Pharmacy Contract Intelligence

Every clause. Every dollar. Every pharmacy.

Thirty payer contracts, twelve rebate tiers, DIR clawbacks due Friday — Formulary surfaces every discrepancy before it becomes a shortfall.

Formulary Command Center
May 30, 2026
Active Contracts0
Rebate Capture Rate0.0%
Leakage Detected$0.0M
DIR Clawbacks Tracked$0.00M
Payer Contracts Live0
Audit-Ready Reports0
Live Reimbursement Delta+$2,341,887.50|
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04 / Capability Matrix

Build your command center
as you scroll.

Each layer of Formulary unlocks as you explore — touch every feature before you commit to any.

01

Contract Ingestion & Parsing

Ingest any format in under 4 minutes

Upload PDFs, EDI 835s, or spreadsheets. Formulary extracts every rebate tier, exclusion clause, and performance threshold — structured and searchable within minutes.

Auto-classify 47 contract field types
Interactive Preview
Auto-parse PDF clausesOff
02

Rebate Waterfall Modeling

Model every tier, every threshold

Map base rebates, performance rebates, and market share tiers into a live waterfall. Adjust assumptions and watch projected capture rates update in real time.

Drag to model market share scenarios
Interactive Preview
Market Share50%
Projected Rebate$2.40M
03

MAC List Reconciliation

Stop reconciling by hand on Fridays

Formulary ingests MAC list updates the moment they arrive. Every dispensed claim is checked against current MAC pricing — discrepancies flagged before billing closes.

Hover rows to see variance detail
Interactive Preview
Atorvastatin 40mg$8.42$11.18+$2.76
Metformin 500mg$3.15$3.15$0.00
Lisinopril 10mg$4.88$6.32+$1.44
04

Audit-Ready Reporting

From discovery to report in 90 minutes

Generate CMS-compliant audit packages with one click. Every dollar traced, every adjustment documented, every DIR fee clawback reconciled against the original claim.

Watch an audit package build live
Interactive Preview
Click to generate audit package
05 / Stack Comparison

Your current stack, exposed.

Twelve line items. Every gap that costs you money, mapped against what Formulary closes.

Capability
Your Current Stack
Formulary
Contract parsing speed
3–5 business days
Under 4 minutes
Rebate leakage detection
Manual spot-check
Automated, real-time
DIR fee tracking
Reconciled quarterly
Per-claim, live
MAC list updates
Emailed spreadsheet
Ingested on receipt
Audit prep time
2–4 weeks
90 minutes
Payer contracts supported
Unlimited (manually)
Unlimited (automated)
Rebate waterfall modeling
Static spreadsheet
Dynamic, scenario-based
Integration count
0–2 native
34 native connectors
Shortfall alerts
Post-audit discovery
Pre-billing flag
CMS compliance reports
External consultant
One-click generation
Performance rebate tracking
Estimated
Exact, per-tier
Spread pricing visibility
None
Full PBM margin view
06 / Client Outcomes

Dollars found.
Hours returned.

$2.1MRecovered

We found a $2.1M shortfall in our largest PBM contract three weeks before close. Formulary flagged the tier calculation error the auditor would have caught in six months.

Regional PBM Consultant

Managing 34 payer contracts

–$847KDIR Exposure Prevented

We went from reconciling DIR fees quarterly to catching them per claim. The first month alone surfaced $847K in clawback exposure we were carrying without knowing.

Hospital System CFO

340B program, 12 covered entities

14 hrsWeekly Time Recovered

My team was spending 14 hours every Friday on MAC list reconciliation. That's gone. The spreadsheet-on-Friday problem is actually solved.

Chain Pharmacy Director

61-location independent chain

Express ScriptsCVS CaremarkOptumRxHumana PharmacyCigna PharmacyPrime TherapeuticsMedImpactNavitus HealthCapital RxRxBenefitsInfusionPointAbarca Health
07 / Contract Audit

Run your contract audit.
Find what's missing.

Tell us how many payer contracts you're managing. We'll show you exactly where Formulary finds money that's currently slipping through.

$4.2MAvg leakage found, first 90 days
97.4%Rebate capture rate on active contracts

Start your audit

One field to begin. We'll ask for more only after you're ready.