Drug Spend Optimization

You're paying for the drugs.
Are you optimizing all of it?

Coral helps providers make smarter drug choices given their payer relationships, buy those drugs better through GPO and manufacturer contracts, and capture every dollar of the economics they've negotiated. We bring the technology, the contracts, and the expertise — and if you'd rather we just do it for you, we do that too.

$271M
Gross Revenue Managed
7+
Strategic Network Partners
3
Integrated Disciplines
1
Accountable Partner
Network Partners
Cencora Vizient Evernorth Annexus Health Provista IPN
The Problem

Most providers leave significant money on the table.
Not because they aren't trying.

Drug spend is one of the largest and most controllable costs in healthcare — yet the gap between what providers negotiate and what they actually capture remains stubbornly wide. Three compounding problems explain most of it.

⚕️
Drug choices aren't optimized to your payer mix
Providers select drugs based on clinical preference without full visibility into which therapeutically equivalent options will perform better under their specific payer contracts and reimbursement schedules. The result: margin leakage on every dispense.
Clinical selection × payer economics = untapped margin
📋
GPO contracts are underutilized and undercaptured
Purchasing patterns drift from contracted products. Backorder substitutions go unreconciled. Admin fees go untracked. The contracts say one thing; the actual purchasing and invoicing say another. That gap is money.
Most providers capture <80% of their contracted GPO economics
💰
The back office can't close the loop
Even when drugs are chosen well and purchased correctly, the operational infrastructure — prior auth, billing, reimbursement, rebate recovery — often can't keep pace. Revenue walks out the door in the last mile.
RCM leakage compounds procurement and clinical gaps
What Coral Does

Three disciplines.
One integrated partner.

Coral operates across the full arc of drug spend — from the clinical choices that set your cost structure, to the contracts that determine what you pay, to the operations that close the financial loop. Most organizations have pieces of this. Coral brings it together. And for clients who prefer it, we'll run any or all of it as a managed service — so your team stays focused on care.

01 — OPTIMIZE
Smarter drug choices, built around your payer relationships.
Because clinical and financial decisions shouldn't live in separate worlds.

We analyze your payer mix, reimbursement schedules, ASP dynamics, and manufacturer contracting to identify where therapeutically equivalent drug selection would materially improve your margin — without compromising care. We can deliver this as a technology-enabled advisory, or manage your formulary and clinical guidance on an ongoing basis.

  • Payer-informed formulary and therapeutic interchange analysis
  • Site-of-care and benefit routing optimization
  • ASP and reimbursement modeling by drug and payer
  • Ongoing formulary management and clinical guidance
02 — PROCURE
Buy better. Capture every dollar of every contract.
GPO access is table stakes. Contract capture is where the money is.

Coral provides GPO access and manufacturer contracting — and then makes sure every purchase is mapped against those contracts in real time. Admin fees tracked. Backorders reconciled. Compliance enforced. The gap between negotiated and captured economics, closed. Need us to run procurement operations directly? We do that too.

  • GPO catalog access via Cencora, Vizient, Provista, IPN
  • Direct manufacturer contracting and rebate administration
  • Real-time PO adjudication against contracted terms
  • Admin fee and rebate tracking and recovery
03 — OPERATE
Rather we just handle it? We're set up for that.
The full Coral platform, delivered as a managed service.

Some clients want the intelligence and controls — and want to act on them themselves. Others want Coral to run the whole operation. For those clients, we provide the complete back-office infrastructure: intake, prior authorization, benefit verification, billing, collections, RCM, and vendor coordination — embedded in your workflow, accountable to your outcomes.

  • Intake, prior auth, and benefit verification
  • Billing, collections, and revenue cycle management
  • Pharmacy and infusion build-out and management
  • Third-party vendor coordination and oversight
Prefer a fully managed approach? Coral can act as your embedded drug spend team — optimizing, procuring, and operating on your behalf, with full transparency into every decision and dollar. Talk to us about managed services →
The Platform

The technology that makes
precision possible at scale.

Coral's three disciplines aren't delivered manually. The Coral platform is what makes optimization, procurement, and operations work together with accountability and precision — across every client, every contract, every transaction.

"The platform doesn't replace Coral's expertise and judgment. It's how we deliver on that promise at scale — so clients see the results in their numbers, not just in a report."
● Available Now
Coral Consume
Intelligence & Contract Adjudication

The foundational intelligence layer. Consume reads your contracts, maps every purchase transaction against commercial terms, and surfaces the real-time gap between negotiated economics and what's actually being captured.

PriceGuardian™ Contract Intelligence Compliance Autopilot™ Rebate Tracking Backorder Savings Vendor Scorecards
● Available Now
Coral Canvas
Action & Executive Operating Layer

Canvas transforms what Consume finds into prioritized work queues, executive dashboards, and board-ready savings narratives. The operating layer where clinical and financial insights become decisions and actions.

Executive Launchpad Opportunity Workbench Savings Storytelling Category Canvases Client Report Builder
◎ Coming Soon
Coral Calculate
Clinical Economics & Drug Selection

The clinical decision layer. Calculate incorporates payer reimbursement structures, ASP dynamics, and manufacturer contracting to model drug selection choices against their true financial implications — before the prescription is written.

Payer Reimbursement Modeling ASP Dynamics Therapeutic Interchange Site-of-Care Routing
Payer Solutions
Standalone Product · PBMs & Health Plans
Coral Claims Command Center

A comprehensive business intelligence platform for PBMs and health plans. Full-spectrum claims analytics, utilization management, rebate tracking, and drug spend intelligence across the complete prescription drug lifecycle.

Sold as a standalone product to PBMs and health plans — separate from the provider platform above.

