Routing + verification layer
Every prescription,routed to its lowest cost.
Lower net cost for employers.
Zero out of pocket for members.
Direct employer access for manufacturers.
On benefit adjudication, with the plan never paying more.
Any prescription, assessed across every channel
You only pay when there is savings.
Apaly has served self-funded employers since 2018.
ApalyRx is the pharmacy layer built on that base.
The shift
For years there was one way to fill a script.Now there are many.
A covered drug used to have a single price: the one the PBM had contracted. Today a growing set of fulfillment sources can fill the same script, manufacturer-direct included, and the lowest one is often never assessed.
The stakes
When no one compares the price,the loss lands in four different places.
The plan pays more than it had to.
The member has cost share calculated off that same inflated price.
The manufacturer never gets reached, because nothing in the pathway was built to look for its direct program.
The pharmacy the patient chose is left out of a decision it never saw.
The standard
Transparency looks backward.The decision is made in real time.
Transparency tells you what was paid, after it was paid. It cannot tell you the price was the lowest one available at the moment the script was written. That is a different bar: every script checked across every channel when it is written, then routed to the lowest cost option, and recorded as proof the decision was sound. Not just high-cost drugs. Every script. That standard has a name:
Drug Benefit Integrity. The five requirements
The solution
ApalyRx is the layerthat gets you there.
One layer in front of the pharmacy benefit. A licensed digital pharmacy that processes but does not dispense, sitting in the e-prescribing pathway, assessing every fulfillment option the moment each script is written, including the plan's own PBM, so you never pay more. You only pay when there is savings.
Doctor
Sends the e-prescription
ApalyRx
Evaluates every channel in real time
Channels compared
- Manufacturer Direct$540
- Existing PBM$584
- Local Pharmacy$590
Routed to Manufacturer Direct, adjudicated on benefit.
Every script, assessed across every fulfillment source in real time and routed to the lowest cost. The plan never pays more than it does today, and when a lower price wins, the member pays nothing.
How scripts arrive
Savings start,when the member clicks yes.
The member creates an ApalyRx account, their prescribers and their preferred pharmacy are prepopulated, and with one click their prescribers are notified to send future prescriptions to ApalyRx first. They keep their doctor. They keep their pharmacy.
From then on, every prescription is assessed for its lowest cost option.
The record
Every decision,on the record.
Fulfillment channels compared, rules applied, rationale, net cost, reconciliation. Produced at the point of decision, not assembled out of claims data six months later. Including the scripts the plan's own PBM wins.
Two of these five decisions went to the plan's own PBM and earned ApalyRx nothing. That is what structural independence looks like.
What benefits leaders say
Built for the peoplewho run sophisticated plans.
The first GLP-1 solution our fiduciaries were comfortable signing off on.
VP Total Rewards · National consulting companyIt still routed through our PBM when the PBM was cheaper. There was no downside.
CFO · Financial servicesMembers kept their pharmacy. We reduced spend significantly.
CHRO · Nationwide logisticsWho we serve
Every side of the prescription.Which of these are you?
Get started
Whoever you are in the prescription journey,the lowest price should always win.
Let's explore how we can help.
No cost to set up · Only pay when there is savings