Mutual Rx

Mutual Rx offers a range of products and services designed to optimize pharmacy benefit management (PBM) for its clients. These offerings include utilization review, step therapy, automatic prior authorizations, medication therapy management, disease management, and opioid care management. These services are part of Mutual Rx's clinical support programs aimed at improving patient outcomes and ensuring efficient medication management. In addition, Mutual Rx focuses on delivering the lowest net cost for pharmacy benefits through customized formularies that prioritize the elimination of low-value drugs, optimize the use of generics and biosimilars, and do not chase rebates. The company also provides enhanced member services through patient tools like a mobile app, Rx price shopper, TelePharm, and a secure "HealthWallet." 

Mutual Rx differentiates itself with its RxAequitas private blockchain and Snowflake data cloud for pricing transparency, automated prior authorization, and instant payments. The platform also offers a digital payment system that allows the use of stored value to provide point-of-sale rebates, brand loyalty, prescription coupon values, patient assistance, and rewards points.

The company claims that its services have resulted in a 32% reduction in per member per month cost and 94% medication adherence.

Key customers and partnerships

Mutual Rx targets plan sponsors, including unions, employers, the public sector, and health systems, seeking to modernize their pharmacy benefit programs with next-generation decision support, cost reductions, and enhanced outcomes for participants.