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2025 Results & Case Studies

In 2025, our team analyzed pharmacy claims for organizations across a wide range of industries and sizes, ranging from a 280-employee construction company to a 132,000-employee public education system. The results revealed substantial waste (and opportunity for savings) in every case. 


Here are some 2025 highlights that demonstrate our impact across industries:


  • $400+ million | Total annual pharmacy waste identified across all of our 2025 case studies. Our solutions are quick to resolve waste, with results often seen within 30 days of implementation.
  • ~60–70% | Average specialty drug cost reduction found. High-cost specialty medications were the biggest driver of waste in most analyses, with our recommendations often cutting two-thirds of specialty Rx spend (several cases achieved 70%+ reduction in specialty costs).
  • Up to 82% | Total pharmacy spend that could be saved in the most extreme cases. It’s not uncommon for our audits to find that half of an organization’s pharmacy expenditure can be eliminated through optimized sourcing alone.
  • ROI as high as 13:1 | Return on investment potential from implementing our solutions. Based on the savings identified versus projected implementation costs, several organizations saw ROI estimates ranging from roughly 5:1 up to 13.4:1. 










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