Pramana by VedAGI, for US market access teams

A lock on the numbers.

Drug and device companies already have the model and already use AI to write the dossier. Pramana makes sure every number that reaches a payer was computed from source, labeled honestly, signed by a person, and can be checked by the reader.

Pramana is Sanskrit for proof: a means of valid knowledge.

Try it: Year-1 budget impact, PMPM

Not checked
  • AMCP dossier$0.38
  • Pre-approval (PIE) deck$0.38
  • Payer slides$0.36
  • Executive summaryabout $0.40
Uptake 12%Estimate
Figure
Year-1 net budget impact, PMPM
Value
$0.38 per member per month
Formula
net_cost_y1 ÷ members ÷ 12
Sources
BIA_model.xlsx, Results!C14
Found in
Dossier, PIE deck, slides, summary
Signed by
Named signer after MLR review

Example numbers only. Pramana blocks the pack and people fix it. It never quietly edits a figure.

The idea

The whole idea in one minute

Teams already build the model and already use AI to write the pack. The number then hides inside the writing, a person signs it anyway, and the other side cannot check it.

Pramana recalculates each number from source, marks guesses as guesses, refuses to release until a person signs, and gives the other side a receipt they can open in a browser. Same pack. Same model. The leak is closed.

  • Keepyour model
  • Keepyour writer, AI or human
  • Keepyour reviewers and signer
  • Addthe lock on the numbers
80%

of US prescription claims in 2025 ran through just three PBMs1

33%

lower cost per QALY in industry-funded studies than in independent ones2

~$500K

average drug sales lost for each day a launch slips3

The path

How a US value pack gets made

A company has a drug, biologic or device and wants health plans to cover it. There is no single national reviewer, so the same numbers travel to many readers.

01

The science is already done

Trials, prices, patient counts and claims data sit in spreadsheets and source files.

02

They already have a model

Usually Excel or a specialist tool: a budget impact model and a cost-effectiveness model. It should be the one true source.

03

The team builds the value pack

An AMCP dossier 8, plus a pre-approval (PIE) deck, payer slides, a budget calculator and, for Medicare-negotiated drugs, data for CMS.

04

The words get written The leak starts here

Often by an AI assistant now. One team estimated AI cuts first-draft time by about 40% 4. Faster writing means more numbers to check.

05

MLR review and sign-off

Medical, legal and regulatory reviewers approve it and a named person signs. They trust the numbers match the model.

06

The pack goes out

To PBMs, health plans and P&T committees, often when they ask for it. Copies live on in slides and field decks.

07

Many readers decide

P&T committees vote. PBMs negotiate. ICER may publish its own model. CMS reviews data the company certified.

Canadian public coverage runs through a few national bodies. The US has many separate payers, and three PBMs processed 80% of prescription claims in 2025 1. One number, copied into many documents, is read by all of them.

The gap

Where it breaks: one number, many copies

The weak joint is not whether AI can write. It is that whoever writes each sentence can copy, round, or quietly change the number inside it. In the US that happens across many documents at once.

One number, many copies The model holds $0.38. Five documents copy it. One copy has drifted and one is rounded without a label. Readers see all of them. The model $0.38 AMCP dossier $0.38 PIE deck $0.38 Payer slides $0.36 Changed in a rewrite.Nobody noticed. Budget calculator $0.38 Executive summary ≈ $0.40 Rounded, with no label.Fact or guess? Readers PBMs Plans andP&T ICER CMS

Copies drift apart

One figure lives in five or more documents. A hand edit or an AI rewrite changes one copy and not the others.

Guesses look like facts

An uptake assumption reads like hard data because nothing marked it as an estimate.

Reviewers sign prose

MLR reviewers check claims and wording. They cannot recompute every figure from source before signing.

No trail when someone asks

When a P&T member, ICER or FDA asks to see the working, teams dig through emails and old spreadsheets.

US rules already point this way

FDA

Economic information sent to payers must rest on competent and reliable scientific evidence, and if FDA asks, the company must provide the primary data and analysis. A June 2026 revised draft brings devices in 5.

CMS

For Medicare drug price negotiation, the company certifies its data are complete and accurate, and must send corrections if they are not 6.

ICER

ICER builds its own models and shares them with manufacturers under a transparency program, so your numbers get compared with theirs 7.

The industry already has models, writers and signers. It does not have a gate that says: this number was computed, labeled, signed, and can be checked by a stranger. That gate is the gap. Pramana is only that gate.

The gate

What Pramana does

Keep the model. Keep the writer. Keep MLR review. Pramana sits between “the words are drafted” and “the pack is signed and sent”, and it watches every copy.

Where the Pramana gate sits Sources, then model, then AI draft, then the Pramana gate with four steps: compute, label, lock, receipt. Then review and signing, then the readers. If a number is mismatched or unlabeled, nothing goes forward. Sources Model AI draft Pramana gate 1 Compute 2 Label 3 Lock 4 Receipt MLR review and signer PBMs Plans andP&T ICER and CMS Mismatched or unlabeled? Nothing moves forward.

Recalculate

Each figure is computed again, in code, from the company's own sources. The AI may suggest a formula. It never writes the value.

Label estimates

If a number is an assumption, it is marked as one in every document it appears in. It cannot pass as a measured fact.

Match every copy, or block

The dossier, PIE deck, payer slides and calculator must all match the locked figure. If one does not, nothing goes to MLR or out the door.

Hand over a receipt

What was computed, from which sources, with which formula, signed by whom. Payers open it in a browser, with no VedAGI account. The same record answers an FDA or CMS request.

