MedImpact

MedImpact

Independent PBM reducing prescription costs

Overview

MedImpact is an independent pharmacy benefit manager (PBM) serving health plans, self-funded employers, and government entities. It designs and administers prescription drug benefits to lower costs and improve member health, including core PBM services, clinical programs, and specialty drug management. It operates at a large scale with transparency and flexible pricing, negotiating rebates and processing claims for clients. Its goal is to reduce prescription drug costs while improving health outcomes through data-driven, end-to-end benefit management.

Significant Headcount Growth

About MedImpact

Simplify's Rating
Why MedImpact is rated
C+
Rated C on Competitive Edge
Rated B on Growth Potential
Rated C on Differentiation

Industries

Data & Analytics

Healthcare

Company Size

1,001-5,000

Company Stage

Seed

Total Funding

$2.8M

Headquarters

San Diego, California

Founded

1989

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Simplify's Take

What believers are saying

  • MedImpact serves more than 20 million members and processes over $40 billion annually.
  • March 2026 GLP-1 Direct Fund tackles obesity-drug demand with capped plan spending.
  • Sav-Rx deepens organized-labor relationships and broadens MedImpact's PBM footprint nationally.

What critics are saying

  • October 2025 Qilin ransomware exposed 160 GB, threatening client trust and renewals.
  • March 4, 2026 WARN notice cut 125 San Diego jobs, signaling post-acquisition strain.
  • January 2025 NCPA joined antitrust claims against MedImpact, risking rebates and pharmacy access.

What makes MedImpact unique

  • MedImpact stayed independent after Sav-Rx closed in February 2026, serving labor clients.
  • March 2026 acquisitions added MHW Benefit Partners and MSL Captive Solutions.
  • GLP-1 Benefit 360 integrates PBM claims, MedEmpower Fuel, and dietitian coaching.

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Funding

Total Funding

$2.8M

Below

Industry Average

Funded Over

2 Rounds

Seed funding is usually the first official round after pre-seed, when a startup has a prototype or concept. It’s typically used to develop the product, test the market, and start building the team. Investors here are often angel investors or early-stage venture capitalists.
Seed Funding Comparison
Below Average

Industry standards

$3.3M
$1.5M
Slack
$2M
Netflix
$2.3M
Instacart
$3M
Robinhood

Benefits

Health Insurance

Dental Insurance

Vision Insurance

Wellness Program

Unlimited Paid Time Off

Paid Vacation

401(k) Company Match

Life Insurance

Disability Insurance

Tuition Reimbursement

Employee Referral Bonus

Growth & Insights and Company News

Headcount

6 month growth

12%

1 year growth

12%

2 year growth

13%
Fox Business
Aug 13th, 2026
Nine major PBMs to display TrumpRx prescription drug prices from 2027

Nine pharmacy benefit managers will integrate TrumpRx prescription drug pricing into their benefit tools, effective 1 January 2027. The Pharmaceutical Care Management Association and participating PBMs—including CVS Health, Express Scripts, Humana, and OptumRx—will display cash prices from TrumpRx alongside plan coverage costs. The agreement covers commercial, Medicare, and Medicaid plans. Patients will see TrumpRx prices for all listed drugs, whether through presidential deals or standard pricing. CMS Administrator Dr Mehmet Oz said the commitment will help patients compare prices and find better deals. PCMA CEO David Marin stated the transparency will allow consumers to make better-informed choices about prescription drug costs. Some PBMs will use Real Time Benefit Tools to display pricing comparisons, whilst others may employ different methods.

Anne Arundel Today
Jul 16th, 2026
MedImpact to present on optimizing pharmacy benefits at MACo Summer Conference.

