PharmaForce
PharmaForce is a privately held 340B Third Party Administrator that provides contract pharmacy administration, split billing, manufacturer reporting, referral capture, and patient savings card solutions to 350+ hospitals, health systems, FQHCs, and critical access hospitals across the United States.
- Company typePrivate
- Founded2017
- HeadquartersWayne, United States
- Headcount11–50
- GTM typeB2B
- OfferingSoftware
What PharmaForce does
PharmaForce is a privately held 340B Third Party Administrator (TPA) operating as Pharma Force Group, LLC, headquartered in Wayne, Pennsylvania. Founded in 2017, the company delivers an integrated platform that helps covered entities—hospitals, health systems, FQHCs, and critical access hospitals—administer their 340B drug pricing programs through contract pharmacy network management, mixed-use split billing, manufacturer reporting, referral capture, patient savings cards, and home infusion capture. PharmaForce reports 3,400+ pharmacy partners and 350+ covered entities served, with a 95% customer retention rate, and has earned 3x Best in KLAS recognition along with SOC 2 Type II certification.
The platform is cloud-based and purpose-built for 340B complexity rather than adapted from general revenue cycle or BI tools. Core modules include Contract Pharmacy for real-time claim capture, Split Billing for order splitting and audit readiness, ClaimsConnect and ClaimsConnectPro for automated ESP, Beacon, Kalderos, and Truzo manufacturer reporting with API-based submission and financial reconciliation, Referrals+ for capturing referral prescriptions from outside prescribers, RxSavingsCard for patient pass-through savings, and Kareem AI as an embedded intelligence layer for continuous monitoring, anomaly detection, and conversational program oversight. Native integrations across manufacturer reporting portals and pharmacy switch data deepen interoperability.
PharmaForce generates revenue through subscription-based enterprise contracts with covered entities under annual billing, with quote-based pricing not publicly disclosed. The go-to-market is direct enterprise field sales targeting healthcare provider organizations, supported by dedicated implementation project managers and a 340B Customer Success function. The company also derives revenue from integrated Pharmacy Benefit Management (PBM) services that broaden drug spend control beyond 340B. The business is independently owned by its founding team and executive leadership, with no disclosed venture capital, private equity, or parent company affiliations.
PharmaForce firmographics
Firmographics- Name
- PharmaForce
- Legal name
- Pharma Force Group, LLC
- Website
- https://thepharmaforce.com
- Company type
- Private
- Founded year
- 2017
- Operating status
- Operating
- Headcount range
- 11–50 employees
- Short description
- PharmaForce is a privately held 340B Third Party Administrator that provides contract pharmacy administration, split billing, manufacturer reporting, referral capture, and patient savings card solutions to 350+ hospitals, health systems, FQHCs, and critical access hospitals across the United States.
- Ownership category
- akta.pro rank
PharmaForce industry classification
Industry- Product category
- 340B Program Management Software
- NAICS
- Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds (524292)
- SIC
- Services-Health Services (8000), Hospital & Medical Service Plans (6324)
- akta.pro primary industry
- 340B Program Administration & Contract Pharmacy Services (HLAFALAL)
- akta.pro secondary industries
- PBM Technology Platforms (ePA/eRx/Real-Time Benefit Tools) (HLAEAKAL), Pharmacy Benefit Management (PBM) & Pharmacy Network Administration (HLAFALAI), Compliance, Reporting & Regulatory Administration (ERISA/ACA/No Surprises) (HLAEALAJ)
Keywords
Where PharmaForce is headquartered
LocationHeadquarters
- HQ city
- Wayne
- HQ country
- United States
- HQ region
- North America
Markets served
PharmaForce business model
Business model- GTM type
- B2B
- Offering type
- Software
- Cost components
- Personnel, Technology or R&D, Marketing or Sales, Operations, Infrastructure
Revenue model
- 340B TPA Services: Third-party administrator fees for 340B program management including contract pharmacy administration, split billing, claims processing, and manufacturer reporting. Revenue is generated through service contracts with covered entities (hospitals, health systems, FQHCs).
- PBM Services: Integrated Pharmacy Benefit Management services that compound the value of 340B with broader cost control across the entire drug spend for covered entities.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Subscription | Annual | Enterprise contract pricing for covered entities |
Go-to-market motion1 record
Distribution channels1 record
Marketing channels6 records
PharmaForce product offering
Product offeringCore offering
PharmaForce operates a unified 340B Third Party Administrator (TPA) platform that delivers contract pharmacy administration, split billing, automated manufacturer reporting, referral prescription capture, patient savings cards, and an AI-powered program intelligence layer (Kareem AI) for covered entities such as hospitals, health systems, and Federally Qualified Health Centers. The platform combines purpose-built software with dedicated account management to help covered entities maximize capture rates, maintain HRSA compliance, and reduce administrative burden.
