Seamless Solutions for Prior Authorization

Seamless Solutions for Pharmacy Prior Authorization
paPAyaRx provides health plans and PBMs with tech solutions to control and refine their ePA strategy to achieve results.  With paPAyaRx, you can keep your existing ePA strategy and operations, and we work behind the scene.  We innovate with No New Screens, and no changes for your operations teams except less inbound work.
Let's start creating a better member experience together!

Meet with paPAyaRx™
Our Solution
Turning Down the Noise
PAs are necessary, but they create noise: patient delays, diluted formulary effectiveness, and provider burden.
paPAyaRx™ turns down the noise by eliminating delays, manual work, and guesswork. It works invisibly in the background using existing NCPDP data standards, so your team has nothing new to learn.
Our patent-pending solution automates the Gold Card framework using pre-approved prior authorizations (paPAyaRx paPA✦), granting Gold Card status to proven providers. It realigns the interests of patients, medical staff, pharmacies, and health plans.
No New Workflows
Teams keep their existing processes and systems.
No New Portals
paPAyaRx™ works within the tools your team already uses.
No Additional Data Entry
Authorizations process using existing information flows.
No Interruptions to Care
Providers stay focused on patients while we handle admin.
Faster access to care and fewer delays mean better experiences for patients, providers, pharmacists, and payers.
Why paPAyaRx Stands Out
1
Built by PBM Experts
Decades of experience in PBM, pharmacy operations, clinical pharmacy, and real-world patient needs.
2
Designed for All Stakeholders
Less burden for providers and pharmacists, while supporting payers' need to manage formularies. True alignment.
3
Reliable and Efficient
Innovative yet practical, grounded in real-world pharmacy workflows and tested operational scenarios.
Potential Impact
paPAyaRx is in its early days; as clients realize results, we will develop new metrics and case studies.  We expect health plans and PBMs will see improved member satisfaction, lower trend and lower cost of operations for ePA.  For pharmacies, we expect a higher fill rate, lower abandonment and greater patient satisfaction.  Medical office staff should see less administrative work.  Patients will get their treatments faster and with less hassle.
The result is faster access to care, fewer administrative delays, and dramatically better experiences for everyone involved—patients, providers, pharmacists, and payers.
© Caper Berry LLC, 2026
All Rights Reserved