VIVIO Health

VIVIO Health, founded in 2016, is a Public Benefit Corporation that operates a data-driven alternative to traditional Pharmacy Benefit Managers (PBMs). Working with self-insured employers, the company applies analytics to drug pricing and clinical decision-making, combining clinical trial data, patient-level information and market prices to match individual patients with appropriate drugs at negotiated prices. The resulting model is managed by an in-house clinical team and is reported to save large and mid-sized self-insured employers 25-35% of current drug spend, with broader savings estimates of 30-50%.

Its technical work spans data analytics, patient-level data analysis, the use of clinical trial evidence, drug pricing optimization and pharmacy benefit management technology. The VIVIO Health PBM Alternative Platform is structured as an open market model for drug spend management and covers all drug categories - specialty, non-specialty and medical drugs - which the company describes as a distinguishing feature among partners in the sector.

The company operates without external capital, funding itself through profits that it reinvests in research and development. It states a transparency-first approach to pharmacy benefits, with no rebates, no formularies and no out-of-network pharmacies, and is SOC 2 compliant. Its cost-saving claims have been validated by the Validation Institute. As a Public Benefit Corporation, it is structured to prioritise the interests of employers and their members over profit maximisation.