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GoPricing - A Go Forward Look at Pharmacy Spend

MavRx delivers a validated, true GoPricing of pharmacy costs, empowering you to evaluate PBM proposals confidently and make smarter, data-driven decisions.

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The True Picture of Financial Performance

PBM evaluations are clouded by incomplete data, hidden fees, and overpromised savings, leaving you without a clear path forward. MavRx eliminates this uncertainty by validating actual pharmacy spend, factoring in future utilization, rebates, and program performance.

With a true picture of financial performance, you can overcome hidden costs, align decisions with your goals, and uncover measurable savings.

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Key Outcomes

MavRx’s Net Cost Modeling equips you with the tools to see beyond discounts and rebates, revealing the true cost of pharmacy claims. Realistic, data-driven projections reduce uncertainty and mitigates financial risk, giving you confidence in every decision

Improved Transparency

Shifts the focus from discounts and rebates to the true cost of pharmacy claims.

Enhanced Accuracy

Incorporates all relevant financial components, ensuring that projections are realistic and actionable.

Risk Mitigation

Adjusts for variability and reliability in PBM performance, reducing exposure to unexpected costs.

Empowered Decision-Making

Gives stakeholders a clear and comprehensive view of costs, enabling better PBM selection and risk management.

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MavRx's GoPricing

The goal is to provide a realistic projection of pharmacy costs that aligns with plan sponsors' and underwriters' needs for transparency and accuracy.

PBM Evaluations

Helps plan sponsors compare PBM proposals based on net cost instead of headline discounts or rebates, ensuring transparency.

Stop-Loss Underwriting

Allows underwriters to evaluate pharmacy claims risk using net costs instead of gross costs, improving premium and attachment point accuracy.

Contract Monitoring

Ensures ongoing PBM performance aligns with contractual guarantees, reducing the risk of financial discrepancies.

How GoPricing Integrates with MavRx’s Broader Platform

GoPricing is a cornerstone of MavRx’s platform, providing the clarity and precision needed to make data-driven decisions. By integrating seamlessly with PMPM Guarantees, it ensures pharmacy spend aligns with enforceable cost ceilings, while supporting Stop Loss strategies with validated cost projections. Together, these tools deliver transparency, control, and measurable savings across your pharmacy benefits.

Related Solutions:

PMPM Guarantees

Align pharmacy spend with enforceable cost ceilings.

Rx Protect

Rx Only Stop Loss

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Take Control of Your Pharmacy Costs

Elevate your PBM evaluations with MavRx’s Net Cost Modeling. Uncover the true cost, eliminate hidden risks, and drive measurable savings with confidence.