What ExactCare Pharmacy does

ExactCare Pharmacy is a national closed-door pharmacy and medication management provider founded in 2009 in Cleveland, Ohio, focused on patients with complex chronic conditions who take multiple prescription medications. Operating as a subsidiary of AnewHealth (formed in 2023 via the combination of ExactCare, Tabula Rasa HealthCare, and CareVention HealthCare), the company serves more than 150,000 patients across all 50 states and Washington D.C. through two centralized pharmacy fulfillment centers located in Valley View, Ohio and Lewisville, Texas. The company is licensed by Boards of Pharmacy in every U.S. state, enabling direct-to-patient home delivery nationwide.

The core technology platform combines ExactPack, a proprietary multi-dose adherence packaging system that pre-sorts medications into labeled day-and-time packets, with the MyECP patient portal and mobile application (iOS/Android) for medication management, refill tracking, delivery notifications, and billing. Supporting clinical services include monthly pharmacist-led medication reviews conducted by a team of 75+ licensed clinical pharmacists, medication synchronization across all prescriptions, prescriber collaboration tools, Medication Therapy Management (MTM) programs, and HEDIS gap closure assistance. Patient outcomes have been validated through a RAND Corporation study published in the Journal of Managed Care & Specialty Pharmacy (JMCP), demonstrating a 5% reduction in average total cost of care and approximately $2,400 in savings per member per year for patients with complex medical needs.

ExactCare generates revenue primarily through prescription drug dispensing billed to Medicare Part D, Medicaid, and private insurance plans, with patients paying standard prescription copayments; no additional fees are charged for packaging, delivery, or clinical services. The go-to-market combines direct patient outreach with B2B referral partnerships from health plans, home health agencies, hospitals, prescribers, and caregivers, supplemented by healthcare organization partnerships across the payer-provider spectrum. The 2024 strategic investment from The Vistria Group and acquisition of HomeFree position the company to scale value-based pharmacy care for high-cost, complex patient populations under the AnewHealth parent brand.

Name

ExactCare Pharmacy

Legal name

Exact Care Pharmacy, LLC

Website

https://exactcarepharmacy.com

Company type

Private

Founded year

2009

Operating status

Operating

Headcount range

251–500 employees

Short description

ExactCare Pharmacy is a national closed-door pharmacy serving 150,000+ patients with complex chronic conditions across all 50 states. It combines ExactPack multi-dose adherence packaging, monthly clinical pharmacist reviews, medication synchronization, and home delivery to improve adherence and reduce total cost of care.

Ownership category

akta.pro rank

Product category

Specialty Pharmacy Services

NAICS

Pharmacies and Drug Retailers (456110)

SIC

Retail-Drug Stores And Proprietary Stores (5912)

akta.pro primary industry

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

akta.pro secondary industry

Medication Reconciliation & Transitions-of-Care Pharmacy Services (HLAFALAK)

Keywords

• Chronic care pharmacy
• Medication adherence packaging
• Specialty home delivery pharmacy
• Medication therapy management
• Value-based pharmacy services

Headquarters

HQ city

Cleveland

HQ country

United States

HQ region

North America

Offices2 records

Markets served

GTM type

B2B and B2C

Offering type

Services

Cost components

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

Revenue model

1. Prescription Drug Dispensing: ExactCare dispenses prescription medications to patients, billing insurance companies directly. Patients are responsible for copayment amounts determined by their prescription insurance plan. This is the core revenue stream for the pharmacy.
2. Over-the-Counter Medications: Provides non-prescription medications not covered by insurance (vitamins, supplements, over-the-counter items), included in monthly billing.

Pricing tiers

Go-to-market motion1 record

Distribution channels4 records

Marketing channels6 records

Core offering

ExactCare Pharmacy is a closed-door long-term care pharmacy that dispenses prescription and over-the-counter medications to patients with complex, chronic medical needs across all 50 states and Washington D.C. The core offering combines ExactPack multi-dose adherence packaging, medication synchronization across all prescriptions, monthly clinical medication reviews by licensed pharmacists, prescriber coordination, and free home delivery. The company operates two central-fill fulfillment centers in Ohio and Texas and accepts Medicare Part D, Medicaid, and private insurance.

Product overview

ExactCare Pharmacy operates as a comprehensive medication management and pharmacy care platform offering a unified portfolio centered on the ExactPack multidose packaging system and the ExactCare App (MyECP) patient portal. The core offering combines adherence packaging, medication synchronization, and clinical pharmacy services for patients with complex chronic conditions. Supporting modules include HEDIS Gap Closure Assistance and Medication Therapy Management (MTM) Programs for value-based care, Prescriber Collaboration Tools for healthcare provider coordination, and Refill Reminders for adherence support. The platform serves patients in assisted living facilities, through care transitions, and at home, with partnerships extending to health plans, home health organizations, hospitals, and pharmaceutical manufacturers.

Differentiator

Problem solved

Functional benefit

Brands

• ExactPack: Day-and-time dose adherence packaging system that organizes medications into individual packets customized to patient's schedule, designed to improve medication adherence and reduce errors.

Products and services

• ExactPack Multi-Dose Adherence Packaging
• ExactCare App (MyECP Patient Portal) Patient-facing online account and smartphone application that enables patients to manage medications, request refills, view delivery status, pay bills, and access clinical resources.
• Healthcare Partnership Solutions B2B partnership programs delivering ExactCare's pharmacy care model to health plans (Medicare Advantage, Medicare Part D, Medicaid, Dual-eligible), hospitals, home health organizations, and pharmaceutical manufacturers with data exchange, clinical pharmacy support, and value-based care programs.

