For self-insured employers
Take back control of your pharmacy spend.
You fund the plan, so you should see every dollar. MaxCare gives HR and finance leaders pass-through pricing, clinical oversight of high-cost claims and reporting written in plain language.
Request a pharmacy spend analysis
Why employers switch to MaxCareMaxCare is an independent PBM with no insurer, mail-order or specialty pharmacy ties. Self-insured employers get 100% of drug discounts and rebates, zero spread pricing and one disclosed administrative fee, plus clinical programs on their costliest claims and 24/7 analytics on plan performance.
What you get
- 100% drug discount and rebate pass-through
- 0% spread pricing
- One transparent, all-in administrative fee that is easy to evaluate and budget
- Clinical programs targeting your highest-cost claims, including specialty, GLP-1 and biosimilars
- Plain-language reporting built for HR and finance leadership
- 24/7 access to plan performance, drug pricing, utilization and member trends
- Community pharmacy access for dispersed and rural workforces
Where savings come from
- Specialty medications10–30%
- Infusion therapy, per treatment30–50%
- 340B access, off AWP25–55%
- Clinical programs, average25%
- Utilization management ROI3:1
Figures as published by MaxCare. Results vary by plan and population.
Questions employers ask
How can MaxCare help reduce our company’s pharmacy benefit costs?
MaxCare applies proven cost-containment strategies such as formulary optimization, generic substitution programs and member affordability initiatives that lower overall drug spend, on top of 100% pass-through of discounts and rebates.
Will switching to MaxCare be disruptive for our employees and HR team?
We prioritize a smooth implementation with comprehensive member communication and dedicated support, minimizing disruption and easing the administrative workload.
Can MaxCare customize pharmacy benefits to fit our workforce?
Yes. Our pharmacy benefit plans adapt to different workforce demographics, health conditions and budget goals.
What kind of transparency and reporting will we receive?
Employers receive clear, regular reports with actionable insights on drug utilization, cost trends and savings opportunities, plus 24/7 access to plan performance, drug pricing, pharmacy utilization and member trends through our analytics platform.
How does MaxCare ensure compliance with health regulations and data privacy?
MaxCare strictly follows HIPAA and all regulatory standards and uses robust data security practices to protect member information.
More: What is a pass-through PBM? · Strategies to reduce prescription drug costs · GLP-1 costs in 2026
Ready to see what transparent pharmacy benefits look like?
Get a no-obligation pharmacy spend analysis and see what MaxCare could save your organization, in plain language and backed by data.