SmithRx

SmithRx is a modern pharmacy benefit manager (PBM) selling to self-insured employers and brokers, with a 100% pass-through model and a network of more than 85,000 pharmacies. The pitch is radical transparency on drug pricing — customers reportedly save 20%+ on total drug spend versus legacy PBMs — paired with a strong member-services experience. The company has expanded through partnerships like Mark Cuban's Cost Plus Drug Company and is a founding member of the Transparency-Rx lobbying coalition. Founder Jake Frenz built SmithRx out of personal healthcare experience, and the team frames its values around courage, integrity, and challenging incumbent PBMs.