Enterprise

Formulary Intelligence for Healthcare Organizations

Deploy FormCheckRx across your care coordination department in days — not months. No PHI. No BAA. No IT project.

$43B
Hospitals spent in 2025 chasing insurer payments
AHA, 2025 — $18B overturning denials alone
12.5%
Medicaid MCO PA denial rate — 2× Medicare Advantage
HHS OIG, 2023
$1.3B
Annual PA administrative costs
CAQH, 2024 — up 30% since 2022
49 Days
Average BAA execution time per vendor
Ironclad, 2025 — FormCheckRx: 0

60-Day No-Cost Evaluation

Hospital systems, managed care organizations, and state Medicaid agencies can evaluate FormCheckRx for 60 days at no cost. No credit card required. No BAA required.

What's Included

Full platform access for your entire organization

  • Unlimited seats during the evaluation period
  • All features including batch medication check
  • Cross-state comparison across all 50 states
  • Admin dashboard with usage analytics
  • Dedicated onboarding and training session
  • Named account contact throughout evaluation
  • No credit card required to start
  • No BAA required — zero patient data involved

Contact [email protected] to request evaluation access, or complete the form below.

Built for Organizations

In 2024, the average hospital employed 64 administrative and billing staff dedicated to payer functions — about 6.5% of total hospital employment (AHA, 2025). Dr. Jessica Korman, MD, told the New York Times: "We have four full-time employees whose sole focus is obtaining prior authorization — and that's for just one disease state." FormCheckRx gives those teams their time back.

Unlimited Seats

Add your entire care coordination department, pharmacy team, and clinical staff. No per-seat negotiations. The shared query pool is allocated at the organization level, not the user level.

SSO / SAML Integration Coming Soon

Single sign-on through your existing identity provider — Azure AD, Okta, Ping Identity, or Google Workspace. Your IT team controls access provisioning and deprovisioning centrally.

API Access Coming Soon

Programmatic access for integration with existing clinical workflows. REST API with comprehensive documentation, API key management, and per-key rate limiting. Designed for MMIS and case management system integration.

Batch Medication Check

Check an entire patient's medication list in one query — up to 20 drugs at once. Essential for medication reconciliation at admission, discharge, and transfer. Each drug returns full coverage status, PA requirements, and safety flags.

Cross-State Comparison

Compare formulary status for any drug across multiple states in a single query. Critical for organizations operating in multiple states, managing patient transfers, or evaluating coverage consistency across a regional network.

Admin Dashboard

Organization-wide usage analytics, team management, query allocation, and seat administration. Track which drugs are searched most frequently, monitor team usage, and manage access from a central dashboard.

Why No BAA Required?

Every healthcare software vendor that handles patient data must execute a Business Associate Agreement under HIPAA. Business associates are now implicated in 34% of all reported healthcare breaches (HHS OCR, 2025). This process typically involves legal review, security assessment, compliance auditing, and ongoing renewal obligations that add months to deployment timelines.

FormCheckRx eliminates all of this. Our platform accepts a drug name and a state. It returns formulary reference data. Patient data never enters the system — by architecture, not by policy. There is nothing to breach, nothing to audit, and nothing to negotiate.

Healthcare has been the costliest sector for data breaches for 14 consecutive years (IBM, 2025). At an average of $10.22 million per incident and 279 days to identify, every PHI-handling vendor you add multiplies your exposure. FormCheckRx multiplies it by zero.

Your procurement team can treat FormCheckRx like any other reference tool — because that is exactly what it is.

Read the full security documentation →

Typical PHI-Handling Vendor — What You Skip
01 Legal review of BAA terms by both parties — average 49 days (Ironclad, 2025)
02 Security risk assessment of vendor's PHI handling infrastructure
03 Ongoing HIPAA compliance auditing obligations
04 Breach notification procedures and liability allocation terms
05 Annual BAA review and renewal process
FormCheckRx: None of the above. Deploy same week.

Government & State Agencies

Government & State Agency Access

State Medicaid agencies, CMS regional offices, and government health programs can request evaluation access and government pricing. FormCheckRx data is sourced from official state PDL documents and verified by a licensed pharmacist.

The platform meets WCAG 2.1 AA accessibility standards (audit in progress) and provides full audit logging of all administrative actions. All 50 states and DC are available. Data sources are fully documented and attributable to official state Medicaid publications.

Contact [email protected] for government pricing and the 60-day no-cost evaluation.

79.6M
Americans on Medicaid & CHIP
MACPAC, 2024
50 + DC
States covered
All available at login
0 Days
BAA required
No PHI handled
60 Days
No-cost evaluation
For qualifying agencies

Request Enterprise Access

Talk to our enterprise team

Tell us about your organization and we'll set up the 60-day evaluation, provide pricing, and answer any questions your IT or compliance team has about the platform.

The CMS Interoperability and Prior Authorization Final Rule (CMS-0057-F) requires Medicaid managed care plans to respond to standard PA requests within 7 calendar days starting January 1, 2026. Knowing formulary status before submitting a PA is the first step in meeting those timelines.

Request Evaluation Access