ALTTRAX is an independent pharmacy and PBM consultancy. For employers, brokers, regional health plans and PBMs facing CAA without a dedicated compliance team, we will support you with decades of pharmacy and implementation experience.

As healthcare costs rise, “trust us” simply isn’t enough anymore.

Plan sponsors are now expected to understand who is getting paid, how much they’re being paid, where pharmacy dollars are flowing, and whether plan expenses are reasonable.

The good news?

The CAA provides a roadmap for uncovering those answers. And with the ALTTRAX platform, employers can turn compliance requirements into a practical process for transparency, accountability, and better decision-making. We may even help uncover hidden savings.

Three Places ALTTRAX Looks First

Pharmacy Benefit Arrangements

PBM contracts can include rebates, administrative fees, spread pricing, and other arrangements that are difficult to identify without careful review. When employers begin looking more closely, they often discover that finding the true cost of pharmacy benefits isn’t as straightforward as it should be.

Plan sponsors should understand where prescription drug dollars are going and whether those arrangements are delivering value to the plan and its participants.

Data Access and Gag Clauses

Employers cannot effectively oversee what they cannot see. Contracts should not prevent access to cost, quality, claims, or pharmacy data. Fiduciaries need the ability to evaluate plan performance using meaningful information, not just summaries provided by vendors.

Just as important, annual gag clause attestations should be completed and documented appropriately.

Because if the data is locked away, finding the beef becomes nearly impossible.

Broker and Consultant Compensation

Any advisor receiving compensation, directly or indirectly, should provide clear written disclosures. Pay close attention to vague language such as: “May receive additional compensation.”

The Simple ALTTRAX Roadmap

A strong CAA compliance process doesn’t have to be complicated. It just needs to be organized, repeatable, and documented.

  • Define who is responsible for oversight and establish a consistent review process.
  • Gather compensation disclosures, PBM information, vendor agreements, and other required documentation.
    Follow up on unclear fees, rebate arrangements, revenue sources, or limitations on data access.
  • Compare costs, services, and vendor arrangements against market standards to determine whether plan expenses are reasonable.
  • Maintain a clear record of reviews, discussions, decisions, and next steps. Good documentation is a critical part of demonstrating fiduciary diligence.

Where ALTTRAX Fits In

We help employers transform CAA requirements into a structured, working process. Instead of chasing disclosures, deciphering contract language, and wondering whether enough documentation exists, fiduciary committees gain a practical framework for oversight and accountability.

The result is fewer blind spots, stronger vendor conversations, and a more complete fiduciary file. Most importantly, employers gain a clearer understanding of what they’re paying for and whether they’re receiving appropriate value in return.

Ask us about a readiness assessment.