TM
TMPharmacy benefit cost optimization that saves plans up to 30% a year.
Clinical Expertise Agentic AI
Launching a healthcare revolution
30+ years of clinical experience. 20+ years managing prescription benefits. Building agentic AI for healthcare since 2023. Our targeted solutions lower pharmacy spend, streamline prior authorizations and provide fiduciary oversight of PBM contracts.
Our portfolio
TM
TM
TM
TMTMManage, complete, submit and automate prior authorizations.
TMERISA and CAA 2021 compliance with claim-by-claim PBM contract review.
Up to 30%annual prescription benefit savings
~2 secondsfrom electronic request to pre-filled PA
50,000+connected EHRs for clinical records via TEFCA
450+manufacturer copay programs matched
Solutions
See what Lunar does for you
Pick a solution and your role. You'll see the problem we solve, what changes, and how the work gets done.
Start simple, or automate the whole workflow
Three versions for different practice sizes and payers. Pro runs in the browser with nothing to install; Premium is a custom integration.
Basic
Smaller providers
A dashboard to initiate, receive, save, review, modify, submit and track PAs completed manually.
- One record per request
- Status without the fax pile
Pro
Smaller providersLarger providers
An intelligent interface that ingests and remembers PA forms, understands clinical context and auto-fills fields for you to review, update and submit.
- New and updated payer forms are auto-ingested and ready for use in seconds
- Uncertain fields stay blank
- January renewals start from forms on file
Premium
Larger providersPayers
Custom integration that adds patent-pending agentic AI to analyze clinical documentation, retrieve records, verify coverage requirements and expedite approvals.
- Records via TEFCA from 50,000+ EHRs
- EDI X12 278 intake
- Turnaround and denial dashboards by site, payer and prescriber
How it works
AI agents do the work. Your experts make the call.
Every Lunar product runs a set of AI agents, each with one job. They prepare recommendations; pharmacists, clinicians or your own staff review and approve them. Every step is kept in an audit trail.
Data inAny claims, form or fileSFTP, real-time feed, fax, EDI 278, CSV or Excel
AI agentsMap, analyze, priceEach file mapped to one standard model
Human reviewExperts approveClinical fit confirmed before anything counts
ResultsChanges go liveTracked by lever, drug, site and month
- Ingestion agentMaps any claims file or form layout to one standard model.
- Intervention agentFinds therapeutic alternatives, generics and dose optimization.
- Routing agentMoves medical-benefit drugs to pharmacy when that costs less, or picks the right payer form or portal.
- Copay agentMatches drugs to 450+ copay programs and optimizes copay tiers.
- Mapping agentFills PA fields from the request and the chart; never overwrites what your office wrote.
- Clinical Q&A agentAnswers a form's clinical questions from the patient's own documents.
- Guarantee engineRecomputes every claim against your PBM contract and reconciles rebates.
Agents that read, map, reason and act
40 agent designs, grouped by the job they do
RxLunar RxPALunar Prior AuthCCACopay CardsSHSelf-Healing CorePlanned
Built for security review
Guardrails built in
HIPAA-eligible modelsAll Claude calls go through AWS Bedrock under a BAA.
Minimum PHIPHI is analyzed in AWS, never on laptops. The new ingestion pipeline sends column shapes, never patient values.
SolidCore.ai on AWSAn immutable record of every Bedrock LLM call, with real-time risk alerts.
Output is validatedAnswers must match real fields. If the AI is unsure, rules take over.
Human in the loopForm fills and low-confidence results wait for a person's OK.
Tenant isolation and audit trailEach organization has its own database schema, single sign-on through OIDC and automated isolation audits. Every finding and decision is logged.
Results
Proof from real claims and real workflows
Lunar Rx
24%
A 6,500-member employer cut its $25.7M pharmacy spend by $6.2M a year in 2024, while lowering what members paid.
Lunar Prior Auth
~2 seconds
An electronic request becomes a pre-filled PA with the right payer form attached in about two seconds.
Lunar Oversight
11.5%
In one employer's review, the PBM's pricing guarantees covered only 11.5% of claims, because the contract excluded the employer's own pharmacy.
Featured news
Oct 15, 2025
Oct 15, 2025
John Snow Labs and Lunar Analytics partner to drive transparent healthcare benefits with agentic AI
The partnership delivers AI for pharmacy, prior authorization and benefits workflows on secure environments, so sensitive patient data never goes to third-party medical language models or external APIs.
About us
We didn't just study healthcare's problems. We solved them.
Lunar Analytics designs healthcare workflows and systems that use AI to change how care is delivered and paid for. Our products are created by pharmacists and clinicians who have worked inside the problems they address: rising prescription costs, prior authorization delays and opaque PBM pricing.
We pair that clinical experience with agentic AI and a network of industry partners, and we keep people in charge of every clinical and financial decision.
Clinical expertise30+ years of clinical experience. 20+ years managing prescription benefits.
Agentic AIAgents that read, map, reason and act. They aren't a feature, they're the engine.
Accountable by designHuman in the loop and a full audit trail, ready for counsel, auditors and IT review.
Your brand or oursEvery engine can run under Lunar's name or white-labeled as your own.
Get started
Start with your own data
Most engagements start with a no-cost review on your real claims, contracts or PA volume. Here's what to bring.
Plan sponsors12 months of claims for a savings assessment, plus your PBM contract for a compliance review.
BrokersOne client renewal, returned as a side-by-side PBM analysis.
PBMs & partnersA pilot on one client book, Lunar-branded or under your brand.
Providers & payersStart on Basic or Pro, or run a Premium pilot at one site or on your renewal queue.
info@lunaranalytics.ai
