Aventi vs Verity Solutions: an independent alternative to Verity 340B
Verity Solutions, the company behind the V340B platform, has been owned by Express Scripts, a Cigna company, since 2019,[1][2] and says KLAS has ranked it #1 for 340B management systems eight times since 2018.[8] If you run your 340B program on Verity, or are weighing Verity against other TPAs, this page covers what matters for that specific decision: what PBM ownership means for you, what Verity actually offers, how each company is handling the 2027 340B rebate model, and what switching involves. If you would rather not switch at all, we also explain how to keep Verity and use Aventi for rebate claims.
Aventi Health is an independent, founder-owned 340B TPA serving 300 covered entities, 24 of them hospitals.
Last updated: . Every statement about Verity links to a public source.
Aventi vs Verity Solutions, side by side
Verity details come from Verity's own website, posts and press coverage, checked November 2, 2026. Where Verity has not published something, we say so.
| Aventi Health | Verity Solutions | |
|---|---|---|
| Ownership | Independent and founder-owned: no wholesaler, PBM or pharmacy chain parent | Acquired by Express Scripts (a Cigna company) in October 2019; operates as a stand-alone company under the Express Scripts umbrella. Its president is listed by Evernorth Health Services.[1][2][3] |
| Scale | 300 covered entities, 24 of them hospitals | Says its 340B solutions are implemented in hundreds of facilities[5] |
| Core 340B services | Contract pharmacy and split billing on one platform, with a 10,000+ pharmacy network | V340B for covered entities: contract pharmacy, specialty contract pharmacy, split billing, owned retail pharmacy, referral capture and alternative distribution[4][5][7] |
| Contract pharmacy side | Real-time claim capture and purchase splitting, so no end-of-month true-ups | VHUB gateway for contract pharmacies, centralizing ordering, inventory and invoicing across TPA and covered entity relationships[6] |
| Beyond 340B | Specialty pharmacy integrations and a gateway with BioPlus, Accredo, Optum and many other specialty pharmacies; 340B ESP and Truzo (Kalderos) integration | VERISAVE purchase optimization, FUSEBOX for infusion centers, DromosPTM for specialty pharmacies, Verity Care Card, UDS reporting and data exports[4] |
| 2027 rebate model | Beacon-ready for pharmacy and medical rebate submissions; already submits in-house pharmacy medical claims through Beacon | Says rebate model pilot and MFP solutions are integrated in its core platform; described automated Beacon submission for pharmacy and medical claims[9][11][13] |
| Rebate module pricing | Included for Aventi TPA clients. Keeping another TPA? Contact us for pricing. | Not published; for the earlier pilot, Verity said automated Beacon submissions were at no additional cost to its clients[10] |
| TPA pricing model | Contingency-based, no true-ups | Not published on its website |
Product names are trademarks of their owners. Spot an error? Email hello@aventihealth.com and we will correct it.
What it means that Verity is owned by a PBM
Express Scripts acquired Verity Solutions in 2019. At the time, Verity said it would keep operating as a stand-alone company under the Express Scripts umbrella, that clients would continue under existing contracts, and that Express Scripts' covered entity clients could keep using the 340B administrator of their choice. The announcement also said Express Scripts would move toward centralized inventory management for its contract pharmacy relationships using Verity's VHUB platform.[1]
Today, Evernorth Health Services, whose businesses include Express Scripts pharmacy benefit services and Accredo specialty pharmacy, lists Verity's president, Melissa Steffan, as President of CarepathRx and Verity Solutions.[3]
Ownership alone does not make a TPA better or worse, and many covered entities are happy with Verity. But your TPA sees every eligible claim in your program, so it is reasonable to ask how a PBM-owned TPA keeps your interests separate from its parent's. These are the questions we would ask any TPA owned by a PBM, wholesaler or pharmacy chain:
- Who can see our claims and program data inside the parent company, and for what purposes? Ask for the answer in the contract, not just in a sales call.
- Where do our patients fill prescriptions? If pharmacies owned by the parent company are among our contract or specialty pharmacies, how are those relationships priced and managed?
- If we leave, what data do we get back, in what format, and how fast?
- Does the TPA's product roadmap answer to our needs or to the parent company's priorities?
Aventi has no outside owner. We are an independent, founder-owned 340B TPA, and the only people we answer to are our covered entity clients.
What Verity Solutions offers, in its own words
Verity is broader than a 340B TPA. Knowing which Verity products you use tells you what a switch would touch.
V340B for covered entities
Verity's platform for hospitals, community health centers and FQHCs covers contract pharmacy, specialty contract pharmacy, owned retail pharmacy, referral capture and alternative distribution. Verity says most programs are fully operational within 120 days of receiving accurate customer data.[4][5]
Split billing
Verity 340B Split Billing splits replenishment orders across 340B, GPO and WAC accounts, with features such as best price logic, package size recommendations and orphan drug management.[7]
VHUB for contract pharmacies
A gateway that lets contract pharmacies centralize replenishment, inventory and invoicing across all of their TPA and covered entity relationships.[6]
Pharmacy software beyond 340B
VERISAVE purchase optimization, FUSEBOX for infusion centers, DromosPTM patient therapy management for specialty pharmacies, Verity Care Card, UDS reporting and secure data exports.[4]
Recognition
Verity says it was named Best in KLAS for 340B Management Systems in 2026, the eighth time since 2018 it has been ranked #1 in that category. Verity was founded in 2015.[8]
Rebate model work
Verity says its rebate model pilot solutions are integrated in its core platform. For the earlier pilot, it described V340B flagging eligible claims by NDC, submitting them to Beacon within 45 days of dispense, and pulling rebate status back from Beacon.[9][10][11]
Where Aventi is different from Verity
Independent ownership
No PBM, wholesaler or pharmacy chain behind us, so there is no parent company with its own pharmacy business in your program.
