Prior authorization is not controlling your drug spend.
Prior authorizations are piling up.
Drug spend keeps climbing.
Approvals are made without cost or formulary alignment.
ZEPRX improves the decision, not just the process.
Every approval is a financial decision. ZEPRX makes it visible and optimized in real time.
How ZEPRX Works
Improve decision accuracy and reduce avoidable spend
Align criteria to clinical guidelines and real-world use
Use AI-assisted chart review to extract key clinical data
Reduce manual review and improve consistency
Identify lower cost alternatives before approval
Support pharmacist and medical director workflows
Bring real cost insight into every coverage decision
Compare AWP to estimated net cost across therapies
Identify lower cost therapeutic alternatives in real time
Support formulary tiering and preferred product strategy
Evaluate site of care and benefit design impact
Integrate pricing into prior authorization decision
Control high-cost drug spend without restricting access
Design coverage strategies for high-cost therapies
Build step therapy and prior authorization frameworks
Align access with formulary and rebate strategy
Identify opportunities for biosimilars and alternatives
Balance clinical outcomes with financial sustainability
ZEPRX combines a clinical decision platform with payer-focused advisory support to improve prior authorization outcomes and control drug spend.
Platform + Advisory Support