How much is a review?

Audits run $2,500 to $35,000 depending on plan size — typically a fraction of one percent of what the plan spends on pharmacy in a year. Every engagement is scoped and priced before any commitment. Foundation is free to use, with no card required.

Is Foundation really free?

Yes. The Foundation workspace is free to use. It does real work on its own: profile, readiness, checklist, and letters.

Who performs the review?

An independent professional, working from your own data and the public record, not a PBM or a broker selling into your plan.

How does RxManager stay neutral?

RxManager is paid only by you, the plan sponsor. We are not a PBM or a broker, we take no commissions or referral fees from anyone selling into your plan, and reviews are performed by independent pharmacy-benefit professionals engaged for the review itself.

How long does it take?

It depends on scope and how quickly documents are available. We set clear expectations when we scope the engagement.

Value

Our free tools help you move forward. Need deeper expertise? We’re here to help.

You may find savings on the free plan alone. When you want to dig deeper, our team can review it with you.

Foundation

Free

No card required

Self-guided. Get your plan organized and audit-ready at no cost.

Plan profile and readiness score
Missing-data checklist
Document-request letters
Decision memory and saved history

Audit

From $2,500

One-time engagement, scoped to plan size and agreed before any commitment

A guided review of your contract and claims with an independent professional.

Everything in Foundation
Contract read for definitions, spread, audit rights, and rebate pass-through
Claims priced against the public record
A prioritized list of questions to ask

Optimize

From $599/mo

Ongoing retainer after an Audit, includes professional review hours

Hands-on support to act on the findings and renegotiate with confidence.

Everything in Audit
Fiduciary-ready reporting
Implementation and action planning
Ongoing monitoring after the engagement

Compare

What is included at each level.

Capability	Foundation	Audit	Optimize
Plan profile and readiness score	✓	✓	✓
Missing-data checklist and letters	✓	✓	✓
Decision memory	✓	✓	✓
Independent contract review	–	✓	✓
Claims priced against the public record	–	✓	✓
Rebate and fee pass-through review	–	✓	✓
Fiduciary-ready reporting	–	–	✓
Implementation and renegotiation support	–	–	✓
Ongoing monitoring	–	–	✓

How a review works

An independent read of your plan, start to finish.

01
Scope it
We scope the review to your plan size and goals, and agree on it before any commitment.
02
Share documents
You provide your contract and a claims extract through a secure channel.
03
Independent review
An independent professional reads your data against the public record.
04
Findings and next steps
You get a prioritized list of findings, questions, and recommended actions you own.

Inside the engagement

What an Audit actually reviews.

Specific, named work — so you can tell your leadership exactly what this is.

PBM contract risk flags

A line-by-line review of your executed PBM contract for terms that quietly limit your leverage at renewal.

Rebate visibility review

Reconciliation of your rebate statements against the contractual rebate share — what was earned, what was passed through.

Spread-pricing exposure

A claims-level read of where ingredient cost diverges from what your plan actually paid the PBM.

Specialty pharmacy term review

A separate review of the specialty addendum — exclusive-pharmacy rules, rebate carve-outs, and limited-distribution exposure.

Renewal leverage questions

A short list of the questions to raise with your broker or PBM in the months before renewal, ranked by impact.

Fiduciary-ready next steps

Documentation a benefits committee can take to leadership without rework — the questions, the evidence, and the recommended decision points.

FAQ

Questions about pricing and reviews

How much is a review?: Audits run $2,500 to $35,000 depending on plan size — typically a fraction of one percent of what the plan spends on pharmacy in a year. Every engagement is scoped and priced before any commitment. Foundation is free to use, with no card required.
Is Foundation really free?: Yes. The Foundation workspace is free to use. It does real work on its own: profile, readiness, checklist, and letters.
Who performs the review?: An independent professional, working from your own data and the public record, not a PBM or a broker selling into your plan.
How does RxManager stay neutral?: RxManager is paid only by you, the plan sponsor. We are not a PBM or a broker, we take no commissions or referral fees from anyone selling into your plan, and reviews are performed by independent pharmacy-benefit professionals engaged for the review itself.
How long does it take?: It depends on scope and how quickly documents are available. We set clear expectations when we scope the engagement.

Start with Foundation. It’s free.

Build your plan profile and readiness score at no cost. Add a review when you’re ready.

See how it works