Rebate Transparency,
Simplified

Manufacturer rebates exist on both the pharmacy and medical sides of the benefit. Most organizations are managing one well. VativoRx is built to manage both — with the same structured, compliance-focused process across every claim.

4M+ ClaimsProcessed in 2024–2025
1.9M+ LivesReached across populations
Encrypted File Transfer · HIPAA-Aligned Process · No PHI for Initial Analysis · HITECH-Aligned · Security Assessment Ready · Encrypted File Transfer · HIPAA-Aligned Process · No PHI for Initial Analysis · HITECH-Aligned · Security Assessment Ready

Pharmacy & Medical Rebate Management

VativoRx helps healthcare organizations build a consistent rebate management process across both pharmacy and medical claims — not just one or the other.

Most organizations have pharmacy benefit rebates reasonably covered through their PBM. Medical-benefit rebates — tied to administered drugs, specialty infusion, and biologics billed outside the pharmacy benefit — are where visibility tends to break down. VativoRx addresses both, with the same validation rigor applied across the full claim picture.

Pharmacy and medical claim-level review — both benefit types, one consistent process

Compliance-focused validation applied at the individual claim level

Structured reporting designed for finance, compliance, and operations simultaneously

A defined methodology that produces results you can explain — not just track

Pharmacy Medical Specialty
Pharmacy
Claims
Reviewed
Eligible
Medical
Claims
Validated
Eligible
Excluded

Claim-Level Analysis

Identify rebate-eligible claims across pharmacy and medical data through a structured review process.

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HIPAA CMS Manufacturer
NDC Validation
Date of Service
Provider NPI
Quantities
Duplicate Review

Compliance-Focused Validation

Evaluate claims against manufacturer, CMS, and program requirements to ensure consistent and defensible eligibility decisions.

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Finance Operations Compliance
Finance
Monthly Claims Summary Quarterly Estimates Rebate Remittance
Compliance
Monthly Detailed Claims Audit Trail
Operations
Quarterly Summary Operational Overview

Structured Reporting

Give finance, compliance, and operations teams a reporting output they can each use — without translation or custom requests.

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A structured process produces measurable results. These are ours.

0M+
Claims Processed
Across 2024 and 2025
0.0M+
Lives Reached
Across partner-supported populations
0%
Client Retention Rate
The organizations that start with us stay with us
0+
Years Experience
A decade of refining the same core process — claim-level rebate management that holds up to review

Technology-Enabled Process Support

VRx Connect is the internal reporting infrastructure behind VativoRx's validation, reporting, and documentation workflows today.

As that environment evolves, it is expected to support expanded client-facing visibility into rebate activity, reporting, and supporting documentation over time.

Claim Data Intake
Pharmacy Claims.csv2.4 MB
Medical Claims.csv3.1 MB
Contract Data.xlsx1.7 MB
3 files processed100%
Processing
Parsing Data
Reading claim files
Validating
Checking integrity
Standardizing
Normalizing formats
Matching
Matching to contracts
Enriching
Adding reference data
Opportunities Found
High Priority
Under Review
Validated
Data Sources
PBM
Medical
Specialty
Contracts
78%
Validated
Matched
Validated
Pending
View Full Report
Claim Data Intake
Pharmacy Claims.csv2.4 MB
Medical Claims.csv3.1 MB
3 files processed100%
Processing
Parsing Data
Reading claim files
Validating
Checking integrity
Matching
Matching to contracts
78%
Validated
Matched
Validated
Pending

Find Out Where Your Rebate Picture Has Gaps

Start with a short conversation to understand where rebate opportunity exists and how a more structured process could fit your organization.