One number

The journey of one number

Follow a single figure, the year-one cost per member per month for a commercial health plan, from the company's files to a P&T reviewer's screen.

  1. Start from the source

    Pramana reads the company's own files: trial data, prices, claims-based patient counts and the model. Nothing new is invented.

  2. AI may suggest, code decides

    The AI can propose how the number should be worked out. Pramana runs that formula itself, in code, on the real inputs.

  3. Find every copy and compare

    The computed value is checked everywhere it appears: dossier, PIE deck, slides, calculator. Any mismatch is flagged.

  4. Figure or estimate

    Computed from measured sources, it becomes a figure. Built on an assumption, it stays a labeled estimate that everyone can see.

  5. MLR reviews, a named person signs

    Reviewers approve computed figures, not paragraphs. Pramana records who signed and when.

  6. The receipt travels with the pack

    Value, unit, formula, sources, time and signer, in one page any payer can open.

Receipt PR-0042
Figure
Year-1 net budget impact, PMPM, commercial plan of 1M members
Value
$0.38 per member per month
Formula
net_cost_y1 ÷ members ÷ 12
Sources
BIA_model.xlsx, Results!C14; WAC_price_2026.csv
Found in
Dossier, PIE deck, slides, calculator, summary: all match
Label
Figure: computed, not assumed
Signed by
Named signer after MLR review, 27 Sep 2026

Locked. Anyone can recheck this number.

Example receipt. Values are illustrative.

Value

What it is worth

Pramana does not make a product look better. It saves the hours spent chasing numbers and protects the launch from avoidable slips. Anything we estimated is marked as an estimate, the same rule Pramana applies to its own numbers.

Time spent tracing numbers, per pack

Today: checked by hand, about 3 review rounds
about 100 hours
With Pramana: people review only flagged items
about 8 hours
about 92 hours savedper pack, about $14K to $23K of team timeEstimate

How we got this: About 40 key numbers, each repeated in about 5 places (dossier, PIE deck, payer slides, calculator, summary), makes 200 spots. At about 10 minutes each by hand, that is about 33 hours per review round, times 3 rounds. Team time valued at $150 to $250 an hour. FDA expects payer information to be updated when it goes out of date, so this repeats with every refresh 5.

What a slipped launch costs in sales

~$500K

average drug sales per day of delay 3

  • If a questioned number costs 30 daysabout $15M of sales pushed back (estimate)
  • If it waits for the next P&T meeting, about 90 daysabout $45M of sales pushed back (estimate)

This is an average across many drugs. It is sales, not profit, and one plan's decision is only a slice of it. Many P&T committees meet on a set schedule, often quarterly, so the 90-day case is an assumption. The point is scale.

A locked pack is cheaper than a corrected one
QuestionLocked before it leavesCorrected after someone else finds it
When the error is foundInside the company, before MLR sign-offAfter payers, ICER or FDA have already seen it
Who finds itPramana flags it automaticallyA P&T reviewer, a PBM analyst, or a regulator
What it costsA few hours to fix a flagged numberDelayed coverage, tougher rebate talks, stricter access rules
What you can say“Here is the receipt for every number.”“We will look into it and get back to you.”

We will measure, not guess. The first engagement locks one live results table and every copy of it, and records the real hours before and after. Those measured numbers replace every estimate here.

Who it helps

Who it helps

Each person who touches the number gets something different.

  • MLR reviewers and the signer

    They approve computed figures, not paragraphs. If a number cannot be locked, it does not go out.

  • The HEOR and market access team

    They keep the model they trust and stop chasing numbers across five documents.

  • The company that owns the product

    A wrong number in front of a PBM or P&T committee can delay coverage, weaken rebate talks, or lead to tighter access rules.

  • PBMs, health plans and P&T committees

    They can check the receipt without buying anything. Trust moves from “we like this company” to “we can recompute this.”

  • Legal, regulatory and compliance

    A ready record for FDA's evidence standard and CMS data certification: sources, formula, value, signer, release.

Limits

What Pramana is not

Pramana does not:

  • make a drug look more cost-effective
  • replace MLR review
  • replace ICER, CMS or a payer's own review
  • write the dossier
  • remove the human from the process
  • give legal or FDA advice

If the model is wrong, the lock will faithfully lock the wrong math. The benefit is integrity of release, not a better economic answer.

Start

Start with one table

Lock the budget impact table in one live AMCP dossier, and every copy of it in the PIE deck and payer slides. You keep your model and your MLR process. We measure the hours saved, and those measured numbers replace every estimate on this page.

Sources

  1. Drug Channels Institute, The top pharmacy benefit managers of 2025 (March 2026). Link
  2. Xie and Zhou, industry sponsorship and cost-effectiveness results, BMJ (2022).
  3. Smith, Getz and DiMasi, New estimates on the cost of a delay day in drug development, Therapeutic Innovation & Regulatory Science (2024).
  4. Pharmaceutical Technology, Accelerating HTA readiness with generative AI (June 2026). One team's own estimate. Link
  5. FDA, Drug and Device Manufacturer Communications With Payors, Formulary Committees, and Similar Entities (2018 final; June 2026 revised draft). Link
  6. CMS, Medicare Drug Price Negotiation Program guidance and policy documents. Link
  7. ICER, Manufacturer engagement and economic model transparency. Link
  8. AMCP, Format for Formulary Submissions, version 5.0 (2024). Link

Time and money figures marked as estimates are illustrative and will be replaced by measured results from the first engagements. Nothing on this page is legal or regulatory advice. Looking for the other market? Read the Canada edition.

Get in Touch

If you are about to send a table you cannot recompute, talk to us.

VedAGI. Intelligence for Humanity.