PillPack

What PillPack does

PillPack is a full-service mail-order pharmacy founded in 2013 by TJ Parker and Elliot Cohen that pre-sorts a customer's medications into individual dose packets labeled by date and time and delivers them monthly, along with a dispenser and any non-packable items (inhalers, liquids, insulin). The service is powered by PharmacyOS, a proprietary in-house software platform that manages medication profiles, coordinates refills and renewals with prescribers, processes PBM and Medicare Part D claims, sends shipment notifications, and exposes a customer dashboard for billing and shipment control. PillPack is licensed in 49 US states (Hawaii excluded), holds URAC Mail Service Pharmacy and NABP Digital Pharmacy accreditations, and operates 14+ dispensing pharmacy sites plus a Taylorsville, UT call center.

PillPack has been an independently operated subsidiary of Amazon since the 2018 acquisition for approximately $1 billion, and was rebranded as 'PillPack by Amazon Pharmacy' to reflect integration with Amazon's broader Health Services ecosystem (Amazon Pharmacy, One Medical, Amazon Clinic). It sells exclusively direct-to-consumer with a free service model: customers pay only their standard 30-day insurance copays or out-of-pocket costs, with no subscription, setup, or shipping fees, and HSA/FSA cards and manufacturer copay coupons are accepted (except for government program enrollees). The company is in-network with all major pharmacy benefit managers — CVS Caremark, Express Scripts, Optum Rx, Prime Therapeutics, Humana Pharmacy Solutions, Cigna, Aetna, MedImpact, EnvisionRx, and CastiaRX — which is the prerequisite for serving the target customer of polypharmacy patients (adults taking 5+ daily prescriptions, an addressable population of approximately 30 million US adults).

The customer base is entirely individual consumers, acquired through pillpack.com, the PillPack iOS app, a 24/7 phone line (855-745-5725), prescriber referrals, and Amazon ecosystem cross-promotion. The company reports a Net Promoter Score of 80 versus an industry average of 26, and segments customers into polypharmacy patients, caregivers managing medications for others, and chronic disease patients. Reported leadership includes CEO and co-founder TJ Parker, Chief Product Officer and co-founder Elliot Cohen, Chief Business Officer Geoff Swindle, CMO Colin Raney, and VP of Operations Strategy Gavin Cotter.

Name

PillPack

Legal name

PillPack LLC

Website

https://pillpack.com

Company type

Private

Founded year

2013

Operating status

Operating

Headcount range

251–500 employees

Short description

PillPack is a full-service mail-order pharmacy that pre-sorts customer medications into date- and time-labeled dose packets and delivers them monthly. It serves polypharmacy patients (adults taking 5+ daily prescriptions) and operates as a subsidiary of Amazon under the 'PillPack by Amazon Pharmacy' brand.

Ownership category

akta.pro rank

Product category

Mail-Order Pharmacy

NAICS

Pharmacies and Drug Retailers (456110), Pharmacies and Drug Retailers (45611)

SIC

Retail-Drug Stores And Proprietary Stores (5912)

akta.pro primary industry

Mail-Order & Home Delivery Pharmacies (HLAFALAD)

akta.pro secondary industries

Medication Setup & Organization (Pill Boxes/Dispill/Packaging) (HSABALAB), Medication Adherence, Packaging & Fulfillment Services (Blister/Unit-Dose) (HLAFALAJ), Pharmacy Information Systems (PIS) & Dispensing Workflow (HLACAKAC)

Keywords

• Mail-order pharmacy
• Prescription delivery
• Medication management
• Pharmacy services
• Medication adherence

Headquarters

HQ city

Manchester

HQ country

United States

HQ region

North America

Offices15 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Supply Chain, Technology or R&D, Marketing or Sales, Infrastructure

Revenue model

1. Insurance Copay Processing: PillPack processes insurance claims and collects customer copays as the primary revenue stream. Customers are responsible for copays set by their insurance company. The service and shipping are free to customers. PillPack is in-network with all major pharmacy benefit managers.
2. Over-the-Counter Products: Revenue generated from vitamins and non-prescription medications that customers add to their service, sold at out-of-pocket cost.

Pricing tiers

Go-to-market motion1 record

Distribution channels3 records

Marketing channels6 records

Core offering

PillPack is a full-service mail-order pharmacy that pre-sorts customer medications into personalized rolls labeled by date and time of day, then delivers them monthly along with a dispenser and any non-packable items such as liquids or inhalers. The service coordinates automatic refills directly with prescribers and processes insurance claims in-network with all major PBMs and Medicare Part D plans. Service and shipping are free; customers pay only their standard 30-day copays or out-of-pocket costs.

