“AJ is a great entrepreneur and founder. He recognizes the awesome opportunities and at the same time does not lose sight of risks, something that entrepreneur often find fairly hard to do. In addition, AJ is selfless, loyal, openminded, confident and articulate. Its been a great experience working with him on the Truveris board. I would back AJ again as an investor given the opportunity.”
About
On a mission to give our country the electronic infrastructure it needs, for the…
Experience & Education
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Judi Health
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Publications
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Strategies employers can use to corral drug costs and change the system
Employee Benefit Adviser
See publicationThe article addresses the inherent flaws in current pharmacy benefit system. Specifically, the article explores the impact of flawed reference prices, disconnected buyers and sellers, and a system that artificially creates winners and losers through artificial price manipulation. Strategies are offered to help employers place better controls during the bidding process and gain financial clarity to reveal actual plan performance.
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NADAC Pricing: A New Tool for Prescription Drug Cost Management
Benefits Magazine
Using the National Average Drug Acquisition Cost (NADAC) as a fair benchmark for prescription drug prices holds potential for improving transparency and saving money for health plans. NADAC is published by CMS and is used by 33 states for Medicaid reimbursement. As a fair, unbiased, reference-based pricing system, self-insured groups (employers, public sector, unions) can remove artificial price inflation and variability created by PBMs to improve margins, often at the expense of retail…
Using the National Average Drug Acquisition Cost (NADAC) as a fair benchmark for prescription drug prices holds potential for improving transparency and saving money for health plans. NADAC is published by CMS and is used by 33 states for Medicaid reimbursement. As a fair, unbiased, reference-based pricing system, self-insured groups (employers, public sector, unions) can remove artificial price inflation and variability created by PBMs to improve margins, often at the expense of retail pharmacies.
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The Next Step in Pharmacy Benefit Management
LRP Publications / Human Resource Executive
Pharmacy benefit management is expanding beyond the focus on higher co-payments and moving employees to generic prescription drugs. Several new-to-market vendors are bringing fresh perspectives and solutions to the business. Carol Harnett is a widely respected consultant, speaker, writer and trendspotter in the fields of employee benefits, health and productivity management, health and performance innovation, and value-based health. Follow her on Twitter via @carolharnett and on her video blog,…
Pharmacy benefit management is expanding beyond the focus on higher co-payments and moving employees to generic prescription drugs. Several new-to-market vendors are bringing fresh perspectives and solutions to the business. Carol Harnett is a widely respected consultant, speaker, writer and trendspotter in the fields of employee benefits, health and productivity management, health and performance innovation, and value-based health. Follow her on Twitter via @carolharnett and on her video blog, The Work.Love.Play.Daily.
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Patents
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System and Methods for Centralized Buffering and Interactive Routing of Electronic Data Messages Over a Computer Network
Issued 12,437,863
An electronic prescription is obtained over a network. A synthetic prescription is generated from the electronic prescription and provided to an insurance switching system. Insurance information of a patient is received from the insurance switching system based on the synthetic prescription. An auto-reversal of the synthetic prescription with the insurance switching system is triggered. A patient payment amount associated with the particular pharmaceutical is determined based on the insurance…
An electronic prescription is obtained over a network. A synthetic prescription is generated from the electronic prescription and provided to an insurance switching system. Insurance information of a patient is received from the insurance switching system based on the synthetic prescription. An auto-reversal of the synthetic prescription with the insurance switching system is triggered. A patient payment amount associated with the particular pharmaceutical is determined based on the insurance information. One or more pharmacies to fulfill the electronic prescription are identified based on patient information. An interactive routing request data message is provided to the patient, the data message including the patient payment amount and a request for selection of a particular pharmacy of the one or more
pharmacies. The selection of the particular pharmacy is received from a computing device associated with the patient. In response to receiving the selection, the electronic prescription is routed to the particular pharmacy. -
Systems for Reimbursing and Reconciling Pharmacy-Related Transactions
Issued 12,211,036
A method of reimbursing pharmacy-related transactions includes receiving first data describing a transaction between a patient and a pharmacy. The transaction includes dispensing of a medication. A reimbursement data packet is determined based on the first data. The reimbursement data packet includes second data describing a reimbursement claim to be submitted to a payer system for the transaction. The reimbursement data packet is transmitted from the computer system to a plurality of other…
A method of reimbursing pharmacy-related transactions includes receiving first data describing a transaction between a patient and a pharmacy. The transaction includes dispensing of a medication. A reimbursement data packet is determined based on the first data. The reimbursement data packet includes second data describing a reimbursement claim to be submitted to a payer system for the transaction. The reimbursement data packet is transmitted from the computer system to a plurality of other computer systems. A response is received from each of the other computer systems. Each response indicates whether a respective one of the other computer systems determined that the reimbursement claim is valid. A determination is made that the reimbursement claim is valid based on the responses. An entry describing the transaction and reimbursement claim is added to a ledger, and the reimbursement claim is submitted for fulfillment.
