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Elevating the pharmacy experience

Driving efficiency and value for you and your clients

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We're not like other PBMs — because we're built differently

Unlike traditional PBMs, we’re built on the foundation of the medical plan — putting clinical data and whole-person health at the center to deliver better care, better outcomes, and a better overall experience for your clients. CarelonRx is deeply committed to your success and has the expertise and scale to help you achieve your vision.

Affordability

Our clinically driven formulary and aligned UM criteria work together to reduce waste and deliver better outcomes across medical and pharmacy benefits.

Simplicity

By aligning medical and pharmacy policies and leveraging deep data connections, we streamline prior authorizations — improving speed, accuracy, and care delivery.

Experience

When pharmacy is carved in, providers, pharmacists, and care advocates work in sync — sharing systems, goals, and risk models to deliver better support for members.

By the numbers

17.2+M

members served under CarelonRx

44%

of clients had a negative specialty drug trend

35+

years of experience

$30B

pharmacy spend managed annually

130+M

prescriptions managed annually

News

CarelonRx tackles specialty drug cost management with partnerships and tech

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Manage specialty spend, drive savings, improve member outcomes

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