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    OTC Benefits Automation

    $5 billion in OTC benefits expire unused every year

    70% of Medicare Advantage OTC benefits go unclaimed. Your patients have the money. They just don't know they can spend it at your pharmacy.

    OTC benefit cards from Anthem, UnitedHealthcare, and NationsBenefits

    See it on your patients

    Every eligible patient, ranked by confidence

    Callara scans your patient panel, matches each person to their plan's OTC card, and shows you exactly who has money to spend, and how much.

    app.callara.ai/otc-benefits
    OTC Benefits Dashboard2,026 eligible
    High Confidence1,048
    Likely Eligible722
    Needs Verification256
    APAnita P.UnitedHealthcare · UCard$165/mo
    RMRobert M.Aetna · OTC Health$75/mo

    Two pharmacies with the same patient count can have a 10x difference in OTC revenue. The only way to know your number is to run your data.

    $5B+

    Unclaimed annually

    70%

    Of OTC dollars unused

    35M+

    MA members with OTC

    How it works

    What Callara does automatically

    Step 1

    Find the money in your patient data

    Upload your patient list as a spreadsheet. Callara reads every insurance record and identifies OTC benefits automatically.

    200+ plans detectedNetwork identifiedAllowance calculated

    Step 2

    Real-time eligibility verification

    Batch verification against the live CMS Medicare eligibility database. Confirms active enrollment and catches plan changes.

    1,700+ per batchPlan switches caughtMid-year updates

    Step 3

    Insurance change detection

    Flags patients whose plan changed since the last batch so outreach is always based on current data.

    Gained benefitsNetwork switchedLost benefits removed

    Step 4

    One-click broadcast lists

    Segmented SMS lists generated automatically by network, time window, and change type.

    By networkTime-filteredNet-new mode

    Step 5

    Data confidence scoring

    Callara tells you which patients to trust and which need verification before outreach.

    High ConfidenceLikely CurrentNeeds Verification

    Step 6

    Real dollar figures, not estimates

    Actual annual revenue opportunity from your patient population. Broken down by network, tier, and time period.

    No PBM clawbacksNo DIR feesPer-network revenue

    Revenue estimator

    How much OTC revenue is in your patient data?

    Select your state and adjust the patient count. Estimates are based on real pharmacy data from our partners.

    5,000
    1,00025,00050,000

    Annual opportunity

    $230K

    Eligible patients

    1,280

    Per 1,000 patients

    $46K

    Based on a single independent pharmacy in NC. Assumes full annual benefit utilization. Most pharmacies collect 15 to 30 percent in year one as patients learn about the benefit.

    Real results

    Numbers from real pharmacies

    $386K+

    Identified at a single pharmacy in NC

    $1.5M+

    Identified at a single pharmacy in SC, last 24 months

    1,752

    Patients verified in a single batch

    Detailed breakdown

    Patients with OTC benefits
    2,500+
    Capturable today
    1,500+
    Annual revenue opportunity
    $386K+
    Plans recognized
    200+
    Largest network
    UCard
    Time to set up
    < 1 hour

    Get started

    Up and running in under 30 minutes

    1

    Export

    Patient list from any pharmacy system

    2

    Upload

    OTC enrichment runs automatically

    3

    Review

    See your revenue opportunity

    4

    Verify

    Medicare eligibility batch (optional)

    5

    Send

    Generate lists, broadcast to patients

    Your patients already have this money

    They just don't know they can spend it at your pharmacy. Callara finds them and tells them.

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