PBMs do not have to be this way.

You pay exactly what the pharmacy was paid for the drug: no markup, no spread, 100% of rebates credited back. Our only charge is a separate flat per-member-per-month administrative fee, disclosed in your contract. The drug cost is printed on every claim and reconciled to the cent.

100% of every rebate we capture is credited directly to your plan, line-itemed in the ledger as it arrives. We keep none as revenue. Rebate dollars depend on the manufacturer agreements in force and will differ from an incumbent's book. What does not differ is that we retain zero, and our contracts are visible to the plan sponsor.

You shouldn't. You should check us. Every claim is auditable in real time, down to the dollar: acquisition cost, dispensing fee, $0 spread, rebate credited back. We are not asking for the benefit of the doubt; we are removing the need for it. And the parts that have to be battle-tested are not new. We run on established claim-adjudication, pharmacy-network, and rebate rails the industry already relies on. What is new is the only thing that should be: a PBM that shows its work. Ask, and we name them: the adjudication platform, pharmacy network, and rebate aggregator are disclosed in diligence and fixed in your contract.

No network change is required. Members keep their pharmacies. We did not rebuild the plumbing; we run on the same proven adjudication engine, network, and rebate infrastructure the incumbents use, with a transparent, flat-fee, auditable layer on top. Before anything moves we run a disruption analysis. Then we handle the eligibility files, ID cards, and member comms, with your team approving each step, and continuity on open prior authorizations, specialty, and GLP-1 therapies. Members see the same counter, a clearer copay, and faster prior auth.

Most groups implement in about four to eight weeks. Because we rent the proven rails rather than reinventing them, go-live is not a science project. It is eligibility, formulary, and pharmacy-network setup on infrastructure that already works, with a named human on the phone at go-live and your team reviewing and approving every step.

Your compensation is disclosed and flat, paid out of our margin, never carved from spread or a rebate the employer cannot see. You keep your client relationship and your master contract, and we do not go direct to a partner's book. The same fee disclosure that protects the employer protects you: it puts you ahead of the CAA and DOL transparency rules instead of exposed by them.

A licensed pharmacist owns the formulary and signs every off-pathway prior-authorization decision, with the exact criteria applied logged on each claim. The AI never denies. It approves the clean cases and escalates everything else to a clinician. Your clinical contacts are named in your contract.

Only the flat per-member-per-month administrative fee. Not spread, not rebate retention, not formulary placement, not pharmacy steering. That is the entire point.