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ZeroPBM
ZeroPBM

ZeroPBM

ZeroPBM audits self-insured employers' pharmacy benefit claims against federal NADAC pricing benchmarks, surfacing and helping recover benefit-manager overcharges.

Operating headquarters
Boston, MA, US🇺🇸
Founded
2023
Overview
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Employees
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Self-insured employers carry legal responsibility for the pharmacy prices their benefit managers charge, yet most never see their claims priced line by line. ZeroPBM re-prices each prescription claim against the federal NADAC benchmark data CMS publishes weekly, flagging claims whose paid amounts exceed what pharmacies pay for the same drugs.

Traditional benefit consultants negotiate contracts and brokers shape plan design, while ZeroPBM audits the claims themselves and produces itemized variance reports that support contract renegotiation and recovery. The company prices its work on contingency, collecting only from documented savings, which positions it as an employer-side check on benefit-manager pricing rather than another intermediary inside the benefit chain.

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ZeroPBM - Quick Facts

Who are ZeroPBM's competitors?

Companies similar to ZeroPBM include Zoneless, Zepz, Paze and planqc.

When was ZeroPBM founded?

ZeroPBM was founded in 2023.

Where is ZeroPBM's headquarters located?

ZeroPBM's headquarters is located in Boston, MA, US.

ZeroPBM - Classification

Industry
  • Pharmacy Benefit Auditing
Technology
  • Artificial Intelligence
Model
  • Contingency Fee
Revenue
  • Service Fees
Customer
  • Self-Insured Employers
Tags
  • Pharmacy Benefit Managers