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
B-
Rated B 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

  • March 24, 2026 GLP-1 Benefit 360 caps obesity-drug spending for employers and members.
  • March 12, 2026 MHW and MSL acquisitions deepen MedImpact's employer benefits cross-sell.
  • MedImpact's February 2, 2026 Sav-Rx deal adds organized-labor accounts and transaction scale.

What critics are saying

  • FTC's PBM inquiry still names MedImpact, forcing disclosure and pricing scrutiny into 2026.
  • MedImpact filed a March 4, 2026 WARN notice cutting 125 San Diego jobs after Sav-Rx integration.
  • PBM rebate reform can erase spread revenue and commoditize MedImpact's core model by 2027.

What makes MedImpact unique

  • MedImpact remains the largest independent PBM, free from insurer ownership, on August 21, 2026.
  • March 2026 Sav-Rx expanded labor-focused PBM scale without changing Sav-Rx's independent service model.
  • MedImpact now bundles PBM, captives, stop-loss, and TPA through Verdegard, PNOA, and Birdi.

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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.

MedImpact
Aug 6th, 2026
MedImpact SVP Arpit Patel wins PBMI Innovators award.

MedImpact SVP Arpit Patel wins PBMI Innovators award. By re-engineering the drug supply chain and formularies, Patel and the MedImpact team are increasing transparency, predictability and affordability SAN DIEGO, CA - August 6, 2026 - MedImpact MedImpact, the nation's largest independent pharmacy benefits and health solutions company, today announced that Arpit Patel, Senior Vice President of Trade Relations and Supply Chain, has received the 2026 Pharmacy Benefit Management Institute(R)(PBMI) Innovators award. "This award really belongs to our entire team of clinicians, technologists, and industry experts who come to work every day with a passion to make healthcare work better for the millions of people we serve," said Arpit Patel, MedImpact Senior Vice President of Trade Relations and Supply Chain. "It is an honor to receive this award, but it is even more rewarding to know we're making a difference for our clients and members." A leading nonprofit organization focused on advancing the pharmacy benefits industry, PBMI helps health plans, employers, and other stakeholders navigate the complex world of pharmacy benefits in pursuit of improved patient outcomes, lower costs, and a better overall healthcare experience. The PBMI Innovators award recognizes leaders who are implementing cutting-edge pharmacy benefit strategies, contributing fresh insights to the market, and achieving measurable results. Arpit is one of six individuals receiving the award this year. As a senior leader at MedImpact, Arpit is leveraging more than 20 years in healthcare to improve prescription affordability and access by: * Offering interchangeable biosimilars that cost 95% less than the reference; * Delivering a flexible and predictable suite of GLP-1 solutions with built-in lifestyle support; * Spearheading the development of MedPerform(R) Flex, MedImpact's new formulary that lowers costs while preserving access; and * Reimagining how a pharmacy benefit and health solutions company can partner with and serve clients. "Healthcare needs to change and Arpit and his team are at the tip of the spear," said Krista Kelley, MedImpact Chief Commercial Officer, Enterprise. "We are proud to have him as a leader at MedImpact, innovating to improve healthcare for payers and consumers." Keep up to date on the latest in the industry. Client News Biosimilars represent one of the most powerful opportunities to reduce specialty drug costs for payers and members and expand access to effective t Press Releases Strategic expansion strengthens proximity to major East Coast employers and payers while enhancing service for clients east of the Mississippi Press Releases Advancing whole-person care with a personalized, clinically integrated solution that supports women across every stage of life Client News Medication non-adherence is a significant challenge for all healthcare payers but, given its role in CMS Star Ratings, it bears particular weight f

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

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