MedImpact Healthcare Systems, based in San Diego, California, announced on February 2 that it acquired Sav-RX. The financial terms of the acquisition were not disclosed.
Sav-Rx is a pharmacy benefit manager (PBM) located in Fremont, Nebraska. It was founded in 1968.
MedImpact Healthcare Systems is one of the largest privately held providers of PBM services in the country. The company provides PBM services to 47 million members.
Combined with MedImpact’s national scale, clinical capabilities and technology platform, the acquisition enhances MedImpact’s ability to deliver more comprehensive, flexible and cost-effective solutions across its client base. Sav-Rx will continue to operate independently, with no changes to its leadership or its service model.
“This investment reflects our deep and longstanding commitment to organized labor,” said Frederick Howe, MedImpact’s Chairman and CEO. “Sav-Rx brings decades of labor-focused experience, and together we are building a broader health solutions platform with the scale, expertise, and flexibility to serve clients in even more meaningful ways.”
According to data captured in the LevinPro HC database, this transaction represents the first PBM transaction of the year. There were two PBM acquisitions announced in 2025, and one in 2024. Deal volume in the PBM space is low because the vast majority of PBMs are already consolidated under larger companies like Caremark (CVS Health), Express Scripts (Cigna) and OptumRX (UnitedHealth), so opportunities for acquisitions are seldom.

