Core Engine
Orchestrating Smarter Pharmacy Claims
About The Platform
Our advanced, real-time pharmacy cost optimization platform empowers Payors and PBMs to proactively control prescription drug costs. It intelligently orchestrates across networks to instantly identify and adjudicate the lowest-cost drug options at the point of dispensing. Seamlessly integrated with existing workflows, it supports both cash and plan-pay scenarios, enhancing savings, prescription adherence, operational efficiency, and member satisfaction.
Achieve Significant Cost Savings
Lower
Up to 25% on
Total Pharmacy Spend
Achieve
Average Savings
of $30 Per Claim
Reduce
Cost for One-third
of All Pharmacy Claims
Our Mission
To empower PBMs and Health Plans with innovative, real-time pharmacy cost optimization that drives meaningful savings, enhances member value, and transforms the economics of drug benefit management. By making medications more affordable and accessible, we help improve adherence and deliver better health outcomes—while reducing overall medical costs.
Powered By An Intelligent Core
Engineered for Performance, Security and Scale
Our platform is built on a high-performance, enterprise-grade infrastructure that has processed over 80 million claims, demonstrating its scalability and robustness.
Purpose-built for speed, reliability, and intelligence, it delivers real-time pharmacy cost optimization at scale without compromising security or flexibility
Seamless Clearinghouse Integration
Natively integrates with leading clearinghouses to support
real-time, bi-directional data exchange and payment workflows.
Real-Time Advanced Processing
Executes intelligent, multi-step orchestration—pricing lookup, reversals, adjudication, and savings validation—in under a second, without disrupting standard pharmacy workflows.
Dynamic Pre- and
Post-Adjudication Innovation
Embeds configurable, logic-driven rules to optimize savings before and after adjudication, enabling custom strategies for real-time financial impact
Tailored, Configurable Savings Logic
Supports granular rule configuration aligned with plan-specific goals—balancing savings distribution intelligently across PBMs, Plans, and Members
Comprehensive Claim Management
Robust handling of real-world claim scenarios including duplicate fills, delayed B1/B2 submissions, and edge-case processing workflows
Industry-Validated Reliability
Maintains 99.99%+ uptime and meets strict clearinghouse SLAs, ensuring high availability, resilience, and uninterrupted performance in production environments