We are on a mission to redefine the industry.

Our executive team brings deep expertise and bold vision to transform the future of health benefits.

Anthony J. Loiacono
Chief Executive Officer
Anthony J. Loiacono
Chief Executive Officer

AJ is a serial entrepreneur with over 20 years of experience in pharmacy benefits, finance, and software development. As the CEO of Capital Rx, his mission is to upgrade America’s healthcare infrastructure to deliver the highest level of client service and patient engagement while reducing total cost of care. AJ has spent his career studying the pharmaceutical supply chain and developing solutions that have continually redefined the pharmacy benefit industry to achieve this goal. Before Capital Rx, AJ was a co-founder of Truveris, where he served for eight years as CEO, CIO, and a board member, leading the company to record growth (Deloitte FAST 500 and Crain’s Fast 50). Prior to Truveris, AJ co-founded SMS Partners, a joint venture with Realogy (RLGY), and in 2010 exited the partnership with a buyout. In his first venture, AJ started Victrix, a pharmaceutical supply chain consultancy, which was successfully sold to Chrysalis Solutions in 2007.

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Ryan Kelly
Chief Technology Officer
Ryan Kelly
Chief Technology Officer

Ryan is the head of technology, leading Capital Rx’s software development and catapulting the antiquated systems of the PBM industry into the 21st century. With over a decade of experience in software development, architecture, security, compliance, and analytics, Ryan has the diverse skills and innovative vision necessary to reimagine the modern healthcare startup. Before Capital Rx, Ryan served as the software architect for Truveris, managing the design, implementation, QA/QC, and client delivery for all products. Ryan was uniquely positioned to oversee programs servicing the entirety of the pharmacy supply chain, and during his tenure he securely and efficiently processed and stored over 1 billion claim transactions. Prior to Truveris, Ryan worked as an engineer at LiveTechnology, an ad technology company providing PAAS solutions for media agencies.

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Bryan Birch
Chief Operating Officer
Bryan Birch
Chief Operating Officer

Bryan is the Chief Operating Officer of Capital Rx, where he previously served as the Chief Financial Officer and Strategic Adviser. Bryan has held leadership positions in Managed Care, HCIT and Pharmacy Services companies over the past 30 years. Most notably he was the Chair and CEO of Truveris, a pharmacy claims technology company, the Chairman and CEO of Touchstone Health, an MAPD Plan in NY, and President of Medco’s Employer Account division, where he also served as an Executive Committee member of the firm, helping to take them public in 2003. Bryan has also held executive leadership positions at Signify Health, Empire Blue Cross Blue Shield, and Oxford Health Plans. Bryan was also a co-founder of iHealth Technologies, which was later merged with Connelly to form Cotiviti.

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Antonio Garcia Cueto
Chief Financial Officer
Antonio Garcia Cueto
Chief Financial Officer

Antonio joined Capital Rx as Chief Financial Officer in June 2024. Antonio leads Capital Rx’s Finance department and is responsible for all matters related to financial strategy, FP&A and financial reporting, amongst others. Prior to joining Capital Rx, Antonio served as Eden Health’s Chief Financial and Chief Operating Officer, overseeing financial strategy, corporate development, M&A, operations, and customer success for the provider of primary care, mental health care, and care navigation. He is a founding member of The F Suite, an independent executive peer community for CFOs, and he brings over two decades of financial, legal, and operating experience to Capital Rx from roles at organizations like REEF, KPMG, and the IFC-World Bank.

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Kristin Begley, PharmD
Chief Commercial Officer
Kristin Begley, PharmD
Chief Commercial Officer

Kristin Begley, PharmD, is the Chief Commercial Officer at Capital Rx and an industry leader in health information technology innovation and the pharmaceutical supply chain. Kristin is responsible for expanding and growing Capital Rx’s commercial business and oversight of market-facing initiatives. She brings a wealth of knowledge to the role based on years of experience in the pharmacy sector, working on value-based care programs, helping build health technology infrastructure, and providing payers and health systems with modular software, hardware, and health advocacy solutions. Before joining Capital Rx, Kristin held executive leadership positions at companies including, but not limited to, Wildflower Health, Truveris, and Aon-Hewitt.

