The Benefits Are Clear.
MaxCare is the independent PBM that puts your money back where it belongs, in your plan. No spread pricing. No conflicts of interest. Just the lowest net cost in pharmacy benefits, backed by clinical expertise and community care.
Most PBMs profit when your drug costs go up. We profit when they go down.
The traditional pharmacy benefit management model has a problem: most PBMs make money on spread pricing, charging your plan more than they pay the pharmacy and keeping the difference. They earn rebates from drug manufacturers and share only a fraction with you. The incentives are misaligned.
MaxCare was built differently. As an independent PBM with no ties to an insurer, mail-order pharmacy, or specialty drug company, we have one goal: reduce your total pharmacy spend at the source. Our success is measured by your savings, and we'll prove it on paper.
Learn How Pass-Through Pricing Works →Traditional PBM vs. MaxCare
Four Commitments. One Aligned Model.
Delivering True Lowest Net Cost
Lowest net cost isn't a marketing phrase at MaxCare, it's a contractual commitment. We reduce total pharmacy spend by passing through 100% of drug discounts and 100% of rebates directly to your plan. Our clinical programs target the highest-cost categories where most PBMs leave money on the table.
The Independent PBM Built to Work for You
MaxCare is not owned by an insurance company, mail-order pharmacy, or specialty drug distributor. Every clinical recommendation, every formulary decision, and every vendor relationship is made with a single priority: what is best for your plan and your members. No side deals. No hidden revenue streams. Instead, our compensation is a single, transparent administrative fee, one clear line item you can see, evaluate, and budget for, with no surprises.
Pharmacy Benefits Managed With Clinical Rigor
Pharmacy costs can't be controlled with contracts alone. MaxCare's clinical team actively manages your highest-cost claims before they become budget problems, specialty utilization review, GLP-1 oversight, biosimilar transition support, rare disease management, and concurrent and retrospective DUR.
Community Pharmacy Access, Built Into the Model
Big-box PBMs push members toward mail-order and specialty pharmacies they own. MaxCare supports the community pharmacy network, independent and regional pharmacies that employ local staff, know members by name, and deliver care that feels personal.
Specialty Costs Don't Have to Be a Mystery.
Eleven targeted programs that target pharmacy spend where it grows fastest.
The Rebates Most Plans Never See? We Capture Them.
Pharmaceutical manufacturers offer rebates on medical claims that go untapped, few organizations have the expertise or qualifications to submit claims and collect incentive funds on specialty medications billed under the medical benefit.
MaxCare's Medical Rebate Management captures rebates currently offered on more than 110 injectable medications spanning 1,750 unique NDCs. It's a direct cost offset for your plan, without added administrative burden or operational disruption. For brokers and TPAs, it's also a differentiator and a potential new revenue stream.
Ask About Medical Rebate Management →Hear It From Our Leadership
We take a consultative approach, partnering with employers to effectively manage their pharmacy benefit, proactive, tailored, and built to control prescription costs.
Built for the People Who Own the Pharmacy Decision
A PBM You Can Put Your Name On
- Pass-through pricing with full audit rights
- Rebate transparency
- A single, transparent administrative fee that's easy to present and easy for clients to compare
- Medical rebate management, a potential new revenue stream for your organization
- Proactive clinical reporting
- Dedicated account support
Take Back Control of Your Pharmacy Spend
- 100% drug discount & rebate pass-through
- 0% spread pricing
- One transparent, all-in administrative fee, easy to evaluate and budget
- Clinical programs targeting your highest-cost claims
- Plain-language reporting built for HR and finance leadership
Trusted by Employers. Recommended by Brokers.
Join the ranks of self-insured employers who trust MaxCare for managing their pharmacy benefits.
Hear how our partners manage their pharmacy benefits with MaxCare.
From groups as intimate as 100 members to as vast as 10,000, effective solutions, easy-to-understand plans, and contracts that always keep the members in focus.
Straight Answers About Pharmacy Benefits
Plain-language answers, the way pharmacy benefits should be explained.
What is MaxCare, and what does MaxCare do?
What makes MaxCare different from other PBMs?
How does MaxCare reduce pharmacy costs for self-insured employers?
What is pass-through pricing in pharmacy benefit management?
How does MaxCare's flat administrative fee work?
Does MaxCare work with independent community pharmacies?
What clinical programs does MaxCare offer?
What is medical rebate management, and how does MaxCare capture medical rebates?
Independent by Design. Aligned to You by Choice.
MaxCare was founded on a simple belief: pharmacy benefit management works better when the PBM is on the same side as the employer. We are independent. We are transparent. And we are deeply committed to the employers, brokers, and members we serve, including the community pharmacies that have served them for generations.
Ready to See What Transparent Pharmacy Benefits Look Like?
Get a no-obligation pharmacy spend analysis and see exactly what MaxCare can save your organization, in plain language, backed by data.