A transparent, predictable way to pay for pharmacy benefits.
Rightway’s SureSpend™ model sets a new standard for transparent pharmacy pricing. We eliminate hidden incentives, keep pharmacy spending on budget, and drive lower costs.
Redefining pharmacy benefits.
TRANSPARENCY
Radical transparency and accountability.
- 100% rebate pass-through.
- No spread pricing, no cost shifting, no mid-contract drug reclassifications.
- A single, transparent administration fee—our only source of profit.
- Quarterly audit-ready reporting with claims-level detail.
BUDGET CONTROL
ZERO-MARKUP
How it works.
Precision Pricing Guarantee
- We set a monthly cost per member based on the projected total annual pharmacy spend.
- This includes all core pharmacy costs, net of rebates and pharmacist-led savings.
- Our guarantee delivers predictable budgeting by setting an expected ceiling for pharmacy costs.
Zero-Markup Wrap Guarantee
- Drug categories typically excluded from other guarantees (GLP-1s, rare high-cost drugs) are reconciled at true net cost.
- Plan sponsors pay exactly what Rightway pays with 100% rebate pass-through.
- Rightway actively manages these drugs, applies evidence-based utilization management, and negotiates competitive discounts and rebates.
Comprehensive administration fee
- We do not earn a single penny on any drug dispensed through the plan.
- Our only profit comes from a transparent pharmacy benefits admin fee.
- Fee includes member access to a team of pharmacy experts.
Year-end reconciliation
- If actual spend is higher → Rightway refunds 100% of the difference—no cap.
- If actual spend is lower → Plan sponsors keep 100% of the savings (no shared savings clauses).
The only model to deliver true alignment.
Learn how SureSpend eliminates both the hidden conflicts of traditional PBM models and the limitations found in typical PMPM guarantees.
“The SureSpend model allows Rightway to truly pursue the lowest net cost.”Principal Pharmacy ConsultantNational Consulting House
Our pharmacy experts drive members to lower cost, clinically appropriate alternatives.
Expert guidance to the lowest net cost drugs.
100% interactions handled by licensed pharmacy experts.
We take on members’ the time-consuming tasks.
Member support that improves outcomes and plan performance.
Metrics that matter.
Frequently asked questions.
How do I know SureSpend will actually deliver on its guarantee?
SureSpend includes complete auditability with detailed reporting. At year-end, we reconcile actual spending against the guarantee, and if we don't meet it, we pay the difference with no cap. We're not just accountable in principle—we're accountable dollar-for-dollar.
How often do I get insight into spend?
Rightway provides quarterly reconciliation, giving employers ongoing visibility—unlike most PBMs that only settle annually.
What about high-cost drugs like GLP-1s, vaccines, and gene therapies? Are those excluded?
This is where SureSpend stands apart. Most traditional models or PMPM guarantees exclude vaccines, GLP-1s, gene therapies, and other high-cost drugs, or lump them into broad, unaccountable categories. Our Zero-Markup Wrap covers these drug classes at true net cost with no markup. We don't profit from what others exclude.
How is the SureSpend model different from other PMPM guarantee models?
SureSpend eliminates the common limitations of other PMPM models:
- No cap on liability – we pay 100% of overages, not a capped amount.
- Zero-Markup Extension – we cover excluded drug classes at net cost.
- Simpler reconciliation – no shared savings clauses or complex formulas.
- Complete rebate pass-through – 100% of rebates, fully transparent.
How does SureSpend impact members directly?
Members are protected from cost shifting. Many PBMs exclude member costs from guarantees, which incentivizes pushing more expenses onto members. Rightway’s model includes total spend, including member costs.
Does SureSpend mean fewer rebates?
Rightway still passes through 100% of rebates, but our savings come primarily from clinical strategies—like biosimilars, generics, and direct-to-manufacturer deals. This avoids dependence on inflated rebate checks.
Does Rightway benefit from drug prices going up?
No. Our profit comes only from a disclosed admin fee—not from spread pricing, rebates, or steering members into owned pharmacies. Our incentives are aligned with lowering total spend.
How does this model support compliance with fiduciary responsibility?
Rightway’s guarantee is transparent, auditable, and based on the total cost of benefit. That provides employers with a defensible structure to demonstrate they’re acting in members’ best interests. Our pharmacy team drives members to the lowest cost drugs.
What role does the clinical pharmacy team play?
Pharmacists and pharmacy technicians guide members toward lower-cost, clinically appropriate drugs, ensuring savings flow directly into the guarantee. They are available on-demand through chat, email, or phone.