The Rx Ohio Collaborative (RxOC) is an expanding benefit initiative for employers to save money on prescription drug costs at both the institutional and consumer level. Combining the benefits of plan independence and scale, the Rx Ohio Collaborative (RxOC) is working to reshape the delivery of the pharmacy benefit. Extending its buying power to all employee health plans, the RxOC is focused on improving value in prescription drug use by driving down the cost of drugs while helping to improve health outcomes. Beyond cost savings, the RxOC has developed a forum for creating strategies focused on positively impacting patient health and influencing the health care system to benefit participants and plan sponsors.