The SmithRx Drug Pathways Engine

Welcome to SmithRx: Better Pharmacy Benefits

The SmithRx Drug Pathways Engine

The SmithRx Drug Pathways Engine

The Problem with “PBM Innovation”
The Problem with “PBM Innovation”
The Problem with “PBM Innovation”
The Problem with “PBM Innovation”
Legacy PBMs
Alternative PBMs
How DPE Works
How DPE Works
How DPE Works
How DPE Works
Clinical Logic
Network Logic
Pricing Logic
Execution Ethos
How SmithRx is Built for You — Not Just Different
How SmithRx is Built for You — Not Just Different
How SmithRx is Built for You — Not Just Different
How SmithRx is Built for You — Not Just Different
Model
How It Works
Why it’s Broken
Why SmithRx Wins
Legacy PBMs
These PBMs retain rebates, set hidden spreads, and profit when costs rise.
Misaligned incentives, opaque pricing, minimal accountability.
DPE delivers real net cost optimization and full transparency.
Alternative PBMs
These PBMs have improved UI and reporting, but still depend on leased networks, third-party clinical vendors, or partial
pass-through models.
Fragmented execution; savings stop at identification.
SmithRx owns network, clinical, and support execution under one model, so savings actually happen.
Legacy PBMs
How It Works
These PBMs retain rebates, set hidden spreads, and profit when costs rise.
Why It’s Broken
Misaligned incentives, opaque pricing, minimal accountability.
Why SmithRx Wins
DPE delivers real net cost optimization and full transparency.
Alternative PBMs
How It Works
These PBMs have improved UI and reporting, but still depend on leased networks, third-party clinical vendors, or partial pass-through models.
Why It’s Broken
Fragmented execution; savings stop at identification.
Why SmithRx Wins
SmithRx owns network, clinical, and support execution under one model, so savings actually happen.
Results You Can See
We eliminate the complexity and drive down the cost of pharmacy benefits for every client. The result? Realized plan savings and positive member experiences.
20
%
%
%
%
*Based on 2025 claims data and industry benchmarks
$
$
$
$
26
reduction in PMPM*
*2024 Calendar Year
98
%
%
%
%
100
%
%
%
%
Built for Every Stakeholder
Built for Every Stakeholder
Built for Every Stakeholder
Built for Every Stakeholder
See Your Pharmacy Benefit Through the Drug Pathways Engine
Experience how real transparency and execution work together to reduce costs—without compromising care.
SmithRx is on a mission to reduce the complexity and costs of pharmacy benefits with radical transparency and cutting-edge technology.
Sales and Business
Pharmacy and Provider Line
Member Help
Connect
Awards


SmithRx is on a mission to reduce the complexity and costs of pharmacy benefits with radical transparency and cutting-edge technology.
Sales and Business
Pharmacy and Provider Line
Member Help
Connect
Awards


SmithRx is on a mission to reduce the complexity and costs of pharmacy benefits with radical transparency and cutting-edge technology.
Sales and Business
Pharmacy and Provider Line
Member Help
Awards


Company
Resources
Connect