Know whether your PBM is keeping its contract.
For self-funded employers with 100 or more plan participants. Penna checks every drug claim, rebate and fee against your contracts, including drugs billed through your medical plan.
Built around your contract.

You run benefits or finance at a company that pays its own health claims.
Your pharmacy benefit manager (PBM) runs your drug benefit: it processes prescriptions, pays pharmacies and negotiates with drug makers.
Drugs given in hospitals and clinics are billed through your medical plan instead. Both deserve the same scrutiny.
You pay the drug bills.
Your vendors keep the records.
Your PBM sets prices, collects rebates from drug makers and reports back to you, usually as a quarterly summary.
The contract determines which payments count as rebates—and which drugs qualify for its guarantees. A summary alone doesn’t tell you whether those terms were met.
Most of the money sits where you can see the least.
Specialty drugs and drugs given in hospitals and clinics can be difficult to reconcile from a summary. Annual settlements tell you whether guarantees were met, using calculations prepared by the PBM.
If you pay the bill, you should be able to check it.
You should know where your contracts stand during the year, not after they close.
Every claim checked against your contract. Shortfalls tracked as they build. A written record of every check and request.

The finding. And what sits behind it.
Connect a question to the contract clause and claims behind it. In this example, 90 claims need reconciliation; any amount owed is still undetermined.
You’re not a pharmacy expert. You shouldn’t need to be.
Karim Nassar has spent his career in pharmacy and pharmaceutical supply chains, with roles at McKesson, Innomar Strategies and Air Liquide. He also co-founded the digital pharmacy Mednow.
He’s building Penna to give employers a clearer view of the contracts they pay for—and the evidence to ask better questions.
Three steps to see where you stand.
Answer 10 questions.
About your PBM contract. No upload, about five minutes.
Talk through your results.
Get your results by email and talk through what they mean.
Start your first audit.
Your contracts and claims, checked claim by claim.
A clearer view.
A stronger position.
The oversight we’re building, from the first check to your next renewal.
| Today | With Penna |
|---|---|
| A quarterly summary from your PBM | Claims checked against your contract |
| Shortfalls discovered at annual settlement | Shortfalls tracked during the year |
| Pharmacy and medical-plan drugs viewed separately | Both checked together |
| Renewal based on the PBM’s draft | Specific terms to ask for |
| Oversight that is hard to document | A record of checks and requests |
On your side.
Under your control.
Paid only by you. Independent of the party being checked.
This website never asks for employee health information.
Nothing goes to your PBM or administrator without your approval.
A signed HIPAA business associate agreement comes before any claims data is shared.
A few things
you may be wondering.
Building Penna with its first employers.
Penna is new. We’re building the first auditor with input from self-funded employers. Early partners help shape the product and work directly with the founder.
Start with 10 questions.
See what you know about your contract.
And what’s worth asking next.