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Sunil Budhrani, MD, MPH, MBA
Chief Innovation & Medical Officer
Sunil Budhrani, MD, MPH, MBA
Chief Innovation & Medical Officer

Dr. Sunil Budhrani is the Chief Innovation and Medical Officer at Capital Rx, where he is responsible for innovative clinical offerings and partnerships, expansion of Judi® platform capabilities, enhanced pharmacy benefit management (PBM) and administration solutions, and continued success with membership growth. He is a Board-Certified Emergency Medicine Physician on the George Washington University School of Medicine faculty and has managed departments and practiced at several other leading institutions nationwide. Dr. Budhrani brings decades of experience as a physician executive to Capital Rx, having most recently served as the Chief Executive Officer of Innovation Health, a first-of-its-kind payer-provider partnership between CVS/Aetna and one of the largest health systems in the Washington DC Metropolitan Area, INOVA Health System. In addition to his roles in hospital settings, Dr. Budhrani also founded one of the first national end-to-end telemedicine solution companies, CareClix Telemedicine, and prior to that, a multi-sited, regional Urgent Care system, PrimeMed Urgent Care Systems. He also served as the first Chief Medical Officer of the Affordable Care Act health plan, Evergreen Health Care, for the State of Maryland.

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Sara Izadi, PharmD
Chief Clinical Officer
Sara Izadi, PharmD
Chief Clinical Officer

Sara is responsible for overseeing and managing all aspects of Clinical functions at Capital Rx, working cross-functionally with different internal and external stakeholders. Sara leverages more than a decade of experience across pharmacy benefits, physician organizations, hospitals, retail pharmacies, and clinical research to develop and guide clinical operations. Before Capital Rx, Sara served as Senior Pharmacist and Program Lead for an OptumCare independent physician organization where she led the development of the Pharmacy Department, transformed the utilization management process, and implemented multiple clinical programs overseeing drug utilization for more than a million covered members. Sara has also held roles such as Clinical Pharmacist, Drug Therapy Management at OptumRx, and Lead Research Pharmacist.

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William Tafoya
Senior Vice President, Customer Care
William Tafoya
Senior Vice President, Customer Care

William is responsible for leading Capital Rx’s award-winning service operations functions that deliver exceptional, personalized service to all members, clients, pharmacies, and healthcare providers. Will holds more than 40 years of industry leadership experience advancing operational execution and excellence, leading enterprise-wide change initiatives to foster growth, innovation, and continuous improvement. Before joining Capital Rx, Will was Senior Vice President of Operations at Elixir Solutions and has also held positions of increasing responsibility at CVS Health, Caremark, and Merck-Medco.

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Maria Espinosa
Senior Vice President, RFP Underwriting & Client Analytics
Maria Espinosa
Senior Vice President, RFP Underwriting & Client Analytics

Maria joined Capital Rx in September 2022 as a Senior Vice President responsible for contracting and underwriting initiatives, as well as leadership of the RFP, pricing, and client analytics teams. Before Capital Rx, she held various senior finance, reimbursement, and analytics roles, most recently with Alto Pharmacy, Candid Health, and Indy Health. Prior to those, Maria spent over 14 years at Elixir (EnvisionRx Options), and as Vice President of Financial Strategy & Analytics, she was responsible for underwriting, pricing, pharmacy contractual performance, client contractual performance and audit, and client analytics.

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Ryan Kelly
Chief Technology Officer
Ryan Kelly
Chief Technology Officer

Ryan is the head of technology, leading Capital Rx’s software development and catapulting the antiquated systems of the PBM industry into the 21st century. With over a decade of experience in software development, architecture, security, compliance, and analytics, Ryan has the diverse skills and innovative vision necessary to reimagine the modern healthcare startup. Before Capital Rx, Ryan served as the software architect for Truveris, managing the design, implementation, QA/QC, and client delivery for all products. Ryan was uniquely positioned to oversee programs servicing the entirety of the pharmacy supply chain, and during his tenure he securely and efficiently processed and stored over 1 billion claim transactions. Prior to Truveris, Ryan worked as an engineer at LiveTechnology, an ad technology company providing PAAS solutions for media agencies.

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Karen Dierker, PMP
Executive Vice President, Enterprise Solutions
Karen Dierker, PMP
Executive Vice President, Enterprise Solutions

Karen joined Capital Rx as one of the first 10 employees and was a key leader in the development and launch of Judi® in 2021. Currently, she leads the Enterprise Solutions team, accountable for the delivery and service of Judi as a platform to customers leveraging our SaaS arrangements. Previously, Karen served as the SVP of Product Management responsible for expanding upon Judi's core capabilities and leading a team of 20+ Product Managers and UI/UX Designers. In Capital Rx’s nascency, Karen built and scaled the implementation department from scratch, developing the operating infrastructure to service our growing client base across new business lines while maintaining a 100% implementation satisfaction score.

