Streamline Formulary Verification with Agentic Automation
Enhancing compliance, reducing revenue leakage, and accelerating workflows with AI-powered solutions.
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Request a personalized demo to see how our AI solutions can transform your Formulary Verification Process.
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In collaboration with experts in Formulary Verification
Key Challenges in Formulary Verification
Verifying formularies is a tedious, error-prone process. Manual checks slow things down, lead to missed rebates, and increase compliance risks. As documents pile up—PDLs, contracts, policy bulletins—staying accurate and efficient becomes a challenge. Without automation, businesses face delays, revenue loss, and operational bottlenecks.
Labor-Intensive Manual Processes
Excessive reliance on manual effort slows down operations, increases administrative burdens, and delays rebate validation.
Revenue Leakage Risks
Inaccurate rebate validations can lead to significant financial losses, compliance risks, and inefficiencies in contract execution.
Prolonged Dispute Resolution
Extended dispute resolution cycles hinder cash flow, create compliance challenges, and increase operational bottlenecks.
Automate Your Formulary Verification Powered by Multiple AI Agents
Utilize our agents to automate and streamline the formulary analysis process, enhancing efficiency and reducing total dependency on manual verification.
Contracts Agent
Automatically fetches the right contract between PBMs and the manufacturer for a target drug, and extract all the relevant information from target contracts.
PDL Agent
Automatically fetches the required PDL document for a formulary within a PBM and performs research for the target drug in the PDL document.
Invoices Agent
Fetches the right invoice provided by the PBM for the target drug across formularies and extracts all the required information from the invoice.
Summarizer Agent
Summarizes all the findings for the target and the competitor drug for the formulary, providing a comprehensive overview of their respective attributes.
Prior Authorization Agent
Checks whether Prior Auth Research is required for the target drug and performs research for the target drug in the prior auth document
Compliance Analysis Agent
Based on the extensive research done by various agents, this agent creates a well-informed recommendation by performing a detailed comparative analysis.
Smarter, Faster Formulary Verification
A platform built to deliver unmatched AI deployment speed, accuracy, and scalability
AI-Powered Document Analysis
Automatically extracts and verifies data from PDLs, prior authorization documents, contracts, and policy bulletins—eliminating manual effort.
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Rapid Dispute Resolution
AI-driven reconciliation accelerates claim validation, reducing delays and improving cash flow by minimizing disputes with real-time verification and insights.
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Automated Rebate Validation
Checks formulary alignment with contracts to prevent rebate discrepancies and eliminate revenue loss, ensuring accuracy in rebate calculations and payments.
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Centralized Formulary Access
Provides a single source for tracking formularies, ensuring quick lookups and compliance checks while simplifying data retrieval for faster decision-making.