ApalyRx

For benefits consultants and advisors

Your clients are already asking about pharmacy spend.Bring them the answer.

Pharmacy spend is the question your clients raise most, and the one they most expect you to have an answer for. ApalyRx is a proven, on-benefit way to lower that spend alongside their existing PBM, with no setup cost and a fee only when it saves. That is why you can bring it to the table with confidence.

Schedule 30 minutes

The pressure you are under

Every client wants pharmacy costs solved.They want to hear it from you first.

High-cost drugs and GLP-1s are the fastest-growing line in most plans, and they are the topic your clients raise in every renewal. They are reading the same headlines you are. The risk to the relationship is not that you lack an answer. It is that they hear one from a competing broker, a peer CFO, or a conference before they hear it from you. Staying the trusted advisor means bringing the high-value idea before someone else does.

The other risk

Bringing the wrong solutionis worse than bringing none.

The pressure to bring something new runs straight into a second fear: recommending a solution that fails. A vendor that breaks the plan's compliance, disrupts members, or embarrasses the client in front of the board does more damage to the relationship than staying quiet would have. So the bar for what you bring is high. It has to deliver real savings, and it cannot expose the client or you.

If you bring nothing
A competitor, a peer CFO, or a conference reaches your client first. You look a step behind.
If you bring the wrong thing
A vendor that breaks compliance or disrupts members. The failure carries your name.
The way through
The one recommendation that carries neither risk.

The recommendation

A recommendationyou cannot be wrong for making.

ApalyRx clears that bar on every count that matters to you and your client:

01
Proven and operational
Running at scale across 312K lives since 2018, with a 92 NPS and 20%+ cost reduction.
Operating today, at scale
02
On benefit
Every fill adjudicates as a claim, cost share posts to the deductible and MOOP, and the plan stays HDHP and HSA compliant.
Adjudicated on benefit
03
Complementary to the PBM
It works alongside the plan's existing PBM, which keeps administering.
Additive, nothing to replace
04
No downside to try
No cost to set up, and it only earns a fee when a script routes below what the PBM would have paid.
The plan never pays more

What it does

It routes every scriptto its lowest cost.

ApalyRx sits in front of the pharmacy benefit and assesses every prescription across every available channel the moment it is written, manufacturer-direct, other suppliers, and the plan's own PBM, then routes each script to the lowest cost. When the PBM is already lowest, the script runs through it. When a lower channel exists, the script is filled there, on benefit, and with a complete fiduciary record of the decision.

  1. Doctor

    Sends the e-prescription

  2. ApalyRx

    Evaluates every channel in real time

  3. Channels compared

    • Manufacturer Direct$540
    • Existing PBM$584
    • Local Pharmacy$590

  4. Routed to Manufacturer Direct, adjudicated on benefit.

Alongside the PBM

ApalyRx does not replace the PBM.

ApalyRx adds a routing layer above the benefit that captures savings the PBM's own channels cannot reach, and routes through the PBM whenever the PBM is the lowest cost. It is additive, not a threat to the arrangements your client already has in place.

Protecting your client

Help your client meet the new bar,and be the one who saw it coming.

ApalyRx produces a decision-level record for every fill, the channels compared and why the chosen channel won, which supports exactly that process. Bringing it to your client is not just a savings idea. It is you helping them meet a standard they are going to be measured against, and being the advisor who raised it first. That standard has a name: Drug Benefit Integrity.

The five DBI requirements
Decision record
2026-04-12 · 2:14 PM
Fill RX-2041
Channels assessed
Manufacturer directSelected
$540
Existing PBM$584
Local pharmacy$590
Routed to the lowest available cost, adjudicated on benefit.
Recorded · audit-ready
One record like this for every fill. The documented process, built automatically.

Across your book

One solutionyou can bring to every client.

ApalyRx is not a one-off. The same solution fits self-funded clients across your book, from mid-market to the largest plans, and it scales with you. You stay in the relationship throughout: ApalyRx works alongside you and your client, arming you with the savings analysis, the proof, and the compliance story you need to make the case and defend it. You bring the idea and keep the client. ApalyRx does the work underneath.

Future-proof

A recommendation that keeps workingas the market shifts.

ApalyRx is not tied to a single manufacturer's program or a single deal. As new drugs, biosimilars, suppliers, and lower-cost channels emerge, the platform adds them and keeps routing to the lowest cost. Your clients are not betting on one arrangement that ages out. They are installing the neutral layer that adapts, and you are the advisor who brought them something that keeps paying off long after the recommendation was made.

Channel A
Channel B
Channel C
next

You recommend it once. It keeps paying off.

The proof

The market is movingto ApalyRx.

312K
Lives since 2018
92
Net promoter score
85%
of scripts see savings
20%+
Cost reduction

Real plans, real savings, on benefit. The kind of result you can put your name next to.

Get started

Bring your clientssomething that works.

We stand behind the recommendation and do the work underneath, so the savings start now and keep compounding.
You stay the trusted advisor.

Schedule 30 minutes