We move beyond one-off audits to continuous monitoring — transforming complex pharmacy data into clear insights and measurable savings.
100% of clients
recover their investment in
the first year of the contract
Millions
recovered for health plans and self-funded employers
90% of U.S. lives
under oversight, with proven experience across major PBMs
Why we exist
The future of pharmacy payment integrity isn’t built on retrospective audits or limited sampling. It’s built on continuous, independent PBM oversight that brings transparency and control. We move beyond reactive approaches, identifying systemic issues and creating a clear plan to solve them. By turning complexity into clarity and data into actionable insights, we give payers the confidence that every pharmacy dollar is being spent with integrity.
We partner with commercial and government health plans, employers, and channel partners to deliver PBM oversight with confidence. Our solutions work together to provide clarity — ensuring your pharmacy benefit works as intended — and measurable savings.
Rivera Insights
Continuous claim monitoring and error detection at scale.
Rivera Analytics
Oversight dashboards, reporting, and executive visibility.
Rivera Advisory
Strategic consulting from industry and clinical experts.
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2025 Rivera, Inc.