Capital Rx

Capital Rx offers a cloud-native enterprise health platform, JUDI, which integrates almost every aspect of the pharmacy ecosystem. This platform offers a dual service model as both a pharmacy benefits manager and pharmacy benefits administrator, streamlining pharmacy benefits management by enhancing service excellence, operational efficiency, and achieving cost savings for clients and their patients​. The platform also leverages a Single-Ledger Model, which drives savings for plan sponsors while ensuring patients receive the most appropriate care at the lowest available price.

Its business model promotes direct communication between employers and pharmacies, removing barriers that previously led to inefficiencies and inflated costs in the pharmacy benefits management space.

Key customers and partnerships

Capital Rx serves a wide array of customers, including employers, hospitals, unions, municipalities, government entities, and health plan providers, targeting the US drug industry. As of October 2023, through its platform, JUDI, the company was servicing over 2.4 million members for Medicare, Medicaid, and commercial plans. 

In August 2022, Capital Rx partnered with retail giant Walmart to offer transparent unit prices for all types of prescription drugs. The collaboration would leverage Capital Rx’s Clearinghouse Model, a technology-enabled pricing structure aimed at eliminating arbitrary drug costs. This ensured a set price for all sizes of employers, resulting in more uniform costs and significant savings for both employers and patients.

Funding and financials

In October 2023, Capital Rx raised USD 50 million in an investment round supported by 10 key health systems including Atlantic Health System, Banner Health, and Hawaii Pacific Health. Prior investor Transformation Capital also contributed to the round. The funding was to be channeled to R&D efforts geared toward refining its enterprise pharmacy platform, JUDI. The funds were also to be used to aid the expansion of its clientele and its internal teams.