Independent oversight for today’s complex PBM relationships

Independent oversight for today’s complex PBM relationships

Rising pharmacy costs and increasingly opaque PBM contracts make it harder than ever for health plans to ensure accuracy and accountability. We help commercial plans regain control — delivering independent oversight that drives efficiency, optimizes PBM performance, and ensures every pharmacy dollar is spent with integrity.

How we help commercial health plans

How we help commercial

health plans

How we help commercial

health plans

We combine continuous monitoring, advanced analytics, and clinical expertise to strengthen PBM alignment and overall plan performance.

We combine continuous monitoring, advanced analytics, and clinical expertise to strengthen PBM alignment and overall plan performance.

Monitor 100% of pharmacy claims continuously, eliminating the blind spots of limited sampling and retrospective audits.

Identify systemic pricing, formulary, and utilization discrepancies,

recover lost dollars, and prevent issues from recurring.

Optimize PBM compliance and contract performance to strengthen accountability.

Quantify and report savings opportunities and oversight outcomes with confidence.

Reduce operational strain giving internal teams capacity to focus on growth, strategy, and innovation.

Strengthen member trust through accurate, transparent pharmacy benefit administration.

Our solutions for commercial plans

Our solutions for commercial plans

Rivera Insights

Rivera Analytics

Rivera Advisory

Always-on oversight that delivers more.

Rivera Insights continuously reviews 100% of paid pharmacy claims in real time, catching errors and savings opportunities as they occur. By integrating PBM contract terms, plan design details, and adjudicated claims, it creates a single source of truth — turning complex data into immediate, actionable insight.

Continuous review

Validation of plan-design

Unmatched speed

PBM-agnostic architecture

Seamless integration

Rivera Insights

Always-on oversight that delivers more.

Rivera Insights continuously reviews 100% of paid pharmacy claims in real time, catching errors and savings opportunities as they occur. By integrating PBM contract terms, plan design details, and adjudicated claims, it creates a single source of truth — turning complex data into immediate, actionable insight.

Continuous review

Validation of plan-design

Unmatched speed

PBM-agnostic architecture

Seamless integration

See what clarity and control can do for you.

See what clarity and control can do for you.

Get in touch

Get in touch

Rivera, Inc.

444 N. Front St., Suite 101, Columbus, OH 43215

(614) 515-2700 | info@riverarx.com

Copyright

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2025 Rivera, Inc.