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Computing Technologies for Data Organization Based on Tags
Issued 11,983,192
Enables creation of various tags and tagging of various data structures with a claim administration structure. Tagged elements and data structures can be processed by various application programs, without reprograming of these application programs or with minimal reprogramming of these application programs, because these tags accommodate or account for potential changes to the data structures (e.g., in format) that are made before these data structure are received for processing.
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Systems for Reimbursing and Reconciling Pharmacy-Related Transactions
Issued 11,830,000
A peer-to-peer financial system for pharmacies to compress reimbursement time from payers, reduce fraud, and improve patient engagement.
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Systems and Methods for Centralized Buffering and Interactive Routing of Electronic Data Messages Over a Computer Network
Issued US 11,610,668
The patent pertains to systems for routing electronic data messages over a computer network. More specifically, this patent pertains to systems for centralized buffering and interactive routing of electronic data messages over a computer network.
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System and Method for Managing Selection of Prescription Drug Plans
Issued US 10,817,920
A system and method for managing selection of a prescription drug plan, based on generating a request for proposal (RFP), submitting the RFP to prescription benefit management (PBM) vendors, receiving bids from PBM vendors, and calculating weighted scores of the bids to determine total score for the plan.
Honors & Awards
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Deloitte Fast500 (4x Winner)
Deloitte
Deloitte Technology Fast 500 honors the most innovative, fastest-growing public and private companies from all over North America. The awards program was created to recognize the passion and dedication it takes to be an industry disrupter. Capital Rx has been recognized by Deloitte as a Fast500 award winner in 2022 (#15), 2023 (#136), 2024 (#179), and 2025 (#147).
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Digital Health 100 (6x Honoree + Hall of Fame Award)
New York City Health Business Leaders
Digital Health 100 celebrates the most promising growth companies, a true who’s who of NY healthcare. Capital Rx is an award recipient for 2020, 2021, 2022, 2023, 2024, and 2025.
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Inc. 5000 2025 - Fastest Growing Companies (4x Winner)
Inc.
Each year, Inc. ranks the 5000 fastest growing companies in America. The analysis and ranking is based upon three years of revenue growth. Honored nationally for four consecutive years: 2022, 2023, 2024, and 2025.
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Time - World's Top HealthTech Companies 2025
Time
To determine the world’s top health tech companies in 2025, TIME partnered with Statista to conduct a global analysis of companies delivering the most impactful technologies to improve health. The companies were ranked on three metrics—financial performance, reputation analysis, and online engagement—and classified into categories depending on the service they provide.
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MedTech Breakthrough Awards - Best Healthcare InsurTech Solution
MedTech
"Best Healthcare InsurTech Solution" award in the 9th annual MedTech Breakthrough Awards program, conducted by MedTech Breakthrough, an independent market intelligence organization that recognizes the top companies, technologies and products in the global digital health and medical technology market.
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Inc. Regionals 2024 - Fastest Growing Companies - Northeast
Inc.
Inc. names the fastest growing private companies in the US.
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NYC Tech Awards
Primary Venture Partners - Health Technology Award
The NYC Tech Awards honor the most impressive startups of the past year—those who've clinched big fundraises, built inspiring visions, and had a meaningful impact.
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EY Entrepreneur of the Year NY Award Winner
EY
The Entrepreneur Of The Year program has been celebrating the ambitious visionaries who are leading successful, dynamic businesses for nearly four decades. Founded in 1986, the New York program includes Connecticut and New York.
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Crain's New York - Notable Leaders in Healthcare
Crain's
Crain's honors Notable Leaders in Health Care for their vital work to maintain the city’s health care system and the city itself.
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Forbes Best Startup Employer
Forbes
Best Startup Employers were selected following an in-depth analysis of over seven million data points collected from 2,600 qualified companies. The “social listening” model, complemented by extensive desk work, examines defined KPIs that would guide potential candidates in finding innovative and stable startups to work for. For the second year in a row, Capital Rx ranks in the top 10% of qualified companies and the top half of the 500 finalists.
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Deloitte Fast500 #15 (Nation) | #1 (Healthcare)
Deloitte
Deloitte Technology Fast 500 honors the most innovative, fastest-growing public and private companies from all over North America. The awards program was created to recognize the passion and dedication it takes to be an industry disrupter.
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Fierce Innovation Award - Financial & Operational Platforms
Fierce Healthcare
Innovation award to determine which companies demonstrate innovative solutions that have the greatest potential to save money, engage patients, or revolutionize the industry.
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Crain’s NY Fast50 #1
Crain’s
Crain’s honors the fifty fastest growing companies in New York.
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Inc. 5000 - Fastest Growing Companies #33
Inc. Magazine
Each year, Inc. ranks the 5000 fastest growing companies in America. The analysis and ranking is based upon three years of revenue growth.
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EY Entrepreneur of the Year - New York Finalist
EY
Entrepreneur Of The Year recognizes the most ambitious leaders who are building and sustaining successful, dynamic businesses around the world. Entrepreneur Of The Year Award winners comprise a global network of like-minded visionaries, each on a transformational journey to create, innovate, grow, learn and build a better world.
