Independent oversight that strengthens fiscal stewardship

Independent oversight that strengthens fiscal stewardship

Independent oversight that strengthens fiscal stewardship

Pharmacy spend is a growing challenge for government health plans. Complex PBM contracts, rising specialty drug costs, and strict compliance standards make it increasingly difficult to ensure every taxpayer dollar is used as intended. We help government plans safeguard their programs, delivering independent oversight that ensures accuracy, transparency, and accountability across every pharmacy claim.

How we help government health plans

How we help government health plans

We combine continuous monitoring, advanced analytics, and clinical expertise to strengthen compliance and fiscal stewardship.

We combine continuous monitoring, advanced analytics, and clinical expertise to strengthen compliance and fiscal stewardship.

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

Identify pricing, formulary, and utilization discrepancies, recover missed savings, and prevent issues from recurring.

Optimize PBM compliance and contract execution to uphold accountability and transparency.

Quantify and report savings opportunities and oversight outcomes with confidence for internal and legislative stakeholders.

Reduce administrative burden, giving internal teams capacity to focus on member care, innovation, and policy improvement.

Strengthen public trust through accurate, compliant, and transparent pharmacy benefit administration.

Our solutions for government plans

Our solutions for government 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

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2025 Rivera, Inc.