Transparent Pricing
No hidden markups or spread pricing
Understanding what medications actually cost and ensuring you pay fair prices
Why does transparent pricing matter?
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Pharmacy Benefit Managers (PBMs) profit from opacity. They negotiate one price with pharmacies and charge another to employers, pocketing the spread. They receive manufacturer rebates that don't benefit patients. Weltrio helps employees see through the fog to understand actual costs.
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See where your benefit plan is leaking
Find out what gaps exist — and what you can do without changing your plan.
We'll show you where money is leaking, risks are growing, and what you can fix within your current structure. No pressure to change brokers, carriers, or benefit design. Just clarity.
- Gap analysis based on your actual plan structure
- Clear findings you can share with your broker
- Recommendations that layer on — no disruption required
Price Visibility
We help employees understand what their medications actually cost—not the inflated list prices, but real transaction costs.
Spread Pricing Identification
When employees pay significantly more than medication costs, we identify it. Awareness enables better decisions and informed advocacy.
Cash Price Comparison
Sometimes paying cash costs less than using insurance. We identify when this paradox applies and help employees make smart choices.
Fair Value Assurance
Our goal is ensuring employees pay fair prices for medications—not inflated amounts that benefit middlemen rather than patients or employers.
What is Transparent Pricing?
Transparent Pricing in pharmacy services means understanding and paying fair prices for medications rather than accepting hidden markups and opaque pricing structures.
The pharmacy supply chain is full of middlemen who profit from confusion. List prices are meaningless. Rebates flow invisibly. Spread pricing captures margins that nobody sees. Employees pay inflated prices without knowing it.
Weltrio provides clarity—helping employees understand what their medications actually cost and ensuring they're not overpaying due to system opacity.
Why Is Pharmacy Pricing So Opaque?
Most employers renew their health plans year after year without questioning the underlying assumptions. Brokers present options, carriers set rates, and leadership approves budgets based on incomplete information.
The result? Companies overpay for benefits employees don't use while missing coverage gaps that create real risk. They accept premium increases as inevitable rather than addressable. They lack visibility into where their money actually goes.
A Healthcare Risk Assessment changes that. It gives you the data and insight to make informed decisions, negotiate from a position of strength, and take control of one of your largest operating expenses.
How It Works
Transparent pricing brings clarity to medication costs.
Cost Research
For any medication, we research the actual cost—acquisition cost, typical pharmacy margins, and fair retail prices.
Comparison Analysis
We compare what employees are paying to what the medication should cost. Significant discrepancies indicate system inefficiency.
Alternative Identification
When current pricing is unfair, we identify alternatives—different pharmacies, cash-pay options, programs that reduce costs.
Advocacy
At the employer level, transparent pricing information supports benefit design decisions and PBM negotiations.
When Should Employees Request Pricing Transparency?
Employees should request transparency when:
• Medication costs seem unreasonably high
• They're curious whether they're paying fair prices
• Cash prices seem lower than insurance copays
• Starting expensive specialty medications
• Formulary changes affect their medications
• They want to understand how pharmacy benefits work
Where Does Transparent Pricing Apply?
Transparent pricing applies to all pharmacy purchasing:
• Retail pharmacy transactions
• Mail-order purchases
• Specialty pharmacy fills
• Any medication purchase where pricing seems unclear
We can research pricing regardless of pharmacy source.
Who Benefits from Pricing Transparency?
Everyone benefits from understanding fair medication costs:
• Employees paying high out-of-pocket costs
• Those confused about why medications are expensive
• Anyone who suspects they're overpaying
• Employees making decisions about generic vs. brand
• Those comparing cash prices to insurance copays
See What Our Customers Are Saying
"What could have been data driven, was soon a conversation. Over 3 years with the best coaches, listeners, advisors you could ask for. If Monique didn't have an answer readily, she would note it, research it, and then update you on the answer. Always a positive meeting. Highly recommend!"
— Sue D.
“Our Medical Insurance Premiums were Out of Control! Thanks to Weltrio and their amazing team of healthcare experts, Weltrio is my single most-profitable cost center!”
— Cayuse CEO
Everything You Need to Know
At Weltrio, we are a medically trained team that works with HR and benefits partners at companies of all sizes to improve healthcare quality, reduce risk exposure, and optimize costs. We work within your existing plan structure—providing employers with clarity, trust, and transparency at every step. Whether you're upgrading your benefits plan or building from scratch, we've got you covered.
Is this the same as telemedicine?
No. Clinical support provides guidance and triage, not diagnosis or treatment. We help employees decide when and where to seek care.How many nurses will be assigned to our company?
Assignment depends on your company size and typical utilization. Smaller companies may share a primary nurse with backup coverage. Larger organizations get dedicated teams. Either way, employees experience consistent relationships with clinical professionals who know them.Who answers calls in the middle of the night?
Board-certified nurses from your Weltrio clinical team. We staff night shifts with experienced nurses who have full access to your company's benefits information and employee interaction history. It's not an outsourced answering service.What protocols do nurses use for triage?
Our nurses use evidence-based clinical decision support protocols developed from emergency medicine and primary care best practices. These protocols are regularly updated based on current medical guidelines and are customized for telephone/virtual assessment settings.How much does an unnecessary ER visit actually cost?
Average ER visits cost $2,200 or more—even for minor issues. Add lab work, imaging, or specialist consultation and costs climb quickly. The same conditions treated at urgent care typically cost $150-300, and telehealth visits run $50-75.