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Stevie Award - Health Technology Solution - Gold
Stevie Awards
The Stevie® Award trophy is one of the world's most coveted prizes. Since 2002 the Gold Stevie Award has been conferred for achievement in business to organizations and individuals in more than 60 nations.
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Inc. Regionals 2022 - Fastest Growing Companies - Northeast #3 | Health #1
Inc.
Inc. names the 923 fastest growing companies in the US.
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Stevie Award - Customer Service in Healthcare - Bronze
Stevie Awards
The Stevie® Award trophy is one of the world's most coveted prizes. Since 2002 the Gold Stevie Award has been conferred for achievement in business to organizations and individuals in more than 60 nations.
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Best Places to Work 2022
Built In
Best Places to Work is an awards program for companies located in eight major markets across the U.S., including Austin, Boston, Chicago, Colorado, Los Angeles, New York, Seattle and San Francisco. It rates companies algorithmically based on their compensation, benefits and culture programs.
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Fierce 15
Fierce Healthcare
Fierce Healthcare honors 15 companies that have achieved the highest levels of growth and innovation, even in the face of fierce competition.
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Best in Business 2021
Inc. Magazine
Recognizes small- and medium-size privately held American businesses that have had an outstanding influence on their communities, their industries, the environment, or society as a whole.
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Growjo Fastest Growing Companies 2021
Growjo
2021 Fastest growing company in healthcare: #4
2021 Fastest growing company in NYC: #32
2021 Fastest growing company in NY: #32
2021 Fastest growing company in the US: #54 -
Top 10 AI Companies in Healthcare 2021
Analytics Insight
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Edison Awards 2021
Edison Awards
The Edison Awards are named after the inventor Thomas Edison, honoring innovations in product and service development, marketing and human-centered design. Categories range from green technology to medical breakthroughs. The Edison Awards Steering Committee reviews nominations; the finalists are then voted on by a large panel drawn from business professionals, scientists and academia. Entries are judged based on societal impact, creativity and marketplace success.
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Best Places to Work 2021
Built In
Best Places to Work is an awards program for companies located in eight major markets across the U.S., including Austin, Boston, Chicago, Colorado, Los Angeles, New York, Seattle and San Francisco. It rates companies algorithmically based on their compensation, benefits and culture programs.
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AMCP Gold Ribbon 2020
Academy of Managed Care Pharmacy (AMCP)
Award for a five-year study comparing AWP to NADAC drug pricing, demonstrating the deflationary accuracy of acquisition-based price reporting.
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2020 Accenture HealthTech Innovation Champion
Accenture
Since its inception, the Accenture HealthTech Innovation Challenge has brought healthcare organizations and startups together to tackle the world’s biggest health issues. Since inception, Accenture has received more than 2,200 applications, invited more than 90 startups to compete, benefitted from the time and guidance of nearly 1,000 executive judges and awarded 10 trophies to the most innovative health care startups.
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2018 Economic Freedom Award
Economic Freedom Institute (EFI)
The Economic Freedom Institute (EFI) provides a forum for the study, analysis, and discussion of the nature of economic freedom and its implications. It fosters the exchange and development of ideas concerning policies and programs of importance in regional, national, and international arenas. The Economic Freedom Award identifies corporate executives, leaders from labor unions, and government officials that seek to challenge existing regulations and redefine business practices that encroach…
The Economic Freedom Institute (EFI) provides a forum for the study, analysis, and discussion of the nature of economic freedom and its implications. It fosters the exchange and development of ideas concerning policies and programs of importance in regional, national, and international arenas. The Economic Freedom Award identifies corporate executives, leaders from labor unions, and government officials that seek to challenge existing regulations and redefine business practices that encroach upon economic advancement.
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2017 Crain's Fast50
Crain's
Crain's Fast50 honors the fastest growing companies in New York. To be considered for the Fast 50, firms had to be at least four years old, generate at least $10 million in 2018 revenue and be headquartered in the New York metropolitan area, which includes the five boroughs; Nassau, Suffolk and Westchester counties; and Bergen, Essex, Hudson, Morris and Union counties in New Jersey.
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2017 Deloitte Fast 500
Deloitte
The Technology Fast 500 is the leading technology awards program. Combining technological innovation, entrepreneurship, and rapid growth, Fast 500 companies—large, small, public, and private—hail from cities far and wide across North America and are disrupting the technology industry. Representing industries from software to biotech, Fast 500 companies play in the SaaS, cloud computing, data analytics, and mobile sectors.
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2016 Deloitte Fast 500
Deloitte
The Technology Fast 500 is the leading technology awards program. Combining technological innovation, entrepreneurship, and rapid growth, Fast 500 companies—large, small, public, and private—hail from cities far and wide across North America and are disrupting the technology industry. Representing industries from software to biotech, Fast 500 companies play in the SaaS, cloud computing, data analytics, and mobile sectors.
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2015 PBMI Excellence Awards
Pharmacy Benefit Management Institute (PBMI)
Awarded for an exceptional contribution to pharmacy management in the area of cost containment.
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