Maximize Rebate Recovery Across Your Health System

The Challenge

The Medical Benefit Is the Blind Spot

Health systems administer high-cost specialty drugs and brand medications across inpatient units, outpatient infusion centers, and employed physician practices. These drugs are billed under the medical benefit — not the pharmacy benefit — which means they fall outside the rebate programs most organizations have in place.

Without a dedicated process to identify and pursue these rebates, the value simply goes uncollected. Manufacturers retain it. Your organization does not.

A focused medical-benefit drug rebate recovery program gives finance, pharmacy, and revenue-cycle leaders a clearer view of eligible utilization across sites of care. By reviewing claim-level drug administration data, health systems can identify manufacturer rebate opportunities tied to specialty pharmaceuticals, biologics, and other high-cost therapies.

Veritas Benefit Partners works alongside existing pharmacy benefit, GPO, and manufacturer contracting arrangements to pursue recoverable value without changing clinical workflows. The result is a practical way to strengthen drug spend management while preserving the systems and relationships already in place.