by ProCare PharmacyCare