Rivera (formerly HDS) Information

Rivera helps payers take control of one of healthcare’s most complex systems: pharmacy benefits. As the leader in pharmacy payment integrity, we provide independent PBM oversight that brings accountability, transparency, and measurable value to every claim. Our continuous monitoring and analytics solutions uncover discrepancies, missed savings, and contract misalignments that traditional audits overlook. Our technology not only drives recoveries but also prevents issues from recurring, helping payers strengthen PBM performance and gain leverage in future negotiations. By surfacing what matters most, we give teams time back to focus on strategy, innovation, and member outcomes instead of chasing errors. The result is a system that finally works the way it should — with clarity and control in every pharmacy claim.