Full-stack PBM infrastructure — white-labeled, advisor-led, and platform-agnostic. Built by operators who have run these systems at scale for decades, not a startup with a marketplace thesis.
Our founders and advisors have held senior roles at national PBMs, health plans, and health technology companies. We've built what we're now helping you operate — at scale, across every line of business.
PBM infrastructure is only as good as the people guiding its configuration. Every engagement is backed by advisors who have operated these systems in the real world — not a team that recently entered the market with a new platform model.
We stay involved well beyond go-live — helping you adapt to market shifts, biosimilar waves, GLP-1 dynamics, formulary changes, and regulatory developments as they happen.
Acumetric Solutions was founded on a simple premise: the organizations best positioned to transform pharmacy benefits are the ones that don't have to start from scratch — and don't have to bet on a single vendor to get there.
We built this platform because we spent decades watching organizations — health plans, TPAs, IDNs, employers, and new market entrants — struggle to access enterprise-grade PBM infrastructure without the cost, complexity, and lock-in of building or buying it themselves.
Our answer is a fully white-labeled, advisor-supported, platform-agnostic infrastructure stack that gives you the capabilities of a national PBM — without being beholden to any single technology vendor.
The result: faster time-to-market, lower total cost of ownership, maximum flexibility, and a partner who genuinely understands the terrain.
Every component you need to operate a full pharmacy benefit — including the highest-impact clinical levers of 2025 and beyond.
Nationwide retail, mail-order, and specialty pharmacy access — fully branded to your organization. Our team has deep network contracting experience and helps you position your network for competitive advantage, including own-use and preferred channel strategies.
Evidence-based prior authorization, step therapy, and DUR — embedded in your benefit design. Our clinical advisors balance cost management with appropriate access, and bring specific expertise in biosimilar adoption strategies, GLP-1 management, and 340B optimization.
Comprehensive management of high-cost therapies — patient support, affordability programs, biosimilar-first formulary strategy, and medical-pharmacy crosswalk analytics.
Real-time claims adjudication built for accuracy, speed, and auditability — supporting complex benefit structures, multi-tier formularies, and custom edits. Our platform-agnostic approach means we match each client to the adjudication engine that genuinely fits.
Full transparency into cost of goods, rebate management, 340B program integrity, and trade strategy. Our advisors have negotiated on both sides of the table — giving you an informed edge on margin optimization.
Most organizations treat pharmacy as a cost to manage. The most sophisticated ones are converting it into a revenue stream. Acumetric's advisors have the experience to help you make that shift.
Whether you're an IDN looking to insource your pharmacy strategy, a health plan optimizing channel economics, or a TPA expanding your service line, we help you capture value that a traditional PBM relationship leaves on the table.
For IDNs and health systems: structure your owned dispensing channels to maximize margin, formulary control, and 340B program value.
Biosimilar-first formulary strategies, manufacturer copay optimization, and preferred specialty channel design — structured to generate revenue, not just manage spend.
TPAs, health plans, and employer groups can launch fully branded PBM benefit products — expanding your service line without building the infrastructure yourself.
Purpose-built programs for the fastest-growing cost drivers in pharmacy — structured for sustainable coverage, predictable PMPM, and clinical appropriateness.
Our platform-agnostic model gives each client access to the most capable, modern technology for their specific needs.
Claims processed with simultaneous review of therapeutic alternatives, cost management rules, and clinical edits — at point of sale.
Direct connectivity to discount card vendors, 340B programs, manufacturer coupon and PAP programs, and eligibility systems.
Full data transparency across claims, rebates, COGs, and member outcomes — benchmarked against peer populations.
Take the full stack or layer individual components onto your existing infrastructure without wholesale replacement.
Our leadership and advisory team brings firsthand experience operating at the highest levels of the PBM industry. Not advisors who study this market. Advisors who built it.
"The problems in pharmacy benefits aren't new. What's new is having a partner who's already solved them — and built the infrastructure to prove it."— Scott Paul, Founder & CEO
Scott brings over 30 years of healthcare and health technology leadership to Acumetric. He founded Apex Affinity — a pharmacy discount company acquired by MedImpact in 2013 — then served as Executive Vice President at MedImpact Healthcare Systems for eight years. Most recently, Scott served as SVP of Healthcare & Consumer Innovation at GoodRx. His career spans founding, scaling, and advising organizations across the full pharmacy benefit ecosystem.
Our clinical advisors bring decades of formulary design, utilization management, and specialty drug pathway experience — including biosimilar strategy and GLP-1 program design.
Senior technology advisors with careers building adjudication engines, claims processing systems, and PBM platform infrastructure — giving Acumetric an informed perspective on every major platform in the market.
Pharmaceutical trade specialists with direct experience on both the buy and sell side — including rebate contract negotiation, manufacturer relations, GPO strategy, and 340B program integrity.
Former health plan and IDN executives who have managed pharmacy benefit programs and specialty strategy from the operator's seat.
We begin with advisory — understanding your market position, revenue goals, and benefit design objectives — before a single line of infrastructure is configured.
Experienced advisors at every stage, not a team deploying a templated marketplace solution.
Start the conversationSenior advisors map your organizational goals, revenue opportunities, existing infrastructure, and competitive context — before any scoping begins.
Because we maintain relationships with the leading PBM platforms — not just one — we match your needs to the infrastructure that genuinely fits your population, benefit design, and economics.
Seamless connection to your member portal, eligibility, and reporting systems. Our team stays present through launch, not just through delivery.
Continuous performance monitoring, rebate reconciliation, biosimilar and GLP-1 strategy updates, and trade optimization — guided by advisors invested in your outcomes.
Most PBM infrastructure providers are either owned by — or deeply committed to — a single platform vendor. That means their recommendations start with the answer and work backward.
Acumetric is fundamentally different. We are not beholden to any single platform. We maintain active relationships with the largest and most capable PBM technology platforms in the market — and we use those relationships to assemble the right stack for each client from the ground up.
The result: you get infrastructure optimized for your population, your benefit design, and your economics — selected by advisors whose only obligation is to your outcome.
We're not owned by, invested in, or contractually obligated to any single platform. Our only obligation is to find the right fit for you — every time.
Decades at the highest levels of the PBM industry means direct access to the platforms that matter — and the credibility to negotiate terms others can't.
Every infrastructure decision is made against a single standard: what delivers the best outcome for your members, your margins, and your goals.
Our advisors have operated these systems at scale for decades. We're not entering the market with a new model — we're the people who built the models others are now replicating.
Enterprise-grade PBM capabilities — and the experienced advisors to deploy them for maximum impact.
Insource your pharmacy strategy — converting owned dispensing channels, 340B programs, and specialty pipelines into revenue-generating assets.
Launch or scale pharmacy operations with platform-agnostic infrastructure — guided by advisors who know where value is made and lost.
Take control of your pharmacy benefit with full COGs visibility and advisors who understand GLP-1 and specialty cost drivers.
Expand your offering with a fully white-labeled PBM infrastructure product under your brand.
New entrants who need enterprise infrastructure and experienced advisors to compete from day one.
Our advisors are happy to share perspective on your market, benefit structure, revenue opportunities, and how our platform-agnostic approach can work for you — no obligation, no sales script.