

Unlock New Demand for High-Spend Therapies
New demand — without channel disruption

Unlock New Demand for High-Spend Therapies
New demand — without channel disruption
THE ANDEL PLAN
PHARMACY SHOULDN'T BE COMPLICATED
We skip the line and source directly from manufacturers to eliminate prior authorizations, hidden fees, and insurance headaches.

THE ANDEL PLAN
PHARMACY SHOULDN'T BE COMPLICATED
We skip the line and source directly from manufacturers to eliminate prior authorizations, hidden fees, and insurance headaches.

THE ANDEL PLAN
PHARMACY SHOULDN'T BE COMPLICATED
We skip the line and source directly from manufacturers to eliminate prior authorizations, hidden fees, and insurance headaches.

REACH PATIENTS OTHERS CAN'T
REACH PATIENTS OTHERS CAN'T
Plans fund access for patients
We aggregate demand into predictable volume
Our platform manages access, pricing, and coordination

Plans fund access for patients
We aggregate demand into predictable volume
Our platform manages access, pricing, and coordination

THE NUMBERS
HIGHER COSTS. LOWER RETURNS. DIRECT-TO-EMPLOYER IS THE ANSWER.
R&D cost / drug
R&D cost / drug
+46.5%
+46.5%
Avg. capitalized R&D cost increase
Avg. capitalized R&D cost increase
Avg. capitalized R&D cost increase
$1.57B
$1.57B
$2.30B
$2.30B
Brand-name net price growth
Brand-name net price growth
-116%
-116%
Change in net price growth rate
Change in net price growth rate
Change in net price growth rate
+4.4%
+4.4%
-0.7%
-0.7%
For the period 2015-2025
R&D Cost Source: Drug Channels Institute / SSR Health
Net Price Source: Tufts Center for the Study of Drug Development
the problem
DEMAND IS THERE.
ACCESS ISN’T.
Traditional Channels
Access is restricted


Prior authorization and step therapies delay or prevent treatment


Rebate structures prioritize formulary economics over patients


Plans lack control over cost-sharing and access design
Cash Pay Maze
Access is unaffordable


Millions of clinically eligible members lack benefits


Prices out of reach for most buyers


No aggregation or coordination of demand
Andel Goes to Hollywood
NO PLOT TWISTS
Just affordable access.

Andel Goes to Hollywood
NO PLOT TWISTS
Just affordable access.

Andel Goes to Hollywood
NO PLOT TWISTS
Just affordable access.

How andel works
FOR THE PLAN
DIRECT PRICING
Andel gives plans access to lower-cost medications through direct manufacturer pricing.
No rebates. No spread. No middleman.
Savings flow back to the plan and members.
FOR PLAN DESIGN
PAY PER FILL
Plans pay only when members fill — with fixed contributions and no complex setup.
Open access to prescribed therapy
No restrictive formularies. No step edits. No access delays.
Full data visibility
Our free API enables real-time integration.
FOR MEMBERS
EASY ACCESS
Members stay with their existing providers while savings are applied instantly at point of sale.
Providers send prescriptions directly to Andel
We handle the rest.
From fill to doorstep
We manage fulfillment, support, and delivery end to end.
How andel works
FOR THE PLAN
DIRECT PRICING
Andel gives plans access to lower-cost medications through direct manufacturer pricing.
No rebates. No spread. No middleman.
Savings flow back to the plan and members.
FOR PLAN DESIGN
PAY PER FILL
Plans pay only when members fill — with fixed contributions and no complex setup.
Open access to prescribed therapy
No restrictive formularies. No step edits. No access delays.
Full data visibility
Our free API enables real-time integration.
FOR MEMBERS
EASY ACCESS
Members stay with their existing providers while savings are applied instantly at point of sale.
Providers send prescriptions directly to Andel
We handle the rest.
From fill to doorstep
We manage fulfillment, support, and delivery end to end.
How andel works
FOR THE PLAN
DIRECT PRICING
Andel gives plans access to lower-cost medications through direct manufacturer pricing.
No rebates. No spread. No middleman.
Savings flow back to the plan and members.
FOR PLAN DESIGN
PAY PER FILL
Plans pay only when members fill — with fixed contributions and no complex setup.
Open access to prescribed therapy
No restrictive formularies. No step edits. No access delays.
Full data visibility
Our free API enables real-time integration.
FOR MEMBERS
EASY ACCESS
Members stay with their existing providers while savings are applied instantly at point of sale.
Providers send prescriptions directly to Andel
We handle the rest.
From fill to doorstep
We manage fulfillment, support, and delivery end to end.
The andel model
THE ACCESS CHANNEL THE MARKET IS MISSING
We connect plan funding with manufacturer pricing.
DEMAND AGGREGATION
Aggregate demand across plans
PLAN FUNDING
Lower patient cost at the point of access

