New Ventegra Real-Time Rebate functionality ensures patients and payors benefit from manufacturer rebates instantly and transparently

Ventegra, a Nonprofit Public Benefit Corporation that has been pioneering Medical Benefit Management (MBM) solutions for more than 20 years — delivering innovative, value-driven pharmacy and medical benefits that balance drug spend control with quality patient care — today announces the launch of its Real-Time Rebate (RTR) capability following a successful pilot program.

Ventegra’s new Real-Time Rebate capability is an innovative enhancement to Ventegra’s prescription claims processing platform that enables the application of manufacturer rebates at the point of sale, ensuring that patient coinsurance is calculated based on the true net cost of medications. Ventegra’s Real-Time Rebate capability builds on its proprietary Robo-Rebate® software, now in its 18th year and 11th generation.

Robert T. Taketomo, Pharm.D., MBA, President and CEO of Ventegra, says, “Ventegra brings deep experience to this space. Ventegra’s Real-Time Rebate initiative builds on a decade-long partnership with a leading multinational membership warehouse club, enhancing medication access by passing through 100 percent of rebates at the point of sale. Ventegra pioneered the operational model for Direct-to-Patient access, setting a precedent for innovation and patient-centered solutions.”

Ventegra is among the few independent pharmacy benefit entities that contract directly with pharmaceutical manufacturers and pass discounts transparently to clients. Through its Pharmacy Services Administration (PSA) solution, embedded within the Ventegra Medical Benefit Management (MBM) model, clients can validate rebate accuracy directly with manufacturers — free from the “gag clauses” common in traditional Pharmacy Benefit Management (PBM) arrangements.

“The launch of Real-Time Rebate is another example of how capitalism, not single-payor systems, can drive innovation in healthcare. Real-Time Rebate aligns with the ‘Other Weird Arrangements’ we’re developing to deliver higher-quality care at lower societal cost,” says Dr. Taketomo.

According to Mariana Ritchie, MPH, CPhT, Chief Contracting Officer, “We’ve piloted Real-Time Rebate over the past few years and are now confident in its integrity and scalability. It’s fully integrated into our claims platform and directly tied to our manufacturer contracts under the Medical Benefit Model. This means rebates are applied right at the pharmacy counter, so patients pay coinsurance based on the actual discounted price.”

Ritchie points out that with a $5,000 drug and a 40 percent manufacturer rebate, a patient with a 20 percent coinsurance would pay just $600 – saving $400 compared to the $1,000 they would owe without the rebate. This not only benefits the patient but also ensures compliance with the Consolidated Appropriations Act, 2021 (CAA). Ventegra remains the only pharmacy benefit entity certified as CAA-compliant by an independent auditing and legal agency. The CAA established protections for consumers related to surprise billing and transparency in health care.

Adds Ritchie, “We believe all discounts belong to our clients. As a U.S.-based and sourced organization, we hold all manufacturer contracts directly, ensuring our clients and patients are protected under U.S. and state laws.”

Visit www.ventegra.org.

About Ventegra

Ventegra Inc. has been pioneering Medical Benefit Management (MBM) solutions for more than 20 years, delivering innovative, value-based pharmacy and medical benefits that balance cost control with high-quality patient care. In 2024 Ventegra launched the Ventegra Foundation—a Nonprofit Public Benefit Corporation. The transition and asset acquisition of Ventegra’s MBM business by the Foundation is underway in 2025, with final closing scheduled for January 1, 2026. Operating free from shareholder and private equity influence, Ventegra Foundation is committed to advancing transparent, sustainable, and ethical healthcare practices that serve the public interest. www.ventegra.org

View source version on businesswire.com: https://www.businesswire.com/news/home/20251029250912/en/

Ventegra launches Real-Time Rebate capability at point of prescription adjudication to ensure patients and payors benefit from manufacturer rebates instantly and transparently