NetGuard automates formulary validation, mitigates gross-to-net revenue leakage, and improves rebate accruals, serving as a trusted partner to pharma commercial teams.
Formulary validation 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.
The key is explainability and operational memory. Early deployments failed because they were a single model call with no memory, no context, and no audit trail. 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, but rather the operational memory surrounding it.
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. And with every cycle, it builds operational memory, codifying your payer behaviors, error patterns, and resolution decisions into a documented and compounding organizational asset.
Analyst hours, BPO spend, and IT workarounds consumed by manual reconciliation represent quantifiable operational cost. NetGuard lives in the operational data while your team manages payer relationships and exceptions.
At 2 to 3 percent leakage on your rebate book, the recoverable value is material. For mid-sized manufacturers, that is seven or eight figures annually. For the largest, nine figures or more. NetGuard validates every formulary, continuously, so leakage is caught.
Fewer errors mean tighter discount management and more accurate rebate accruals. Systematic accuracy reduces CMS restatement risk, clawback exposure, and audit liability — consequences easy to forget about, and painful when they surface.
Operational knowledge lives almost entirely in the heads of your analysts. NetGuard captures and codifies it. That knowledge no longer walks out the door when someone leaves, and it compounds into a contracting advantage that widens with every cycle.