A Smarter Technology Layer For Pharmacy Benefit Operations

RxLogic operates behind the scenes as a claims processing and off-benefit technology layer that integrates with existing pharmacy systems. Pharmacies are operating in an environment defined by shrinking margins, increasing complexity and constant change. Reimbursement pressure, Direct and Indirect Remuneration (DIR) impacts, evolving 340B rules and expanding discount and copay programs have turned pharmacy operations into a daily balancing act between access, compliance and financial sustainability.

What was once manageable through manual workarounds and disconnected systems is no longer sustainable. For today’s pharmacies, benefit operations remain a back-office concern as a critical driver of margin protection, cash flow stability and operational confidence.

RxLogic is not a point-of-sale or dispensing system. RxLogic delivers modern, unbiased, SaaS-based technology designed specifically for pharmacies. Built on a cloud-native, API-first platform, RxLogic helps pharmacies maintain direct oversight of benefit offerings, discount and copay programs and 340B participation – while continuing to work productively with PBMs, TPAs and other partners across the healthcare and pharmacy ecosystem.

Grow Your Business as a Local Pharmacy Benefit Administrator

RxLogic enables pharmacies to administer benefit logic without replacing their POS, switch, or dispensing workflows. More pharmacies are choosing to act as local pharmacy benefit administrators (PBAs) for small employers, offering benefit programs built on transparency, flexibility and community trust.

RxLogic supports this model by providing an integrated platform for adjudication, rebate management and financial reconciliation. Pharmacies can configure benefit rules, manage employer plans and generate audit-ready reporting without replacing their core pharmacy systems.

This enables pharmacies to grow new revenue streams, strengthen employer relationships and deliver pharmacy-led benefit programs – while continuing to collaborate effectively with PBMs, TPAs and other industry partners.

Expand Access with Discount & Copay Card Technology

Discount and copay programs are essential for improving access for uninsured and underinsured patients, but they often rely upon fragmented systems and delayed reconciliation.

RxLogic’s Discount & Copay Card Technology enables digital, integrated application of savings programs with full transparency and reporting. Configurable, rules-based logic shows exactly how each claim is processed, giving pharmacies and partners clear insight into pricing and eligibility decisions.

This transparency supports smoother collaboration with PBMs, processors and program sponsors, while automated workflows reduce manual work, shorten resolution timelines and improve consistency and transparency at the claim level.

Stay Compliant with 340B in a Changing Landscape

While the statutory framework of the 340B program remains unchanged, operational expectations across manufacturers, covered entities and administrators have increasingly shifted toward program-specific eligibility validation, transparent accumulation and audit-ready workflows. Recent court rulings have constrained HHS’s ability to mandate uniform pricing mechanics, reinforcing the importance of adaptable technology capable of supporting evolving stakeholder requirements and future legislative or regulatory action.

As a result, compliance depends less on fixed pricing tables and more on transparent accumulation, rules-based logic and defensible, audit-ready workflows. At the same time, evolving 340B policies, Beacon workflows and eligibility validation requirements continue to introduce new layers of operational complexity, increasing the need for systems that can respond quickly to regulatory and program changes.

RxLogic’s 340B Readiness Kit and smart accumulation tools give pharmacies the visibility they need into eligibility logic, accumulation activity and program-specific requirements. Pharmacies can manage participation more accurately, support audit readiness and reduce uncertainty around program rules.

Because RxLogic integrates into existing workflows, pharmacies can coordinate smoothly with covered entities, manufacturers, PBMs and third-party administrators – supporting compliance without disrupting established relationships.

A Practical Path Forward for Pharmacy Operations

As pharmacy economics tighten, visibility and operational efficiency matter more than ever. RxLogic replaces manual, fragmented processes with intelligent rules, pricing logic and reporting that deliver real-time insight into how claims are processed, priced and reconciled.

With transparent, rules-based adjudication, integrated financial visibility and automation across workflows, pharmacies experience fewer surprises, faster resolution and stronger financial oversight.

Built to adapt, RxLogic continues to invest in future-ready capabilities, including enhanced 340B readiness, smart claim accumulation, expanded discount and copay technology and continued support for employer-sponsored pharmacy benefit programs.

Smarter Operations. Clearer Insight. Stronger Pharmacy Performance.

RxLogic helps pharmacies regain control in a complex reimbursement environment, delivering the transparency and flexibility needed to protect margins and support long-term success.

Contact us today to gain transparent, configurable control over your pharmacy benefit operations.