Custom Health
Custom Health is an integrated digital health platform combining licensed pharmacy operations, in-home connected devices, and pharmacist-led clinical care through its proprietary AdhereNet platform, serving healthcare providers, health plans, government programs, and patients across North America.
- Company typePublic
- Founded2021
- HeadquartersMountain View, United States
- Headcount101–250
- GTM typeB2B and B2C
- OfferingServices
What Custom Health does
Custom Health is an integrated digital health platform that combines licensed pharmacy operations, in-home connected medication devices, and pharmacist-led clinical care into a single connected system. The company was founded in 2009 (originally as Pack4U, rebranded Custom Health in October 2022), is headquartered in the United States (Brentwood, TN) with Canadian operations centered in Kelowna, BC, and employs 251–500 people across North America. Its core proprietary technology, AdhereNet®, serves as the central intelligence layer connecting a pharmacy network that prepares and delivers structured dose packs, in-home devices (spencer® dispensing hub, PatchCap, Vitals) that capture real-time medication and health signal data, and licensed pharmacist-led clinicians who interpret patterns and intervene. The company operates physical pharmacy locations in Tennessee, Florida, Ontario, British Columbia, Saskatchewan, and — following the June 2026 acquisition of InnovativeRx — Indiana and Ohio. Custom Health Holdings Inc. completed a plan of arrangement with Queue Ventures Ltd. and commenced trading on the Toronto Stock Exchange under symbol CHLT on June 24, 2026, making it a publicly listed entity following its reverse takeover.
The company's revenue model is predominantly subscription/recurring (87% of revenue base) across three streams: pharmacy operations (medication dispensing, packaging, and delivery), clinical services (pharmacist-led oversight and RTM/RPM programs), and technology platform services. Pricing is typically covered by payer programs and patient eligibility rather than direct out-of-pocket, with coverage varying by program. The go-to-market motion is sales-led and bifurcated: an enterprise field sales team (VP Sales, VP Provider Sales) targets healthcare systems, physician groups, health plans, and government health programs across North America, while an inside sales motion (VP Patient Acquisition) drives patient enrollment through referrals and direct outreach. Customer segments include healthcare providers (visibility between visits, coordinated follow-up), health plans and government programs (adherence, avoidable cost reduction, population health), and patients/caregivers (simplified routines, reminders, clinical oversight at home). Proven outcomes include 98% medication adherence in a peer-reviewed JMIR study, 7.6M+ medication events monitored annually, and 27% reduction in opioid utilization alongside 42% reduction in unnecessary medications.
The company has grown through serial acquisition — completing deals for CHC Health (2021), Catalyst Healthcare (2022), Health in Motion Network (2022), PatchRx (2025), and InnovativeRx (2026, US$16.55M) — to expand its pharmacy network, device portfolio, and clinical capabilities. In connection with its TSX listing in June 2026, Custom Health arranged approximately US$50M in financing (senior secured convertible notes, promissory notes, and credit facilities) to fund a disclosed 70+ pharmacy acquisition pipeline representing 200,000+ patients and US$1B+ revenue opportunity across North America. The business combines regulated pharmacy operations, connected hardware, and software/AI-enabled clinical workflows, creating a vertically integrated medication management offering that competes in the US$500B+ chronic care market.
Custom Health firmographics
Firmographics- Name
- Custom Health
- Legal name
- Custom Health, Inc.
- Website
- https://customhealth.com
- Company type
- Public
- Founded year
- 2021
- Operating status
- Ipo
- Headcount range
- 101–250 employees
- Short description
- Custom Health is an integrated digital health platform combining licensed pharmacy operations, in-home connected devices, and pharmacist-led clinical care through its proprietary AdhereNet platform, serving healthcare providers, health plans, government programs, and patients across North America.
