100% Pass-Through Pharmacy Benefits
Sopris Rx is the pharmacy benefit manager for employers who want to see exactly where every dollar goes — because every dollar comes back to you.
Plan Sponsors
Cut net pharmacy spend without cutting benefits. Keep 100% of the rebates you've been giving away.
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Partners
Bring your clients a contract they can actually audit. Fast quotes, clean data, no surprises at renewal.
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Advisors
Model us against the incumbent with claim-level detail. We'll hand over the data your analysis needs.
Learn moreof rebates returned
to the plan
average reduction
in net Rx spend
pharmacies in
our national network
in spread pricing or
hidden fees
Transparency
The traditional PBM model is built on the gap between what your plan pays and what the pharmacy actually receives. That gap is their revenue — so they have no reason to shrink it. We removed it entirely.
Spread pricing
Bills your plan more than it pays the pharmacy and keeps the difference.
Retained rebates
Keeps an undisclosed share of manufacturer rebates negotiated on your behalf.
Fees buried in claims
Administrative revenue hidden inside per-claim pricing rather than stated outright.
Rebate-driven formulary
Prefers the highest-rebate drug, which is often not the lowest net-cost drug.
Summary-level reporting
Releases aggregated reports that can't be independently reconciled.
True pass-through pricing
You pay the pharmacy's actual contracted rate. Not a penny more.
100% of rebates, itemized
Every rebate dollar returns to the plan, matched to the claim that earned it.
One flat admin fee
A single per-employee-per-month fee. That is our entire revenue, stated up front.
Lowest-net-cost formulary
Built on what the plan actually pays after rebates, and reviewed every quarter.
Your data, always
Full claim-level detail, exportable on demand, with audit rights written into the contract.
How it works
Send us twelve months of claims. We re-price every line against our pass-through contract and show you the gap, drug by drug. No cost, no commitment, and you keep the analysis either way.
Formulary, pharmacy network, and clinical programs get configured to how your members actually fill prescriptions — not to a template designed for someone else's book of business.
Claim-level reporting, itemized rebate pass-through, and one flat admin fee on every invoice. Reconcile our numbers against your own whenever you like — that's the point.
Products
Our core offering. The plan pays the pharmacy's actual contracted rate, receives 100% of manufacturer rebates, and pays Sopris Rx a single disclosed administrative fee. Audit rights are written into the contract, not negotiated after the fact.
Specialty represents a small share of claims and a large share of spend. We source through competitive specialty channels, run clinical prior authorization, and connect eligible members to manufacturer assistance and copay programs.
Members fill where it's convenient. Our national retail network covers more than 65,000 pharmacies, and our home delivery option ships 90-day maintenance supplies with no shipping charge — typically at a lower cost per day of therapy.
A pharmacist-led team designs the formulary around lowest net cost, not rebate value. Utilization management, adherence outreach, and therapeutic interchange steer members toward clinically equivalent options that cost the plan less.
Savings estimator
Move the sliders to see a rough order of magnitude. A real number requires your actual claims file — which we'll analyze at no charge.
Enrolled employees, not total lives.
Most mid-size employers land between $1,200 and $2,400.
Current annual pharmacy spend
$800,000
Estimated annual savings with Sopris Rx
$148,000
Likely range: $96,000 – $200,000
Three-year cumulative savings
$444,000
Illustrative estimate based on a 12–25% reduction in net pharmacy spend observed when moving from spread pricing to a full pass-through contract. This is not a quote, an offer, or a guarantee of results. Actual savings depend on your current contract, formulary, and utilization.
Our story
Sopris Rx started with a simple frustration. After years of helping employers manage benefits, our founders kept running into the same wall: nobody could explain where the pharmacy dollars actually went.
Contracts were written to be unauditable. Rebate math lived in a black box. And every renewal brought a new definition of the word "transparent." The industry had made opacity a product feature.
So we built the alternative. One fee, disclosed. Every rebate dollar returned. Every claim visible. Named for Mount Sopris — because the things worth trusting are the ones you can see clearly from a distance.
Leadership
Sopris Rx was founded and is run by former healthcare executives and entrepreneurs — leaders who spent their careers inside health plans, pharmacy operations, and employer benefits, and who saw first-hand how much of a plan's pharmacy spend never reaches a pharmacy at all.
Together our team brings more than 30 years of combined experience across clinical pharmacy, plan design, claims adjudication, and building companies from the ground up. We started this one because we were convinced a pharmacy benefit manager could make a fair margin without hiding where the rest of the money goes.
A no-cost, no-obligation repricing analysis. You keep the results whether or not you ever work with us.
