Genoa

What Genoa does

Genoa Healthcare is a United States specialty pharmacy provider focused on serving individuals with behavioral health conditions, substance use disorders, HIV/AIDS, and other chronic health issues. Founded in 2006 and headquartered in Tukwila, Washington, the company operates more than 750 on-site pharmacies embedded within mental health centers, community clinics, infectious disease clinics, and assisted living facilities across 48 states plus Washington D.C., serving over one million consumers annually through 500+ community mental health partner organizations. Its core offerings include behavioral health pharmacy, hepatitis C pharmacy, HIV/AIDS pharmacy, and assisted living pharmacy services, supplemented by the Genoa CARE adherence packaging program (30-day bubble packs), a pharmacist-led Long-Acting Injectable (LAI) program for schizophrenia and other conditions, and cycle-filling medication synchronization.

Underlying technology includes the Genoa Online partner portal for clinic staff, the NetRx pharmacy management system, and OneHealthcareID secure authentication, all of which integrate pharmacy operations with partner clinic workflows. Genoa operates under a B2B enterprise field-sales go-to-market model in which field representatives establish on-site pharmacy partnerships with behavioral health clinics, community mental health centers, CCBHCs, MAT providers, and assisted living facilities, with revenue generated through pharmacy benefit arrangements with health plans, 340B Drug Pricing Program participation with covered entities, and direct contracts with healthcare organizations. The company is a wholly-owned subsidiary of UnitedHealth Group, operating under the Optum Rx segment, which provides infrastructure including AI-driven healthcare platforms and value-based care capabilities, but does not publicly disclose standalone revenue.

Name

Genoa

Legal name

Genoa Healthcare

Website

https://genoahealthcare.com

Company type

Private

Founded year

2006

Operating status

Operating

Headcount range

1,001–5,000 employees

Short description

Genoa Healthcare is a US specialty pharmacy provider operating 750+ on-site pharmacies embedded within behavioral health clinics, community mental health centers, and assisted living facilities across 48 states, serving over one million individuals with mental health, substance use, and HIV/AIDS conditions annually as a subsidiary of Optum Rx / UnitedHealth Group.

Ownership category

akta.pro rank

Product category

Specialty Pharmacy Services

NAICS

Outpatient Mental Health and Substance Abuse Centers (621420), Pharmacies and Drug Retailers (456110), Offices of Physicians, Mental Health Specialists (621112)

SIC

Services-Health Services (8000), Services-Specialty Outpatient Facilities, Nec (8093)

akta.pro primary industry

Specialty Pharmacies (Complex/High-Cost Therapies) (HLAFALAC)

akta.pro secondary industries

Specialty Pharmacy & Complex Therapy Management Platforms (HLACAKAG), 340B Program Administration & Contract Pharmacy Services (HLAFALAL), Injectables & Specialty Medication Support (e.g., insulin, biologics) (HSABALAG)

Keywords

• Specialty pharmacy services
• Behavioral health pharmacy
• Medication adherence packaging
• Long-acting injectables
• 340B pharmacy program

Headquarters

HQ city

Tukwila

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Services

Cost components

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

Revenue model

1. Specialty Pharmacy Services: Genoa Healthcare generates revenue through providing specialized pharmacy services to individuals with behavioral health conditions, substance use disorders, HIV/AIDS, and other chronic health issues. Services include medication dispensing, adherence packaging, long-acting injectable administration, and clinical pharmacy services. Revenue is derived from pharmacy benefit arrangements with health plans, 340B drug pricing program participation, and direct partnerships with healthcare organizations.
2. 340B Pharmacy Program: Genoa participates in the 340B Drug Pricing Program, working with qualified clinics and organizations to provide savings on prescription drug costs, enabling covered entities to offer more comprehensive services for eligible patients.

Go-to-market motion1 record

Distribution channels1 record

Marketing channels6 records

Core offering

Genoa Healthcare operates specialty pharmacies embedded within behavioral health clinics, community mental health centers, and other specialty care organizations across the United States. The company provides medication dispensing, adherence packaging (CARE Packaging/30-day bubble packs), cycle filling, long-acting injectable administration, and clinical pharmacy services for individuals with mental health conditions, substance use disorders, HIV/AIDS, hepatitis C, and assisted living residents. Genoa participates in the 340B Drug Pricing Program and partners with over 500 community mental health organizations through more than 750 pharmacy locations in 48 states plus Washington, D.C.

Product overview

Genoa Healthcare is a specialized pharmacy provider offering a portfolio of focused pharmacy services for complex health conditions, including behavioral health pharmacy, Hepatitis C pharmacy, HIV/AIDS pharmacy, and assisted living pharmacy. The company operates over 750 pharmacies across 48 states and D.C., with most locations within mental health centers and specialty clinics. Core pharmacy services are supplemented by adherence solutions (Genoa CARE Packaging) and clinical programs (Long-Acting Injectables Program). The company provides partner-facing platforms including Genoa Online portal and NetRx pharmacy management system, all integrated into the broader Optum Rx ecosystem under UnitedHealth Group.

Differentiator

Problem solved

Functional benefit

Products and services

• Behavioral Health Pharmacy

Quantifiable outcome

• 93 Consumer Net Promoter Score indicating high consumer satisfaction
• +2 more outcomes

Named customers4 records

Segments5 records

Ideal customer profiles4 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature4 records

Partnerships

Nine partnerships are on record, tiered core, flagship and minor.

