RxUtility

Cover Block

Field	Value
Name	RxUtility
Tagline	Healthcare technology providing real-time access to copay assistance and prescription pricing data for affordability
Headquarters	Nashville, TN
Business Model	API / Developer Platform
Industry	Healthtech
Technology Type	Software (Non-AI)
Geography	North America
Growth Profile	Venture Scale
Founding Team	Solo Founder

Links

• Website: https://rxutility.com
• LinkedIn: https://www.linkedin.com/company/rxutility
• Founder LinkedIn (Miriam Paramore): https://www.linkedin.com/in/miriamparamore/

What an Investor Needs First

RxUtility is a Nashville-based health IT company that operates a real-time API exposing aggregated manufacturer copay coupons and cash-discount pharmacy pricing to providers, pharmacists, employers, payers, and digital health partners [Business Wire, Feb 2026]. The company's core thesis is that prescription abandonment is primarily a price-discovery problem at the point of care, a thesis backed by its own December 2025 report citing 98 million prescriptions abandoned annually in the United States due to cost [Business Wire, Dec 2025]. The product is positioned as infrastructure: a single endpoint that returns the lowest available out-of-pocket price across coupon, cash, and discount-card paths, intended to be embedded inside existing pharmacy and provider workflows [RxUtility]. Founder and CEO Miriam Paramore brings a directly relevant operating record, having previously served as President of OptimizeRx and prior senior roles at Emdeon, PDX, and Lucro [GlobeNewswire, Jul 2017] [Fierce Healthcare]. Early commercial validation is visible through a February 2026 partnership with Buzz Health to widen consumer-facing price transparency [Business Wire, Feb 2026].

Data Accuracy: GREEN -- Confirmed by Business Wire, GlobeNewswire, and the RxUtility company site.

Taxonomy Snapshot

Axis	Value
Business Model	API / Developer Platform
Industry / Vertical	Healthtech, prescription affordability
Technology Type	Software (Non-AI)
Geography	North America
Growth Profile	Venture Scale
Founding Team	Solo Founder

Inside the Company

RxUtility is a purpose-built infrastructure layer for prescription affordability, headquartered in Nashville, Tennessee [RxUtility]. Miriam Paramore is named as CEO and founder in the December 2025 announcement of the company's prescription abandonment report [Business Wire, Dec 2025].

In December 2025, RxUtility published a report quantifying prescription abandonment due to cost at 98 million scripts per year in the United States [Business Wire, Dec 2025]. In February 2026, RxUtility announced a partnership with Buzz Health to extend medication price transparency to consumers [Business Wire, Feb 2026] [Morningstar, Feb 2026] [Yahoo Finance, Feb 2026].

Data Accuracy: YELLOW -- Founding date and legal entity not confirmed; leadership and recent milestones confirmed across two or more outlets.

Under the Hood

The RxUtility product is a real-time prescription pricing data API that returns copay coupon eligibility and cash discount pricing at the pharmacy level, designed to be called inside provider e-prescribing flows or pharmacy dispensing workflows [RxUtility]. The company describes two underlying datasets: an aggregated database of manufacturer copay coupons, and real-time cash discount card pricing at every pharmacy [RxUtility]. The February 2026 partnership release positions RxUtility as the only company to connect providers, pharmacists, employers, payers, and digital health partners with real-time access to that combined dataset [Business Wire, Feb 2026].

The product surface area is consistent with a conventional REST or GraphQL service backed by a normalized coupon and pricing database. The company describes itself as Software (Non-AI); the moat narrative rests on data aggregation completeness and real-time freshness.

Data Accuracy: YELLOW -- Product features confirmed by company site and partnership press; technical architecture not independently verified.

Market Research and Opportunity

RxUtility's market entry aligns with the shift of prescription affordability to a board-level concern for payers, employers, and pharmacy chains. The company's December 2025 report puts annual U.S. prescription abandonment due to cost at 98 million scripts [Business Wire, Dec 2025].

Metric	Value
U.S. prescriptions abandoned annually due to cost	98 million

Data Accuracy: YELLOW -- Single quantified data point, sourced to a company-published report; demand drivers corroborated by general industry context.

