SmithRx vs Epic Systems
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.
Epic holds over 42% of U.S. acute care hospital EHR market share and is embedding AI across 150+ clinical workflows for 2026, while facing antitrust scrutiny.
About
Epic Systems Corporation was founded in 1979 by Judith Faulkner and is headquartered in Verona, Wisconsin, remaining privately held with Faulkner as majority owner. The company develops large-scale electronic health record systems and reports that more than 305 million patients have a record in Epic, covering the majority of U.S. academic medical centers and large health systems including Kaiser Permanente, Mayo Clinic, Johns Hopkins, and Cleveland Clinic. Epic commands approximately 42% of U.S. acute care hospitals and nearly 55% of acute care hospital beds, making it the undisputed market leader in enterprise EHR.
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