- Ownership category
- akta.pro rank
Custom Health industry classification
Industry- Product category
- Digital Health Medication Management
- NAICS
- Home Health Care Services (621610), Pharmacies and Drug Retailers (456110)
- SIC
- Services-Home Health Care Services (8082), Retail-Drug Stores And Proprietary Stores (5912), Services-Health Services (8000)
- akta.pro primary industry
- Specialty Pharmacy & Complex Therapy Management Platforms (HLACAKAG)
- akta.pro secondary industries
- Remote Adherence Monitoring & Smart Dispenser Services (HSABALAI), Medication Setup & Organization (Pill Boxes/Dispill/Packaging) (HSABALAB), Retail & Community Pharmacies (Chain/Independent) (HLAFALAA)
Keywords
Where Custom Health is headquartered
LocationHeadquarters
- HQ city
- Mountain View
- HQ country
- United States
- HQ region
- North America
Offices8 records
Markets served
Custom Health business model
Business model- GTM type
- B2B and B2C
- Offering type
- Services
- Cost components
- Personnel, Operations, Technology or R&D, Marketing or Sales, Supply Chain, Infrastructure
Revenue model
- Pharmacy Operations: Revenue from pharmacy network operations including medication dispensing, packaging, and delivery through the integrated pharmacy network across Canada and the US. Medications are prepared, re-packaged, and delivered as personalized dose packs.
- Clinical Services: Pharmacist-led clinical oversight, medication therapy management, and care coordination services. Revenue from clinical monitoring programs including RTM/RPM and proactive patient outreach.
- Technology Platform Services: Revenue from AI-enabled platform services supporting medication management, monitoring, and clinical intervention. Platform connects pharmacy, devices, and clinical care.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Subscription | Pay-as-you-go | Program-based coverage varies by patient eligibility and payer |
Go-to-market motion3 records
Distribution channels4 records
Marketing channels6 records
Custom Health product offering
Product offeringCore offering
Custom Health operates an integrated medication management platform that combines licensed pharmacy operations, connected in-home devices (spencer®, PatchCap, Vitals), and pharmacist-led clinical services through its proprietary AdhereNet® platform. The system delivers structured medication doses to patients at home, captures dose-level adherence and vital signs data in real time, and routes insights to clinical pharmacists who coordinate with prescribers for timely intervention. Services are sold to healthcare providers, health plans/government programs, and directly to patients and caregivers across North America.
Product overview
Custom Health operates as an integrated platform combining pharmacy operations, in-home technology, and pharmacist-led clinical care into a unified medication management system. The core AdhereNet platform serves as the central intelligence layer, connecting the Pharmacy Network (which prepares and delivers structured medication doses), In-Home Devices (spencer, PatchCap, Vitals for capturing real-world medication and health data), oneMAR (for facility workflow integration), and Clinical Services (pharmacist-led oversight and intervention). This architecture enables continuous visibility into medication use at home, supporting earlier clinical intervention and improved medication outcomes across Canada and the United States.
Differentiator
Problem solved
Functional benefit
Brands
- AdhereNet: AI-enabled connected medication intelligence platform that integrates pharmacy operations, clinical workflows, and connected device data, creating continuous visibility into medication use at home.
- spencer
- PatchCap
- oneMAR
- Vitals
Products and services
- AdhereNet® Platform Proprietary AI-enabled software platform that connects pharmacy operations, in-home technology devices (spencer®, PatchCap, Vitals), and pharmacist-led clinical care through a shared longitudinal record, enabling continuous visibility into medication use at home and earlier clinical intervention. Sold to healthcare providers, health plans, and integrated delivery networks.
- spencer® In-Home Medication Dispensing Hub
Quantifiable outcome
- 98% medication adherence rate demonstrated in peer-reviewed study
- +4 more outcomes
Companies that use Custom Health
Customer profileNamed customers4 records
Segments3 records
Ideal customer profiles3 records
Custom Health technology and API
TechnologyTechnology focussed Yes
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
AI capability3 records
Feature5 records
Custom Health partnerships and signals
Strategic signalPartnerships
Three partnerships are on record, tiered strategic and flagship.
- Bloom Burton & Co.strategicHealthcare investment banking firm hosting the 2026 Bloom Burton & Co. Healthcare Investor Conference where Custom Health will present as a participating company.
- Queue Ventures Ltd.flagshipBusiness combination partner that merged with Custom Health, Inc. through a plan of arrangement. Custom Health Holdings Inc. (formerly Queue Ventures Ltd.) is the resulting public company listed on TSX under symbol CHLT.
- PatchRxstrategicTechnology partnership to build a comprehensive medication intelligence solution. Custom Health acquired PatchRx in August 2025 to expand patient connected care platform.
Scale indicators18 records
Recent moves8 records
Expansion highlights6 records
Custom Health competitors and assessment
Company assessmentDirect peers
- MedMinder: MedMinder provides in-home smart medication dispensers and adherence monitoring for patients with complex regimens. It is a direct competitor to Custom Health's spencer and PatchCap offerings, serving the same chronic care and polypharmacy patient population.