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Elizabeth Pattyn
Senior Vice President, Innovation & Life Sciences
Elizabeth Pattyn
Senior Vice President, Innovation & Life Sciences

Elizabeth is responsible for all aspects of Capital Rx Advantage, our prescription discount card program, as well as new product development and launch initiatives. Before joining Capital Rx, Elizabeth was Vice President of Life Sciences at Truveris, where she created and scaled the Life Sciences business. Prior to that, Elizabeth was an Engagement Manager in Oliver Wyman’s Health and Life Sciences practice, where she worked on strategy and growth initiatives for health insurers, providers, pharmacies, and life sciences companies.

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Kristin Begley, PharmD
Chief Commercial Officer
Kristin Begley, PharmD
Chief Commercial Officer

Kristin Begley, PharmD, is the Chief Commercial Officer at Capital Rx and an industry leader in health information technology innovation and the pharmaceutical supply chain. Kristin is responsible for expanding and growing Capital Rx’s commercial business and oversight of market-facing initiatives. She brings a wealth of knowledge to the role based on years of experience in the pharmacy sector, working on value-based care programs, helping build health technology infrastructure, and providing payers and health systems with modular software, hardware, and health advocacy solutions. Before joining Capital Rx, Kristin held executive leadership positions at companies including, but not limited to, Wildflower Health, Truveris, and Aon-Hewitt.

kristin-begley
Joshua Golden
Senior Vice President, Strategy
Joshua Golden
Senior Vice President, Strategy

Josh is responsible for assessing market trends, evaluating business initiatives, and developing strategic partnerships to support the continued growth of Capital Rx. Prior to Capital Rx, Josh served as Area Senior Vice President at Solid Benefit Guidance, a division of Arthur J. Gallagher & Co. He was responsible for the successful delivery of a wide range of pharmacy consulting solutions to Fortune 500 employers, government entities, labor unions, and health plans. Prior to joining Solid Benefit Guidance in 2016, Josh was the Practice Leader of the Employer Consulting Segment of Pharmaceutical Strategies Group, LLC. He has also held strategic consulting positions at Aon Hewitt, Mercer Human Resource Consulting, and Buck Consultants. Josh has a Bachelor of Science degree in Industrial and Labor Relations from Cornell University. In his free time, he enjoys travel, cooking, and sharing his passion for music and astronomy with his two young children.

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Nicholas Van Hook
Senior Vice President, National Business Development
Nicholas Van Hook
Senior Vice President, National Business Development

Nick Van Hook is the Senior Vice President of National Business Development at Capital Rx, where he leads commercial sales and growth initiatives with a focus on transforming healthcare through technology. With over 14 years of experience in the pharmacy benefit industry, Nick brings deep expertise and strategic insight to his role.

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Michael Passanante, FACHE
Senior Vice President of Marketing & Communications
Michael Passanante, FACHE
Senior Vice President of Marketing & Communications

Michael Passanante leads the Marketing & Communications team at Capital Rx, responsible for product marketing, demand generation, content strategy, revenue operations, events, internal communications, branding, media relations and creative design. Michael brings over twenty years of marketing and healthcare experience to Capital Rx, having worked at firms such as SDI Health (IQVIA), Sanofi-Aventis, Thomson Reuters Life Sciences, and BESLER. He has launched major PaaS offerings and related services across multiple market segments within healthcare and life sciences.

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Michael Miele, FSA, MAAA
Senior Vice President, Insured Services
Michael Miele, FSA, MAAA
Senior Vice President, Insured Services

Mike is responsible for developing business relationships with advisors, payers, and health systems at Capital Rx. Mike is a health care actuary with significant experience in all aspects of employer health and welfare benefits, including pharmacy benefit management, data analytics, and medical management. Before Capital Rx, Mike held many senior leadership positions over 12 years at Arthur J. Gallagher, where he established their national pharmacy practice. Prior to joining Gallagher, Mike was the founder of PatientCentrix, a medical management and data management provider that he sold to SHPS Healthcare.

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