Quantifiable outcome

• 5% reduction in average total cost of care per member per year
• +8 more outcomes

Named customers4 records

Segments6 records

Ideal customer profiles6 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration1 record

Feature4 records

Partnerships

Eight partnerships are on record, tiered minor and core.

• HomeFreeminorStrategic or Co-development Partner · 1 July 2024AnewHealth acquired HomeFree, expanding its pharmacy care ecosystem and capabilities for patients with complex needs.
• Tabula Rasa HealthCare (TRHC)coreStrategic or Co-development Partner · 1 August 2023ExactCare and Tabula Rasa HealthCare completed a business combination in August 2023, creating a leading independent value-based pharmacy management company. The combined organization serves patients with the most complex, chronic care needs.
• AnewHealthcoreStrategic or Co-development PartnerExactCare, Tabula Rasa HealthCare (TRHC), and CareVention HealthCare combined to form AnewHealth. ExactCare is now 'a pharmacy by AnewHealth.' The merger creates a leading independent value-based pharmacy management company for patients with the most complex needs. AnewHealth has 30+ years of combined experience providing pharmacy care.
• Health Plans and PBMscoreChannel Partner/ Reseller/ DistributorExactCare partners with health plans including Medicare, Medicaid, and Dual-eligible plans to provide comprehensive pharmacy care to members with complex medication needs. Partners include risk-bearing providers and managed care plans seeking improved outcomes and reduced costs.
• Home Health OrganizationscoreChannel Partner/ Reseller/ DistributorExactCare partners with home health agencies to support patients receiving care at home with medication management, adherence packaging, and clinical pharmacy support.
• Hospitals and Health SystemscoreChannel Partner/ Reseller/ DistributorExactCare provides pharmacy care support for hospital systems including post-discharge transitions of care, medication reconciliation, and programs to reduce readmissions.
• Pharmaceutical ManufacturersminorStrategic or Co-development PartnerExactCare supports pharmaceutical manufacturers through patient adherence programs, data exchange and analysis, clinical trial support, and long-term patient relationships to improve medication adherence outcomes.
• LegitScriptminorOthersExactCare is certified by LegitScript, demonstrating compliance with healthcare certification standards and legitimacy as a pharmacy provider.

Scale indicators8 records

Recent moves4 records

Expansion highlights6 records

Emerging players

• BioPlus Specialty Pharmacy: Specialty pharmacy focused on complex conditions including oncology, hepatitis, and autoimmune diseases. Comparable specialty pharmacy clinical model and patient adherence focus, though more concentrated on infused/specialty biologics rather than polypharmacy LTC populations.
• Soleo Health: Specialty pharmacy provider focused on complex and chronic conditions delivered in-home and at alternate sites. Comparable high-touch clinical model for complex patients, though more oriented toward infused and specialty biologics than oral polypharmacy adherence packaging.

Broad incumbents

• Humana Pharmacy (Mail-Order): Humana-owned mail-order pharmacy serving Medicare Advantage and Part D members with chronic conditions. Direct competitor in chronic-care mail-order fulfillment for the Medicare population ExactCare targets, with stronger MA plan integration.
• Accredo (Express Scripts / Evernorth): Evernorth/Cigna-owned specialty pharmacy serving patients with chronic and complex conditions including HIV, oncology, and multiple sclerosis. Competes in adherence packaging and clinical management for high-cost therapy patients at significantly larger scale than ExactCare.
• OptumRx Specialty Pharmacy: UnitedHealth Group-owned PBM and specialty pharmacy. Major competitor in chronic-condition mail-order fulfillment and clinical management programs, with the largest US payer-owned pharmacy footprint and direct Medicare Advantage integration.
• CVS Specialty / CVS Caremark: Vertically integrated specialty pharmacy and PBM owned by CVS Health. Competes with ExactCare in chronic-condition specialty dispensing and adherence services, with vastly larger scale, formulary leverage, and payor relationships, though less focused on long-term care and PACE populations.

Direct peers

• PillPack (Amazon Pharmacy): Amazon-owned mail-order pharmacy that pioneered multi-dose adherence packaging for chronic-condition patients. Closest direct competitor to ExactCare's ExactPack model; both target polypharmacy patients with pre-sorted pill packets and home delivery, though PillPack serves a broader population while ExactCare focuses on complex/chronic.
• Omnicare (CVS Health): CVS-owned closed-door pharmacy serving senior living, skilled nursing, and other LTC settings. Directly comparable operating model (closed-door pharmacy serving institutional and complex-needs populations) at substantially larger scale following CVS acquisition.
• PharMerica: Long-term care and post-acute pharmacy services provider serving skilled nursing facilities, assisted living, and home health patients. Closely comparable closed-door LTC pharmacy model with similar patient populations, though PharMerica is more SNF-anchored while ExactCare is more home and PACE-focused.
• Guardian Pharmacy Services: One of the largest LTC pharmacy networks in the US, serving assisted living, memory care, and group homes. Comparable closed-door pharmacy model focused on senior populations with complex medication regimens, though operates through a franchise/regional partner model rather than centralized fulfillment.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat6 records

Key risks6 records

Key highlights7 records

Customer concentration

• Xx.com/exactcarepharm
• Facebookfacebook.com/391100280998162
• LinkedInlinkedin.com/company/exactcare-pharmacy
• Instagraminstagram.com/exactcarepharmacy

Compliance2 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles5 records

Funding overview

Funding rounds1 record

Investors1 record

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 ExactCare Pharmacy