Trusted by leading employers
Statistically, yes. Most plans are marked up 15–25%.
Legally, it's now your problem — under the Consolidated Appropriations Act, you have a fiduciary duty to stop it.
100% Free Audit | NDA Included | 48-Hour Turnaround
They negotiate cheap prices with pharmacies — then bill you full price. It's called spread pricing. Exposed by the FTC, the New York Times, and the U.S. Congress.
For a 500-person company, that's over $2 million in hidden markups. Since Lewandowski v. J&J, employers who don't audit face fiduciary liability.
A line-by-line audit showing which drugs were overpriced, by how much, and what you can recover. Every figure benchmarked against federal NADAC data.
Automated data ingestion, parsing, and indexing across 150M+ NADAC, CMS, and WAC records — enriched with historical case data to build a proprietary pricing benchmark.
AI-driven analysis trained on thousands of past cases, detecting spread anomalies, pricing outliers, and contract violations at scale.
Fully cited, board-ready dossier with line-by-line variance, projected recovery, and a legal-grade evidence trail.
Download your prescription history from your benefits portal and email it to us. No employee names needed — just the drugs, dates, and what you paid.
Your claims are cross-referenced against 1.5 million federal drug price records. Every drug, every date, every pharmacy — flagged automatically.
Within 48 hours, you get a clear report showing exactly which drugs were overpriced, by how much, and what you can do about it.
We only need de-identified claims data — no employee names, no member IDs. Your IT team can strip those columns before sending. We also sign a BAA on request.
Nothing upfront. We work on contingency: a percentage of the savings we identify. If we find nothing, you pay zero.
Then you have written confirmation that your PBM pricing is fair — which is valuable in itself. You owe us nothing.
Under the Consolidated Appropriations Act (2021), self-insured employers have a fiduciary obligation to ensure pharmacy benefit costs are reasonable. An independent audit is the simplest way to demonstrate compliance.
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Or email us directly at audit@zeropbm.com