Health-system specialty pharmacy · Pharmacy finance · 340B

Keep your clinicians' specialty prescriptions in your own pharmacy, and collect every refund and rebate.

Weal catches every specialty prescription in the EHR, clears access, routes it to your own specialty pharmacy or infusion sites when coverage and patient choice allow, and reconciles negotiated-price refunds and 340B rebates claim by claim.

One prescription, kept in the system
Where it goes, and what comes back
Illustrative
  1. 1Prescription writtenBy a clinician in your systemMatched
  2. 2Access clearedBenefits, prior authorization, assistanceIn progress
  3. 3Filled by your specialty pharmacyWhen coverage and patient choice allowMatched
  4. 4Claim paidMatched to purchase and dispenseMatched
  5. 5Refund and 340B rebateMatched claim by claim, no duplicate discountGap flagged

A qualitative example with no real figures.

The leak

Your clinic does the work. Someone else fills the prescription.

Specialty prescriptions written by your clinicians are filled by outside specialty pharmacies or infused elsewhere, while your clinic still does the prior authorization and follow-up work.

Where it shows up

  • Prescriptions leaving for outside specialty pharmacies
  • Infusions moving to other sites of care
  • Prior authorization and follow-up done by your staff, with no fill to show for it
  • Negotiated-price refunds and 340B rebates that are late, short or missing
What Weal does

From the order in the EHR to the last rebate

  1. Step 1

    Catch

    Flag every specialty prescription in the EHR, and where it is headed.

  2. Step 2

    Clear

    Benefits check, prior authorization, appeals and copay or foundation assistance.

  3. Step 3

    Route

    To your own specialty pharmacy or infusion sites, when coverage and patient choice allow.

  4. Step 4

    Reconcile

    Negotiated-price refunds and 340B rebates, claim by claim.

January 1, 2027

Negotiated-price refunds and 340B rebates, at the same time

From January 1, 2027, 15 more drugs join Medicare negotiated prices, and HRSA's 340B rebate pilot program starts for 21 drugs. For those drugs, you pay up front and collect afterwards, on two streams that must not overlap.

What Weal does about it

  • Matches each refund and each rebate to its claim
  • Flags anything short, late or missing
  • Helps prevent duplicate discounts on the same unit
  • Shows cash tied up while refunds and rebates are pending
Works with your partners

Alongside your specialty pharmacy partners and 340B administrators

Weal fits alongside the specialty pharmacy partners, hubs and 340B administrators you already use, rather than replacing them, and shows where prescriptions and dollars are lost between them.

BAA before any data

No patient data is accessed until a Business Associate Agreement is signed.

Read-only for financial data

For prior authorization, Weal writes only the forms and documents your team approves, inside your EHR.

Patient choice recorded

Routing follows patient choice and coverage rules, and the patient's choice is recorded.

What we measure

Three numbers that show whether it's working

Every health system gets these from its own data. The values below are illustrative examples, not customer results.

Prescriptions kept in your system

Illustrative
e.g. 7 in 10

of specialty prescriptions your clinicians write, filled by your own specialty pharmacy or infusion sites

Days to start therapy

Illustrative
e.g. 12 → 5

days from prescription to first fill or infusion, before and after

Refunds and rebates collected per month

Illustrative
e.g. $60,000

from negotiated-price refunds and 340B rebates matched claim by claim

Illustrative examples only. We'll show measured results here once customers agree to share them.

Free leakage report

Get your free leakage report

A free report on 90 days of your data: specialty prescriptions leaving your system, plus negotiated-price refunds and 340B rebates outstanding. No patient information needed to request it.

FAQ

Questions from health-system leaders

How is Weal paid?

Weal is paid a share of the savings and recovered revenue it delivers, so we earn when you do.

Do patients still choose their pharmacy?

Yes. Weal routes a prescription in-house only when the patient's coverage and choice allow, and records the patient's choice.

Does Weal replace our specialty pharmacy partners or 340B administrator?

No. It works alongside them and shows where prescriptions and dollars are lost.

Keep the prescription. Collect what you're owed. Fund what's next.

See which specialty prescriptions leave your system, and which refunds and rebates are still outstanding.

Get my free leakage report

No upfront cost to start: your free leakage report shows what Weal would recover before you sign.