What CarepathRx does

CarepathRx is a privately-held pharmacy care delivery platform founded in 2019 and headquartered in Mercer Island, Washington, that partners with health systems, hospitals, physicians, and pharmacies to deliver integrated pharmacy services. The company's core offerings span four pillars: Home & Ambulatory Infusion (expanding infusion care into home, physician office, and outpatient settings); Specialty Pharmacy (dispensing limited distribution drugs via 450+ payor contracts across all 50 states); Telepharmacy through the PipelineRx platform (providing remote order review, medication reconciliation, and patient counseling); and 340B Solutions (third-party administration and compliance support for the 340B Drug Pricing Program). Supporting capabilities include the ProCure GPO for pharmacy procurement, NurseLink for clinical education, and the CarepathRx Patient Therapy Mobile (CPTM) white-label patient-facing application. CarepathRx Health System Solutions (CHSS) and UPMC Chartwell operate as wholly-owned subsidiaries. CarepathRx serves nearly 10% of U.S. hospitals with 900+ employees nationwide, claiming 40% fewer hospitalizations among supported patients and 98% patient satisfaction. Founder John Figueroa brought prior leadership experience from Genoa Healthcare, Apria Healthcare, Coram, and Omnicare. Following a minority investment from Evernorth Health Services (Cigna Group) in July 2023, Evernorth completed the full acquisition of CarepathRx in 2025, integrating the company into its health services division.

The business model is B2B enterprise sales with multi-year contracts negotiated directly with health system and hospital partners. Revenue is generated across managed services (specialty pharmacy, home infusion), professional services (340B administration), subscription/recurring (telepharmacy), and transaction fee (ProCure GPO) streams. CarepathRx monetizes by transforming hospital pharmacy from a cost center into a revenue generator through specialty drug capture, 340B program optimization, and expanded ambulatory and home-based care delivery. Go-to-market relies on direct enterprise partnerships, industry events and conferences (ASHP, NASP, 340B Coalition, NHIA, AMCP, Asembia), and thought-leadership partnerships with 340B Health and 340B Report. The proprietary technology stack — PipelineRx telepharmacy, CPTM mobile app, and 340B TPA platform — anchors operational delivery and differentiates the offering from point-solution competitors.

Name

CarepathRx

Legal name

CarepathRx, LLC

Website

https://carepathrxllc.com

Company type

Private

Founded year

2019

Operating status

Acquired

Headcount range

1,001–5,000 employees

Short description

CarepathRx is a pharmacy care delivery platform serving U.S. health systems and hospitals with integrated specialty pharmacy, home infusion, telepharmacy (PipelineRx), and 340B program solutions across all 50 states, now operating as a subsidiary of Evernorth Health Services (Cigna Group).

Ownership category

akta.pro rank

Product category

Hospital Pharmacy Care Delivery

NAICS

Ambulatory Health Care Services (621)

SIC

Services-Health Services (8000)

akta.pro primary industry

Specialty Pharmacy & Complex Therapy Management Platforms (HLACAKAG)

akta.pro secondary industries

340B Program Administration & Contract Pharmacy Services (HLAFALAL), Medication Inventory, Procurement & Supply Chain (Pharmacy) (HLACAKAI), Injectables & Specialty Medication Support (e.g., insulin, biologics) (HSABALAG)

Keywords

• Specialty pharmacy services
• Home infusion therapy
• Telepharmacy solutions
• 340B program administration
• Hospital pharmacy partnerships

Headquarters

HQ city

Mercer Island

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Services

Cost components

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

Revenue model

1. Specialty Pharmacy Services: CarepathRx operates specialty pharmacy operations dispensing medications and providing clinical services to health systems and hospitals. Services include back-office solutions, Limited Distribution Drug access, payor contracts, pharmacy accreditations, and data analytics.
2. Home & Ambulatory Infusion: Home infusion services including infusion therapy administration, nursing services coordination, billing and revenue cycle management, and reporting and analytics for patients with chronic and complex conditions.
3. 340B Pharmacy Solutions: Third-party administration services for 340B Drug Pricing Program optimization including contract pharmacy services, compliance assistance, and program implementation support.
4. Telepharmacy & Technology Solutions: Remote pharmacy services including order review, medication reconciliation, patient counseling, and technology infrastructure support through PipelineRx platform.
5. ProCure GPO (Group Purchasing Organization): Group purchasing organization providing member benefits through negotiated contracts, cost-effective therapies, and pharmacy supply chain optimization.

