Every prescription is a person. We never lose sight of that.
From the moment a prescription is written to the moment therapy is working, PharmPix protects the member at every step, because when the member is protected, the savings follow.
Someone is watching the whole pharmacy picture
More prescribers, more telehealth, more places a prescription can come from, and no one watching the whole picture. That's the gap we fill. OneArk® flags the risk in real time, a clinical pharmacist reviews every alert, and our team gets to work before the medication is dispensed.
No one should have to figure out their medication alone.
Even when a claim is covered, the path to getting medication can still be confusing. Rejections, pricing questions, affordability barriers, and coverage that crosses between pharmacy and medical benefits can all leave members without a clear next step. We work ahead of those moments, so members get clear answers, fast resolution and fewer surprises.
Resolved, not rejected
When a claim needs attention, we coordinate with the pharmacy, prescriber or member to help resolve the issue instead of leaving the member with a denial.
Coverage clarity
With our member app, members can see medication history, locate pharmacies, check coverage details and better understand their options before they fill.
Affordability in advance
For high-cost therapies, PharmPix identifies available assistance and lower-cost pathways before cost becomes a barrier to adherence.
Benefit navigation
Not every medication lives in the pharmacy benefit. When a therapy is billed under medical or a prior authorization sits with another carrier, we help members understand which benefit applies and what happens next.
Keeping therapy continuous and members on track
The gap between filling a prescription and staying on it is where most pharmacy benefits go quiet. Ours doesn't.
Refills watched: A lapse gets a call, not a consequence.
New therapies started carefully: 30-day first fills, so no one's stuck with 90 days of a drug they can't tolerate.
Transitions supported end to end: Biosimilar conversions coordinated across prescriber, pharmacy, and member.
More complex therapies. More support behind them.
Specialty is a fraction of prescriptions and the majority of plan spend. PharmPix was built on a simple sequence: protect the member first, and the savings follow — and specialty is where that sequence matters most.
Before a specialty drug is dispensed, clinical review confirms it's the right therapy, the right dose, and safe alongside everything else the member takes.
Every prescription is routed to the best-fit pharmacy for that drug — no owned-pharmacy conflicts steering the decision. Available assistance is captured before cost becomes the reason a member stops.
A dedicated case manager stays with the member from enrollment through adherence, coordinating prescriber, pharmacy, and funding so nothing falls to the member to chase. Specialty therapy is hard enough. Navigating it shouldn't be.
What member support delivers
90% of calls answered
in under thirty seconds.
Issues resolved
on the first call.
Bilingual support
24/7, from nationally certified pharmacy technicians
“Before it was a claim, it was a person at a pharmacy counter. A medication about to be dispensed. A moment when the system either worked or didn't. We built PharmPix so it works — for that person, in that moment.”
The view from inside the benefit
Expert insights from pharmacists and PBM operators with an inside view of where pharmacy decisions break down, what those gaps cost, and how they affect benefit performance.
Put the member at the center. The savings follow.
That's how our model was built. See what it looks like for your members.