Services

Built for plan sponsors of any size.

No setup fees. No annual contracts. You pay for recovered overpayments, or a flat retainer for ongoing oversight.

Verify

See if your PBM is overcharging you. No commitment.

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What you get
  • 500-claim sample audit against NADAC
  • Overcharge dollar estimate
  • Top 5 overcharge categories identified

Guard

Continuous oversight. Keep your PBM honest, year after year.

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Everything in Audit, plus
  • Annual re-audit with refreshed fiduciary memo
  • Quarterly performance reports
  • Live PBM-vs-NADAC monitoring dashboard
  • Named account manager
  • Direct PBM dispute representation
  • Regulatory bulletins (CAA, DOL, court rulings)
  • Year-round fiduciary documentation file
  • Year-end board summary report
  • Multi-plan management for parent companies
  • Priority access to expert witnesses
Custom engagements

Multi-plan, public sector, or large self-insured employer?

Captives, broker collectives, state plans, and employers with multiple ERISA plans — talk to us about volume discounts, exclusivity terms, or custom engagement scopes.

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Service FAQs

Common questions before you engage.

What if you find no recoverable overcharges?

You owe us nothing. The audit is contingency-only — no recovery, no fee. You keep the audit report and fiduciary memo regardless, as documentation that you exercised your fiduciary duty of prudence under ERISA.

Do you require a contract or exclusivity?

No exclusivity. No multi-year commitments. Audit is a single engagement. Guard is month-to-month, cancel anytime with 30 days notice.

What data do you need from me?

Just your pharmacy claims export — drug, date, quantity, pharmacy, and paid amount columns. No employee names or member IDs required. A BAA is provided on request for plans that require one.

Who signs the audit report and fiduciary memo?

Audit findings are co-signed by a licensed pharmacist. The fiduciary memo is signed by an ERISA attorney on our advisory bench. Both signatures make the deliverable defensible for fiduciary review boards, plan-sponsor counsel, and litigation contexts.

Ready to find out what your PBM owes you?

Start by verifying your plan, or talk to us about a custom engagement.