A single, streamlined interface for covered entities and contract pharmacies—responding to good-faith inquiries, resolving duplicate discounts, and keeping every eligible dollar in your program.
What the platform does
Automate claims processing
Claims are checked the moment they land. AI-driven matching flags duplicate and ineligible claims automatically, and direct wholesaler and TPA integrations keep your split-billing accurate without the manual reconciliation.
Complete financial visibility
Real-time dashboards track savings as they accrue. Transparent audit trails and reconciliation tools mean nothing is skimmed off the top and nothing is hidden. You forecast performance from numbers you can trust.
Specialized support
You work with people who know 340B. We provide compliance guidance, stand with you through audits, and train your staff so program integrity is protected long after go-live.
How the platform works
See how OptimSync connects the manufacturer, covered entity, contract pharmacy, wholesaler, payer, and patient across the full 340B contract-pharmacy workflow.
340B Contract-Pharmacy Model
How product, funds, and reimbursements move between the manufacturer, covered entity, contract pharmacy, and payer — with OptimSync sitting at the center of every transaction.
Figure 1. OptimSync workflow
Your data, live and yours
Every covered entity gets secure, real-time access to its own data—no black box, no waiting on a vendor report. Watch savings accrue, track every claim to resolution, and ask questions in plain language with the built-in AI assistant.
340B ESP & Truzo
Manufacturer policies require contract-pharmacy claims to be submitted to ESP and Truzo, within compliance windows, to preserve 340B pricing. OptimSync runs both workflows for you—your team stays hands-off.
We submit eligible claims to ESP for you and track every one to resolution, so no eligible 340B claim falls outside its NDC compliance window.
Truzo is the manufacturer platform for validating 340B contract-pharmacy claims. OptimSync submits on your behalf and runs the end-to-end workflow.
Referral capture
Eligible specialty prescriptions written beyond your walls are usually missed. Our referral capture finds them, verifies each against your policies, and routes them for savings—built into the platform.
See how referral capture worksA boost for covered entities
Audit-ready processes and clear records keep your program defensible every day, not just at audit time.
Duplicate-discount and eligibility controls protect the savings your organization depends on.
Respond to good-faith inquiries and resolve Medicaid duplicate discounts from a single interface.
Share what your program needs and see it reflected in how the platform works for you.
For contract pharmacies
Purpose-built to maximize the value of your 340B program and surface compliance risk early—drawing on more than twenty independent data sources for validated, real-time insight.
Unified claims management and workflow automation that cut manual work and keep every dispense accounted for.
Maximized reimbursement and recovery of missed eligible claims—more value captured from every 340B prescription.
Centralized documentation and audit-ready records that hold up to scrutiny across every relationship.
Performance tracking and actionable data built on gold-standard, validated claims information.