SAINT LOUIS, MISSOURI – January 14, 2026 – Gateway Business Health Coalition (BHC), formerly the Saint Louis Area Business Health Coalition, an employer-driven coalition focused on maximizing the value of employers’ health care investments, announced a new strategic partnership with Archimedes, a recognized leader in specialty drug management solutions. This collaboration introduces an innovative specialty pharmacy benefit management (PBM) option for coalition members, designed to address one of the fastest-growing cost drivers in health care. Archimedes was chosen through a process led by Foundational Pharmacy Strategies, acquired by MacroHealth in June of 2025, which culminated in a PBM Innovation Forum hosted by BHC.
Specialty drug spend now exceeds 50% of total pharmacy costs, creating an urgent need for solutions that balance affordability with access to clinically appropriate therapies. Through this partnership, Gateway BHC members can leverage Archimedes’ proven specialty management services, which deliver average savings of 30–54% in the first year.
One of Gateway BHC’s largest members—with more than 40,000 covered lives—is the first to implement this new specialty PBM solution, effective January 1st.
“Our employer members have been clear—they want pharmacy benefit solutions that prioritize transparency and help contain the rising costs of specialty drugs for their sickest plan members. We’re pleased to add Archimedes as an additional option within our growing PBM coalition portfolio, giving members more solutions to address their most pressing challenges ,” said Laurel Pickering, President and CEO of Gateway Business Health Coalition.
“Archimedes is excited to be partnering with the Gateway BHC. From day one, Archimedes has partnered with our clients to build a sustainable health benefit by focusing on the lowest net-cost and clinically appropriate therapy” said Tom Traylor, Chief Growth Offer at Archimedes. “Working with Gateway Business Health Coalition enables synergy between like-minded organizations, offering coalition members optimized specialty pharmacy benefits at scale.”
About Gateway Business Health Coalition
Since 1982, the Gateway Business Health Coalition has supported employer efforts to improve the well-being of their enrollees and enhance the quality and overall value of their investments in health benefits. A non-profit organization, the Gateway BHC strives to make health care work better for businesses, their employees, and the communities they call home.
To learn more, visit: www.gatewaybhc.org
About Archimedes
Archimedes is the industry leader in specialty drug management solutions. Founded with the goal of transforming the PBM industry to provide the necessary ingredients for the sustainability of the prescription drug benefit – alignment, value and transparency – Archimedes achieves superior results for clients by eliminating tightly held PBM conflicts of interest including drug spread, rebate retention, pharmacy ownership and delivering the most rigorous clinical management at the lowest net cost.
To learn more, visit: www.archimedesrx.com
About MacroHealth and Foundational Pharmacy Strategies
Trusted by leading healthcare Payers and enterprises, MacroHealth is modernizing the healthcare marketplace to measurably improve access, cost, and quality. MacroHealth’s Intelligent Health Market-as-a-Service (IHMaaS) platform leverages data science and industry-standard interoperability to enable Payers and Health Market Partners to optimize and connect their unique healthcare ecosystems. In 2025, MacroHealth purchased Foundational Pharmacy Strategies to bolster its IHMaaS, expand its offerings into the pharmaceutical space, and reduce prescription costs.
To learn more, visit: www.macrohealth.com
Contacts
For questions and media inquiries, contact Karen Poston, Gateway Business Health Coalition, (314)721-7800 ext. 105 or kposton@gatewaybhc.org.