Pharmacy benefits analytics

Your pharmacy spend, in clear view.

AlethRx analyzes pharmacy claims to verify PBM pricing, quantify rebate pass-through, and benchmark spend against true peers — so brokers walk into every renewal with the numbers already in hand.

Analysis preview Sample employer
$847K
Savings opportunity identified · 500-member employer
34% over benchmark
62%
Rebate pass-through rate · vs. 40–50% peer norm
Review flagged
47
Claims flagged for review
Validated
How it works

From claims data to actionable insight

Three steps from claims data to a clear picture of where an employer's pharmacy dollars are going.

1
Connect the claims data

Upload claims files from any PBM — CVS Caremark, Express Scripts, OptumRx, and others. AlethRx maps and normalizes the data automatically, with no manual configuration.

Automated column mapping
2
Run the analysis

The engine calculates spread and rebate figures, benchmarks spend against true peer employers, surfaces claims worth a closer look, and checks performance against contract guarantees.

Spread · rebates · benchmarks
3
Review the findings

Results come back as a structured findings summary — spread, rebates, benchmarks, and contract gaps laid out the way a senior pharmacy analyst would present them, ready to review with an employer CFO.

Structured findings summary

A pharmacy analyst on staff

Give your brokerage the analytical depth of a dedicated pharmacy benefits team — without adding headcount.

Ask about any employer's data

"What drove the March cost increase?" Ask in your own words and get an answer grounded in that employer's actual claims — not a canned dashboard.

Pattern detection

Surface billing patterns worth a closer look — unusual claim clusters, duplicate entries, and outliers that are easy to miss in a spreadsheet.

Client-ready reports

Every analysis comes back as a polished PDF with a clear executive summary — structured to share directly with an employer CFO.

Client portfolio
Monitoring
Meridian Manufacturing
487 members · Renewal in 62 days
87REVIEW
Lakewood Services Group
312 members · Renewal in 148 days
54REVIEW
Northgate Technologies
891 members · Analysis complete
22REVIEW
12 claims flagged for review at Meridian Manufacturing — an estimated $62K opportunity to confirm before renewal.

Every number, traceable to its source

The financial figures are exact and fully auditable — you can follow any number back to the claim it came from. That's what makes the findings something a broker can put in front of a CFO with confidence.

Ask in plain English

Ask a question about an employer's pharmacy data the way you'd ask a colleague, and get a clear, sourced answer back — no spreadsheets, no waiting on an analyst.

SS-07 · Query engine
Pattern detection

Surfaces the outliers and unusual patterns worth a closer look — the claim clusters and irregularities that are easy to miss by eye.

SS-06 · Detection
Findings summaries

Each analysis is summarized into an executive overview, key findings, and the talking points a broker needs to walk a client through the numbers.

SS-09 · Reporting
Spend forecasting

Twelve-month pharmacy spend projections with confidence intervals — a meaningfully sharper picture than a straight-line trend.

SS-08 · Forecasting

Request a free analysis

We'll analyze one of your employer clients' claims data at no cost — no commitment. See the savings opportunities, benchmark position, and contract findings for yourself.

For independent benefits brokers · Response within one business day