Who We Serve: PBMs

Streamline pharmacy benefits. Improve member experience.

Opyn automates prescription questions, ID card requests and PA status updates—and extends your ecosystem by integrating medical + pharmacy through our TPA connections. The result: a unified, modern experience that reduces operational burden and improves satisfaction.

Why PBMs Choose Opyn

Lower service volume. Higher adherence. Stronger performance.

Opyn brings medical and pharmacy benefits together under one connected, mobile-first experience—giving members the clarity they need to make informed decisions and helping PBMs reduce friction across the pharmacy journey. With proactive engagement and built-in cost-saving tools, PBMs can drive adherence, lower costs and elevate their value to clients.

Unified medical + pharmacy experience for members
Automated updates for PA status, ID cards & routine Rx tasks
Proactive refill reminders and lower-cost alternatives
Transparent drug pricing and formulary guidance
Reduced call volume and faster service delivery

UnifiedMedical + Pharmacy Experience

Deliver one of the industry’s first combined, AI-assisted benefit views. Surface drug costs, formulary info, and provider search alongside medical benefits to eliminate confusion for members.

Boost Adherence via Mobile Engagement

AI-assisted messaging pushes proactive alerts around refills, lower-cost alternatives, and pharmacy locations—driving adherence and reducing leakage.

Reduce Service Costs

Optimize your service desk by deploying AI to automate clinical follow-ups, streamline Coordination of Benefits (COB) logic, and provide instant answers to routine formulary and coverage questions.

Supercharge operations and CSR efficiency
‍Streamline service with a human–AI hybrid model. AI handles routine inquiries and escalates only what your team needs to review.

Lower costs for members and plans
‍Intercept high-cost events early with AI-driven navigation. Guide members to the right, in-network care or instant $0 virtual visits.

Grow your client base with best-in-class tools
‍Give clients shared access to member data and insights. Our Opyn platform enables seamless collaboration across brokers and stakeholders.

Your brand, your team, your preferred benefit solutions.
‍Make the platform your own with flexible branding and group-level configuration.

Go live in weeks, not months
‍Skip long implementations. We set up your book of business and train your team—delivering fast onboarding and faster ROI.