AI-powered real-time information and guidance provides health consumers a better experience, a more inclusive pharmacy network and access to lower cost medications

SAN FRANCISCO: #HealthWayFinding--Transcarent, the One Place for Health and Care™, today announced an expansion of its Pharmacy Care Experience with the addition of SmithRx, a next-generation pharmacy benefits management (PBM) company, as its newest integrated transparent pharmacy partner.

Transcarent offers a pharmacy-led navigation experience through its WayFinding platform that allows Members to choose the right medication, at the right price, whether at their local independent or chain pharmacy or through home delivery options like Amazon Pharmacy and Mark Cuban Cost Plus Drugs. This reimagined model places pharmacy at the center of the health and care experience, empowering Members to make better medication decisions in real time, which significantly reduces employer-sponsored pharmacy costs and drives wider adoption of their broader benefits ecosystem.

“Health consumers are looking for one place for their health and care today that includes both medical and pharmacy benefits. Transcarent’s WayFinding experience guides people to the right care while seamlessly connecting them to high-value pharmacy options. At the same time, employers benefit from one integrated model, one cost structure, and the flexibility to offer transparent pharmacy choices that work for their Members,” said Glen Tullman, Chief Executive Officer of Transcarent.

Transcarent’s integrated transparent pharmacy partners give employers full visibility into pharmacy cost drivers and a customized benefits experience built around their population. Members can see their options and choose lower-cost medications based on price, pharmacy, and available alternatives.

Specifically with SmithRx this includes:

• Lowest Net Cost by Design: The Drug Pathways Engine from SmithRx automatically identifies the lowest-cost options, generating an average of 20% savings in the first year for employers.1
• Full Alignment and Transparency: 100% of rebates and discounts are passed directly to employers. A simple, all-in administrative fee replaces complex, hidden PBM revenue streams, with built-in audit and compliance support to meet evolving fiduciary requirements.
• Find the Best Prices in Seconds: Members use the WayFinding experience to find the best price and location for prescriptions in seconds, with 43% of Members finding a lower-cost pharmacy.2
• Freedom to Use Any Pharmacy: Members have access to a directly contracted network of more than 65,000 pharmacies nationwide, with no ownership of dispensing assets or incentives to steer health consumers to specific pharmacies.
• Behavior-Driven Recommendations: By connecting prescribing to broader care journeys, the WayFinding experience increases overall benefit engagement by more than 20%, guiding Members to the right clinical pathways before high-cost therapies begin.3
• Personalized Member Support: Members receive digital alerts from Transcarent notifying them of lower-cost alternatives, as well as assistance with contacting providers, transferring to more convenient, high service, and lower-cost pharmacies, and accessing copay assistance cards from SmithRx.

“You shouldn’t have to reverse engineer your pharmacy benefit to understand where the money is going or why a medication costs what it does. For too long, employers and Members have been operating in systems with misaligned incentives and hidden economics, which makes it difficult to make informed decisions at the moment a prescription is written,” said Jake Frenz, Chief Executive Officer and Founder of SmithRx. “Transcarent and SmithRx aligned on fixing this at the source. When pricing is visible and the system is built to continuously identify and act on the lowest net cost, Members can compare options, switch pharmacies, and choose lower-cost alternatives before a claim is ever filled.”

A New Standard for Pharmacy Navigation

Transcarent’s model allows employers to choose from a curated set of transparent pharmacy partners including SmithRx and CapitalRx, part of Judi Health, within the WayFinding platform. This approach enables employers the flexibility to select and structure their pharmacy benefits with their preferred transparent PBM partner, while providing a seamless and consistent Member experience. For example, when a Member fills a prescription for an antidepressant, Transcarent can connect them to an available mental health benefit in real time. Similarly, filling a GLP-1 prescription triggers enrollment outreach to the Weight Health Care Experience. This is pharmacy-led navigation at its best: treating every prescription as an opportunity to deliver better health outcomes for each individual Member.

"Pharmacy claims are powerful health signals and what makes Transcarent's approach truly revolutionary is how pharmacy and medical benefits work together. We field requests across our network of integrated partners and surface the best combination of experience and economics based on each employer's specific needs and claims data,” said Snezana Mahon, PharmD, President of Transcarent. “We’re pleased to welcome SmithRx as our newest partner to further expand the options available to employers and Members.”

"Judi Health and Capital Rx were built to give the entire payer ecosystem a modern, enterprise-grade pharmacy benefit platform. We developed proprietary software, designed modular administration capabilities, and invested in the most secure infrastructure in the country," said Kristin Begley, PharmD, Chief Commercial Officer at Judi Health. "We work with organizations of all sizes, from small employers to Fortune 500 companies to complex government health plans. Our model is fully transparent with no spread pricing, no hidden fees, and full pass-through of manufacturer revenue. Through Transcarent, Members receive real-time prescription pricing and clear guidance on their medication options, making the experience easier to navigate and more affordable."

Learn more at transcarent.com/pharmacy-care

About Transcarent

Transcarent is the One Place for Health and Careᵀᴹ, bringing medical, pharmacy, and point solutions together with the WayFindingᵀᴹ experience, the first and only agentic AI-powered health and care platform for health consumers. Our WayFinding experience, paired with transparent and consumer-driven pharmacy care, 2nd.MD expert medical opinions, and virtual primary care, works seamlessly with comprehensive Care Experiences – Cancer Care, Surgery Care, and Weight Health – to support people with all of their health needs, simple or serious. More than 1,700 employers and health plans rely on us to provide information, guidance, and care, empowering health consumers with more choice, an experience they love, access to higher-quality care, and lower costs for 21 million Members. Learn more at www.transcarent.com and follow us on LinkedIn.

About SmithRx

SmithRx is a modern, cost-based Pharmacy Benefit Manager (PBM) built on three core pillars: a lowest cost Drug Pathways Engine, winning client and Member experience, and radical supply chain transparency. Serving more than 1.5 million covered lives across all 50 states, SmithRx delivers 100% passthrough rebates, a single all-inclusive administrative fee, and a directly contracted network of over 65,000 pharmacies, including all major chains. With innovative programs like Connect 360, SmithRx continuously optimizes for lowest net cost. Visit www.smithrx.com for more information.

1. SmithRx internal data, 2025; 2. Transcarent internal data, 2025; 3. Transcarent internal data, 2025

Fonte: Business Wire