Introducing OpenPBM.ai

The smarter Pharmacy Benefit Management (PBM) platform that uses AI to save you money on prescriptions.

Most health plans already have a pharmacy benefit manager in place. But as prescription costs rise and program complexity grows, many buyers are looking for more clarity and more control.

We built OpenPBM.ai to support that shift. It’s a smarter, AI-powered PBM platform that helps brokers, TPAs, and plan sponsors reduce cost, minimize disruption, and better understand how their prescription benefit is performing.

You can use the entire platform, or plug in the features you need. Either way, OpenPBM.ai gives you the flexibility to improve your plan without overhauling what already works.

A Smarter PBM, Built for Today’s Buyers

PBMs have long promised savings, service, and transparency. But as the system has grown more complex, those promises have become harder to verify.

Rebate performance is often delayed. Formulary changes can cause disruption. Specialty drug costs fluctuate with little explanation. And when members qualify for funding programs, the responsibility to act still falls on your team.

OpenPBM.ai is built to handle this complexity in the background, using AI to make smarter decisions, earlier in the process, with less work on your end.

What OpenPBM.ai Can Do

Whether you use OpenPBM.ai as a full platform or for specific functions, it’s designed to make your pharmacy benefit easier to manage and more cost-effective to operate.

● Run prescription auctions automatically

High-cost prescriptions are shopped across your network. Pharmacies compete to fill them at the best available price.

● Track rebates and forecast savings

You get performance data tied to actual claims, plus rebate forecasting that’s accurate, timely, and audit-ready.

● Enroll members in cost-saving programs

When members qualify for copay assistance or manufacturer-funded programs, the system identifies them and handles enrollment automatically.

● Monitor plan performance

OpenPBM.ai flags issues like delays, pricing spikes, or coverage gaps and works behind the scenes to resolve them before they escalate.

Built for Buyers Who Need Answers

OpenPBM.ai is built on modern infrastructure, not legacy tech. It doesn’t rely on after-the-fact reporting or generic templates. Instead, it provides real-time insight into how your benefit is performing and uses AI to make the right adjustments without added burden on your team.

You get cleaner data, fewer surprises, and less time spent managing the basics.

Why We Built This

I didn’t build Exouza because the world needed another PBM. I built it because we kept seeing patients walk away from the pharmacy counter without their medication.

Most of our customers don’t see that moment. They’re upstream designing the plans, negotiating the pricing, choosing the partners.

But every choice you make eventually shows up at the counter. It shows up in whether the drug is covered. Whether it’s affordable. Whether the system works or doesn’t.

One customer asked me, “Why do you get better results?”

My answer: “Execution and focus.”

OpenPBM.ai was built to make those choices better. More transparent. More consistent. More aligned with the people we’re all trying to serve.

That’s why we’re here. And we’re ready to help.