We monitor 100% of pharmacy claims continuously and independently of your PBM — recovering overpayments, preventing recurrence, and verifying that what you negotiated is what gets paid.
Partnering with innovators across the payer landscape
recover their investment in the first year of the contract
$100M+
identified and recovered savings for health plans
90% of U.S. lives
represented by PBMs we partner with, including industry leaders
Why we exist
Payers invest heavily in negotiating PBM contract terms and designing pharmacy benefits. Rivera verifies that work is reflected accurately at the claim level — monitoring 100% of claims in real time, recovering overpayments, and correcting root causes so errors do not recur. Independent of the PBM. Continuous, not periodic.
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 monitoring of 100% of pharmacy claims, powered by 750+ proprietary algorithms
Rivera Analytics
Oversight dashboards, trend reporting, and executive-level visibility into pharmacy spend
Rivera Advisory
Strategic consulting from clinical pharmacists and industry experts
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2026 Rivera, Inc.