VativoRx manages manufacturer rebates across both pharmacy and medical claims — with the same validation rigor applied to each. For most organizations, pharmacy is reasonably covered. Medical is where the gap is.
Schedule a Discovery CallPharmacy benefit rebates are contractually structured through PBM relationships and generally tracked at a detailed level. Most organizations have a reasonable handle on the pharmacy side.
Medical-benefit rebates are a different picture. Drugs billed under the medical benefit — physician-administered therapies, specialty infusion, biologics outside the pharmacy channel — carry real rebate eligibility that most organizations are not capturing consistently.
This is where rebate leakage happens — eligible claims that go unevaluated, drugs missed when billing and purchasing data live in separate systems, and reporting finance can't use without translation. VativoRx is built to close that gap, without changing what already works on the pharmacy side.
VativoRx applies a consistent, claim-level validation process across both pharmacy and medical claims. The methodology does not change based on which side of the benefit a drug falls on — the same rigor, the same documentation, the same reporting structure applies to both.
For organizations with pharmacy already covered, that means adding medical-benefit visibility without disrupting existing programs. For organizations starting from scratch on both sides, it means one process, one reporting framework, and one partner across the full rebate picture.
Every step in the process produces a record — so when someone asks why a claim was included or excluded, the answer already exists.