
A practicing radiologist turned founder, Oshmyansky built Cost Plus Drugs on a blunt formula — cost plus 15% margin, $3 fee, $5 shipping — delivering over 2,000 medications at prices that have saved patients billions and forced Big Pharma to defend its markups.
Alex Oshmyansky is the Founder of Cost Plus Drugs, the online pharmacy (famously backed and co-branded with Mark Cuban) that has disrupted generic drug pricing in America.
Oshmyansky, a practicing radiologist, founded the company after witnessing the absurd markups on generic medications that cost patients thousands of dollars more than necessary. Cost Plus Drugs operates on a transparent pricing model: cost + 15% margin + $3 pharmacy fee + $5 shipping. The company has exposed the enormous markups embedded in the traditional pharmaceutical supply chain, saving patients billions of dollars on generic medications. Cost Plus Drugs has grown rapidly since its 2022 launch, now offering over 2,000 medications and operating its own manufacturing facility in Dallas. The company has partnered with major health systems and employers and has even offered some cancer drugs at 80% discounts to traditional pricing. Oshmyansky's combination of medical expertise and entrepreneurial vision-addressing a problem he personally witnessed harming patients-exemplifies how domain expertise can drive meaningful consumer impact. His work has forced the entire pharmaceutical industry to reckon with pricing transparency.

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