• BHcarecoreStrategic or Co-development Partner · 17 November 2025Genoa Healthcare and BHcare expanded their partnership to include an on-site pharmacy at BHcare's North Branford, Connecticut location. The pharmacy provides medication filling, free home delivery, pill organization, and personalized care for BHcare's clients, staff, and families.
• UnitedHealth Group / OptumflagshipStrategic or Co-development Partner · 24 September 2025Genoa Healthcare operates as a subsidiary of UnitedHealth Group under the Optum Rx umbrella. The company leverages Optum's infrastructure including AI-driven healthcare platforms, value-based care models, and enterprise-wide technology solutions to scale behavioral health pharmacy services.
• Alaska Behavioral HealthcoreImplementation/ SI/ Consulting PartnerAlaska Behavioral Health partners with Genoa Healthcare for integrated pharmacy services, which the organization describes as a 'game changer' allowing them to lean on Genoa's team of pharmacy experts to focus on growing other services.
• Nystrom & AssociatescoreStrategic or Co-development PartnerNystrom & Associates partners with Genoa Healthcare for integrated behavioral health pharmacy services. The partnership has demonstrated significant impact on consumer care and treatment continuity.
• Terros HealthcoreStrategic or Co-development PartnerTerros Health is a Phoenix-based organization providing whole-person care that partners with Genoa Healthcare to ensure clients receive necessary medications through integrated pharmacy services.
• CPC Integrated HealthcoreStrategic or Co-development PartnerCPC Integrated Health participated in a panel-style webinar with Genoa Healthcare on standing out in whole-person care delivery, demonstrating strategic collaboration in care model development.
• Southwestern Pennsylvania Human Services, Inc.coreStrategic or Co-development PartnerSWPA Human Services participated in a panel discussion hosted by Genoa Healthcare on delivering whole-person health through integrated care partnerships.
• URACminorOthersGenoa Healthcare maintains URAC accreditation for specialty pharmacies across multiple states, demonstrating compliance with quality standards for on-site specialty pharmacy care.
• Community Mental Health Centers (500+)flagshipChannel Partner/ Reseller/ DistributorGenoa Healthcare partners with over 500 community mental health organizations across 48 states. Pharmacies are embedded within these partner facilities, providing integrated pharmacy services to consumers served by these organizations.

Scale indicators7 records

Recent moves9 records

Expansion highlights4 records

Direct peers

• Cureatr: Specialty pharmacy and medication management services focused on complex and behavioral health patients with clinical pharmacist support — comparable in patient population and clinical-pharmacy integration.
• Tarrytown Expocare Pharmacy: Specialty pharmacy serving individuals with intellectual and developmental disabilities, behavioral health conditions, and complex needs via closed-door pharmacy and adherence packaging — comparable in serving complex-needs populations.
• PANTHERx Rare: Specialty pharmacy focused on rare and complex disease therapies with high-touch patient services and adherence support — comparable in serving complex-condition patients through specialty channels.
• Clarest Health: Specialty pharmacy providing on-site pharmacy services within behavioral health and post-acute care facilities, with adherence packaging and clinical pharmacy support — overlapping directly with Genoa's CARE packaging and embedded clinical model.
• BioPlus Specialty Pharmacy: Specialty pharmacy providing therapies for complex conditions including behavioral health, HIV, and hepatitis C — directly overlapping with Genoa's therapeutic mix and clinical-pharmacy service model.
• Avita Pharmacy: Specialty pharmacy focused on serving patients in 340B-covered entities, FQHCs, and community health clinics with on-site embedded pharmacy services — directly comparable to Genoa's behavioral-health-clinic embedded model.

Broad incumbents

• US Bioservices (AmerisourceBergen): Specialty pharmacy within a major pharmaceutical distributor serving patients with complex and chronic conditions including behavioral health — overlapping therapeutic focus but operating through wholesale-distribution scale.
• Walgreens Specialty Pharmacy (including Shields Health Solutions): Major retail/specialty pharmacy with embedded specialty services (especially Shields Health Solutions) in health system and clinic settings — competes in the same space with broader retail scale and recent focus on embedded specialty pharmacy partnerships.
• CVS Health Specialty Pharmacy: Large diversified pharmacy benefit manager and specialty pharmacy operator offering specialty and behavioral health pharmacy services at national scale via Caremark and Specialty Pharmacy operations — overlapping therapeutic categories but operating at much broader scale.

Emerging players

• Alto Pharmacy: Digital-first pharmacy with strong adherence packaging and patient experience focus — competes for behavioral-health prescription volume via free same-day delivery and superior digital UX rather than embedded clinic model.

Market position

Strengths5 records

Weaknesses3 records

Competitive moat5 records

Key risks5 records

Key highlights6 records

Customer concentration

• Facebookfacebook.com/genoahealthcare
• LinkedInlinkedin.com/company/genoahealthcare
• Xx.com/genoahealthcare

Revenue estimate

Valuation estimate

Number of profiles

Profiles11 records

Funding overview

Funding rounds2 records

Investors3 records

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

M&A4 records

Investments

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

Frequently asked questions about Genoa