You can save 100% if you stop covering them, but if you don’t go HERE and see your estimated savings by opening up multiple channels to access the lowest net-cost fulfillment.

Medical Benefit Carve-Out
Infrastructure for GLP-1s

Operationalize direct pharmacy contracts. Bill to TPAs. Cut costs 30-60%.

Apaly Rx enables health plans to move GLP-1s from pharmacy benefits to medical benefits, creating direct pharmacy contracts that bypass PBM constraints while providing the complete operational infrastructure to bill TPAs, manage member cost share, and route every prescription to the lowest net-cost fulfillment channel.