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”
Legacy PBMs
Alternative PBMs
How DPE Works
How DPE Works
How DPE Works
Drug Mix
The Drug Pathways Engine intercepts applicable utilization management requirements, prompting clinical experts to coordinate switches to lowest-cost alternatives if clinically appropriate.
Savings Multipliers
The Drug Pathways Engine triggers program enrollment to capture savings opportunities and secures the lowest net cost for the member and their plan.
Pharmacy Network
The Drug Pathways Engine scans our pharmacy network and directs members to the lowest-cost, most convenient option: anywhere from local pharmacies to mail-order.
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
$
$
$
37
Average PMPM savings*
*Based on 2025 data across all SmithRx clients. Individual savings by group and member may vary.
97
%
%
%
4.5/5
Member satisfaction score*
*Based on 2025 member surveys
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
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
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
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