specialty-pharmacy
(8)
The Cigna Group
The insurance card is only the front door. Behind it sits a $274.9 billion machine spanning pharmacy benefits, specialty medicine, behavioral care and digital health - built to make a fragmented system behave more like one business.
100ms
100ms builds voice-first AI agents for U.S. healthcare operations. Founded in 2020 as a low-code live video and audio infrastructure platform, the company pivoted to healthcare, applying its real-time communications expertise to automate patient access workflows - benefits verification, prior authorization, referral intake, scheduling, and intake - so care teams spend less time on phones and patients start treatment faster. Its agents are built to be HIPAA-compliant, with clinical safety guardrails and human escalation.
Lamar Health
Lamar Health is a San Francisco software company that automates the paperwork behind expensive specialty medications. Its AI-driven platform handles unified intake, insurance verification, clinical and payor requirement checks, and prior authorization submission and tracking for specialty pharmacies, infusion clinics, and home infusion pharmacies - the drugs that average around $70,000 per patient per year. Founded by Ph.D. geneticist Eesha Sharma and backed by Y Combinator (W21), Lamar aims to get patients on therapy in days instead of weeks without forcing providers to add headcount.
PARx Solutions
PARx Solutions is a Burlington, Massachusetts healthcare technology and services company that untangles one of medicine's most frustrating chores: prior authorization. Its Prior Authorization Support System (PASS) pairs a secure web portal with a call center of healthcare and reimbursement specialists who handle the paperwork and back-and-forth with health plans on a prescriber's behalf. Because the service is sponsored by drug manufacturers, it is free to physician offices and pharmacies, and it helps patients actually get the medications their doctors prescribed rather than abandoning treatment in the administrative maze.
Mandolin
Mandolin is a San Francisco healthcare AI company building agents that handle the paperwork blocking patients from specialty drugs. Its software automates intake, benefits verification, prior authorization, and claims work for infusion providers, specialty pharmacies, and health systems - the back office that decides how quickly a cancer or Alzheimer's patient actually gets treated.
Float Health
Float Health runs an on-demand marketplace that dispatches vetted registered nurses to patients' homes for specialty medication infusions. The San Francisco startup pairs an AI-powered scheduling platform with a gig-style nurse network, and acts as the staffing backbone for specialty pharmacies like CVS, Optum, Walgreens, Kroger and Option Care Health.
House Rx
House Rx is a San Francisco-based healthcare technology company that partners with specialty clinics to enable medically integrated dispensing (MID) - a model where physicians, pharmacists, nurses, and care coordinators work together as one unified team. Founded in 2021 by Flatiron Health veterans Ogi Kavazovic and Tesh Khullar, the company builds AI-enabled pharmacy management software that keeps specialty medications dispensed at the point of care, cutting average time-to-therapy from 15.5 days to 3.5 days and achieving 95% medication adherence. With $100M raised across Seed, Series A, and Series B rounds, House Rx serves 80 clinic sites, 1,000+ providers, and nearly 61,000 patients, processing approximately $1.5 billion in specialty prescriptions annually.
Plenful
Plenful is a San Francisco-based AI workflow automation company building software that takes the busywork out of pharmacy and healthcare operations. Founded in 2021 by former pharmacy operator Joy Liu, the company helps health systems, specialty pharmacies, and infusion teams automate 340B audits, rebate management, prior authorization, and patient intake - work that has long been trapped in PDFs, faxes, and spreadsheets.