Editorial Policy

Data Sourcing

PharmaBenefits.ai builds its analysis from publicly available data sources:

• CMS NADAC Database: National Average Drug Acquisition Cost data published weekly by CMS, containing 1.6M+ drug pricing records.
• openFDA: Drug NDC directory providing manufacturer, classification, and dosage form data.
• Drug Channels Institute: PBM market share analysis and industry structure research.
• FTC Reports: Federal Trade Commission interim staff reports on pharmacy benefit manager practices.

Validation Process

Drug pricing data is sourced directly from CMS APIs and cached for performance. Comparison data is compiled from published reports, company disclosures, and regulatory filings.

Limitations

Our tools provide analytical estimates, not guaranteed outcomes. Actual drug costs depend on plan design, formulary tier, pharmacy, and PBM contract terms.

For questions about our methodology: Contact our editorial team