Know what every fill earns. Before the patient leaves.
Margin prices every claim against what the drug actually cost you, seconds after it adjudicates. Losing fills get flagged while you can still hold, appeal or reprice, instead of surfacing at reconciliation when the money is already gone.
The losing fills do not announce themselves.
A claim reimburses under your cost and nothing beeps. The patient leaves happy, the queue moves on, and the loss hides in a remittance you will reconcile weeks from now. Meanwhile the same drug keeps going out the door at the same losing rate. You cannot fix what you cannot see, and today you cannot see it.
A margin is only as good as the cost underneath it.
Most tools show you one number and let you assume it is exact. This one tells you which of five things it used, every time, because a decision you make on an indicative benchmark is a different decision from one you make on an invoice you paid.
| Source | How far to trust it | Used when |
|---|---|---|
| Your invoice | Exact | The NDC appears on a wholesaler invoice you imported. |
| Scaled package | High | A different package size of the same NDC is known, scaled by unit. |
| Your override | Exact, and attributed | Someone entered a cost by hand. The record says who and when. |
| NADAC benchmark | Indicative | Nothing tenant-specific is known. Treated as an estimate and labeled as one. |
| Unknown | None | Flagged for resolution. Never displayed as profit. |
The last row is the one that matters most. Software that treats an unknown cost as zero reports your losses as wins, and an owner who trusts that report makes purchasing decisions on it for a year.
Dollars and percentage. Both, or you miss half of it.
A five percent floor is sensible on a four-dollar generic and useless on a nine-hundred-dollar specialty fill, where five percent is forty-five dollars of cover against a cost that can move between purchase and dispense. A flat dollar floor has the opposite blind spot. Each catches exactly what the other misses, which is why the product refuses to make you choose.
| Fill | Margin | Percent | Caught by |
|---|---|---|---|
| Generic, $4.10 | -$0.90 | -22% | Percentage |
| Specialty, $912.00 | -$41.20 | -4.5% | Dollars |
| Brand, $186.40 | $2.10 | 1.1% | Either |
Margin, in practice.
Every fill priced in under a minute
Not a sample, not a monthly report. Every claim, against your own wholesaler invoice cost, the moment the response comes back.
A queue of the fills that need you
Underwater fills and thin margins land in one work queue, oldest first, each with one action: hold, price-check, appeal, or accept and move on. Nothing ages out of sight.
Numbers you can defend
Every margin shows where its cost came from: your invoice, a scaled package price, NADAC, or your own override. You always know how much to trust the number before you act on it.
No fake profits
A fill with no known cost is flagged for resolution, never shown as pure profit. Software that treats unknown as zero hides your losses. This one refuses to.
Payer scorecards built from your claims
See exactly how each PBM, plan and BIN/PCN pays you, over time. Walk into the next contract conversation with evidence instead of anecdotes.
Your thresholds, both kinds
Flag on dollars, percentage, or both. A 5% margin is fine on a $900 specialty fill and pointless on a $4 generic. Each floor catches what the other misses.
Already connected? Margin was a switch, not a project.
Every product runs on the same event spine. Turning one on starts it working on data that is already flowing, which is why there is no second onboarding and no second integration bill.
See Margin on your own data.
Thirty minutes. We connect one facility read-only, replay your recent events, and show you what Margin finds. Your numbers, not a demo dataset, and credentials you can revoke when we are done.