Frictionless Access
Eliminate prior auth and formulary barriers
DIRECT PRICING
Enable manufacturer-controlled pricing
DEMAND AGGREGATION
Aggregate demand across plans
PLAN FUNDING
Lower patient cost at the point of access

Frictionless Access
Eliminate prior auth and formulary barriers
DIRECT PRICING
Enable manufacturer-controlled pricing
Additive to existing channels—not a replacement
why andel works for pharma
WE DRIVE INCREMENTAL UTILIZATION
Incremental, not cannibalistic
Reaches patients outside traditional channels
Predictable demand
Aggregated plan base creates stable volume
Faster time to therapy
Removes administrative delays to initiation
Stronger adherence
Lower cost burden improves persistence
Full channel visibility
Direct insight into demand and utilization
Therapeutic Areas
targeting categories with access and pricing complexity
Neurology
Epilepsy and migraine
Immunology
Autoimmune diseases
Dermatology
Chronic dermatologic conditions
Oncology
Cancer therapies and supportive care
Fertility
Assisted reproduction
Approaching LOE
Lifecycle and price optimization
Cardiometabolic
Obesity, diabetes, lipids
Rare & Orphan
Complex access therapies
Therapeutic Areas
targeting categories with access and pricing complexity
Neurology
Epilepsy and migraine
Immunology
Autoimmune diseases
Dermatology
Chronic dermatologic conditions
Oncology
Cancer therapies and supportive care
Fertility
Assisted reproduction
Approaching LOE
Lifecycle and price optimization
Cardiometabolic
Obesity, diabetes, lipids
Rare & Orphan
Complex access therapies
Therapeutic Areas
targeting categories with access and pricing complexity
Neurology
Epilepsy and migraine
Immunology
Autoimmune diseases
Dermatology
Chronic dermatologic conditions
Oncology
Cancer therapies and supportive care
Fertility
Assisted reproduction
Approaching LOE
Lifecycle and price optimization
Cardiometabolic
Obesity, diabetes, lipids
Rare & Orphan
Complex access therapies
how it works
MANUFACTURER TO PATIENT. SIMPLIFIED.
MANUFACTURER TO PATIENT. SIMPLIFIED.
1
Plans opt in
2
Demand aggregated
3
Manufacturers set pricing
4
Members access therapy
5
Plan funding lowers cost
6
Predictable, visible utilization
1
Plans opt in
2
Demand aggregated
3
Manufacturers set pricing
4
Members access therapy
5
Plan funding lowers cost
6
Predictable, visible utilization



How Andel fits
INCREMENTAL TO EXISTING CHANNELS
Channel
WHAT IT DOES
Limitation
ANDEL ADDS
Incremental demand channel
—
Structured, plan-funded demand
PBMs / Insurance
Covered lives channel
Access restrictions
Access without utilization management, rebates, or formularies
PBMs / Insurance
Covered lives channel
Access restrictions
Access without utilization management, rebates, or formularies
Cash Pay
Cash Pay
Individual access
Fragmented, price-sensitive demand
Aggregated, plan-funded demand
Aggregated, plan-funded demand
Copay Programs
Cost offset programs
Only applies within commercial insurance
Works outside traditional benefits
YOU CONTROL PRICING AND PARTICIPATION
YOU CONTROL PRICING AND PARTICIPATION
Set pricing and eligibility terms
No open-market discount exposure with full auditability
Works alongside existing rebate structures
Controlled, opt-in product expansion
Set pricing and eligibility terms
No open-market discount exposure with full auditability
Works alongside existing rebate structures
Controlled, opt-in product expansion


The signals are clear
Market Signals
The signals are clear
THE SHIFT TO DIRECT-TO-PLAN IS UNDERWAY
Millions of covered lives seeking alternatives
High-spend categories being carved out
Pressure to expand access without raising premiums