SmithRx vs Carrot Fertility
Side-by-side comparison of AI visibility scores, market position, and capabilities
SmithRx is a San Francisco-based modern PBM founded in 2016 with ~$105M raised; operates on a 100% pass-through model with zero spread pricing; reduces employer drug costs by an average of 30%;
About
SmithRx is a San Francisco-based pharmacy benefits manager (PBM) founded in 2016 by Jake Frenz with a mission to eliminate the opacity, conflicts of interest, and hidden revenue practices that characterize the legacy PBM industry. Operating on a fully transparent, fiduciary-aligned model, SmithRx passes through 100% of rebates and discounts to its employer clients, charges flat administrative fees rather than spread pricing, and provides detailed, auditable reporting on every pharmacy transaction — a stark departure from the "black box" model used by the three dominant PBMs (CVS Caremark, Express Scripts, and OptumRx) that collectively control approximately 80% of the U.S. prescription drug market.
Carrot Fertility is a global fertility benefits platform offering employers customizable coverage for IVF, adoption, surrogacy, menopause, and low-cost medication through 50+ countries.
About
Carrot Fertility is a global fertility and family-forming benefits company founded in 2016 by Tammy Sun, raising over $100M to build the most comprehensive employer fertility benefits platform globally. The company offers employers a highly customizable benefits program covering IVF, egg freezing, donor services, adoption, gestational surrogacy, menopause care, and gender-affirming family building across 50+ countries. Carrot operates a digital-first model that connects members with clinical resources, care navigation, and financial support rather than owning a proprietary clinic network. The platform integrates with leading fertility clinics and medication pharmacies to provide members access to vetted care at competitive prices, including a Carrot Rx program that sources fertility medications at significantly below-retail prices. Carrot serves hundreds of employers including major technology companies, professional services firms, and global corporations that want inclusive fertility benefits covering all paths to parenthood. The company competes with Progyny and Kindbody in the US employer fertility benefits market while leading in global coverage for international employers with diverse workforces across multiple countries.
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