Product overview
PharmaForce is a unified 340B Third Party Administrator (TPA) platform delivering a full suite of interconnected tools for covered entities. The platform consists of Contract Pharmacy (full-service pharmacy network administration), Split Billing (in-house pharmacy order splitting), ClaimsConnect/ClaimsConnectPro (manufacturer reporting via ESP, Beacon, and other portals), Referrals+ (referral prescription capture), RxSavingsCard (patient savings pass-through), and Kareem AI (AI-powered program intelligence layer). All modules are designed to work together as a single platform with one accountable partner, share data natively, and operate within a unified workflow environment.
Differentiator
Problem solved
Functional benefit
Brands
- ClaimsConnect: Automated manufacturer reporting platform for 340B claims submission and processing via ESP and Beacon portals.
- ClaimsConnect Pro
- Referrals+
- RxSavingsCard
- Kareem AI
Products and services
- Contract Pharmacy Full-service 340B contract pharmacy administration covering claims processing, manufacturer restriction compliance, audit documentation, and pharmacy network management to maximize capture rates. Designed for hospitals, health systems, and FQHCs operating contract pharmacy networks.
- Split Billing 340B split billing software for hospitals with in-house pharmacies, providing complete control over order splitting, crosswalk accuracy, and audit readiness for DSH, CAH, and health system environments. Supports 2-way and 3-way splits, central distribution tracking, and advanced self-audit tools.
- ClaimsConnect Automated 340B manufacturer reporting platform that simplifies ESP, Beacon, and manufacturer data submissions while maintaining full program integrity with real-time submission status, financial reconciliation, and clean audit trails. Built for covered entities managing high-volume 340B claims submissions.
- ClaimsConnectPro Premium tier of ClaimsConnect offering integrated API-based reporting with automated data mapping, validation, file submission, delivery verification, and financial reconciliation on Beacon submissions. Designed for covered entities seeking fully automated manufacturer reporting.
- Referrals+ Referral capture solution that identifies and validates unknown prescriber claims from outside providers, combining switch data, human investigation, and configurable rules to recover 340B savings from referral prescriptions. Produces HRSA-defensible audit trails and typically delivers 10-30% referral capture rates.
- RxSavingsCard Branded patient savings card that extends 340B program value to patients at the point of dispense, reducing out-of-pocket costs and improving medication adherence while maintaining compliance and automatic compliance controls.
- Kareem AI Purpose-built 340B intelligence layer embedded across the entire program, providing continuous monitoring, anomaly detection, conversational assistance, and financial modeling for 340B program oversight. Includes knowledge retrieval, configuration management, compliance detection, and AI-powered program optimization.
- Home Infusion Home infusion capture and compliance module that identifies and captures home infusion 340B opportunities, providing full compliance documentation and program value visibility for covered entities seeking to capture this specialized segment.
Quantifiable outcome
- 3,400+ pharmacy partners and 350+ covered entities served with 95% customer retention rate
- +3 more outcomes
Companies that use PharmaForce
Customer profileNamed customers3 records
Segments5 records
Ideal customer profiles5 records
PharmaForce technology and API
TechnologyTechnology focussed Yes
API detail
- Has API
- Yes
- API docs
- API detail
Core technology
AI maturity
App detail
Integration4 records
AI capability5 records
Feature5 records
PharmaForce partnerships and signals
Strategic signalScale indicators6 records
Recent moves6 records
Expansion highlights5 records
PharmaForce competitors and assessment
Company assessmentDirect peers
- CaptureRx: CaptureRx is a 340B TPA focused on contract pharmacy and reverse distribution for safety-net providers and FQHCs. It is a direct competitor in the same contract pharmacy and referral capture categories as PharmaForce's core modules.
- SunRx: SunRx is a 340B TPA offering contract pharmacy, split billing, and program management services to hospitals and FQHCs. It is a directly comparable competitor focused on smaller covered entities where PharmaForce also competes.
- Verity Solutions (Cardinal Health): Verity Solutions is a 340B TPA owned by Cardinal Health, offering split billing, contract pharmacy, and compliance services to covered entities. It competes head-to-head with PharmaForce for hospital and health system clients and shares pharma-distribution parent economics.
