ReconcileRx Book a Consultation

A clear process built around one goal: accuracy.

ReconcileRx reviews the full financial flow of your 340B program to ensure drug cost, reimbursement, and pharmacy payouts are calculated correctly.

The Process Overview

Every 340B transaction follows a financial path:

Prescription → Reimbursement → Drug Cost → Fees → Final Payout

If any step in that process is incorrect, revenue is lost.

ReconcileRx verifies that each step is accurate and aligned.

Our 3-Step Approach

1

Data Review

We collect and review key data across your program, including:

  • contract pharmacy reports
  • prescription and dispensing data
  • claim and reimbursement data
  • drug purchasing and replenishment records
  • pharmacy payout reports

This gives us a complete view of how your program is operating.

2

Full Financial Reconciliation

We trace the full transaction flow to ensure alignment across:

  • eligible prescriptions
  • assigned drug cost (340B vs non-340B)
  • insurance reimbursements
  • pharmacy fee structures
  • final payments to your organization

We are not looking at one piece - we are connecting everything.

3

Variance & Findings

We identify and quantify:

  • discrepancies between expected and actual payouts
  • missed or incomplete 340B capture
  • incorrect cost assumptions
  • inconsistencies in reporting
  • potential underpayments

You receive a clear summary of:

  • what's correct
  • what's not
  • where revenue may be lost

What We're Actually Verifying

At a practical level, we answer five key questions:

Are the right prescriptions being captured as 340B eligible?
Is the correct drug cost being applied?
Are insurance reimbursements aligned with expectations?
Are pharmacy fees being calculated correctly?
Is your organization receiving the correct final payout?

How This Fits With Your Current Setup

ReconcileRx works alongside your existing structure.

We do not replace:

  • TPAs
  • pharmacies
  • internal teams
  • software systems

Instead, we act as an independent verification layer to ensure everything is working as it should.

Output & Deliverables

You receive:

  • a structured reconciliation summary
  • identified discrepancies and variances
  • estimated financial impact
  • clear explanation of findings
  • recommended next steps

Our reporting is designed to be:

clear, actionable, and defensible

Ongoing Oversight (Optional)

For organizations that want continuous visibility:

recurring reconciliation reviews
variance tracking over time
continued verification of pharmacy payouts
ongoing support and follow-up

If the process isn't fully aligned, the numbers won't be either.

Let's review your 340B program and make sure everything is working as it should.

Schedule a Consultation