AI Agents for Formulary Validation

AI-native formulary validation that remembers your operations.

NetGuard automates formulary validation and mitigates gross-to-net revenue leakage for pharma contract operations teams.

The process is highly manual.

For lean contract ops teams, this often means a single manager or a small group of analysts reconciling rebate invoices and formularies in Excel. And while formularies can change mid-plan-year, even the best teams may only have the bandwidth to validate 1-2x a quarter.

2–3%
Industry-estimated rebate leakage rate. Do the napkin math on your payer rebates. The leakage is substantial.

AI has changed what's possible.

Formulary validation has always been manual because the data was always highly unstructured. Every payer has its own format, its own portal, its own internal logic.

AI agents can now ingest that unstructured data at scale and make sense of it in a way no rules-based system ever could. Most importantly, they can capture and codify the institutional knowledge that has always lived in the heads of experienced analysts.

Early deployments have missed this. A single model call with no memory, no context, and no audit trail is not enough. In a compliance-sensitive environment, that is not automation. It is a black box you cannot explain to a regulator.

The real unlock is not the model. It is the operational memory surrounding it.

Not a dashboard, the actual glue.

NetGuard is a suite of AI agents with a sophisticated validation architecture. They gather formularies and autonomously validate against rebate and contract data, surfacing results and exceptions for human review.

NetGuard validates continuously, giving you real-time visibility into formulary changes rather than relying on payer reports, lagging access data, or field intelligence.

With every cycle, it builds operational memory, codifying your payer behaviors, error patterns, and resolution decisions into a documented and compounding organizational asset. The model doesn't reset. It trains on your operations and recursively improves.

Ingest Normalize Validate Surface Monitor Remember

Why NetGuard.

Every contracting cycle generates intelligence. NetGuard encodes that intelligence into operational memory. Each cycle, your team contracts from a stronger position than the last, creating a durable and widening competitive advantage.

See NetGuard in action.

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