- Sentry Data Systems (Avita Pharmacy Solutions): Sentry Data Systems is a 340B TPA acquired by Avita, providing split billing, contract pharmacy, and analytics for covered entities. It is a directly comparable TPA competitor with overlap across PharmaForce's hospital, health system, and FQHC segments.
- Macro Helix (Cencora): Macro Helix is a long-standing 340B TPA serving hospitals and health systems, now owned by Cencora (formerly AmerisourceBergen). It is the most direct competitor to PharmaForce in contract pharmacy and split billing services and benefits from distribution-side leverage.
- RafterOne / 340B management platforms: RafterOne provides 340B management software including contract pharmacy and split billing capabilities for covered entities. It targets the same hospital and FQHC buyer as PharmaForce, making it a relevant direct peer in mid-market 340B software.
Broad incumbents
- Apexus (340B Prime Vendor Program): Apexus operates the federal 340B Prime Vendor Program and offers related consulting, education, and analytics services to 340B stakeholders. It is not a direct TPA competitor but a broad incumbent shaping how covered entities evaluate and procure TPA services.
- McKesson RxO (340B Solutions): McKesson offers 340B program management solutions through its broader pharmaceutical distribution and pharmacy services portfolio. As a top-tier pharma distributor, it competes with PharmaForce indirectly via bundled offerings and purchasing leverage at large hospital systems.
Emerging players
- Trellis Rx: Trellis Rx partners with health systems to build and operate specialty pharmacy programs, with significant 340B program overlap in high-cost and specialty drug categories. It is an emerging player that competes with PharmaForce's Specialty & High-Cost Drug Programs segment.
- Craneware (340B compliance solutions): Craneware provides 340B compliance, revenue cycle, and pharmacy supply chain solutions to hospitals and health systems. It overlaps with PharmaForce in 340B compliance and audit readiness but addresses adjacent financial and supply chain workflows.
Market position
Strengths5 records
Weaknesses5 records
Competitive moat5 records
Key risks5 records
Key highlights7 records
Customer concentration
PharmaForce social profiles
Digital presencePharmaForce compliance and trust
Trust signalCompliance1 record
PharmaForce financial estimates
Financial estimateRevenue estimate
Valuation estimate
PharmaForce leadership team
Management profileNumber of profiles
Profiles8 records
PharmaForce funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
PharmaForce M&A and investment
M&A and investmentM&A
Investments
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about PharmaForce
What does PharmaForce do?
PharmaForce operates a unified 340B Third Party Administrator (TPA) platform that delivers contract pharmacy administration, split billing, automated manufacturer reporting, referral prescription capture, patient savings cards, and an AI-powered program intelligence layer (Kareem AI) for covered entities such as hospitals, health systems, and Federally Qualified Health Centers. The platform combines purpose-built software with dedicated account management to help covered entities maximize capture rates, maintain HRSA compliance, and reduce administrative burden.
Is PharmaForce a public or private company?
PharmaForce is a private company. It is classified as founder individual operated bootstrapped and is currently operating.
When was PharmaForce founded?
PharmaForce was founded in 2017. It employs 11 to 50 people.
Where is PharmaForce based?
PharmaForce is headquartered in Wayne, United States, in the North America region.
How does PharmaForce make money?
Two revenue lines are on record. 340B TPA Services are the primary driver. The others are PBM Services.
Who are PharmaForce's main competitors?
Direct peers on record are CaptureRx, SunRx, Verity Solutions (Cardinal Health), Sentry Data Systems (Avita Pharmacy Solutions), Macro Helix (Cencora) and RafterOne / 340B management platforms. Broad incumbents are Apexus (340B Prime Vendor Program) and McKesson RxO (340B Solutions). Emerging players are Trellis Rx and Craneware (340B compliance solutions).
Does PharmaForce have an API?
Yes. ClaimsConnectPro offers integrated, API-based reporting for manufacturer submissions, including automated file submission, delivery verification, and financial reconciliation on Beacon submissions.
What industry is PharmaForce in?
PharmaForce's product category is 340B Program Management Software. Its primary akta.pro industry code is HLAFALAL, 340B Program Administration & Contract Pharmacy Services, with a secondary code of HLAEAKAL, PBM Technology Platforms (ePA/eRx/Real-Time Benefit Tools). Its NAICS code is 524292 and its SIC code is 8000.