MedImpact Unveils Innovative PMPM Guarantee Model
San Diego, CA – September 25, 2025 – MedImpact, the nation’s largest independent pharmacy benefits technology and health solutions provider, today announced the launch of MedImpact OnePrice™, a new approach to prescription drug cost containment that offers clients a predictable, transparent, and performance-backed Per Member, Per Month (PMPM) pricing model. Unlike other guarantees on the market, MedImpact stands firmly behind its commitment—putting its entire administrative fee at risk to ensure clients meet the guaranteed PMPM targets.
“The MedImpact OnePrice program is our answer to the market’s demand for cost certainty, accountability, and savings,” said Zach Johnson, MedImpact Executive Vice President. “We believe so strongly in the effectiveness of our clinical and cost savings strategies that we’re putting our entire administrative fee on the line.”
MedImpact OnePrice is a bundle of the company’s most effective cost containment solutions designed to help self-insured health plans take control of rising pharmacy costs without sacrificing clinical effectiveness, access, or care. MedImpact OnePrice is projected to save clients up to 20% in costs, while improving budgeting and planning.
Key Features:
- 100% Pass-Through: Clients receive full transparency into rebates and manufacturer discounts
- Financial Predictability: A guaranteed monthly PMPM eliminates cost surprises and simplifies budget planning
- Transparent, Fixed Administrative Fees: MedImpact’s clearly defined administrative fee covers all services, with 100% of this fee tied to meeting the PMPM pricing target
- Advanced Cost Containment: Combines a full suite of savings programs—including formulary alignment, utilization management, copay assistance (for specialty and non-specialty drugs), an integrated discount card, and high-cost generic drug management
- Annual Reconciliation: PMPM rates are trued up at year-end to maintain fairness and transparency
The MedImpact OnePrice guarantee is based on an analysis of the client’s claims over a 12-month period adjusted annually based on drug and population trends, new drugs entering the market, and other factors.
“Accountability and transparency are touchstones of our company,” continued Johnson. “MedImpact OnePrice is our way of proving it—by aligning our fees with client success to deliver real value.”