📊
Claims Analytics
Full-lifecycle drug spend intelligence across your entire book of business
🔄
Utilization Management
Identify patterns, outliers, and intervention opportunities in real time
💵
Rebate Tracking
Comprehensive rebate administration and recovery across all manufacturer agreements
Who We Serve

Built for organizations that
dispense or administer medications.

Coral's platform and services are designed for the specific economics of buy-and-bill and specialty pharmacy — where the intersection of clinical choices, procurement, and reimbursement has the most leverage.

💉
Ambulatory Infusion Centers
Optimize drug selection against payer contracts, capture full GPO economics, and run RCM with precision.
🏠
Home Infusion Providers
Formulary management, procurement compliance, and operational support built for home-based care economics.
💊
Specialty Pharmacies
Full contract capture, rebate recovery, and clinical economics optimization across your specialty drug portfolio.
🏥
Hospitals & Health Systems
GPO compliance, 340B program integration, and enterprise-scale drug spend management for IDNs and affiliated networks.
🩺
Oncology Infusion Centers
ASP optimization, payer-informed drug selection, and procurement discipline for high-cost oncology drug portfolios.
🏢
LTC Pharmacies & Facilities
Formulary management, GPO purchasing, and operational support for long-term and post-acute care settings.
👨‍⚕️
Physician Practices
In-office dispensing programs, buy-and-bill optimization, and payer contract alignment for physician-administered drugs.
🔗
OIC / MSO Models
Enterprise-level procurement strategy and managed services designed for multi-site operator and MSO structures.
Coral Ecosystem

Specialized delivery vehicles,
unified under one platform.

Coral's capabilities are delivered through two purpose-built brands, each with deep domain expertise in their respective areas — and both powered by the same underlying Coral platform and network.

Powered by Coral
ThirdWaveRx
Drug Cost Management · Rebate Administration · Claims Analytics

ThirdWaveRx brings deep PBM and pharmacy benefit expertise to Coral's drug cost management practice. Specializing in rebate administration, pharmacy cost management, and analytics for plan sponsors, PBMs, and health plans — ThirdWaveRx operates as the drug cost management arm of the Coral platform.

Powered by Coral
AdvisorWorx
Infusion Advisory · RCM · Pharmacy Operations

AdvisorWorx delivers specialized advisory, compliance, and operational services for infusion providers, specialty pharmacies, and ambulatory care organizations. Built on deep clinical and operational expertise in the infusion and specialty pharmacy space — AdvisorWorx is the managed services and advisory arm of the Coral platform.

Leadership

The team behind the platform.

Coral's leadership brings together deep expertise across clinical pharmacy, healthcare operations, investment banking, technology, and drug cost management — with decades of experience across the organizations that define the industry.

JM
Jeremy Moskow, MSW
Chief Executive Officer

Serial entrepreneur and co-founder of Coral and MFO Ventures. Former BD lead at Accuity Delivery Systems. Built Coral around the conviction that drug spend is healthcare's most controllable cost.

EG
Edie Gigot, MSN-RN, MBA
President, Infusion Services

Founder of AdvisorWorx. Former executive at ARJ Infusion (now PromptCare), NICA, and FlexCare. Leads Coral's infusion services strategy including pharmacy management, RCM, and operational enablement.

JZ
Joe Zavalishin
President, Drug Cost Management

25+ years in healthcare across Optum, Walgreens, Aetna, and CIGNA. Leads Coral's drug cost management division, overseeing rebate administration, pharmacy cost management, and platform analytics. MBA Finance & Strategy, RPI; Executive Leadership, Harvard Business School.

MP
Matt Partsch, RPh, MBA
EVP, Purchasing

Former Senior Director of Strategic Sourcing at UPMC overseeing $2B+ in pharmaceutical spend. Director of Pharmacy Distribution and Consulting at Premier, Inc. Leads Coral's procurement strategy and GPO relationships.

CF
Chris Fortier, PharmD, FASHP, CPEL
EVP, Hospital & Health System

Former President at Nephron Pharmaceuticals. 20+ years hospital pharmacy experience including a decade as Chief Pharmacy Officer at Massachusetts General Hospital. Leads Coral's hospital and health system strategy.

AC
Alex Crosby, MBA
EVP, Strategy & Innovation

Former VP at Houlihan Lokey Healthcare Investment Banking. 18+ closed transactions, $10B+ enterprise value, with deep expertise in infusion and specialty pharmacy including KabaFusion, BioMatrix, and Vital Care.

ST
Scott Taylor
Chief Transformation Officer

Investor and entrepreneur with experience across post-acute healthcare and pharmacy benefit management. Leads Coral's organizational transformation and enterprise growth. AB in Economics, Harvard University.

RJ
Rammy Joudeh
Chief Technology Officer

20+ year technology executive with 200+ assigned patents. Founder of Legendari Technologies. Leads Coral's technology platform, IP roadmap, and engineering across all products.

PA
Paula Agoglia, RPh
SVP, Client Success

Licensed pharmacist with 20+ years in LTC pharmacy. Deep expertise in formulary management, prior authorization, and client services. BS Pharmacy, St. John's University.

RR
Ryan Rollo
SVP, Operations

15+ years building high-performing sales and business development teams across healthcare. Leads Coral's operational excellence and delivery infrastructure. MBA, UNLV; BS, Bates College.

Population Health Committee
DN
David Nash, MD, MBA
Founding Dean Emeritus, Jefferson College of Population Health
BW
Bob Wachter, MD
Chair of Medicine, UC San Francisco
DS
David Shulkin, MD
Former U.S. Secretary of Veterans Affairs
AR
Aran Ron, MD
Former CMO, Oscar Health & Zocdoc

See what Coral can do across
your entire drug spend.

Most assessments find material leakage within the first 30 days. The question isn't whether it's there — it's how much, and how fast we can close it.