---
title: ReclaimRx
description: Discover how ReclaimRx identifies and stops financial leakage in patient support programs through real-time, AI-driven claims analysis, ensuring you recover lost funds effectively.
---

InfinityRx made the 2026 Inc. 5000 list. [See our Inc. 5000 ranking](https://www.infinityrx.com/news-insights/infinityrx-named-to-2026-inc5000?hsLang=en)

[![infinityrx-white](https://www.infinityrx.com/hs-fs/hubfs/Logos/infinityrx-white.png?width=512&height=392&name=infinityrx-white.png)](https://www.infinityrx.com?hsLang=en)

- [Solutions](https://www.infinityrx.com/solutions?hsLang=en)
  
  [Claims Program Administration Pharmacy and medical benefit copay through one proprietary engine.](https://www.infinityrx.com/solutions?hsLang=en#powered-by-icp) [Access Services Verify coverage. Accelerate access.](https://www.infinityrx.com/solutions?hsLang=en#powered-by-icp) [GTN Protection Protect access. Protect every affordability dollar.](https://www.infinityrx.com/solutions?hsLang=en#powered-by-icp) [Data & Program Intelligence Turn claims, access, and spend data into better program decisions.](https://www.infinityrx.com/solutions?hsLang=en#powered-by-icp) [Patient Engagement Connected communications throughout the therapy journey.](https://www.infinityrx.com/solutions?hsLang=en#powered-by-icp)

  See what your affordability program isn't telling you
  
  A structured read on leakage, speed, and claim-level visibility across your portfolio.
  
  [Request a Program Assessment](https://www.infinityrx.com/request-program-assessment?hsLang=en) [Submit an RFP →](https://www.infinityrx.com/rfp-submission?hsLang=en)
- [Insights](https://www.infinityrx.com/news-insights?hsLang=en)
  
  [All Articles For the teams running patient access programs](https://www.infinityrx.com/news-insights?hsLang=en) [Benefit-to-WAC Ratio Understand program stability through Benefit-to-WAC ratio](https://www.infinityrx.com/news-insights/understanding-program-sustainability-through-benefit-to-wac-ratio?hsLang=en) [Pharmacy Monitoring Why Real-Time Visibility Beats Reactive Audits](https://www.infinityrx.com/news-insights/pharmacy-monitoring-real-time-visibility?hsLang=en) [Unified Dual Benefit Why Pharmacy and Medical Benefits Belong on One Platform](https://www.infinityrx.com/news-insights/unified-dual-benefit-why-pharmacy-and-medical-belong-on-one-platform?hsLang=en) [Under-Reimbursement The Gross-to-Net Leak Most Manufacturers Don't See](https://www.infinityrx.com/news-insights/under-reimbursement-the-gross-to-net-leak-most-manufacturers-dont-see?hsLang=en)

  [InfinityRx named No. 156 on the 2026 Inc. 5000 list Read the announcement](https://www.infinityrx.com/news-insights/infinityrx-named-to-2026-inc5000?hsLang=en)
- [About Us](https://www.infinityrx.com/about?hsLang=en)
- [Contact Us](https://www.infinityrx.com/contact?hsLang=en)

[Request a Program Assessment](https://www.infinityrx.com/request-program-assessment?hsLang=en)

Solutions

[Solutions overview](https://www.infinityrx.com/solutions?hsLang=en) [Claims Program Administration](https://www.infinityrx.com/solutions?hsLang=en#powered-by-icp) [Access Services](https://www.infinityrx.com/solutions?hsLang=en#powered-by-icp) [GTN Protection](https://www.infinityrx.com/solutions?hsLang=en#powered-by-icp) [Data & Program Intelligence](https://www.infinityrx.com/solutions?hsLang=en#powered-by-icp) [Patient Engagement](https://www.infinityrx.com/solutions?hsLang=en#powered-by-icp) 

Insights

[Insights overview](https://www.infinityrx.com/news-insights?hsLang=en) [All Articles](https://www.infinityrx.com/news-insights?hsLang=en) [Benefit-to-WAC Ratio](https://www.infinityrx.com/news-insights/understanding-program-sustainability-through-benefit-to-wac-ratio?hsLang=en) [Pharmacy Monitoring](https://www.infinityrx.com/news-insights/pharmacy-monitoring-real-time-visibility?hsLang=en) [Unified Dual Benefit](https://www.infinityrx.com/news-insights/unified-dual-benefit-why-pharmacy-and-medical-belong-on-one-platform?hsLang=en) [Under-Reimbursement](https://www.infinityrx.com/news-insights/under-reimbursement-the-gross-to-net-leak-most-manufacturers-dont-see?hsLang=en) 

[About Us](https://www.infinityrx.com/about?hsLang=en) [Contact Us](https://www.infinityrx.com/contact?hsLang=en) [Request a Program Assessment](https://www.infinityrx.com/request-program-assessment?hsLang=en)

# Your GTN is leaking before *your audit even sees it*

Fraud, waste, and abuse cost billions of dollars every year. Copay programs aren't exempt. ReclaimRx™ catches it while it's happening, not *eventually*.