Pricing tiers

Go-to-market motion1 record

Distribution channels1 record

Marketing channels3 records

Core offering

CarepathRx provides end-to-end pharmacy care delivery services to health systems and hospitals, encompassing specialty pharmacy operations with access to limited distribution drugs and over 450 payor contracts, home and ambulatory infusion therapy, telepharmacy services through its PipelineRx platform, 340B Drug Pricing Program optimization, and a group purchasing organization (ProCure GPO). The company combines these clinical and operational services with proprietary technology platforms, including a white-label mobile application for patient prescription management.

Product overview

CarepathRx is a pharmacy care delivery platform offering integrated solutions for health systems, hospitals, and pharmacies. The platform consists of core services including Home & Ambulatory Infusion, Specialty Pharmacy, PipelineRx (telepharmacy), and ProCure GPO, supported by add-on modules such as NurseLink (clinical education platform), the CarepathRx Patient Therapy Mobile (CPTM) app, and 340B Solutions. The Health System Solutions platform unifies these capabilities to transform hospital pharmacy into an active care management strategy and revenue generator.

Differentiator

Problem solved

Functional benefit

Brands

• CarepathRx Patient Therapy Mobile (CPTM): A white-label mobile application designed to empower patients in managing their prescriptions, integrating with DromosPTM and pharmacy management systems.
• ProCure GPO
• NurseLink

Products and services

• Home & Ambulatory Infusion Provides home and outpatient infusion services including nursing, billing, and analytics to help health systems expand infusion care to home, physician offices, and outpatient clinics, supporting patients with chronic and complex conditions.
• Specialty Pharmacy Delivers specialty pharmacy services with integrated clinical programs, limited distribution drug access, and more than 450 high-value payor contracts across all 50 states, supporting hospital and health system partners.
• PipelineRx Telepharmacy Telepharmacy and technology solution that provides remote pharmacy resources for order review, medication reconciliation, and patient counseling, serving health system and hospital partners.
• ProCure GPO Group purchasing organization offering exclusive pharmacy purchasing benefits and contracting services for member health systems, providing access to negotiated contracts and cost-effective therapies.
• Health System Solutions Integrated hospital pharmacy care delivery platform combining specialty pharmacy, home infusion, telepharmacy, 340B optimization, and pharmacy technology solutions for hospital and health system partners, delivered through the CarepathRx Health System Solutions (CHSS) subsidiary.
• 340B Solutions Comprehensive 340B Drug Pricing Program optimization including third-party administration, contract pharmacy services, script leakage prevention, and compliance support for health system partners.
• CarepathRx Patient Therapy Mobile (CPTM) White-label mobile application that enables patients to manage prescriptions, schedule refills, communicate with pharmacies, view prior authorization status, and track prescription workflow; integrates with DromosPTM and client Pharmacy Management Systems.
• NurseLink Clinical education and resource platform for home health nursing partners, providing policies, procedures, training videos, patient education materials, and continuing education programs supporting home infusion and enteral nutrition care.
• Specialty Pharmacy & Infusion Solutions End-to-end program development and support offering for building specialty pharmacy and home infusion programs, designed to be fully operational in six months or less for health system partners.

Quantifiable outcome

• 40% fewer hospitalizations for CarepathRx pharmacy support patients
• +3 more outcomes

Named customers8 records

Segments3 records

Ideal customer profiles2 records

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature3 records

Partnerships

Five partnerships are on record, tiered core and minor.

