Vivid Clear Rx goes to market with ‘clear intentions, clear savings’ mantra Food and drug retailer Hy-Vee recently added a new dimension to its health care operations with the launch of Vivid Clear Rx, a pharmacy benefits manager (PBM). Leading the new subsidiary as Vivid Clear Rx president is Mike Agostino, who serves as senior vice president of pharmacy business development at West Des Moines, Iowa-based Hy-Vee. Based in Omaha, Neb., Vivid Clear Rx will offer Hy-Vee’s more than 88,000 employees as well as other employers a menu of flexible, affordable PBM services, powered by health technology provider RxSense. The goal is to help businesses optimize their health care investment by providing employees with the best benefits at the best value.