Photo Credit: www.xevant.com
A System at a Turning Point
The U.S. pharmacy benefits ecosystem is under immense pressure. Prescription spending has surged past $800 billion, prices continue to climb at nearly 10 percent each year, and just a few large pharmacy benefit managers (PBMs) now handle the vast majority of claims. What was once a model for cost savings has become an intricate, high-stakes system in need of modernization.
According to Federal Trade Commission reports, structural inefficiencies—such as “spread pricing” and limited transparency—have funneled billions in excess cost through the supply chain. Yet the issue isn’t villainy; it’s infrastructure. The market still runs on legacy systems and manual processes that simply can’t keep pace with today’s real-time data economy.
That’s where a new category is stepping in: RxTech—technology built specifically to modernize pharmacy benefits.
The Rise of RxTech
Across healthcare, the realization is setting in: pharmacy benefits must go digital. Other industries made this leap years ago. Fintech rewired financial systems; InsurTech reshaped underwriting; now RxTech is transforming how prescriptions are priced, managed, and optimized.
At the forefront of that movement is Xevant, a Utah-based health-technology company that’s re-engineering the pharmacy benefit infrastructure from within.
“The industry doesn’t need a new middleman—it needs new rails,” says Brandon Newman, founder and CEO of Xevant. “RxTech is about transforming how the system functions so every participant—PBMs, payers, and patients—operates with real-time intelligence and verified value.”
Breakthrough Innovation: VerX
Xevant’s breakthrough innovation, VerX, is the neutral orchestration layer for pharmacy cost containment.
Rather than replacing PBMs, VerX empowers them—connecting across all PBMs, sourcing channels, and point solutions to analyze utilization data in real time through its Agentic AI intelligence engine. That engine continuously identifies and recommends the optimal route for every prescription—balancing price, access, and policy compliance simultaneously.
Employers and payers can configure any combination of programs to match their goals, while VerX visualizes savings and opportunities through live dashboards and proactive alerts.
“In seconds, VerX performs what used to take months of manual reconciliation,” Newman explains. “It transforms pharmacy utilization into a dynamic, continuously optimizing ecosystem that delivers transparency, control, and the lowest net cost.”
Evolving, Not Replacing
Xevant’s approach mirrors the Fintech playbook. Two decades ago, banks faced a similar reckoning—outdated systems, delayed data, and inefficiencies that stifled innovation. Fintech didn’t destroy the banking sector; it evolved it by rebuilding its core technology.
Jeff Burke, Fintech veteran and Xevant advisor, draws the parallel:
“Fintech didn’t modernize finance by fighting the banks. It did it by rewiring the infrastructure they all depend on. That’s exactly what Xevant and RxTech are doing for pharmacy benefits.”
By providing employers and payers with real-time orchestration, VerX helps them pivot from manual adjudication to intelligent automation—powered by AI-driven optimization that continuously learns and adapts to each client’s cost, access, and compliance goals.
The result is a partnership model that rewards efficiency and verified outcomes rather than hidden spreads or delayed reconciliations.
Compliance Becomes Advantage
With federal and state regulators demanding transparency and measurable results, technology like VerX is fast becoming more than a competitive edge—it’s a compliance necessity. Its continuous audit and verification capabilities allow PBMs and health plans to validate savings and ensure every transaction aligns with policy and regulation in real time.
“The pharmacy benefit market isn’t collapsing—it’s evolving,” Newman says. “Technology is becoming the trusted intermediary: intelligent, transparent, and aligned with outcomes that matter.”
From Friction to Flow
Early adopters—including forward-thinking PBMs, health plans, and employer coalitions—are already proving the model. By integrating VerX into their operations, they’re seeing instant savings validation, faster access to affordable therapies, and actionable insights that eliminate waste before it happens.
Every claim becomes traceable. Every rebate is verified. Every decision is optimized as it occurs.
It’s a shift from friction to flow—a complete re-engineering of how prescription value moves through the system.
The Future of Pharmacy Benefits
Just as Fintech turned finance into an ecosystem of open data and real-time decisioning, RxTech is redefining the economics of prescription care. The winners will be those who embrace technology not as an add-on but as the foundation for trust, efficiency, and shared value.
“The rails are already being laid,” says Newman. “The question isn’t if pharmacy benefits will modernize—it’s who will lead the transformation.”
If momentum is any indicator, Xevant may well be the company defining the future.
About Xevant
Xevant is the intelligent orchestration platform transforming how pharmacy benefits operate. By connecting payers, PBMs, and sourcing partners through its real-time decisioning engine VerX, Xevant enables a continuously optimizing ecosystem that delivers verified savings, transparency, and control. Built for the RxTech era, Xevant empowers the entire value chain to perform smarter, faster, and in alignment with measurable outcomes.
Meet Abby, a passionate health product reviewer with years of experience in the field. Abby's love for health and wellness started at a young age, and she has made it her life mission to find the best products to help people achieve optimal health. She has a Bachelor's degree in Nutrition and Dietetics and has worked in various health institutions as a Nutritionist.
Her expertise in the field has made her a trusted voice in the health community. She regularly writes product reviews and provides nutrition tips, and advice that helps her followers make informed decisions about their health. In her free time, Abby enjoys exploring new hiking trails and trying new recipes in her kitchen to support her healthy lifestyle.
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