Finally, a PBM and care navigation solution that actually works together.
With pharmacy and care navigation data working in concert, clinician-led care teams gain a complete view of member needs—enabling better clinical decisions, more appropriate and timely treatment, and measurable cost reduction.
Unified medical and pharmacy data powers smarter, faster decisions.
When data is siloed, critical signals can be missed. We bring both data sets together to reveal the full picture and act in real-time.
Moments that matter.
Our advanced technology surfaces key moments when members need support— including new diagnoses, missed follow-ups, and medication gaps.
Timely triggers.
We trigger timely, targeted outreach from our team to help guide care decisions and close gaps.
Proactive clinical coordination.
Coordinated clinical action helps improve outcomes and prevent avoidable, high-cost complications.
When medical and pharmacy data flow together, we see the full picture—and act on it.
- A missed fill could point to an unmanaged condition and the need for side effect management support.
- A high-cost or non-preferred medication option signals an opportunity for clinical review and guidance.
- Gaps in routine care for a chronic condition call for clinical education.
The best member experience. Period.
By combining pharmacy and healthcare benefits into a single access point, we provide clear guidance and coordinated clinical support, improving both the member experience and outcomes.
Clinical care teams deliver unmatched member service.
- On-demand, human-led care teams provide personalized support, actionable guidance, and expert education.
- Our team drives members towards the most appropriate, high-quality care and medications at the lowest costs.
“At Rightway, I can get issues resolved at the pharmacy on a Sunday. The two pieces work together so well. Pharmacy can reach out to care navigation if there’s an issue, and vice versa. It just works.”MARK SCHAERRER,Vice President of HR at Verisys
Rightway does the heavy lifting.
Pharmacists, nurses, health guides, social workers, and billing specialists collaborate to deliver personalized, coordinated support, alleviate any confusion, and handle time-consuming tasks. Our team helps members:
Switch to lower-cost medications.
Deliver personalized clinical guidance.
Find providers and schedule appointments.
Enroll in cost-saving programs.
Collaborate with providers, pharmacies, and insurers.
Clarify bills and resolve disputes.
A single app for medical and pharmacy needs.
- Intuitive mobile and web app simplifies access.
- Members can chat with their care team in real-time.
- Self-service access to high-quality, affordable providers, facilities, and medications.
- Members can track real-time progress towards deductible and out-of-pocket activity.
- Convenient access to healthcare insurance and pharmacy ID cards.
A true partner that lightens your load.
Concierge guidance drives down your members' costs and frees up your team.
Actionable insights.
Our unified data and clear reporting across spend, outcomes, and utilization drive smarter decisions.
Streamlined partnership.
One partner for seamless account management and admin support protects your teams’ time.
High-touch implementation.
Full-spectrum support and smooth implementation that reduces the load on benefit teams and minimizes disruption for members.
Maximum engagement.
We drive program utilization through tailored activation and engagement strategies aligned to each employer’s unique landscape.
15% reduction in healthcare spend—without compromising care.
We help employers achieve savings by targeting high-cost areas with a transparent, clinically-led model.
We tackle the biggest cost drivers.
Hospital care, clinical services, and prescriptions.
Support that cuts costs.
Care teams help close gaps, avoid unnecessary ER visits, and guide members to high-value, affordable care and medications.
The first truly neutral PBM.
No spread pricing, rebate games, or hidden incentives. Just a flat, transparent admin fee. Our model lowers spend, flattens trend, and ensures full accountability for every dollar.
Metrics that matter.
Tired of choosing between employee health and your bottom line?
With Rightway—you don't have to.
