Pharmacy Quality Solutions

What Pharmacy Quality Solutions does

Pharmacy Quality Solutions (PQS), operating as PQS by Innovaccer since its March 2024 acquisition, is a Durham, North Carolina-based healthcare technology company that operates the EQUIPP platform to connect health plans and PBMs with community pharmacies for medication quality measurement and value-based care delivery. The company sits at the intersection of payer quality programs and pharmacy workflow, providing HEDIS/Star Ratings performance tracking, NCQA-validated supplemental data submission, real-time adherence analytics, and a network covering approximately 65,000 pharmacies (95% of U.S. community pharmacies) representing nearly 90% of Medicare lives. PQS has delivered over 21 million care gaps to its pharmacy network and serves enterprise customers including Centene, Prime Therapeutics, Humana, EmblemHealth, Albertsons, Rite Aid, and Green Shield Canada.

The core technology stack comprises the EQUIPP data activation platform (population health analytics, real-time HEDIS/Star Ratings monitoring, payer-pharmacy collaboration tools) and the EQUIPP Copilot, an AI-powered intelligent assistant launched in May 2025 that integrates directly into pharmacy management systems to surface zero-click, in-workflow alerts at the point of dispensing. AI capabilities include predictive analytics for adherence risk, process automation for documentation and payer submission, and knowledge retrieval from state immunization registries and clinical guidelines. PQS holds NCQA Data Aggregator Validation Status and SOC 2 Type 2 certification, supporting enterprise-grade compliance requirements.

PQS operates a hybrid revenue model combining platform subscription/access fees paid by health plans and PBMs with transaction-based and outcome-based incentive payments flowing through Enhanced Services programs (e.g., $30 per CBP reading, $45 per A1c reading, $15-$45 per Centene On-Time Fill, plus gap closure and quality network bonuses). Go-to-market is dual-track: enterprise field sales to payers/PBMs alongside product-led growth via self-serve Copilot adoption. With 11-50 employees, PQS operates as a lean subsidiary within Innovaccer (which itself raised a $275M Series F at a $3.45B valuation in January 2025), leveraging the parent's healthcare AI platform and health-system distribution channel.

Name

Pharmacy Quality Solutions

Legal name

Pharmacy Quality Solutions, Inc.

Website

https://pharmacyquality.com

Company type

Private

Founded year

2014

Operating status

Operating

Headcount range

11–50 employees

Short description

PQS by Innovaccer operates the EQUIPP platform, connecting health plans and PBMs with 65,000+ community pharmacies (95% of U.S. community pharmacies) for medication quality measurement, HEDIS/Star Ratings performance, and AI-powered workflow optimization via EQUIPP Copilot.

Ownership category

akta.pro rank

Product category

Pharmacy Quality Management Software

NAICS

Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds (524292)

SIC

Services-Prepackaged Software (7372)

akta.pro primary industry

PBM Technology Platforms (ePA/eRx/Real-Time Benefit Tools) (HLAEAKAL)

akta.pro secondary industries

Pharmacy Benefit Analytics, Reporting & Employer Consulting (HLAEAKAK), Pharmacy Benefit Management (PBM) & Pharmacy Network Administration (HLAFALAI), Formulary Management & Clinical Pharmacy Programs (HLAEAKAA)

Keywords

• Pharmacy quality management
• Medication adherence analytics
• HEDIS performance tracking
• Value-based pharmacy care
• Medicare Star Ratings

Headquarters

HQ city

Durham

HQ country

United States

HQ region

North America

Offices2 records

Markets served

GTM type

B2B

Offering type

Software

Cost components

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

Revenue model

1. EQUIPP Platform Subscription/Access: PQS generates revenue through platform access fees to pharmacies and health plans. Health plans and PBMs pay for access to the quality measurement and analytics platform that enables collaboration with community pharmacies for medication quality improvement.
2. Enhanced Services Performance Programs: Pharmacies earn incentive payments through Enhanced Services programs including: CBP (Blood Pressure) at minimum $30 per documented reading, Hemoglobin A1c at minimum $45 per completed reading, LAMP (Longitudinal Adherence Monitoring Program) with bonus payments for interventions and outcomes, and Gap Closure Programs for Asthma, Statin, and other conditions.
3. Centene On-Time Fill Program: Performance-based payments: $15 for 28-day supply fill completion, $45 for 84-day supply fill completion, earned through quarterly patient check-ins before refill due dates.
4. Quality Network Performance Bonuses: Population improvement incentives via bonus-only reimbursement model triggered upon hitting performance thresholds, scaling according to claim volume and formulary adherence. Programs include Centene Quality Network, Prime, and Humana.

Pricing tiers

Go-to-market motion3 records

Distribution channels5 records

Marketing channels9 records

Core offering

Pharmacy Quality Solutions (PQS) operates the EQUIPP platform, a pharmacy performance management and quality measurement technology that connects health plans, PBMs, and community pharmacies to optimize medication management and close gaps in care. The platform delivers real-time HEDIS and Star Ratings performance analytics at the point of dispensing and enables NCQA-validated supplemental data submission. PQS also offers value-based Enhanced Services programs (CBP, A1c, LAMP, Gap Closure, On-Time Fill) that allow pharmacies to earn incentive payments for documented clinical interventions and adherence outcomes.

