Company Research Report: Capital Rx
Company Overview
Name
Capital Rx
Mission of the Company
Building the electronic infrastructure our nation needs to deliver the healthcare we deserve.
Founded
Founded in 2017.
Founders
The company was co-founded by AJ Loiacono and Ryan Kelly.
Key People
- Anthony J. Loiacono, Chief Executive Officer
- Ryan Kelly, Chief Technology Officer
- Antonio Garcia Cueto, Chief Financial Officer
- Kristin Begley, PharmD, Chief Commercial Officer
- Marcel White, Chief People Officer
- Sara Izadi, PharmD, Chief Clinical Officer
- Lloyd D Fiorini, General Counsel, Chief Compliance Officer
- Sunil Budhrani, MD, MPH, MBA, Chief Innovation and Medical Officer
- Jason Barretto, Senior Vice President, Government Programs
- Karen Dierker, PMP, Executive Vice President, Enterprise Solutions
- Joshua Golden, Senior Vice President, Strategy
- William Tafoya, Senior Vice President, Customer Care
- Michael Passanante, FACHE, SVP of Marketing & Communications
- Maria Espinosa, SVP, RFP Underwriting & Client Analytics
- Elizabeth Pattyn, SVP, Innovation & Life Sciences
- Michael Miele, FSA, MAAA, SVP, Insured Services
Headquarters
The company is headquartered at 228 Park Avenue South, Suite 87234, New York, NY 10003.
Number of Employees
No information is available.
Revenue of the Company
No information is available.
Known For
Capital Rx is known for being a next-generation pharmacy benefits manager (PBM) that combines transparency with modern technology to reduce administrative costs, improve patient outcomes, and deliver a superior customer and member experience.
Products
Overview
Capital Rx offers a variety of products aimed at revolutionizing pharmacy benefits management and administration.
JUDI® Enterprise Health Platform
- Description: A cloud-native enterprise health platform that unifies all pharmacy operations and administration tasks.
- Key Features:
- Flexibility and scalability
- Cost savings and security
- Plan design changes can be made easily
- Integrates claims adjudication, data integration, prior authorization, etc.
Full-Service Pharmacy Benefit Management
- Description: A comprehensive, turn-key pharmacy benefit solution for self-funded plan sponsors.
- Key Features:
- Streamlined, comprehensive services
- Designed for various payers including employers, unions, and hospitals.
Unbundled Pharmacy Benefits
- Description: For large self-funded plan sponsors with 10,000+ members, offering customization and control.
- Key Features:
- Never Move Again™ solution for perpetual access to best drug prices without reimplementation.
Discount Card Program
- Name: Capital Rx Advantage Card
- Description: A prescription discount card program providing significant savings on prescription drugs.
- Key Features:
- Flat fee, no hidden costs
- NADAC pricing for savings
- Fair dispensing fees, no clawbacks
Medicare Prescription Payment Plan (M3P)
- Description: Supports Medicare Part D sponsors to implement the M3P for members.
- Key Features:
- Handles billing, reporting, claims adjudication, cost sharing, and program calculations
Recent Developments
New Products Launched
- Enterprise Health Platform JUDI®: Was launched in 2021.
- Discount Card Solution: Also launched in 2021.
- Never Move Again™: Launched to provide self-funded plan sponsors the ability to access best drug prices perpetually.
- M3P Solution: Introduced to support Medicare Part D sponsors.
Certifications and Achievements
- Earned B Corp™ Certification in 2023.
- Achieved HITRUST i1 certification in 2024.
- Received URAC Accreditation in 2021.
Strategic Partnerships
- Entered into a Strategic Alliance with Prime Therapeutics in 2024.
- Capital Rx became New York City FC’s Official Sleeve Partner in 2024.
Recent Investments
- Closed Series C funding in 2022.
- Closed $50M+ Strategic Investment Round in 2023.
Awards
- Recognized on the Deloitte Technology Fast 500™ for three consecutive years.
- Ryan Kelly and Josh Golden were named to the 2024 BenefitsPRO Luminaries Awards.
Client and Member Satisfaction
- Maintained 100% implementation satisfaction.
- Achieved >90 client Net Promoter Score and >87 member Net Promoter Score.
This report aims to provide a comprehensive view of Capital Rx, highlighting their mission, key products, and recent achievements. Capital Rx is leveraging innovative technology and strategic approaches to redefine pharmacy benefits management.
