340B Program Support
RxLogic delivers modern 340B program support built for scale, accuracy and audit confidence. As data volumes grow and program requirements become more complex, 340B administrators, covered entities and contract pharmacies need infrastructure that can handle real-time eligibility validation, split-billing logic and duplicate discount prevention without compromise.
Where Legacy 340B Systems Fall Short
Traditional adjudication and split-billing tools were not designed for the complexity of today's 340B environment. Many rely on delayed batch processing, limited visibility and fragmented data flows that make eligibility verification, accumulator management, and duplicate discount detection difficult to manage at scale.
RxLogic closes these gaps by embedding 340B logic directly into the claim adjudication process. Our platform enables real-time decision making across retail and contract pharmacy networks, eliminating the need for downstream reconciliation and reducing reliance on manual interventions that can lead to errors or missed savings.
Built for Real-Time Accuracy and Compliance
At the core of RxLogic's 340B capabilities is a transparent, configurable adjudication engine that supports real-time eligibility checks, precise accumulator tracking and automated split-billing workflows. By validating eligibility at the point of claim and applying program rules consistently, RxLogic helps ensure that each transaction adjudicates correctly the first time.
Full claim-level visibility allows stakeholders to trace eligibility determinations, pricing decisions and accumulations with confidence. This transparency supports audit readiness, simplifies compliance reporting and enables faster issue resolution when questions arise.
What Sets RxLogic Apart
Real-Time Eligibility Validation
Integrates eligibility checks directly into adjudication to ensure accurate 340B determination at the point of sale.
Integrated Split-Billing Logic
Supports retail and contract pharmacy workflows without delayed or manual reconciliation.
Duplicate Discount Protection
Built-in safeguards help prevent duplicate discounts across Medicaid and other programs.
Claim-Level Transparency
Every decision is visible, traceable, and defensible for audits and compliance reviews.
Cloud-Native, API-Driven Architecture
Enables seamless integration with TPAs, covered entities, pharmacies and external data sources.
Future-Ready 340B Infrastructure
RxLogic's 340B capabilities continue to evolve as part of a broader, connected pharmacy technology ecosystem:
Core claims adjudication with real-time processing and configurable program logic
Advanced reporting and analytics to support compliance monitoring and performance insights
Financial and accumulator management tools to improve reconciliation accuracy and operational efficiency
Expanded interoperability through APIs to support emerging program requirements and partner integrations
Your Program. Your Data. Full Confidence.
Managing a 340B program requires precision, transparency and trust in the systems behind every claim. RxLogic provides the intelligent adjudication infrastructure needed to simplify operations, strengthen compliance and ensure eligible discounts are accurately identified and captured – without sacrificing visibility or control.
Ready to Modernize Your 340B Program?
Schedule a demo to see how RxLogic can bring precision and transparency to your 340B operations.
Schedule a Demo