Product overview

PillPack is a full-service mail-order pharmacy designed for people managing multiple medications. The core offering is PillPack, which pre-sorts all prescriptions into date- and time-labeled packets delivered monthly, along with a dispenser and any non-packable items like inhalers. The service is powered by PharmacyOS, a proprietary software platform that handles medication management, refill coordination, and real-time notifications. PillPack operates as part of Amazon's healthcare ecosystem (under the Amazon Health Services Affiliated Covered Entity) and also offers a companion iPhone app for account management. The company holds both URAC Mail Service Pharmacy accreditation and NABP Digital Pharmacy accreditation, and is in-network with all major PBMs including CVS Caremark, Express Scripts, and Optum Rx.

Differentiator

Problem solved

Functional benefit

Brands

• PharmacyOS: In-house software platform that manages customer medications, coordinates refills and renewals, and enables real-time notifications and online dashboard for shipment control.

Products and services

• PillPack mail-order pharmacy service A full-service mail-order pharmacy that pre-sorts customer prescriptions into personalized date- and time-labeled packets, delivers them monthly along with a complimentary dispenser and any non-packable items such as liquids or inhalers, and coordinates automatic refills with prescribers and insurance. Service and shipping are free; customers pay only their standard 30-day copays or out-of-pocket costs.
• PharmacyOS platform Proprietary in-house software platform that manages customer medication profiles, coordinates refills and renewals, provides on-time shipments, and exposes an online dashboard for shipments, refills, and copays. Powers PillPack's operations and customer experience.
• PillPack mobile app Mobile application for iOS (and an Android counterpart) that lets PillPack customers track shipments, view billing statements, manage refills, and chat with pharmacists from their phone.

Quantifiable outcome

• Net Promoter Score of 80, compared to industry average of 26
• +1 more outcomes

Named customers1 record

Segments3 records

Ideal customer profiles1 record

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature4 records

Partnerships

One partnership is on record.

• AmazonflagshipStrategic or Co-development Partner · 1 January 2018Amazon acquired PillPack in 2018 for approximately $1 billion. PillPack operates as an independently operated subsidiary of Amazon, now branded as 'PillPack by Amazon Pharmacy.' The acquisition enabled Amazon's entry into the pharmacy market and provided PillPack access to Amazon's logistics infrastructure and customer base.

Scale indicators5 records

Recent moves6 records

Expansion highlights5 records

Direct peers

• Amazon Pharmacy: Amazon's flagship consumer pharmacy offering operated by the same PillPack team; competes for the same mail-order customers with broader delivery options, including same-day. Directly comparable on products, customer base, and operations.
• CVS Caremark Mail Service Pharmacy: Mail-order pharmacy arm of CVS Health and one of the largest U.S. PBM-owned home delivery operations; competes directly with PillPack for polypharmacy patients via 90-day refill and adherence packaging.
• Humana Pharmacy Solutions: Humana's mail-order and home delivery pharmacy serving Medicare Advantage and Part D members — the same customer overlap PillPack pursues, making it a directly comparable specialty/mail-order peer.
• OptumRx Mail Order: UnitedHealth Group/Optum's PBM-owned mail-order pharmacy; competes directly for in-network PillPack-style automatic refill delivery across employer-sponsored and Medicare plans.
• Express Scripts Pharmacy (Evernorth): The largest stand-alone mail-order pharmacy network in the U.S., serving tens of millions of members; direct head-to-head competitor for PillPack's automatic-refill, multi-prescription delivery proposition.
• Walgreens Mail Order (AllianceRx Walgreens): Walgreens' specialty and mail-order pharmacy business offering home delivery of maintenance medications; competes for PillPack's polypharmacy customers via 90-day supplies and adherence programs.
• Walmart Mail Order Pharmacy: Walmart's home delivery mail-order pharmacy offering 90-day refills at low prices, increasingly competing with PillPack on convenience and cost for maintenance medications in mass-market consumer segments.

Others

• One Medical: Amazon-owned primary care provider operating in the same Amazon Health Services covered entity as PillPack; not a direct pharmacy competitor but a strategically important sister brand for provider-driven prescription flow into PillPack.

Emerging players

• Alto Pharmacy: Tech-enabled mail-order and same-day delivery pharmacy with adherence packaging and dedicated patient care teams; a meaningful emerging direct competitor in the same digitally-native adherence space as PillPack.
• Capsule Pharmacy: Digital-first, same-day local delivery pharmacy focusing on consumer experience; overlaps with PillPack's tech-enabled, service-led value proposition but concentrated in major U.S. metros rather than nationwide mail-order.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

• Xx.com/PillPack
• Facebookfacebook.com/pillpack
• LinkedInlinkedin.com/company/pillpack

Compliance3 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles5 records

Funding overview

Funding rounds7 records

Investors24 records

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments2 records

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about PillPack