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WithMe Health offers a full-service replacement for traditional PBMs and also provides a personalized medication guidance service that can complement existing PBM infrastructure. Their approach has been validated to reduce per member per month pharmacy costs by 29% compared to traditional PBMs through improved pricing transparency and utilization management. The company leverages data integration from pharmacy, medical, and lab sources to tailor recommendations via clinical pharmacists ("Medication Guides"), aiming to optimize outcomes and lower total cost of care.
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