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Leaf Health Integrates PriceMDs’ API into LeafIQ

ⓘ This article is third-party content and does not represent the views of this site. We make no guarantees regarding its accuracy or completeness.

PriceMDs and Leaf Health today announced the integration of PriceMDs’ API into LeafIQ, Leaf Health’s pharmacy analytics and reporting platform. The integration enables brokers and third-party administrators to evaluate applicable SourceDirectRx pricing and initiate clinical referrals while analyzing pharmacy spend and specialty medication exposure.

Within LeafIQ, users can compare a plan’s current medication cost with available SourceDirectRx pricing without leaving the platform or submitting a separate pricing request. The capability supports eligible medications across both the pharmacy and medical benefits, including applicable J-code and Q-code drugs.

The integration gives brokers and TPAs a more direct path from identifying a high-cost medication to evaluating a clinically appropriate savings opportunity. It can support prospective plan analysis, ongoing utilization review, and recommendations to plan sponsors as claims activity changes.

“PriceMDs adds an actionable specialty medication solution to the analysis our customers already perform in LeafIQ,” said Hugh Gallagher, Chief Commercial Officer at Leaf Health. “By bringing pricing comparison and clinical referral into one workflow, we are helping plan sponsors and their advisors make faster, more informed decisions.”

When an opportunity warrants further consideration, users can initiate a referral through LeafIQ’s Clinical Hub for PriceMDs’ nurse-led clinical review, care coordination, and member support.

“The value of pricing intelligence is its ability to drive action,” said Dante Panella, Co-Founder and Head of Business Development at PriceMDs. “This integration helps brokers and TPAs identify potential savings earlier and connect appropriate cases to the clinical support needed to move forward.”

LeafIQ gives brokers, TPAs, employers, health plans, and other pharmacy benefit stakeholders consolidated reporting and analytics across pharmacy benefit arrangements. By incorporating PriceMDs pricing and referral capabilities, Leaf Health is extending the platform from spend visibility to clinically supported cost-management action.

To learn more about LeafIQ, visit LeafHealth.net.

To learn more about PriceMDs, visit PriceMDs.com.

About PriceMDs

PriceMDs helps self-funded employers, brokers, and TPAs reduce healthcare costs while improving the member experience. Through NearCare™ Imaging & Surgery, SourceDirectRx, and NCIS, PriceMDs delivers transparent, high-quality solutions that integrate with existing health plans. Its combination of pre-negotiated pricing, concierge service, nurse-led care coordination, and clinical oversight helps plan sponsors manage high-cost care and simplify navigation. Learn more at PriceMDs.com.

About Leaf Health

Leaf Health is an independent pharmacy benefits consulting and technology company focused on bringing greater clarity, accountability, and ongoing oversight to pharmacy benefit performance. The company works with employers, brokers, TPAs, health plans, and other partners to understand pharmacy spend, evaluate PBM and contract performance, manage specialty medication exposure, and make informed decisions that strengthen benefit strategies. Learn more at LeafHealth.net.

“PriceMDs adds an actionable specialty medication solution to the analysis our customers already perform in LeafIQ,” said Hugh Gallagher, Chief Commercial Officer at Leaf Health.

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