Miriam Paramore, RxUtility

Key Takeaways

• RxUtility aggregates coupons and cash prices in real time
• Platform shows lowest price at pharmacy checkout
• Addresses transparency gaps in US drug pricing
• Reduces out‑of‑pocket costs for patients
• Integrates via API with pharmacy management systems

Summary

In a quick‑bite interview at the February 2026 VIVE conference, Miriam Paramore discussed RxUtility, a health‑tech platform that consolidates manufacturer coupons and cash‑price data to present consumers with the lowest possible drug price at the point of dispensing. The solution pulls real‑time pricing from multiple sources, enabling pharmacies to automatically apply the best discount without manual lookup. Paramore highlighted how the fragmented US drug‑pricing landscape creates confusion and higher out‑of‑pocket costs, and she positioned RxUtility as a transparency tool for both patients and providers. The interview underscored the company’s ambition to scale through API integrations with pharmacy management systems.

Pulse Analysis

The United States drug‑pricing system remains one of the most opaque markets globally. Prices fluctuate across insurers, pharmacy benefit managers, and individual pharmacies, while manufacturers distribute a maze of coupons, rebates, and assistance programs. Consumers often leave the counter unaware of cheaper options, leading to higher out‑of‑pocket costs and non‑adherence. Recent policy debates push for price transparency, yet real‑time data at point of sale is scarce. This gap creates fertile ground for tech platforms that aggregate and simplify pricing for patients. Improved price visibility has been linked to higher medication adherence and better health outcomes.

RxUtility aggregates manufacturer coupons, discount cards, and cash‑price listings into a real‑time API engine. When a prescription enters a pharmacy’s system, the platform instantly calculates the lowest applicable price and applies the optimal discount before checkout. This eliminates manual coupon clipping, reduces errors, and speeds transactions. Integration with existing pharmacy management software requires minimal workflow changes, enabling rapid adoption across both independent and chain pharmacies. All transactions are encrypted, meeting HIPAA standards to protect patient information.

The ripple effect could reshape pharmacy economics. Wider adoption may pressure manufacturers to offer more competitive coupons, compressing overall market prices. Insurers could use the aggregated data to negotiate better contracts, while regulators may cite the platform as proof that technology delivers mandated transparency. The aggregated pricing data also enables predictive analytics for inventory management and demand forecasting. Scaling nationally hinges on data partnerships, compliance, and patient trust in digital discounts. If successful, RxUtility could become a standard checkout tool, changing how drug costs are communicated and managed.