Specialty RX, Inc.

Ridgefield Park, NJ RetailNAICS 446190

Self-funded health planPlan year 2025Renews January
915ParticipantsPrior year not comparable
$2.2MEst. pharmacy spend / yrParticipants × national avg.
Jan 2027Next renewalPlan year begins January 1
#10 of 16Retail in NJBy participants

Overview

Specialty RX, Inc. sponsors a self-funded health plan that covered 915 participants in plan year 2025. The plan year starts in January. Alongside medical, its benefits filing reports life insurance, dental, vision, short-term disability, and more.

Plan type
ERISA welfare benefit plan, self-funded (benefits paid from employer assets or a trust)
Participants
915 · prior year 416
Plan year
Begins January 1 · next renewal January 2027
Health plans filed
Specialty RX, Inc. Employee Benefits Plan, plan 501 (915 participants)
Stop-loss carrier
Gerber
Broker compensation
$40K across insured contracts
MedicalLife insuranceDentalVisionShort-term disabilityPrepaid legalLong-term disabilityOther welfare benefits

Insurance carriers

Insured coverage reported on Schedule A. Self-funded medical claims aren't reported there.

CarrierCoverageCoveredPremiumBroker comp
GerberStop-loss616$519K—
The Guardian Life Insurance Company of AmericaDental, Vision, Life696$457K$31K
The Lincoln National Life Insurance CompanyLife, Long-term disability, Short-term disability891$70K$5K
Metropolitan General Insurance CompanyPrepaid Legal Services167$20K$4K

Pharmacy benefit estimate

StreamRX estimate for a plan this size. Not based on this plan's claims.

$2.2M/ year

Estimated prescription spend: 915 participants × $2,371 national average per member. Usually higher once dependents are counted.

$56K–$139K/ year

Typical savings opportunity found in independent reviews of plans this size.

Brands with a generic available$16K–$41K
Lower-cost therapeutic alternatives$24K–$50K
Generic pricing vs. actual cost$10K–$31K
PBM contract terms$5K–$16K
The DOL's PBM fee disclosure rule first applies to this plan for the plan year beginning January 2028: semiannual PBM compensation reports and an annual audit right.

Form 5500 filing details

Filing
Form 5500 with Schedule A, plan year 2025
Plan sponsor
Specialty RX, Inc.
Sponsor EIN
74-3046353
Plan number
501
Filed with
U.S. Department of Labor (EBSA) via EFAST2

Verify this filing: search EIN 74-3046353 in the Department of Labor's EFAST2 Form 5500 search.

Retirement plan

Plan
Specialty RX, Inc. 401 (k) Saving Plan
Type
401(k) plan
Participants
826

About this data

Source: Specialty RX, Inc.'s Form 5500 filing for plan year 2025 and its Schedule A insurance reports, published by the U.S. Department of Labor. "Self-funded" means the filing reports benefits paid from employer assets or a trust, with no medical insurance contract or with a stop-loss contract. Pharmacy figures are StreamRX estimates based on national averages. StreamRX is not affiliated with Specialty RX, Inc..

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