Cost Plus charges $4.50 for Metformin. Traditional PBMs charge $85. But only the PBM purchase counts toward your deductible. We fix that.
Transparent pharmacies offer 70-90% savings. But those purchases don't count toward employer health plan deductibles or out-of-pocket maximums.
So patients rationally choose the expensive PBM option to accumulate deductible credit. Transparent pharmacies lose. Patients lose. Only PBMs win.
Documented governance workflows for fiduciary defense. Audit trails that demonstrate prudent action.
Finally: cheap drugs AND deductible credit. No more false choice.
Upload your claims data or use sample data to reveal the hidden markup
We convert transparent pharmacy transactions into EDI claims that employers recognize
Everything needed to make transparent pharmacy purchases plan-eligible
JWT authentication, member linking, role-based access. HIPAA-compliant.
Receive transactions from Cost Plus, Amazon, GoodRx. Self-service setup.
Normalize, validate, match to members. Confidence scoring.
Full ANSI X12 professional claims. Version 005010X222A1.
Availity integration. 999/277/835 handling. Retry logic.
Real-time deductible/OOP. Three-way reconciliation.
PEPM, transaction, or hybrid pricing. Stripe integration.
Mobile-optimized. Transaction history. Savings dashboard.
Consumer awareness drives enterprise adoption at zero marginal cost
HR directors don't act because they're afraid — of relationships, retaliation, competence, legal exposure, and career risk. The Fiduciary Defense Kit solves each fear with a governance-compliant workflow.
Once an HR director has documented evidence of PBM pricing variances, ERISA § 404 creates personal fiduciary liability. The only safe path is a formal governance review — and all roads lead to transparent pharmacy.
Stop paying 5,000% markups on generics. Let employees use Cost Plus AND get deductible credit.
Differentiate with transparent pharmacy integration. The Fiduciary Kit generates leads automatically.
Add transparent pharmacy support to your platform. We handle the EDI complexity.
Enterprise customer acquisition. All roads lead to your pharmacy when the governance process completes.
Deploy claims infrastructure that makes transparent pharmacy purchases plan-eligible. Your employees deserve both savings AND benefits.