Rx
Independent Pharmacy Benefit Consulting

Pharmacy spend you can finally see through.

FortisRx is the independent partner self-funded employers, unions, and health plans hire when they're done guessing what their PBM is actually charging them. No drug ownership. No manufacturer rebates. No carrier payments. Just sharper contracts and lower net cost.

100% Independent No PBM Ownership No Manufacturer Rebates Fee-Only Compensation
Your PBM contract was written to favor the PBM. Ours wasn't.

The conflict you didn't sign up for

Most pharmacy benefit "consultants" earn commissions, override fees, or rebate splits from the very PBMs they're paid to evaluate. The math is simple — and it isn't on your side.

FortisRx is paid by one party only: the plan sponsor. That means every contract clause, formulary recommendation, and audit finding is judged against a single standard — does it lower your net pharmacy cost without disrupting member care?

What we do

A three-phase engagement built around your plan year.

We meet plan sponsors at any stage of the PBM relationship — from a forensic look at your current contract to a clean-sheet RFP, with ongoing oversight to make sure the savings we promise on day one are still there on day 365.

01

PBM Contract, Negotiations Strategy & Claims Audit

A line-by-line review of your current PBM agreement and twelve months of claims data to surface leakage, rebate gaps, and definitional loopholes.

  • Reimbursement / Negotiations Strategy
  • Pricing guarantee reconciliation (coming soon)
  • Rebate-flow forensics (coming soon)
  • Specialty & mail channel audit (coming soon)
  • Definition gap analysis
  • Alternative channel optimization
02

Market Check or RFP

Benchmark current terms against today's market — or run a full competitive RFP with apples-to-apples financial modeling and clinical scoring.

  • Custom RFP design & release
  • Bid normalization & modeling
  • Finalist negotiation strategy
  • Implementation oversight
03

Ongoing Oversight

Quarterly performance reviews, state & federal regulatory governance, clinical & formulary oversight, and annual contract reconciliation so compliance and the savings we identify on day one are still there on day 365.

  • Quarterly performance reviews
  • Clinical & formulary governance
  • Annual reconciliation (coming soon)
  • Member advocacy escalations
  • Pharmacy State & Federal Regulation / Pharmacy Network Compliance
Why FortisRx

Four commitments that change the incentive.

01 / Independence

No PBM affiliation.

We don't own a PBM, we don't operate one, and we don't take referral or override fees from any of them. Our seat at the table is on your side of it.

02 / Transparency

Fee-only compensation.

Flat project or annual retainer — disclosed in advance, billed in writing. No hidden splits, no contingent earnings on the recommendation we make.

03 / Rigor

Clinical and contractual.

Our team blends PharmD clinicians with contract specialists who have sat on the PBM side of the table. We know where the language hides and what the formulary actually does.

04 / Continuity

We stay through year-end.

A good RFP is the start, not the finish. We audit every quarterly invoice and reconcile every guarantee — so identified savings are realized savings.

By the numbers

Outcomes our clients can show their board.

Pharmacy is the fastest-growing line item in most benefits budgets. Independent oversight pays for itself many times over — usually in the first plan year.

12–22%
Average first-year net pharmacy savings for clients moving from a bundled to a fee-only arrangement.
100%
Rebate pass-through negotiated into every contract we touch, with audit rights to enforce it.
$0
Compensation accepted from any PBM, drug manufacturer, or carrier — past, present, or future.
/yr
Performance reviews delivered to every retained client, with claims-level reconciliation.

Savings ranges reflect aggregated client outcomes; individual results vary based on plan design, current contract terms, and pharmacy mix.

FortisRx
Our approach

Built like an audit firm. Compensated like a fiduciary.

FortisRx was founded on a single conviction: pharmacy benefit advice should sit on the plan-sponsor side of the table, period. Every engagement begins with a written conflict disclosure and a fixed-fee agreement — so you know exactly what we're paid, by whom, and for what.

From there, the work is forensic. We read the contract you signed, the invoices you've actually received, and the claims your members have actually filled. We compare them line by line to current market terms, and we put the findings in a board-ready memo.

Ash —
Principal, FortisRx

Ready to see what your PBM isn't telling you?

Start with a no-cost discovery call
Get in touch

Tell us about your plan.

Most engagements begin with a 30-minute discovery call. Share a little context below — or reach out directly. We respond within one business day.

Phone

Mailing address

PO Box 23
Corona del Mar, CA 92625

Hours

Mon–Fri, 8:00 AM – 6:00 PM PT

Request a discovery call

Self-funded employers, unions, and health plans only.

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