Technology

Risk stopped at the point of sale

Claims processing tells you what happened. OneArk® works at the point of sale, applying clinical protections, benefit rules, and cost controls in real time, so risk is caught before it reaches the member or the plan.

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What is OneArk®

Built to protect, not just process.

OneArk® is PharmPix's proprietary risk identification and protection platform. It evaluates every claim in real time, protecting members through clinical safety and payers through cost savings, before risk becomes paid plan spend. Every dollar of ingredient-cost savings is captured and documented.

Built in-house. No third-party constraints. No hidden platform costs.

What Changes with OneArk®

Total plan cost isn't just about price.

Total plan cost is driven by two variables: price and utilization. Most PBM models compete on price alone. OneArk® influences both at adjudication, before a claim is paid.

  • Utilization

    How much of a drug gets dispensed, and how often, is where avoidable cost hides and multiplies. OneArk® catches it at the point of sale before the claim is paid, not after.

  • Price

    Avoidable ingredient cost often comes from the wrong drug being dispensed or the wrong pricing rules being applied. OneArk® identifies these risks at adjudication before a claim is paid.

Total Plan Cost =
Ingredient Cost + Dispensing Fees
×
Total Units Utilized
−
Member Cost Share
−
Rebates
Benefits analyst reviewing claims data at her desk
What OneArk® Delivers

Real-time decisions. Real-world results.

Savings don't come from rebates alone. They also come from what OneArk® helps prevent before a claim is ever paid.

$6.26M Ingredient cost prevented in a single month

~25% Of total claims paid, generated as savings

14 Protection categories evaluated at adjudication

48% Of savings opportunities concentrated among just 1% of members

The OneArk® Platform

Built like enterprise software. Because it is.

OneArk® isn't a portal bolted onto someone else's adjudication engine. It's a proprietary platform built, owned, and operated by PharmPix, with the architecture enterprise buyers expect.

Security & Compliance

U.S.-based Tier 5® Platinum data centers with 100% power uptime guaranteed and full redundancy: claims process without interruption. HIPAA compliance at every layer, and every change logged across the entire system.

OneArk® Sandbox

OneArk® runs on three separate environments, so configuration risk never reaches a live claim. Formulary, benefit, cost share, and network designs are built and tested in a full sandbox, validated by the operations team in UAT, and only then locked into production. Role-based access controls who configures what at every step.

Reporting & Analytics

Performance data across clinical, financial, and utilization measures, available in real time, without waiting on IT or a monthly report cycle. Custom reporting is configured to what your team actually needs to see, not what a legacy system can produce.

OneArk® Module Suite

OneArk® is built as a suite of integrated modules, each owning a distinct function of the benefit, all operating in real time on a single platform.

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Beneficiaries & Claims: Complete member and claim visibility, from eligibility to clinical flags, in real time

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Providers & Contracts: Every pharmacy, prescriber, and provider relationship configured in one place

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Customers & Benefits: Benefit design built to any specification, without coding, without a queue

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Clinical & Formulary Lists: Clinical and formulary lists actively built, customized, and enforced per client

How OneArk® Is Engaged

One platform. Three ways to run on it.

OneArk® is the engine underneath everything PharmPix does. What changes is how much of PharmPix you engage around it.

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As your full-service PBM

The complete model, clinical strategy, cost containment, network, member experience, running on OneArk®.

For employers, plans, and sponsors who want one partner managing the whole picture.

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As the technology behind your brand

OneArk® white-labeled: your model, your name, our platform powering it.

For PBMs and plans building on their own client relationships.

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As a component in your model

OneArk® as the adjudication layer that holds a disaggregated model together, coordinating the formulary, rebate, and clinical arrangements you keep.

For payers with existing arrangements who want a stronger core to build on.

Who is OneArk® For?

Built For the People Running Pharmacy Benefits

Behind every benefit is a team doing the daily work: configuring plans, managing formularies, resolving claims. OneArk® was built around how they actually work, not how a legacy system forces them to.

Clinical team meeting around a laptop

Clinical Teams

Protect members before unsafe or inappropriate therapy reaches the pharmacy counter.

Health plan leader reviewing performance by an office window

Leadership

See cost, trend, and utilization as they happen, with reporting that connects decisions to benefit performance.

Clinical team meeting around a laptopOperations specialist configuring benefits at a workstationHealth plan leader reviewing performance by an office window
Operations specialist configuring benefits at a workstation

Operations

Configure benefits faster with workflows that adapt to each plan's needs.

Built for Health Plan Performance

Medicare Part D, built directly within OneArk®, the same platform, configured for the complexity of Medicare.

Health plan executive standing with arms crossed in an office

Ready for a Demo?

See how OneArk® brings the whole pharmacy picture into focus.