Why ApalyRx
We do not own a channel.That is the entire point.
Every other party in the prescription path earns something based on where the script goes. We do not, which is why we can route it to whoever is actually lowest, including your own PBM.
Structural independence
Independence you can check,not a promise you have to trust.
Every party that touches a prescription today has a financial interest in where it lands. Wholesalers, pharmacy benefit managers, specialty pharmacies, manufacturer programs: each one does better when the script goes one particular way. ApalyRx owns no fulfillment channel and takes no spread on any of them. We assess every available option the moment a prescription is written, route it to the one that costs the plan least, and we are paid the same regardless of which one wins.
When the plan's own PBM is lowest, the script routes there and ApalyRx earns nothing on it. That is the clearest test of whether independence is real.
On benefit
The only direct channelthat runs inside the benefit.
Most alternatives to the standard pharmacy channel operate outside it: cash pay, discount cards, direct to consumer. Employers with sophisticated benefits teams reject those outright, because they break accumulators, they break HDHP and HSA treatment, they sit outside manufacturer terms, and they leave a fiduciary with nothing to point to. ApalyRx runs fully on benefit. Claims report through the TPA or PBM, member cost share posts to the deductible and out of pocket maximum, and the program stays HDHP and HSA compliant.
Clinical vendors with their own direct to employer models contract with ApalyRx to win large employer deals, because they cannot operate on benefit without us.
Every script
Not just the expensive ones.All of them.
Point solutions carve out a short list of high cost drugs and leave everything else priced the way it always was. High cost drugs do carry most of the dollars, but they are not the whole program, and the scripts nobody checks add up. ApalyRx assesses every prescription in scope, every time one is written. Today about 85% of them see savings.
Never pay more
You never pay more thanyour PBM would have charged.
This is not a service guarantee, it is how the routing works. Every option is compared, including the plan's existing PBM contract. If the PBM is lowest, the script routes through the PBM at the PBM's price, unchanged. There is no case where the plan pays more than it would have without us. And ApalyRx only charges when there is savings, so the worst outcome is that nothing happens and nothing is owed.
The record
Every decision documentedthe moment it is made.
Most reporting is assembled after the fact, out of claims data, quarters later. That tells a plan what happened. It does not show that the decision was sound at the time it was made. ApalyRx produces a record at the point of decision: which channels were compared, what each would have cost, which rules applied, why the winner won, and what the plan paid. Including the fills the plan's own PBM won. Benefits committee members are now being named individually in fiduciary litigation, and a forward building record of every routing decision is what a plan sponsor can put in front of a court. It is the bar the industry is moving toward, and it has a name: Drug Benefit Integrity.
Alongside your PBM
Nothing is carved out.Your PBM keeps administering.
ApalyRx is a layer in front of the pharmacy benefit, not a replacement for it. Formulary management, prior authorization, and member benefit design all stay exactly where they are. The PBM continues to administer the benefit end to end, and wins the scripts where it is lowest. The same structure is what makes the model adoptable for manufacturers: a direct channel to self funded employers that sits beneath existing arrangements rather than against them, reaching more than 150 million lives.
Who built this
Built by a physician,running since 2018.
Apaly has served self funded employers since 2018, and ApalyRx is the pharmacy layer built on that base. The infrastructure is patent pending: a licensed Texas Class G pharmacy that processes prescriptions without dispensing them, custody without title distribution, and per prescription DSCSA documentation generated automatically. Five manufacturer programs run on it today.
Where you fit
Every side ofthe prescription.
Worth a conversation?Let's talk.
Thirty minutes. Tell us where you sit and we will bring the right people.