- Hero Health: Hero offers a connected in-home medication dispenser with adherence reminders and caregiver alerts. It competes directly with Custom Health's smart dispenser and remote monitoring stack in the chronic care adherence segment.
- Phillips Medication Dispensing Service (Philips): Philips' automated medication dispensing service delivers pre-sorted doses and adherence reminders to patients' homes. It is comparable to Custom Health's structured-dose pharmacy network and in-home dispenser offering.
- PatchRx: PatchRx builds smart medication adherence technology and was acquired by Custom Health in August 2025. Prior to the acquisition it operated as an independent connected-adherence vendor competing for the same payer and provider relationships.
- Catalyst Healthcare Rx: Catalyst Healthcare is a pharmacy technology company acquired by Custom Health in 2022 and now operates as a subsidiary. Pre-acquisition it was a direct peer providing pharmacy technology and medication adherence tools to North American pharmacy partners.
Broad incumbents
- Omnicell: Omnicell is a large medication management and pharmacy automation vendor serving hospitals, health systems, and retail pharmacies. Custom Health's oneMAR facility integration competes with Omnicell's medication administration record and cabinet solutions.
- BD (Becton Dickinson) — Medication Management: BD's Medication Management Solutions business provides pharmacy automation and connected medication workflows for hospitals and health systems. It is a broad incumbent competing for the same pharmacy automation and clinical workflow budget that Custom Health targets with oneMAR and clinical services.
- Amazon Pharmacy: Amazon Pharmacy is a large, well-capitalized digital pharmacy and medication delivery platform. It competes with Custom Health's pharmacy network on consumer medication delivery and increasingly on chronic care adherence services.
Emerging players
- Dose Health: Dose Health provides smart pill dispensers and adherence tracking for consumers and care organizations. It is an emerging player with overlapping capabilities to Custom Health's smart dispenser portfolio, focused on a narrower consumer/small-provider segment.
- MedAdvisor Solutions: MedAdvisor offers pharmacy-driven medication adherence and patient engagement software globally. It overlaps with Custom Health's AdhereNet platform and pharmacy network model, particularly in chronic disease and specialty therapy programs.
Market position
Strengths4 records
Weaknesses4 records
Competitive moat6 records
Key risks5 records
Key highlights6 records
Customer concentration
Custom Health social profiles
Digital presenceCustom Health financial estimates
Financial estimateRevenue estimate
Valuation estimate
Custom Health leadership team
Management profileNumber of profiles
Profiles21 records
Custom Health subsidiaries and ownership
Company hierarchySubsidiaries6 records
Custom Health funding detail
Funding detailFunding overview
Funding rounds5 records
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
Custom Health M&A and investment
M&A and investmentM&A6 records
Investments
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about Custom Health
What does Custom Health do?
Custom Health operates an integrated medication management platform that combines licensed pharmacy operations, connected in-home devices (spencer®, PatchCap, Vitals), and pharmacist-led clinical services through its proprietary AdhereNet® platform. The system delivers structured medication doses to patients at home, captures dose-level adherence and vital signs data in real time, and routes insights to clinical pharmacists who coordinate with prescribers for timely intervention. Services are sold to healthcare providers, health plans/government programs, and directly to patients and caregivers across North America.
Is Custom Health a public or private company?
Custom Health is a public company. It is classified as public and is currently ipo.
When was Custom Health founded?
Custom Health was founded in 2021. It employs 101 to 250 people.
Where is Custom Health based?
Custom Health is headquartered in Mountain View, United States, in the North America region.
How does Custom Health make money?
Three revenue lines are on record. Pharmacy Operations are the primary driver. The others are clinical Services and technology Platform Services.
Who are Custom Health's main competitors?
Direct peers on record are MedMinder, Hero Health, Phillips Medication Dispensing Service (Philips), PatchRx and Catalyst Healthcare Rx. Broad incumbents are Omnicell, BD (Becton Dickinson) — Medication Management and Amazon Pharmacy. Emerging players are Dose Health and MedAdvisor Solutions.
Does Custom Health have an API?
No public API is recorded for Custom Health.
What industry is Custom Health in?
Custom Health's product category is Digital Health Medication Management. Its primary akta.pro industry code is HLACAKAG, Specialty Pharmacy & Complex Therapy Management Platforms, with a secondary code of HSABALAI, Remote Adherence Monitoring & Smart Dispenser Services. Its NAICS code is 621610 and its SIC code is 8082.