Yes, that domain works too. You found the right place.
One Rx card. Best price for the patient. Your pharmacy doesn't lose money. Your deductible actually counts. Built out of spite.
The Big 3 PBMs — CVS Caremark, Express Scripts, Optum Rx — control 80% of the market. Here's what that means for you.
You're paying full price for your medication AND silently losing deductible credit when a discount card is cheaper than your insurance. Who has a fax machine to send a PDF to Carelon? Nobody. That's the point.
Your local pharmacy loses money filling your GoodRx prescription. They get paid below their cost to dispense, charged $0.10-0.25 per claims attempt, and steered patients away. The Big 3 call that "efficiency."
The "good" PBMs can't even see real drug costs. Rebate aggregators demand their entire transaction list, return a lump-sum "rebate," and never reveal per-drug accounting. Oh, and the aggregator is owned by their competitor.
Spite Health is a PBC proxy Rx benefits card. Think GoodRx, but built by people who actually give a shit about pharmacies and patients.
Patient hands over the card, pharmacist runs it once. We auto-select the best option across their insurance, discount cards, manufacturer rebates, and benefits programs. No more running 5 different cards.
If the "best price" would pay the pharmacy below their cost to dispense, we tell you. A couple extra bucks keeps your local pharmacy alive instead of sending their margin to PBM shareholders.
If insurance isn't used because a discount was cheaper, we auto-submit a pre-filled PDF to your plan. Your out-of-pocket spending counts toward your deductible. Today, you just silently lose that credit.
Sick of the runaround. Sick of overpaying. Sick of a system that makes you choose between your health and your wallet.
Fighting to survive against PBM clawbacks, below-cost reimbursements, and patient steering. You deserve to get paid for doing your job.
The ones trying to do it right. You need real cost data, not opaque rebate lump sums from your competitor's subsidiary.
Spite Health is a Public Benefit Corporation. Our charter requires us to serve patients and pharmacies, not shareholders.
Built with direct input from pharmacy owners, chain pharmacists, and transparent PBM leadership. We didn't guess at the problem — we mapped it with the people living it.
Our founder is a healthcare tech veteran and CoverMyMeds alumni with 10+ years in the space. He also lives with Ulcerative Colitis and has personally navigated the nightmare of figuring out how to pay for medications — even with a Prior Authorization approved.
This isn't a startup looking for a problem. This is a problem that finally found someone angry enough to build the solution.
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