Competition and Substitutes

RxUtility competes in a crowded prescription-economics stack. The segment splits into consumer-facing discount and coupon brands (e.g., GoodRx), point-of-prescribing benefits-check tools (e.g., Surescripts), and the point-of-care medication affordability stack inhabited by OptimizeRx, where founder Miriam Paramore previously served as President [GlobeNewswire, Jul 2017].

RxUtility's edge lies in the founder's insight into manufacturer-coupon distribution and the API-first packaging, which serves as a wedge into digital health partners and self-insured employer tooling [RxUtility].

Data Accuracy: ORANGE -- Competitor set inferred from category knowledge rather than from named comparisons in the cited sources.

Opportunity

RxUtility aims to become the default real-time price-and-coupon API that sits underneath every consumer touchpoint where a prescription gets priced.

Scenario	What happens	Catalyst	Why it's plausible
Embedded API for digital health	RxUtility becomes the default pricing API for telehealth, DPC, and digital pharmacy platforms	Repeat of the Buzz Health pattern with 5 to 10 named partners	The Buzz Health deal demonstrates the integration motion works [Business Wire, Feb 2026]
Self-insured employer wedge	RxUtility lands inside benefits-administration platforms that serve Fortune 1000 self-insured employers	A benefits-platform partnership or a marquee employer pilot	Employer pressure on Rx spend is a documented top-three benefits cost driver
Pharmacy workflow standard	Independent and regional pharmacy chains adopt the API to surface lowest-price options at the counter	A pharmacy software vendor integration	Founder's prior PDX experience is directly relevant [Fierce Healthcare]

Data Accuracy: YELLOW -- Scenarios anchored to one confirmed partnership, one company-published market data point, and one named public comparable.

Sources

1. [RxUtility] Lower Prescription Costs with RxUtility API Integration | https://rxutility.com/getstarted
2. [RxUtility] About | https://rxutility.com/about
3. [RxUtility] Use Cases | https://rxutility.com/usecases
4. [RxUtility] Speaker Bio: Miriam Paramore | https://rxutility.com/speaker-bio---miriam-paramore
5. [LinkedIn] RxUtility company page | https://www.linkedin.com/company/rxutility
6. [LinkedIn] Miriam Paramore profile | https://www.linkedin.com/in/miriamparamore/
7. [Business Wire, Feb 2026] RxUtility and Buzz Health Partner to Boost Medication Price Transparency for Consumers | https://www.businesswire.com/news/home/20260203078211/en/RxUtility-and-Buzz-Health-Partner-to-Boost-Medication-Price-Transparency-for-Consumers
8. [Morningstar, Feb 2026] RxUtility and Buzz Health Partner to Boost Medication Price Transparency for Consumers | https://www.morningstar.com/news/business-wire/20260203078211/rxutility-and-buzz-health-partner-to-boost-medication-price-transparency-for-consumers
9. [Yahoo Finance, Feb 2026] RxUtility and Buzz Health Partner to Boost Medication Price Transparency for Consumers | https://finance.yahoo.com/news/rxutility-buzz-health-partner-boost-141500365.html
10. [Business Wire, Dec 2025] Americans Abandon 98 Million Prescriptions Annually Due to Cost, Finds New RxUtility Report | https://www.businesswire.com/news/home/20251203584551/en/Americans-Abandon-98-Million-Prescriptions-Annually-Due-to-Cost-Finds-New-RxUtility-Report
11. [GlobeNewswire, Jul 2017] OptimizeRx Appoints Health IT Industry Veteran, Miriam Paramore, as President | https://www.globenewswire.com/news-release/2017/07/31/1064917/0/en/OptimizeRx-Appoints-Health-IT-Industry-Veteran-Miriam-Paramore-as-President-Paramore-to-Drive-Scale-as-OptimizeRx-Offers-Medication-Savings-at-Point-of-Care.html
12. [Fierce Healthcare] Miriam Paramore author profile | https://www.fiercehealthcare.com/person/miriam-paramore
13. [Outcomes Rocket Podcast] Making Medications Affordable and Ensuring Compliance with Miriam Paramore | https://anchor.fm/outcomesrocket/episodes/Making-Medications-Affordable-and-Ensuring-Compliance-with-Miriam-Paramore--President-of-OptimizeRx-eduhrv