• SDS RxcoreStrategic or Co-development Partner · 18 June 2025ProCure by CarepathRx announced an exclusive partnership with SDS Rx to expand delivery solutions for home infusion and specialty pharmacy. The partnership provides ProCure members with logistics solutions that strengthen pharmacy operations and enhance patient experience.
• Nashville General HospitalcoreStrategic or Co-development Partner · 6 January 2025CarepathRx announced a specialty pharmacy partnership with Nashville General Hospital to build a specialty pharmacy program including financial assistance, counseling, prior authorizations, and comprehensive pharmacy services.
• ExactCare PharmacycoreChannel Partner/ Reseller/ DistributorExactCare is part of the CarepathRx network of pharmacies, providing state-of-the-art clinical service and medication management to thousands of patients nationwide. ExactCare focuses on at-home, polychronic patients and serves thousands across 7 locations nationwide.
• 340B HealthminorStrategic or Co-development PartnerCarepathRx is proud to partner with 340B Health, a leading organization supporting 340B program participants.
• 340B ReportminorStrategic or Co-development PartnerCarepathRx partners with 340B Report for industry reporting and compliance resources.

Scale indicators8 records

Recent moves6 records

Expansion highlights6 records

Direct peers

• Option Care Health: Largest independent provider of home and alternate-site infusion services in the U.S., serving patients with complex conditions. Directly comparable to CarepathRx's Home & Ambulatory Infusion business line.
• Trellis Rx: Health-system-focused specialty pharmacy services company (now part of CPS Solutions) that builds and operates specialty pharmacies within hospitals and clinics. Direct competitor to CarepathRx's specialty pharmacy program development offering.
• Shields Health Solutions: Specialty pharmacy care delivery platform partnering with health systems to build and operate outpatient specialty pharmacies under a hospital-owned license model. Directly comparable to CarepathRx's specialty pharmacy and home infusion services for health systems.
• CPS Solutions (Comprehensive Pharmacy Services): Hospital pharmacy management and consulting firm providing outsourced pharmacy leadership, specialty pharmacy, and 340B services to U.S. health systems. Closely comparable to CarepathRx's integrated Health System Solutions platform following its acquisition of Trellis Rx.
• BrightSpring Health Services: Public home and community-based health services platform that includes specialty/home infusion pharmacy (Kroger Specialty Infusion acquired), pharmacy services, and provider services. Comparable across CarepathRx's home infusion and pharmacy care delivery verticals.

Broad incumbents

• CVS Specialty (CVS Health): Specialty pharmacy arm of CVS Health integrated with Caremark PBM. A broad incumbent that competes for the same health-system specialty scripts and limited distribution drugs CarepathRx targets.
• Amedisys: Large home health and infusion services provider (subject to UnitedHealth/Optum acquisition). Adjacent peer given overlap with CarepathRx's home and ambulatory infusion nursing and chronic care management services.
• Accredo (Express Scripts / Cigna): Cigna-owned specialty pharmacy arm of Express Scripts. Now a corporate sibling to CarepathRx post-Evernorth acquisition, and a benchmark for specialty pharmacy scale and Limited Distribution Drug access.
• Walgreens Specialty Pharmacy (VillageMD / Shields): Specialty pharmacy and home infusion services inside Walgreens' broader healthcare portfolio. Competes for hospital system specialty pharmacy partnerships and home infusion referrals.

Emerging players

• ExactCare Pharmacy: National at-home medication management and pharmacy provider focused on polychronic patients. Already part of the CarepathRx network of pharmacies and a useful peer for chronic-condition home pharmacy delivery economics.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat6 records

Key risks6 records

Key highlights7 records

Customer concentration

Revenue estimate

Valuation estimate

Number of profiles

Profiles10 records

Subsidiaries2 records

Funding overview

Funding rounds2 records

Investors2 records

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

M&A1 record

Investments

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

Frequently asked questions about CarepathRx