Differentiator

Problem solved

Functional benefit

Brands

• EQUIPP: The primary technology platform providing pharmacy performance management, quality measurement, and reporting on medication use quality measures including adherence, gaps in care, and patient safety.
• EQUIPP Copilot
• Quality Corner Show

Products and services

• EQUIPP Platform Pharmacy performance management and quality measurement technology platform for health plans, PBMs, and community pharmacies that monitors HEDIS measures, CMS Star Ratings, adherence, and LAMP performance in real time. Supports NCQA-validated supplemental data submission and includes the Data Activation Platform to unify and activate data across payer and pharmacy stakeholders.
• EQUIPP Copilot AI-powered intelligent assistant that integrates directly into pharmacy management systems (PMS) to provide zero-click, in-workflow real-time alerts flagging patient opportunities while reviewing profiles. Enables workflow integration for immediate care documentation without portal-hopping and includes built-in clinical pearls, simplified documentation tools, immunization status retrieval via state registries, and automated payer/STAR program submissions. Used by over 1,600 pharmacies.
• EQUIPP Enhanced Services Programs

Quantifiable outcome

• Pharmacies using EQUIPP Copilot close year-end adherence gaps at 1.5 to 2 times the rate of documentation-only users
• +3 more outcomes

Named customers10 records

Segments4 records

Ideal customer profiles2 records

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration2 records

AI capability5 records

Feature6 records

Partnerships

One partnership is on record.

• InnovaccerflagshipOEM/ Whitelabel/ Licensing Partner · 13 March 2024Innovaccer acquired Pharmacy Quality Solutions in March 2024, integrating PQS as 'PQS by Innovaccer.' The acquisition provides PQS with access to Innovaccer's healthcare intelligence platform, AI capabilities, and health system customer base while maintaining EQUIPP's pharmacy-focused quality management capabilities. PQS leverages Innovaccer's technology infrastructure including the Gravity platform.

Scale indicators9 records

Recent moves6 records

Expansion highlights6 records

Direct peers

• CoverMyMeds: McKesson-owned healthcare technology company providing electronic prior authorization, medication management, and pharmacy connectivity tools. Directly comparable to PQS as a PBM-adjacent technology platform serving payers and pharmacies with workflow-integrated decision support.
• DrFirst: Healthcare technology company focused on ePrescribing, medication management, and clinical workflow integration for providers and pharmacies. Comparable to PQS in serving medication-quality and adherence workflows across pharmacy and provider stakeholders.
• RxAnte: Acquired by OptumRx, RxAnte provides pharmacy adherence analytics and predictive modeling for health plans and PBMs. Directly comparable to PQS in using analytics and predictive analytics to drive medication adherence and quality measure performance.
• Arrive Health (formerly RxRevu): Real-time prescription benefit and price transparency platform integrated into provider and pharmacy workflows. Comparable to PQS in delivering point-of-dispensing intelligence that connects payers, providers, and pharmacies to optimize medication decisions.
• AdhereHealth: Medication adherence and quality platform serving health plans, PBMs, and providers with predictive analytics and pharmacist outreach. Comparable to PQS as a Star Ratings and HEDIS-focused adherence technology vendor in the payer-pharmacy channel.

Broad incumbents

• Surescripts: Nationwide health information network for ePrescribing, medication history, and clinical interoperability. Comparable to PQS as pharmacy-payer connectivity infrastructure but operates as a broader incumbent across the medication use continuum rather than a quality-measure specialist.
• Inovalon: Cloud-based healthcare data analytics platform serving payers, providers, and pharma with quality measurement, HEDIS, and Star Ratings solutions. Comparable to PQS as a quality-measurement and HEDIS supplemental data vendor with broader enterprise analytics positioning.
• MedImpact Healthcare Systems: Independent PBM operating its own pharmacy technology and quality measurement stack. Comparable to PQS as a PBM-side quality and adherence technology capability, though MedImpact vertically integrates PBM services rather than selling technology to multiple PBMs.

Emerging players

• AllazoHealth: AI-driven medication adherence prediction platform for health plans and pharma. Comparable to PQS as an AI-enabled adherence and quality vendor, though AllazoHealth focuses narrowly on predictive adherence rather than full quality-measurement infrastructure.
• Ateb: Pharmacy patient engagement and medication adherence platform serving chain and independent pharmacies. Comparable to PQS in addressing pharmacy-side patient engagement, though Ateb is more narrowly focused on adherence communications than quality measurement.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat6 records

Key risks6 records

Key highlights7 records

Customer concentration

• Xx.com/PharmacyQuality
• YouTubeyoutube.com/pqs-equipp
• Facebookfacebook.com/equippbyinnovaccer
• LinkedInlinkedin.com/company/pharmacy-quality-solutions-inc-
• Instagraminstagram.com/equippbyinnovaccer

Revenue estimate

Valuation estimate

Number of profiles

Profiles8 records

Funding overview

Funding rounds

Investors

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

M&A

Investments

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

Frequently asked questions about Pharmacy Quality Solutions