$90 Billion. Gone.

That’s not theoretical. And patients pay the price.

When my co-founder Stephen Hom and I were frontline pharmacists, we saw what leakage looked like:

  • Patients walking away from the counter
  • Delayed therapy over the lack of a $50 copay card

Later, working with pharma execs, we saw the other side:

  • Billions in support programs being misappropriated
  • Dollars vanishing to accumulators, maximizers, and inefficiencies

That’s why we built RIS Rx, to stop the leakage in real time. Because the dollars matter. But the patients behind them matter even more.

In 2024, we helped recover $450M.

In 2025, we’re on track for $1B+.

And we’re just getting started.

I share more about how we help with Gross-to-Net leakage in a new piece published on Drug Channels here: asmbly.link/txJOlSF

 

The $90 billion in pharma leakage isn’t theoretical—it’s measurable, solvable, and costing manufacturers every day.

Gerard Rivera
Gerard Rivera
Co-founder & CEO

Gerard serves as CEO of RIS Rx, which he co-founded in 2020. In partnership with the RIS Rx executive team, Gerard is pioneering gross-to-net (GTN) revenue protection with direct impact to millions of patients and the pharmaceutical manufacturers that support them. His background spans frontline pharmacy, patient access & affordability operations, with leadership experience across multiple pharmacy services and healthcare organizations. He earned his PharmD from Loma Linda University. Read More