Take control of patient affordability
Pharmacy and medical benefit copay programs powered by ICP, our proprietary adjudication engine, with integrated GTN protection, access services, and real-time program intelligence.
Powered by ICP
The InfinityRx Claims Processor® is the proprietary adjudication engine behind every InfinityRx program. ICP connects pharmacy and medical benefit claims, eligibility rules, benefit design, reimbursement logic, program controls, and reporting in one operating layer.
Claims Program Administration
Pharmacy and medical benefit copay through one proprietary engine.
Administer copay programs across pharmacy and medical benefits with configurable rules, flexible benefit designs, and real-time claim-level controls.
- Pharmacy benefit copay
- Medical benefit copay
- Voucher, bridge, free trial, and split-pay programs
- Digital and physical copay cards
- Buy-and-bill support
- Provider reimbursement workflows
- Flexible eligibility and benefit design
- Pharmacy, provider, and site-of-care controls
GTN Protection
Protect access. Protect every affordability dollar.
Every claim tells a story. InfinityRx helps brands identify GTN exposure before it becomes unnecessary spend. From accumulators and maximizers to reimbursement anomalies and fraud, waste, and abuse, we provide the insight needed to strengthen affordability programs and improve financial performance.
- Detect
- Accumulator and maximizer identification
- First-fill exposure monitoring
- Pharmacy behavior and outlier detection
- Protect
- ReclaimRx™ real-time copay protection
- Claim-level reimbursement controls
- Under-reimbursement protection
- Optimize
- Historical program review
- GTN leakage reporting
- Program design recommendations
Patient Engagement
Connected communications throughout the therapy journey.
Every patient interaction should reflect what’s happening in the program. InfinityRx connects enrollment, claim activity, affordability status, and outreach to deliver timely communications that support access throughout therapy.
- Multi-channel enrollment
- Patient affordability communications
- Digital wallet and card access
- Refill reminders
- Patient, provider, and pharmacy support
- Coverage and reimbursement updates
- Patient journey reporting
- Engagement analytics
Access Services
Verify coverage. Accelerate access.
Access begins before the claim. InfinityRx helps verify coverage, identify affordability pathways, and streamline access across pharmacy and medical benefits through electronic benefit verification, eligibility checks, prior authorization support, and real-time payer intelligence.
- Electronic benefit verification (eBV)
- Insurance eligibility checks
- Government coverage screening
- Prior authorization support
- Affordability pathway determination
- Coverage and benefit intelligence
- Payer and plan intelligence
- API-enabled access workflows
Data & Program Intelligence
Turn claims, access, and spend data into better program decisions.
Bring claims, payments, patient access activity, reimbursement, and program integrity data into one clear view. Give commercial, market access, finance, and patient support teams the information needed to act faster.
- Real-time dashboards
- Claims, spend, and utilization reporting
- GTN attribution and leakage analysis
- Accumulator and maximizer exposure monitoring
- Client and partner data feeds
- Centralized billing and payment tracking
- Pharmacy and provider insights
- Program optimization reporting
See what your affordability program isn’t telling you
Every affordability program generates valuable data. InfinityRx analyzes claim-level activity across copay, pharmacy, medical benefit, reimbursement, and patient support to uncover GTN exposure, accumulator and maximizer activity, reimbursement anomalies, pharmacy utilization patterns, and opportunities to strengthen program performance.
Discover
Review claim-level activity across pharmacy, medical benefit, reimbursement, and patient support.
Measure
Quantify GTN exposure, financial impact, and program performance with claim-level intelligence.
Optimize
Turn insight into stronger benefit design, reimbursement controls, and long-term program performance.
Our review evaluates accumulator and maximizer exposure; GTN leakage; reimbursement anomalies; pharmacy utilization patterns; fraud, waste, and abuse; under-reimbursement; and benefit design opportunities. Request a Program Assessment.
One platform. Every stage of your affordability program.
Configure, administer, protect, and continuously improve pharmacy and medical benefit affordability programs through one connected operating platform powered by ICP®.