MedImpact to present on optimizing pharmacy benefits at MACo Summer Conference. The Maryland Association of Counties announced on July 16 that MedImpact will host a session titled "Optimizing Pharmacy Benefits for Counties" during the Solutions Showcase at its 2026 Summer Conference. The event is scheduled to take place at the Roland Powell Convention Center in Ocean City, Maryland, from August 12 to August 15. According to the announcement, MedImpact's session will address strategies for making pharmacy benefits easier to understand and more cost effective for counties. The session description states, "For most employer-sponsored health insurance plans, pharmacy benefits are the most frequently used and challenging. MedImpact seeks to make these benefits easy to understand and cost effective." It also notes that while pharmacy benefit managers are under scrutiny from mandates affecting Maryland pharmacies and retailers, there may be opportunities within the State of Maryland's current employee benefits contract that could benefit county governments. The Solutions Showcase session is set for August 14 from 12:15 p.m. to 12:45 p.m. Organizers encourage attendees to register for the conference in order to participate in this and other sessions. MACo's Summer Conference theme this year is "Build What's Next." Additional information about registration pricing, sponsorship opportunities, exhibitor details, hotel rates, and related activities such as a golf tournament can be found through MACo's official channels. Questions regarding the event can be directed to Virginia White.

Associated Press
Mar 24th, 2026
MedImpact launches GLP-1 Benefit 360 to tackle obesity medication costs with capped pricing

MedImpact, the largest independent pharmacy benefits company in the US, has launched two solutions to manage rising GLP-1 medication costs whilst improving patient access: GLP-1 Benefit 360 and GLP-1 Direct Fund. GLP-1 Benefit 360 offers capped pricing for plans and members, integrated lifestyle support through the MedEmpower Fuel mobile app, and access to registered dietitians. The solution addresses the issue that over half of patients discontinue GLP-1 therapy within three months by providing personalised coaching at no additional cost. The GLP-1 Direct Fund allows healthcare payers to contribute set amounts toward direct-to-consumer pricing, offering members lower out-of-pocket costs whilst protecting plans from unpredictable cost increases. Both solutions bypass traditional high-cost pharmacy models to provide predictable pricing and clinical support.

MedImpact
Mar 16th, 2026
MedImpact Announces Acquisitions of Employer Insurance and Risk Management Companies | MedImpact

SRS Benefit Partners and MSL Captive Solutions provide alternative risk financing solutions that protect employers from sky-high administrative fees and renewals

Captive Review
Mar 16th, 2026
MedImpact acquires MSL Captive Solutions and SRS Benefit Partners from SRS

MedImpact acquires MSL Captive Solutions and SRS Benefit Partners from SRS. Acquisition of the two brands focused on medical stop-loss captive solutions by MedImpact Holdings extends its portfolio of care and coverage solutions MHW Benefit Partners (formerly SRS Benefit Partners) and MSL Captive Solutions have both been acquired by MedImpact Holdings Inc. Both businesses were previously owned by Strategic Risk Solutions. MedImpact is one of the US' largest independent health solutions and pharmacy benefit companies. MHW Benefit Partners helps small and mid-sized businesses, working independently or in groups, form, grow, and evolve captives, consortiums, and other employee benefit programmes. MSL Captive Solutions provides medical stop-loss insurance to protect self-insured employers from potentially catastrophic healthcare claims. Partnering with A-rated insurance companies, it underwrites individual employer stop-loss and captive programmes. Announcing the deals, MedImpact stated they expand its portfolio of care and coverage solutions, "providing employers with modular, cost-effective alternatives to traditional insurance carriers." "By integrating specialised risk management and alternative financing, MedImpact offers small and mid-sized businesses the transparency, flexibility, and cost control typically reserved for large, self-insured corporations," the company said. The two companies join MG Insurance as MedImpact's main risk management and underwriting brands, providing captive programmes and stop-loss protections. "Small and mid-sized businesses today struggle to manage runaway healthcare costs with the inflexible and opaque traditional insurance programmes," said Zach Johnson, MedImpact executive vice president. "We are putting power back in the hands of employers by giving them innovative alternatives, transparency, flexibility, and total control."

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