[Request a Program Assessment](https://www.infinityrx.com/request-program-assessment?hsLang=en)

## What hits one program is headed for the next.

Pharmacy fraud, waste, and abuse rarely look like one bad actor. They look like patterns: a claim reversed and rebilled within seconds, a prescriber who doesn't exist, a pharmacy working the seams of your benefit design. By the time an audit surfaces any of this, the money is already gone. 

A pharmacy running a scheme like this rarely stops after one program catches it. It moves to the next, often before anyone connects the dots. ReclaimRx is built so a pattern confirmed on one program protects every program on the platform, including yours, even if you're only running one.

![GTN Leakage - Anomalies Detected 1264x665](https://www.infinityrx.com/hubfs/GTN%20Leakage%20-%20Anomalies%20Detected%201264x665.png "GTN Leakage - Anomalies Detected 1264x665")

Earlier visibility into undetected leakage. Insight where it didn't exist before.

## Fraud and billing schemes evolve. Static audits don't. 

ReclaimRx is designed to adapt every time. Every confirmed pattern strengthens the system.  
That's the difference between a report and a closed loop.

### Reveal

**Anomalies surfaced across the claims stream, in real time, not in a sample.**

### Recoup

**Suspect claims held before funds go out, and what's already paid gets flagged for recovery.**

### Reinforce

**Every confirmed pattern becomes a rule, so the system gets harder to fool next time.**

1. REVEAL
   
   Surface the leakage hiding in claims, rebates, and reimbursement data.
2. RECOUP
   
   Recover the dollars already lost, with the documentation to support every claim.
3. REINFORCE
   
   Feed what you found back into program design so it does not happen twice.

## Caught at adjudication, blocked everywhere.

A pharmacy registered an NPI and starts billing almost immediately, with no real patient relationship or dispensing history behind the claims. On a fragmented stack, that pattern clears for months before anyone looks at a quarterly audit and notices something is wrong. ReclaimRx flagged it at the claims level, in real time, and blocked it across every program on the platform, not just the one that surfaced it first.

- Detection runs against live claims data, not a quarterly sample
- One confirmed pattern protects every program on the platform, instantly
- Rule updates happen automatically, with no change order or vendor ticket

Every confirmed pattern strengthens the system. That's the difference between a report and a closed loop.

## What ReclaimRx catches: Patterns standard audits typically miss.

Reversal-and-rebill sequences at the pharmacy level

Prescriber identities that don't hold up to verification

Network-level patterns no single claim would reveal on its own

Program-level drift no single audit catches

## Fraud, waste, and abuse move fast. Your defense should too.

[Let's talk →](https://www.infinityrx.com/contact?hsLang=en)

[![InfinityRx](https://www.infinityrx.com/hs-fs/hubfs/InfinityRx%20logo%20white.png?width=300&height=52&name=InfinityRx%20logo%20white.png "InfinityRx")](https://infinityrx.com?hsLang=en)

InfinityRx helps pharmaceutical manufacturers administer pharmacy and medical benefit affordability programs, protect GTN performance, and turn claim-level data into better program decisions through InfinityRx Claims Processor®, the adjudication engine we own. 

Built in New York.

Explore

- [Solutions](https://www.infinityrx.com/solutions?hsLang=en)
- [Insights](https://www.infinityrx.com/news-insights?hsLang=en)
- [Submit an RFP](https://www.infinityrx.com/rfp-submission?hsLang=en)
- [Request a Program Assessment](https://www.infinityrx.com/request-program-assessment?hsLang=en)

Company

- [About Us](https://www.infinityrx.com/about?hsLang=en)
- [Contact Us](https://www.infinityrx.com/contact?hsLang=en)
- [Careers](https://www.linkedin.com/company/infinityrx/jobs)
- [Follow Us](https://www.linkedin.com/company/infinityrx)

SOC 2 · Type I + Type II Security, Availability, Confidentiality

SOC 1 · Type I + Type II Financial Reporting Controls

HIPAA Compliant PHI Handling Framework · Full Audit Logging

---

©  InfinityRx, LLC | All rights reserved.

[Terms of Use](https://www.infinityrx.com/terms-of-use?hsLang=en) • [Privacy Policy](https://www.infinityrx.com/privacy-policy?hsLang=en) • [Cookie Policy](https://www.infinityrx.com/cookies-policy?hsLang=en) • [Do Not Sell My Personal Information](https://www.infinityrx.com/do-not-sell-my-personal-data?hsLang=en) • [Accessibility](https://www.infinityrx.com/accessibility?hsLang=en)

![back-to-top](https://f.hubspotusercontent00.net/hubfs/7712601/back-to-top.png)

```json
{
  "@context" : "https://schema.org",
  "@type" : "Organization",
  "logo" : "https://www.infinityrx.com/hubfs/infinityrx_logo_black.png",
  "name" : "InfinityRx",
  "sameAs" : [ "https://www.linkedin.com/company/infinityrx" ],
  "url" : "https://www.infinityrx.com"
}
```