Built for organizations responsible for pharmacy benefits.
IXB works with the teams accountable for pharmacy-benefit rules, decisions, transactions, and dollars — and for proving all four are operating as intended.
Health plans
Improve oversight, benefit accuracy, clinical access, financial reconciliation, and evidence across pharmacy programs.
PBMs and administrators
Modernize configurable operations, clinical workflows, client evidence, and financial transparency while preserving authoritative calculation and human accountability.
Medicare, Medicaid, and Commercial program teams
Support program-specific configuration, operations, reporting, and review through validated, governed workflows.
IXB is designed to support these programs and is configurable for program-specific requirements. Regulatory fit is subject to customer-specific requirements and validation.
Begin with the operation where accountability matters most.
Pharmacy Claims Processing
Evaluate pharmacy transactions against versioned benefit, pricing, and utilization rules, while retaining the evidence needed to reproduce and explain each response.
Pharmacy Claims Processing →Benefits Studio
Prepare pharmacy benefit configurations, test synthetic claim scenarios and review the evidence behind proposed changes. Explore optional AI assistance for setup and testing, with human approval retained.
Benefits Studio →Rebate & Contract Financial Integrity
Connect eligible utilization, contract-based calculation, invoicing, manufacturer response, payment, dispute, and reconciliation with claim-level evidence.
Rebate & Contract Financial Integrity →Prior Authorization
Organize requests, criteria, evidence, review, communication, and audit history while preserving authorized clinical decision-making.
Prior Authorization →Medication Therapy Management
Support member identification, outreach, pharmacist review, interventions, follow-up, and program reporting in one governed workflow.
Medication Therapy Management →TGRX Specialty Care Coordination
Coordinate specialty referrals, authorization status, pharmacy handoffs and member follow-up. TGRX is designed to connect the IXB PBM suite with your chosen claims processor and participating specialty pharmacies.
TGRX Specialty Care Coordination →Working alongside the partners a program already trusts.
IXB can work with authorized implementation, audit, consulting, and technology partners when a customer needs broader delivery or independent professional judgment.
Tell us which program you are responsible for.
We will show the relevant capability against your program's requirements — without an enterprise replacement conversation.