AI-Powered Formulary Intelligence and Drug Procurement
Turn Your Pharmacy from Cost Center to Margin Driver
Run claims against 30 global formularies to find optimal sourcing and pricing
Secure wholesale drug procurement at scale
Identify lower-cost therapeutic alternatives without compromising clinical outcomes
Reduce pharmacy spend while improving formulary compliance
The Ally Advantage
PharmacyAlly gives health plans and provider organizations that own their own pharmacies something they have never had before: real-time visibility across 30 global formularies with the ability to source drugs at wholesale pricing.
Instead of relying on a single PBM's formulary and accepting whatever pricing comes with it, PharmacyAlly lets your pharmacy team compare across formularies, identify the best acquisition cost, and procure directly. The result is better margins on every prescription filled, without changing clinical protocols or patient outcomes.
Why We're Different
Multi-Formulary Claims Processing
Run claims against 30 global formularies simultaneously. PharmacyAlly identifies which formulary offers the best pricing for each drug, giving your procurement team options that a single PBM relationship
never provides.
Wholesale Procurement Access
Source drugs at wholesale pricing rather than PBM-negotiated rates. For organizations that own and operate their own pharmacies, this is a direct path to better acquisition costs and stronger margins on
every fill.
Therapeutic Alternative Identification
When a lower-cost equivalent exists on a preferred formulary, PharmacyAlly surfaces it automatically. Your clinical team reviews and approves, ensuring patient safety while capturing savings.
Formulary Compliance Monitoring
Track formulary adherence across your pharmacy operations in real time. Identify off-formulary prescribing patterns, flag opportunities for conversion, and measure the financial impact of formulary decisions.
Integration with ClaimsAlly
Pharmacy claims that get denied flow directly into ClaimsAlly for automated audit, correction, and resubmission. No manual handoff, no lost revenue from pharmacy claim denials sitting in a queue.
Direct Margin Impact Better acquisition costs on every prescription filled means direct margin improvement from day one. For SNP plans, CCRCs, and health systems with owned pharmacies, PharmacyAlly turns pharmacy from cost center to revenue contributor.
The Problem
Healthcare organizations that own pharmacies face a fundamental disadvantage: they are locked into PBM formularies and pricing structures that were designed to benefit the PBM, not the pharmacy operator. The three largest PBMs control roughly 80% of the market, and their formulary decisions are driven by manufacturer rebate negotiations, not by what gives your pharmacy the best acquisition cost.
For SNP plans, CCRCs, and health systems that operate their own pharmacies, this means paying more than necessary for drugs they dispense to their own members and residents. The margin that should be flowing to the organization is instead captured by middlemen. Most pharmacy operators lack the tools to compare across formularies or access wholesale pricing at scale, so they accept the status quo.
The Solution
PharmacyAlly eliminates the information gap. By running claims against 30 global formularies, it gives pharmacy operators the visibility to make procurement decisions based on actual market pricing, not a single PBM's preferred list. Combined with wholesale sourcing capabilities, PharmacyAlly turns pharmacy operations from a cost center into a revenue contributor.
For organizations that own and operate pharmacies, PharmacyAlly represents a direct impact on pharmacy margin from day one. The platform integrates with existing pharmacy workflows and requires no changes to clinical protocols or prescribing practices.