UNAPOLOGETIC PHARMACY CONSULTING SOLUTIONS
WE DON'T
JUST AUDIT.
WE AUTOPSY
UP PAST OUR
ELBOWS.
Expert Pharmacy consulting to optimize costs, compliance, and patient outcomes.
We’re not here to be liked. We’re here to be right.
Our team is a crew of misfit economists, PharmDs, regulatory experts, and ex-PBM insiders who know where the bodies are buried — some of us still have the shovels.
Bespoke Solutions Built for the Bold
We didn’t build Prism to play the same game as the big box firms. We built it to break the rules that keep employers overpaying and PBMs underdelivering. Every solution we offer is designed to do one thing: make pharmacy benefits enforceable, transparent, and clinically sound — without compromise.
PBM Procurement
Procurement Done Right — All the Pageantry, None of the Loopholes. We design a purchasing process that feels custom because it is — curated RFP strategy, predications that lock in expectations, and qualitative scoring before financials hit the table. Every promise becomes a clause. Every clause becomes leverage.
Audit & Recovery
We Don’t Just Audit. We Autopsy.
Our audits trace every rebate, discount, and definition back to its source, exposing leakage others miss. Then we wire the fix into your contract so it sticks. We deliver more than a report — we deliver peace of mind.
Contract Negotiation
If It Isn’t Enforceable, It Isn’t Real. We negotiate like the people who will have to audit it — because we are those people. Every clause is pressure-tested, every definition locked down, every guarantee built to bite. If it isn’t enforceable, it isn’t real — and we make it real.
Clinical Strategy
Our clinicians dig into plan design, utilization edits, and clinical programs to ensure what was sold is what’s being delivered. From biosimilar adoption to GLP‑1 governance, we enforce evidence‑based criteria and contractual commitments so your strategy isn’t just documented — it’s operational and defensible.
Data & Analytics
Dashboards Don’t Lower Costs. Decisions Do. Dashboards don’t lower costs — decisions do. Our RxKai reporting turns noise into action, showing you what to change, by when, and why it pays. Every insight is paired with execution, so the math moves the market — not just your next meeting.
340B Program Management
340B Isn’t a Side Hustle. It’s a Compliance Regime With Teeth. We build 340B programs that regulators respect and CFOs celebrate, with controls that survive audits and deliver measurable value. Every safeguard is engineered to protect your eligibility and your savings.
Insider Advantage
Relentless Execution
Member Lives Under Management
Over 5 million patients served, translating to significant healthcare savings every year.
Uncomfortable Truths
We don’t tiptoe. We interrogate contracts, expose games, and force clarity. PBMs won’t love us. You will.
Average Annual Savings
Prism has a 1:1 Return on the initial Investment on all dollars paid in the first year
Dedicated Staff
Our continually growing team is here to support and enforce every aspect.
Proof Over Promises
Unfiltered feedback from those who’ve seen Prism deliver, not just consult.
Our Mission
We built the playbooks PBMs use—now we use them against the PBMs. No spin. No cozy relationships. Just results.
We’re dedicated to transforming healthcare through innovative PBM strategies. By optimizing costs and ensuring compliance, we aim to empower healthcare stakeholders to make informed choices. Join us in redefining pharmacy benefits for a healthier tomorrow.
MEET OUR LEADERSHIP TEAM
The Minds Behind the Mission
Prism’s team is a rare breed — part strategist, part enforcer, all in. We’ve assembled a crew of economists, clinicians, data scientists, and ex‑PBM insiders who know the system inside out — and how to beat it. They’re the reason we can promise what others can’t: independence with consequences.
Get in Touch Today!
Need someone to kick in doors and get answers? Put us in.
We’re here to simplify your pharmacy benefit management.
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Our Certifications
