Pharmacy Solutions
Transparent. Savings-driven. 360° insights.
Advancing Medicaid pharmacy oversight with data-driven performance.
Gainwell Rx™ Pharmacy Solutions provides states with transparency, control, and deep Medicaid expertise for robust pharmacy programs. We meet you where you are—supporting Fee-for-Service (FFS), Managed Care Organization (MCO), and Single Pharmacy Benefit Administrator (SPBMA) or Manager (SPBM)—with conflict-free operations and full visibility into pricing, rebates, and clinical decisions.
Our modular solutions adapt to your needs, supporting policy control from Preferred Drug List management to comprehensive administration. Implementing Gainwell Enterprise™ and Gainwell Rx integrates pharmacy and medical claims that deliver real-time analytics and 360-degree insights, empowering you to control costs, monitor trends, and drive better program outcomes.
Contact us to start the conversation today.
Pharmacy solutions built for Medicaid performance.
Actionable insights that
empower healthcare progress.
We’re passionate about delivering ideas that can help shape the future of
healthcare, using education and transparency to improve health outcomes for all.
How can we support you?
Optimize Medicaid drug spending and improve patient care with pharmacy solutions that serve more than 25 million members.
Is Your State Ready for What CMS Expects Next With AI?
Federal mandates are accelerating. Interoperability deadlines are here. AI is no longer optional — it's an operational imperative. This 3-minute diagnostic reveals where your Medicaid program stands across the five dimensions that matter most.
Your AI Readiness Score
out of 60
Category Breakdown
From Assessment to Action
Gainwell.ai meets you where you are and moves you forward with confidence. Forged in Medicaid, compliant with CMS mandates, and built to deploy without disrupting your existing workflows.