PharmaBenefits.ai provides independent pharmacy cost intelligence tools for employers, benefits consultants, and HR leaders. We are not affiliated with any PBM, health plan, pharmacy, or drug manufacturer.

What we do

• NADAC price comparison: Compare your plan's drug costs against CMS federal benchmarks to identify PBM spread pricing.
• PBM scorecard: Grade your PBM's pricing transparency with a data-driven performance scorecard.
• Drug cost profiles: Search NADAC acquisition costs for any medication, with formulation details and pricing trends.
• Model comparison: Understand the difference between transparent and traditional PBM models and their cost impact.
• GLP-1 intelligence: Dedicated analysis of the fastest-growing pharmacy cost driver for employers.

Data sources

Federal Government

• CMS NADAC: National Average Drug Acquisition Cost database (1.6M+ records, updated weekly by the Centers for Medicare and Medicaid Services)
• CMS Medicare Part D: Part D drug spending data, plan formularies, and utilization statistics
• openFDA: Drug NDC directory, adverse event reports, labeling data, Orange Book patent/exclusivity
• ClinicalTrials.gov: U.S. national database of clinical studies (400K+ trials)
• NIH/NLM: National Institutes of Health medical literature, MedlinePlus, DailyMed drug labeling
• CDC: Chronic disease prevalence, vaccination data, health statistics
• FTC: Federal Trade Commission reports on PBM practices, pharmacy competition, and drug pricing
• GAO: Government Accountability Office reports on drug pricing and Medicare/Medicaid programs

Industry and Research

• Drug Channels Institute: PBM market share, pharmacy economics, and distribution channel analysis
• KFF (Kaiser Family Foundation): Employer health benefit surveys, drug cost analysis, policy research
• PCMA: Pharmaceutical Care Management Association industry data
• AMCP: Academy of Managed Care Pharmacy formulary guidelines and research
• SEC filings: Pharmaceutical company 10-K/10-Q financial disclosures, pricing data
• PubMed/MEDLINE: Peer-reviewed clinical and pharmacoeconomic literature

State and Regulatory

• State pharmacy boards: Licensing data, disciplinary actions, pharmacy directories
• State PBM transparency laws: Mandated PBM filings and spread pricing disclosures (where available)
• NPI Registry: National Provider Identifier data for healthcare provider verification

Part of BuiltForAI Healthcare

PharmaBenefits.ai is a property of BuiltForAI, LLC, building AI-powered intelligence platforms across healthcare.

Our B2B healthcare ecosystem includes RxPBM.ai (PBM intelligence), ClinicalRx.ai (clinical pharmacy reference), RxNews.ai (healthcare news), RxInfo.ai (RX information), and MedicalClaim.ai (claims intelligence).

Contact: Get in touch