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SmithRx

Pharmacy benefit managersAll statespass throughtransparentmid marketsmall group
Vendor website

SmithRx is a transparent, pass-through pharmacy benefit manager for self-insured employers, operating independently of insurers and pharmacies. It charges a flat per-member-per-month administrative fee, passes through 100% of manufacturer rebates and discounts, and evaluates drugs on net cost, with sourcing partnerships such as Mark Cuban Cost Plus Drug Company; offices are in San Francisco, CA, Lehi, UT and Plano, TX.

Minimum enrolled
Not published
Maximum enrolled
No published maximum
Availability
All states
Last updated
2026-09-08

At a glance

  • Pricing model: flat per-member-per-month administrative fee, no spread
  • Rebates: 100% pass-through of rebates and discounts
  • Ownership: privately held, venture-backed (Smith Health, Inc.); founder/CEO Jake Frenz
  • Typical clients: self-insured employers and TPAs, reported 20% lower PMPM than industry benchmark
  • Specialty pharmacy: no owned pharmacy; Cost Plus Drugs sourcing partnership
  • Founded: 2016, HQ: San Francisco, CA

Contact

As published by the vendor on 2026-09-08. Reply to your finder results email if you would rather we make the introduction.

Sources

  1. SmithRx — homepage / employer PBM · accessed 2026-09-08
  2. SmithRx — What is a PBM (model description) · accessed 2026-09-08
  3. SmithRx — LinkedIn company profile · accessed 2026-09-08
  4. SmithRx — Contact page · accessed 2026-09-08

Data reflects what SmithRx publishes as of 2026-09-08. Availability, minimums and terms change without notice. Verify with the vendor before binding.

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