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Take Control of Your Pharmacy's Cash Claims

A Cost Plus alternative built for pharmacies, using your drug cost or NADAC plus a dispensing fee you control.

  • Predictable margins on cash claims

  • No more pricing guesswork

  • Fair patient pricing without underwater reimbursement

Take Control Back With Cash Claims

The Cash Claim Problem

The current discount-card model often leaves pharmacies without enough control over cash claim economics.

The Benefit Alliance Rx Solution

Benefit Alliance Rx gives pharmacies a transparent cost-plus pricing option for cash claims.

Pricing is based on your drug cost or NADAC, plus a dispensing fee that serves your business.

How it Works

Step 1

Select either your own drug costs, or NADAC as your cost baseline

Step 3

Process your claim to the Benefit Alliance Rx solution as the third party

Step 2

Choose a dispensing fee that covers your labor costs and provides your desired margin per claim

Relax

Know that even as drug costs fluctuate, your margin is protected and your patients are treated fairly

Frequently Asked Questions
 

Why Should I Choose Benefit Alliance Rx?

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  • Benefit Alliance Rx is designed for pharmacies that want more control over their cash claim pricing. Instead of relying on discount cards that may not align with your cost structure, our model lets you build pricing around drug cost or NADAC plus a dispensing fee you choose.

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How Do I Know Your Pricing Solution Works For My Business?

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  • Since we use your drug costs (or NADAC) and allow you to set your own dispense fee, you know in advance what your profit margin will be for every claim net of your drug + labor costs.​

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Will My Patients Accept A Cost Plus Model Instead Of A Discount Card?

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  • In our experience, most patients are primarily looking for meaningful relief from standard cash prices. When a patient strongly prefers a specific card, the pharmacy can still handle that situation as needed. Benefit Alliance Rx is designed to make the rest of your cash claim workflow more predictable.

Reasons I Don't Need Benefit Alliance Rx
 

I Don't Need A Cost Plus Model, My Staff Does Manual Overrides To Control Prices

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We've done the manual overrides ourselves too, the process looks just like this:

  1. Run the cash claim

  2. Patient at the register complains the cost is too high

  3. Reverse the cash claim

  4. Look up the current drug cost or review the prescription sale price from last month​

  5. Staff decides what your margin should be...​

  6. Rebill the claim

  7. Sell prescription at the register

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However, what if your process instead looked like this?

  1. Run the claim using Benefit Alliance Rx

  2. Sell prescription at the register

    • Your drug + labor costs are already calculated into the price

    • No guesswork, no staff workflow disruptions, and no negative patient sticker shock

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I Already Have A Discount Card I Like Using

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That's great!

Now ask if you would like them even more if they:

  • Had transparent admin fees that weren't hidden deep inside PBM contracts far behind your PSAO?

  • Had lower fees than other providers?

  • Ensured your claims always remained above both your drug & labor costs?

  • Allowed you to adjust your margin over time as the needs of your business changed?​

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If you said yes any one of these, Benefit Alliance Rx is already the Cost Plus model you'd like even more.

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Changing My Discount Card Provider Is Too Much Work

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This is a legitimately great reason to consider staying with an existing vendor, and the discount cards are literally banking on that being your answer.

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So why change at all?

Because the change you'd really be making is taking back control of your own cash claims, saving money on fees while doing it, and putting your revenue model back in alignment with the goals of your own business.

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