Frequently Asked Questions

Expion Health helps health plans and self-funded employers get prescription costs under control. We combine ExpionIQ, our AI-driven technology platform, with unbiased pharmacy and medical rebate strategies to find savings traditional PBM models miss, then put those savings to work through formulary optimization, rebate management, and copay assistance.

ExpionIQ is the technology platform behind everything we do, built around three core capabilities. Advisor runs the pre-sale analytics and underwriting behind every new deal. InsightsRx gives clients real-time dashboards and reporting down to the claim level. Engage activates members, providers, and pharmacies around savings opportunities.

Qlare is a conversational AI assistant coming to ExpionIQ, built specifically for prescription cost analysis. Instead of digging through dashboards, clients will be able to ask Qlare a question in plain language and get a precise answer pulled from their own pharmacy and rebate data. It's in development now, ahead of a public launch.

We are HITRUST certified and HIPAA compliant, with an in-house domestic security team, data encryption, and continuous cloud-based monitoring and remediation. Our compliance posture is independently assessed, and clients can review our live security status through our Trust Center.

Our core solutions are pharmacy formulary and rebate optimization, medical rebate management, and manufacturer copay assistance, all powered by ExpionIQ. Each is modular, so clients can adopt what fits their plan instead of taking on a rigid, one-size-fits-all package.

We work with national and regional health plans, PBMs, and self-funded employers, including several Fortune 50 organizations. In 2025 we managed $8.1 billion in pharmacy spend across more than 80 payer clients, with an average client tenure of over five years.

No. Expion Health isn't a PBM. We're an independent, modular layer that works alongside your existing PBM and rebate agreements, which is what lets our formulary and rebate recommendations stay unbiased instead of protecting a PBM's own margins.

No. Our solutions integrate with your current PBM and rebate aggregators through standard data feeds, so you keep your existing vendor relationships while adding our analytics, formulary optimization, and rebate strategy on top.

Timelines vary by solution and plan complexity, but our modular approach is built to minimize disruption to systems you already have in place. Most clients move through kickoff, discovery, configuration, and testing before go-live.

Pricing depends on which solutions you adopt and your plan's size and complexity. Many of our rebate and formulary programs include guaranteed minimum performance, so pricing is tied to results rather than a flat fee. Contact our team for a quote specific to your plan.

We work with national and regional health plans, PBMs, and self-funded employers of varying sizes, including Fortune 50 organizations. Our modular model means clients can start with one solution and add more as their needs grow.

Through ExpionIQ's InsightsRx module, clients get real-time reporting down to the individual claim and NDC level, so you can see exactly where savings are coming from rather than relying on high-level summaries.