FAQs

NeosRx was built to solve the conflicts of interest common in the PBM industry. We operate on a fully transparent, 100% pass-through model where all rebates and discounts are returned to our clients. We don’t own retail, mail-order, or specialty pharmacies, so we’re never incentivized to steer prescriptions to maximize our revenue. Instead, our goal is to help clients achieve the lowest total net drug cost through transparent pricing, clinical management, and customized pharmacy strategies.

Many PBMs optimize for rebate dollars. We optimize for your total pharmacy spend.

Lowest net cost means evaluating every medication based on its total cost after discounts and rebates balanced with clinical effectiveness and available alternatives. Rebates are applied strategically when the lowest-cost option is a high-rebate drug. Our formulary, clinical programs, biosimilar strategy, and specialty management are all designed to reduce your overall pharmacy costs rather than simply maximize rebates.

Rebates are only one piece of pharmacy spending. NeosRx reduces costs by combining transparent acquisition-cost pricing with evidence-based clinical management.

Our team of clinical pharmacists continually reviews high-cost medications, evaluate lower-cost therapeutic alternatives, promote biosimilars when clinically appropriate, optimize specialty pharmacy selection, manage utilization, and help members access manufacturer assistance programs when available. These strategies often generate savings that exceed what higher rebate guarantees alone can deliver.

Our only source of revenue is a straightforward administrative fee. We don’t earn money from spread pricing, retained rebates, or owned pharmacies.

To further align our interests with yours, we offer a Per Member Per Month Lowest Net Cost Guarantee and put the administrative fee at risk if it isn’t met. If we don’t deliver on our guaranteed pharmacy cost performance, you have one clear guarantee to reconcile and audit for accountability.

Yes. NeosRx integrates with TPAs, health plans, medical administrators, and analytics platforms through secure APIs and file exchanges. We regularly coordinate eligibility, accumulators, deductibles, and medical/pharmacy data to support integrated benefit management and have not encountered a partner with whom integration was not feasible.

Absolutely. In addition to serving as a transparent PBM for employer groups, NeosRx helps health plans, health systems, TPAs, and other organizations build their own branded pharmacy benefit through private-label and joint venture partnerships.

These models allow organizations to grow their own brand while leveraging NeosRx’s technology, clinical expertise, and operational efficiency. Instead of treating pharmacy benefits as an ongoing expense, organizations can transform them into a strategic asset that creates long-term value.