Stop Loss / Capitation

Allocate a fixed amount of money per patient for the delivery of appropriate drug benefits.

Stop Loss Capitation

Control prescription costs while securing access to high-quality health benefits for your patients.

The capitation agreement process is complex. Phoenix PBM simplifies requirements and customizes innovative stop loss solutions for brokers, consultants and TPAs. We work directly with dedicated Managing General Underwriters (MGUs) who concentrate on prescription drug stop loss insurance, helping to produce sustainable cost efficiencies.

Phoenix capitation solutions minimize risk and the high claims costs associated with self-funding prescription benefit plans. By allocating a fixed amount of money per patient for the delivery of drug benefits, we position you to control costs and secure access to highest quality health benefits for each patient.

Our team is readily accessible, knowledgeable and committed to developing an alliance between health care demands, employee benefits and employers’ success.

Phoenix provides access to the fundamental resources that help people live healthier lives.

We have excelled in this effort for decades by providing bigger savings, more options, better resources, and the best customer service in the business.

Better Savings

The Phoenix System is a static transaction-based fee structure that is simple to understand provides access to the greatest possible benefits for brokers, agents, TPAs, organizations and patients.

More Options

Phoenix PBM clients have the prescription benefits they need at the fairest price. We review financial, plan design, eligibility, and rebate details with you to verify that you're getting the greatest value from every element in your plan.

Better Resources

Better information is at the center of better health. The Phoenix dashboard puts your accounts, options, and statistics like user demographics, claims reports, and brand name and generic use reports at your fingertips.

Peerless Customer Service

Customer service excellence lives at our core. When you call, we answer. When you have a question, we have a thoughtful answer. Our team is pharmacy trained, bilingual, and committed to meeting your specific prescription benefit needs.

Retail Pharmacy

Phoenix retail pharmacy benefits give you choice and convenience. Access independent and chain pharmacies to get the prescriptions you need quickly – no claims to file and no waiting for reimbursement.

Specialty Pharmaceuticals

Counteract the high cost of specialty pharmacies. Trust Phoenix to connect you with providers who offer appropriate solutions and the most competitive pricing on your particular medications.

Prior Authorization & Step Therapy

Phoenix helps to satisfy the need for affordable and effective specialty medications with pharmaceutical benefit solutions built on collaboration between physicians, pharmacists, and other healthcare professionals working with current, peer-reviewed, clinically relevant research.

Why Phoenix

With Phoenix, brokers, TPAs, labor unions, and consumers benefit from scalable, low-cost individualized prescription benefit plans and the very best customer responsiveness and care.

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Corporate Overview

Learn how Phoenix is simplifying complex healthcare solutions and creating successful, affordable prescription benefits programs for our clients and their customers.


What can your PBM do for you? If your PBM is Phoenix, everything you need.

Count on Phoenix for personalized, flexible benefits backed by absolute service excellence. We know this complex market. We listen first and innovate wisely. Phoenix is your best source of savings, options, and reporting resources because we turn our strengths into benefits that become yours.

Find Your PBM Solutions

The Phoenix Pharmacy Network Offers National Coverage and Reliability

With more than 60,000 participating pharmacies, the Phoenix Pharmacy Network includes every major pharmacy chain, as well as most regional chains and independent pharmacies. That means you can assure your clients have freedom of choice, enhanced discounts, and convenient access to the care and affordable solutions they need.

WalgreensCVSRiteAidWalmartKrogerSafewayAlbertsonsShopRiteWegmansHEBDuane ReadePathMarkStop & ShopBioPlusDiplomatApogee

Questions? Let’s talk.

Phoenix is a committed, responsive partner who listens first and works hard to address your needs so we can succeed together. How can we help you?

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