The model we refuse to run
The legacy PBM makes money in the dark. A spread between what the pharmacy is paid and what your plan is billed. Rebates that never reach you. Formulary placement sold to the highest bidder. None of it itemized, all of it defended as “proprietary.” The employer pays, the member waits, and nobody can check the math.
We think that model is a choice, not a law of nature. In an era where every claim can be adjudicated, logged, and shown to you in real time, the only reason to keep the books hidden is that the hidden part is where the money was.
How we make money
One flat per-member-per-month administrative fee, disclosed up front and fixed in your contract. That is it. Not spread. Not retained rebates. Not formulary kickbacks. Not pharmacy steering. The drug itself passes straight through at cost. When the way we earn is a single disclosed line, and it does not grow when your drug spend does, our incentives and your plan's incentives point the same direction.
What we will never do
- No spread. You pay what the pharmacy was paid for the drug. To the cent.
- No retained rebates. 100% of manufacturer rebates are credited to your plan, line-itemed as they arrive.
- No formulary-for-sale. Placement follows clinical and cost evidence, not who paid for the slot.
- No volume-based fees. Our one administrative fee is flat, per member per month, fixed in your contract. Never a per-claim charge, never a cut of spend. We do not earn more when your drug costs rise.
Who Kanurra is for
Self-funded employers who are tired of a pharmacy line they cannot defend to their board, and the brokers, advisors, and TPAs who put their own reputation on every recommendation. A benefit you can audit is a benefit a fiduciary can stand behind. We built Kanurra so that the advisor recommending it looks smarter for having found it.
Who is behind it
Kanurra, Inc. was founded by Semih Gultekin, an AI engineer who came up building clinical and agentic systems in healthcare, and who previously built and sold a healthcare-AI company. He went deep on how PBMs price, adjudicate, and bill, and concluded the hidden part wasn't complexity, it was the point. Kanurra is the company he wanted to exist: one that earns on a single disclosed line and proves it, fill by fill.
Want the longer version, or to talk to a human? Reach us here.
Don't take our word for it.
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