State Governments

Who We Help

State & Local Governments

State Governments

A pharmacy solution built for public sector health plans.

Protect budgets. Strengthen care.

Reduce low-value drug spend while improving outcomes across Medicaid and public employee plans.

Public programs can’t afford pharmacy waste. Every unnecessary prescription drains dollars from behavioral health, maternal outcomes, and rural access. RazorMetrics is purpose-built to redirect that spend toward priorities that strengthen communities.

Other tools fall short because they rely on members to initiate savings, disrupt provider workflows, or miss clinical waste outside traditional formulary controls. RazorMetrics closes those gaps.

Medicaid teams use RazorMetrics to reduce waste quickly and predictably—without new workflows, member disruption, or IT projects.

Why State Plans Choose RazorMetrics

RazorMetrics is the only platform that operates entirely through the prescribing physician.

Our 75% physician response rate is driven by one critical fact: we require no new software, no portals, and no training.

Medicaid agencies rely on RazorMetrics as a sole-source partner because no other solution reduces clinical waste at scale while fully preserving provider workflows.

What we target

RazorMetrics focuses on the four categories that drive the majority of low-value pharmacy spend in Medicaid and public health plans.

Polypharmacy Management
Identify overlapping or redundant therapies and work directly with prescribers to reduce unnecessary drug load.
Deprescribing

Flag medications that are outdated, high-risk, or no longer clinically appropriate, reducing adverse events and avoidable state expenditures.

Biosimilar Adoption

Support safe, physician-approved switches to lower-cost biosimilars to avoid overspending on biologics.

Therapeutic Optimization

Surface clinically equivalent, lower-cost alternatives aligned with state-preferred drug lists and evidence-based guidelines—without formulary redesign.

Designed for How Public Plans Actually Work

A simple approach with consistently strong results.

RazorMetrics succeeds in public plans because it aligns with how physicians already practice, how government programs operate, and how Medicaid members actually use their benefits. By removing friction, not adding it, we deliver predictable and repeatable savings.

Physician Directed
Physician-Directed

All recommendations go through the prescriber first. Members are contacted only after physician approval.

Voluntary & Non-Disruptive

No mandates, apps, or workflow changes. Providers stay in control.

CMS-Aligned​

Supports federal goals to reduce fraud, waste, and abuse without adding administrative complexity.

Proven
Proven by Medicaid. Built for Government.

Traditional Pharmacy Tools Don’t Work for Public Plans

A simple approach with consistently strong results.

Most pharmacy tools aren’t designed for Medicaid realities. They fall short because they:

X

rely on members to initiate savings (not effective for $0-copay populations)

X

use RTBT systems that disrupt provider workflows

X

miss clinical waste beyond traditional formulary tools like prior authorization

RazorMetrics solves these gaps with a physician-directed, clinically grounded platform that reduces waste without adding administrative burden.

Automated savings backed by technology you can trust

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Go from signup to savings quickly and effortlessly with RxEdge™. There’s no implementation cost, no integration, and no worry with our money-back guarantee. Learn more about the RazorMetrics™ approach to cost containment, powered by our proprietary RazorCodex™.

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As the member companion to RxEdge™, RxAdvocate™ provides easy online access to medication, savings, and claims information–without an extra app to manage. Learn more about our transparent and friction-free member experience.

Precision, Predictability, 
and No Surprises

RazorMetrics reduces pharmacy waste in public plans — quietly, clinically, and fast. For Medicaid agencies and state employers seeking a procurement-ready, low-risk solution, there is no alternative with comparable impact.

Learn more about the easiest way to cut drug spend by 10% with a guide you can share with stakeholders in your business.

Contact Us

See what RazorMetrics can save your state — Talk to our Government Solutions Team

OR GIVE US A CALL 855-972-9070