Loiacono: Capital Rx won Fortune 500s by operating 70% more efficiently
AJ Loiacono · He spent $0 on marketing—raised $400M at $3.25B valuation | Judi Health · Aug 24, 2026 · at 29:39
AJ Loiacono, founder and CEO of Capital Rx (Judi Health), discusses beating giant legacy pharmacy benefit managers despite having lower gross drug purchasing leverage.
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“So if you read my business plan at the start, it was, we need to operate 70% more efficient than three fortune 15 companies. Now, their purchasing power was higher, but if we operated that at that efficiency, we could beat them head to head and we could do something no one had ever done before, which is scale that model and start taking fortune 500 business away from them. And that's exactly what we did.”
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