94% of large, self-insured employers rank high-cost pharmacy and medical claims as the top threat to employer-sponsored healthcare coverage.
Specialty medicines now account for 55% of net spending, up from 28% in 2011.

Our Mission

Making life changing therapies
available to those who need them most

Committed to improving access and affordability

While exciting in the ability to cure the previously uncurable, the biopharmaceutical revolution presents significant challenges for healthcare payers of all sizes.

For employers and health plans, managing specialty pharmacy and medical costs is their #1 concern. Even more so, the challenges of cell and gene therapies are frustrating them due to prices exceeding $4 million per treatment coupled with unproven long-term durability of benefits and inability to forecast new treatment claims.

Per Reuters, as of 2024, the average cost of newly approved drugs is more than $370,000, up significantly from prior years. This pace of cost growth is simply not sustainable and threatens the financial viability of healthcare benefits for millions of patients in the U.S. and many more around the world.

To make matters worse, financial solutions such as traditional stop loss policies are not well-equipped to tackle these problems. PayRx is uniquely focused on delivering solutions that challenge these old paradigms. Our business model is designed to align our interests with that of our customers. When patients, providers and payers succeed, we do.

With decades of success in healthcare, technology and finance, our team of experts are committed to leading the market in providing solutions that outperform all others. That means approaching the challenges of this truly amazing biopharmaceutical revolution differently.

For us, creating PayRx was about more than simply building a company. We are paving a new path in the healthcare ecosystem to provide better health outcomes, affordability, and improved access to life-changing and curative therapies.

Learn how PayRx can help you and your customers address the challenge of high-cost pharmacy and medical therapies. 
Need more help?
Contact us

PayRx is an industry leader in delivering tailored healthcare risk financing solutions and analytics for self-insured employers and health plans to enable greater patient access to high-cost pharmacy and medical benefit therapies. We significantly mitigate the cost impact of advanced therapies in a unique way that lowers costs.

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