When the 340B rebate model launches, readiness will matter. 

Is your TPA ready?

PharmaForce is.

Download the Rebate Readiness Guide

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340B Rebate Model Pilot Program Impact

When the rebate model goes live, 340B covered entities could lose thousands in 340B savings if pharmacy teams can't manage an extra 15-20 hours per week required to manage the rebate process for nine high-value drugs.

OUR SOLUTION

PharmaForce ClaimsConnect makes 340B Rebate Reporting easy.

Already trusted with 340B ESP, ClaimsConnect is ready to support rebate reporting.

Keep your existing 340B savings without the hassle.

The 340B Rebate Model Is Changing Everything.

These 6 Questions Will Tell You If Your TPA Is Ready.

When the rebate model goes live, covered entities will have to buy select drugs at WAC and wait for manufacturer rebates after claims are verified. That shift will test every TPA’s technology, transparency, and timing.

Our new guide—6 Questions Every Covered Entity Should Ask Their TPA Before the Rebate Model Begins—helps you identify whether your partner can automate submissions, prevent revenue loss, and keep you compliant in the rebate era.

  • Group 2 (1)
    Will you protect my program without blocking drugs globally?
  • Icons
    How will you safeguard revenue when IRA drugs shift to WAC pricing?
  • Group 1
    Can you stop unnecessary WAC spend?
  • Group 4
    Are rebate claims submitted in real time?
  • Group 3
    Can I see responses at the claim level?
  • Group 5
    Will I have full reconciliation across the lifecycle?

PharmaForce vs. Other TPAs

The 340B Rebate Model will expose gaps in how TPAs handle pricing, submissions, and reconciliation. While many are still testing approaches, PharmaForce is already built to manage rebate complexity with the same precision and automation we bring to 340B today.

Here’s how we compare.

Question
Other TPAs
PharmaForce
Protects rebate NDCs without global blocking? ❌ Often block all nine impacted NDCs, restricting access unnecessarily ✅ Flexible carve-outs by Plan + NDC protect only what's required
Safeguards revenue on WAC pricing? ❓"Still exploring" how to manage WAC exposure ✅NDC-level profit logic provides CE-level control for varying scenarios
Prevents unnecessary WAC spend? ❌ Normal replenishment workflow; WAC price purchases regardless of rebate approvals ✅On-hold logic pauses replenishment until rebate confirmation
Real-time rebate submission? ❌ Batch or manual uploads delay reimbursement ✅API-driven submissions ensure faster rebate flow
Claim-level visibility? ❌ Limited reporting ✅ Full visibility into every claim, status, and adjustment
Full financial reconciliation with Beacon? ❌ Unidirectional integration submits claims to Beacon but requires manual reconciliation ✅Real-time claim-level reconciliation through bidirectional Beacon integration

 

The rebate era isn't far away. Switch today.

Enter 2026 with clarity, confidence, and compliance.

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