Core Values

Spotlighting Value for our Clients

At Illuminate Rx, clients gain clarity and control over their pharmacy benefits plan to achieve meaningful savings and take exceptional care of members. Instead of relying on yet another drug-repricing solution or a one-size-fits-all PBM, our clients trust an experienced team of pharmacists committed to paving the way to brighter pharmacy benefits.

Illuminate Rx offers smart pharmacy benefits that support each client’s unique goals by delivering on these core values.

Unprecedented Clarity

Real transparency that uses essential data and expert guidance to drive smarter decisions:

  • Complete visibility into plan economics so clients can see rebates and discounts at the claim level
  • Individual underwriting that uses each client’s individual plan data rather than group averages
  • Comprehensive financial savings analysis so clients can evaluate the real impact of any formulary exclusions

Formulary and Network Options

Flexibility where it matters – because no two clients are the same:

  • Generics and biosimilars given priority to drive the lowest net cost
  • Access to high-quality, high-value pharmacy networks including Amazon, Costco, Mark Cuban Cost Plus Drugs, and Hemophilia Alliance Network Services
  • Smart formulary strategies designed to achieve member well-being and client savings goals

Flexible Plan Design

Customized benefits design – built around client objectives, not one-size-fits-all models:

  • Plan exclusions, copay design, and cost containment solutions that align with the client’s strategy and goals
  • Incentives and copay structures designed to support the adoption of biosimilars and generics
  • Expanded access to lower-cost specialty generics without limitations that clients may have previously experienced

Advanced Clinical Protection

Clinically-led strategies that protect members and deliver financial value:

  • PharmD-led, evidence-based utilization management with objective oversight
  • Mandatory exclusions for drugs with high costs and no incremental clinical value because covering everything isn’t better care
  • Independent Pharmacy & Therapeutics (P&T) committee validation that is free from third-party influence
  • High-touch clinical interventions that redirect members to lower-cost, clinically-appropriate alternatives and provide complex specialty drug support

Operational Excellence

Technology-backed. Human-led. Always responsive:

  • Scalable tech infrastructure to power fast enablement and seamless plan management
  • Tech-enabled onboarding to ensure a smooth, efficient implementation
  • Digital engagement tools to keep members and providers informed and empowered
  • U.S.-based service teams who lead with initiative, responsiveness, and a member-first approach
    Illuminate Rx – bringing clarity, flexibility, and control to pharmacy benefits that finally make sense and deliver real value.