Contingency pricing, no true-ups
Aventi's contract pharmacy and split billing services are priced on contingency. Real-time claim capture and purchase splitting mean no end-of-month true-ups.
Rebates in the same system of record
Rebate claims are qualified, submitted to Beacon and reconciled in the same system that handles your eligibility, split billing and contract pharmacy claims. The rebate module is included for Aventi TPA clients.
Specialty pharmacy built in
Integrations and a gateway with BioPlus, Accredo, Optum and many other specialty pharmacies bring high-cost specialty claims into the same workflow.
Read more about Aventi for covered entities and specialty pharmacy rebates.
Keep Verity, use Aventi for 340B rebates
HRSA's 340B Rebate Model Pilot starts January 1, 2027. Ten manufacturers have approved plans covering 21 drugs, all of them using the Beacon platform, and covered entities must submit claims data within 45 calendar days of dispense to receive rebates.[12]
Verity says its rebate model solutions are integrated in its core platform, so many Verity clients will simply use them.[9][11] Some covered entities still want a separate designated third party for rebate claims while keeping Verity as their TPA, for example:
- You use Verity at some sites and another TPA at others, and want one rebate submission and reconciliation flow.
- You need in-house pharmacy medical claims submitted to Beacon, plus 340B ESP and Truzo claims data submissions, in one place.
- You want to see how Aventi works on real rebate claims before deciding whether to switch TPAs.
You don't have to switch TPAs.
Aventi can be your designated third party for 2027 rebate claims while Verity stays your TPA. Contact us for pricing. If you later move your TPA services to Aventi, the rebate module is included for Aventi TPA clients.
Switching from Verity to Aventi: what to plan for
Step 1: Time the cutover around rebates
The pilot starts January 1, 2027 and claims are due within 45 calendar days of dispense. Pick a transition date that does not leave rebate claims stranded between two systems.[12]
Step 2: Update your Beacon designation
Verity's own guidance has customers designate Verity as their TPA on the Beacon platform, using a Verity access token, to turn on automated submission. When you switch, change that designation so claims are not missed or submitted twice.[10]
Step 3: Get your data and accumulators
Request historical claims, eligibility and accumulator data. HRSA requires manufacturer plans to accommodate up to 2 unreplenished accumulated packages, with a 15-day grace period before the pilot starts, so check what is still open.[12]
Step 4: Decide what stays with Verity
If you also use VERISAVE, FUSEBOX, Verity Care Card or other Verity products, decide which ones you keep. Switching your 340B TPA does not have to mean replacing everything at once.[4]
Step 5: Tell your contract pharmacies
Contract pharmacies need the change date and the new replenishment and invoicing flow, including any that work with Verity through its VHUB gateway.[6]
Aventi runs onboarding with you and can submit rebate claims while you are still on Verity, so rebate claims keep flowing during the transition. See the demo to walk through it.
Aventi vs Verity FAQ
Sources
- Nasdaq / Business Wire, "Ignition Partners Congratulates Verity Solutions on Its Acquisition by Express Scripts, a Cigna Corporation Company" (Oct 17, 2019) — https://www.nasdaq.com/press-release/ignition-partners-congratulates-verity-solutions-on-its-acquisition-by-express
- GeekWire, "Cigna-owned Express Scripts buys Seattle-area health tech startup Verity Solutions" (2019) — https://www.geekwire.com/2019/cigna-owned-express-scripts-buys-seattle-area-health-tech-startup-verity-solutions/
- Evernorth Health Services, leadership profile: Melissa Steffan, President, CarepathRx and Verity Solutions — https://www.evernorth.com/leadership/steffan
- Verity Solutions, Our Software Solutions — https://verity-solutions.com/solutions/
- Verity Solutions, 340B Covered Entities — https://verity-solutions.com/who-we-serve/340b-covered-entities/
- Verity Solutions, VHUB Gateway Solution for 340B contract pharmacies — https://verity-solutions.com/who-we-serve/340b-contract-pharmacies/
- Verity Solutions, Split Billing — https://verity-solutions.com/solution/split-billing/
- Verity Solutions, "Verity Solutions Named Market Leader in KLAS 2026 Report for 340B Management Systems" (Feb 10, 2026) — https://verity-solutions.com/verity-solutions-named-best-in-klas-2026/
- Verity Solutions, "The 340B Rebate Model Pilot Was Approved. Are You Ready for What's Next?" (Dec 4, 2025) — https://verity-solutions.com/the-340b-rebate-model-pilot-is-approved/
- Verity Solutions, "Your 340B Rebate Model Pilot and MFP Checklist: How to Prepare for Launch" (Dec 19, 2025) — https://verity-solutions.com/your-340b-rebate-model-pilot-and-mfp-checklist/
- Verity Solutions home page, "One Partner, One Platform" — https://verity-solutions.com/
- HRSA, 340B Rebate Model Pilot Program — https://www.hrsa.gov/opa/340b-model-pilot-program
- Aventi Health, 340B Rebate Model — https://aventihealth.com/340b-rebate-model
Accessed November 2, 2026.
Compare Aventi with Verity on your own program
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