Prescription coverage that serves members, not margins.
Gravie’s pharmacy program puts pharmacists in charge and employers in control. We’ve designed our pharmacy benefits to guide members and plan sponsors to the least-costly, most clinically effective drug therapies, so you and your clients aren’t left chasing problems.
Pharmacy resources for groups
Skip the back-and-forth. Download or send formularies, pharmacy savings guides and mail order info straight to the people who need them.
Pharmacy now makes up a quarter of employer healthcare spending, and it continues to climb.
share of total employer healthcare spending that pharmacy represents
Business Group on Health, 2027
share of pharmacy spend driven by high-cost specialty drugs
IQVIA, 2026
share of members using specialty drugs driving more than half of drug spend
PSG, 2026
A different approach to pharmacy
Traditional pharmacy benefit models tend to reward rebates, spread and list price. When revenue is tied to the cost of the drug, incentives shift away from the member and the plan, and overall drug spend rises.
We build and manage our own clinical programs, from formulary and utilization management to member outreach. Our team of clinical and pharmacy experts help members obtain the most effective drug therapies at the lowest-possible net cost, while working proactively to resolve care gaps and prevent errors.
Our program is clinical-first by design, so drug decisions serve members, not margins.
Engineered to the right incentives.
Actively monitored so your clients don’t have to.
Formulary
Traditional PBM model:
One-size-fits-all approach designed to meet bottom lines, not the needs of employers.
Gravie:
Active, continuous management aimed at the lowest net cost. High-value biosimilars and generics are preferred over high-cost, low-clinical-value drugs.
Utilization management
Traditional PBM model:
Profit per claim can create conflicts of interest.
Gravie:
Rigorous reviews reserve high-cost drugs for the members who benefit most, using comprehensive clinical coverage criteria and verified medical documentation where appropriate.
Prevention
Traditional PBM model:
Cookie-cutter drug lists that don’t support true prevention.
Gravie:
Customized for key drugs to encourage proactive care and lower spend, including $0 coverage for preventive medications that can help members avoid costly ER visits and hospitalizations.
BROKER TOOLS
Your clients’ pharmacy needs, all in one place
Formulary guide
Tiers, requirements, and limits by drug name
Price a drug
Estimate pricing for a specific medication.
Coverage review
How providers can request a review for excluded drugs
GravieRx Overview
A complete summary of Gravie’s pharmacy program, on a single page
Why Gravie built a different kind of pharmacy benefit
Learn what realigning pharmacy incentives could do for your clients.
Every group’s pharmacy needs are different. Book a 15-minute call with our team to discuss what a clinical-first, pharmacist-led approach could look like for the ones you serve.
