Founding Lighthouse Partners Program

5 PBMs
2-year locked pricing
Live in 8 weeks

We're inviting five PBMs to co-design the next year of NexusLedge with us. Discounted pricing tier, locked for two years. A direct line to the team building it.

What's coming

On April 14, CMS proposed a rule that extends prior authorization requirements to drugs. 24 hours for urgent decisions. 72 hours standard. NCPDP ePA standards by October 2027. Full denial transparency.

For PBMs, the next 18 months aren't a compliance problem. They're a design window — an opportunity to build the PA operation you actually want, not the one an enterprise vendor quotes you in a year.

We built NexusLedge for that conversation. Clinical evidence assembly, decision support, full audit trails — running today. Not a roadmap.

What Lighthouse Partners get

  • Lighthouse pricing tier — significantly below enterprise PA vendor rates, locked for 2 years
  • Direct product input — monthly conversations with the team, feature priorities influenced
  • White-glove onboarding led personally by Dr. Vázquez-Martín — no external implementation fees
  • Case study collaboration — joint or anonymized, your choice
  • First access to NCPDP ePA integration ahead of the October 2027 deadline

What we ask

  • 12-month minimum pilot
  • Monthly product feedback conversation
  • Real PA volume processed on the platform (not sandbox-only)
  • Willingness to talk with 1–2 future prospects (year 2+)

Apply to the cohort

One form. Dr. Vázquez-Martín responds within 48 hours.

Applications are reviewed by Dr. Vázquez-Martín personally. Every applicant gets either pricing and a call invite, clarifying questions, or a candid "not yet" with reasoning. No waiting weeks.

Prefer email? Reach Dr. Vázquez-Martín directly at sarah.vazquez@nexusledge.com.

Dr. Sarah E. Vázquez-Martín, PharmD — Co-Founder & Clinical Lead