What Delta Care Rx does

Delta Care Rx is a privately held, pharmacist-owned hospice pharmacy solutions provider headquartered in Pittsburgh, Pennsylvania, founded in 1999 in Steubenville, Ohio by Drew Mihalyo and Mary Mihalyo. The company serves exclusively hospice and palliative care providers in the United States, offering a vertically integrated pharmacy ecosystem that includes a nationwide community pharmacy network for same-day medication fulfillment, Dragonfly Mail Order for non-emergency prescriptions, and the proprietary Hospice Taper transparent pass-through pricing model that eliminates markup on drug costs. Its technology platform comprises integrated EMR interfacing (with Netsmart, Suncoast, Net Health, and others), Surescripts/DEA-certified e-prescribing, the Deltalytics advanced reporting tool, PDM-Pal for Prescription Drug Monitoring Program compliance, the Delta Lily mobile clinician app, Hospice Live secure video, and the ADAPT Health telehealth platform. Clinical depth is provided through On-Demand Pharmacist Services (ODPS), real-time pharmacist consultation pioneered in 1999, and Inpatient Innovations for on-site hospice unit pharmacy solutions.

Revenue is generated primarily through transaction-based PBM fees and per-prescription economics from hospice clients purchasing medications via the community pharmacy network or Dragonfly mail order, supplemented by managed services revenue from DME and medical supply management, professional services revenue from ODPS, and inpatient pharmacy services. The go-to-market is enterprise field sales targeting hospice organizations, with marketing concentrated at industry conferences (notably NHPCO), thought-leadership white papers, and direct relationship selling. In March 2022, Delta Care Rx combined with StateServ to form Dragonfly Health, creating the first national network offering both pharmacy and DME services to hospice providers; the company also expanded its commercial motion with the 2020 launch of the DIY PBM Medication Purchasing Program, a no-contract procurement option, and the ADAPT Health Medicare Advantage preparedness offering.

Following the StateServ merger, Delta Care Rx operates as part of Dragonfly Health, with continued service to its hospice customer base that includes named enterprise accounts such as Kansas City Hospice & Palliative Care, Hospice of the Western Reserve, Capital Caring Health, Hospice of Buffalo, and Four Seasons. The company's structural differentiation rests on its pharmacist ownership, vertical specialization in hospice, transparent pricing architecture, multi-channel pharmacy distribution, and deep EMR integrations that create workflow lock-in for clinical teams.

Name

Delta Care Rx

Legal name

Delta Care Rx

Website

https://deltacarerx.com

Company type

Private

Founded year

1999

Operating status

Operating

Headcount range

51–100 employees

Short description

Delta Care Rx is a pharmacist-owned, US-based hospice pharmacy solutions provider offering a nationwide community pharmacy network, mail order pharmacy, transparent pass-through pricing, EMR-integrated e-prescribing, on-demand clinical pharmacist services, and DME management to hospice and palliative care providers.

Ownership category

akta.pro rank

Product category

Hospice Pharmacy Services

NAICS

Ambulatory Health Care Services (621), Services for the Elderly and Persons with Disabilities (624120)

SIC

Services-Health Services (8000), Wholesale-Drugs, Proprietaries & Druggists' Sundries (5122), Wholesale-Medical, Dental & Hospital Equipment & Supplies (5047)

akta.pro primary industry

Hospice Medication, DME & Supply Management (In-Home Logistics) (HSABAFAN)

akta.pro secondary industries

Hospice & Palliative Care Care Coordination / Navigation (HLADAHAK), Durable Medical Equipment (DME) & Home Health Distribution (CRAOAHAF), Post-Acute & Transitional Care Virtual Platforms (SNF/home health coordination) (HLALABAG)

Keywords

• Hospice pharmacy services
• Pharmacy benefit management
• Mail order pharmacy
• Clinical pharmacy consulting
• Durable medical equipment

Headquarters

HQ city

Pittsburgh

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, Infrastructure, Supply Chain

Revenue model

1. Pharmacy Network / PBM Services: Community pharmacy PBM services providing access to a preferred local pharmacy network with pass-through pricing on medications, allowing hospices to purchase at deepest discounts available
2. Dragonfly Mail Order Pharmacy: Traditional mail order pharmacy programs providing hospice medications with formulary flexibility, financial creativity, and regulatory compliance
3. On-Demand Pharmacist Services (ODPS): On-demand pharmacist consultation services for hospice clinicians providing clinical pharmacy expertise as needed
4. Inpatient Innovations: Remote on-site pharmacy services for hospice inpatient units with hardware provision and on-demand access to commonly used therapies
5. DME + Medical Supply Management: Durable medical equipment and medical supply management services for hospice providers

Pricing tiers

Go-to-market motion1 record

Distribution channels3 records

Marketing channels4 records

Core offering

Delta Care Rx is a nationwide hospice pharmacy solutions provider that delivers pharmacy network access, mail order fulfillment, hospice-specific prescribing, on-demand clinical pharmacist consultation (ODPS), remote patient care, DME and medical supply management, and integrated EMR/e-Prescribing technology to hospice and palliative care organizations. The company operates under a transparent pass-through pricing model (Hospice Taper) and combines pharmacy operations with proprietary digital tools, and in March 2022 combined with StateServ to form Dragonfly Health, creating the first combined DME + pharmacy network in the United States.

Product overview

Delta Care Rx offers a comprehensive hospice pharmacy ecosystem built around a network-plus-modules architecture. The core consists of the Pharmacy Network for same-day medication fulfillment, Dragonfly Mail Order for specialty and non-emergency prescriptions, and the proprietary Hospice-Prescribing service, all supported by transparent Hospice Taper pricing. This foundation is augmented by clinical support tools including On-Demand Pharmacist Services (ODPS) for real-time consultation, Remote Patient Care, and Hospice Live for secure video interactions. Operational efficiency is enabled through EMR Interfacing, Virtual Intake Portal, and Deltalytics Advanced Reporting. Specialized offerings include Inpatient Innovations (on-site pharmacy solutions), PDM-Pal for prescription drug monitoring compliance, and Delta Campus for client education. Following its 2022 merger with StateServ, the combined entity operates under the Dragonfly Health brand, integrating DME and medical supply management with pharmacy services into a unified offering accessible via the Delta Lily mobile app.

Differentiator

Problem solved

Functional benefit

Brands

• Dragonfly Mail Order: Traditional mail order pharmacy program with formulary flexibility, business transparency, and technology for hospices
• Hospice Taper
• Inpatient Innovations
• Deltalytics
• PDM-Pal
• Delta Campus
• ADAPT Health
• Hospice Live

Products and services

• Pharmacy Network Network of preferred local community pharmacies providing same-day hospice medication fulfillment through a PBM arrangement that keeps medication dollars within the communities served.
• Dragonfly Mail Order Mail order pharmacy program offering formulary flexibility, business transparency, financial creativity, and regulatory compliance for non-emergency hospice medications and refills.
• Hospice-Prescribing Hospice-specific prescribing service tailored to the unique medication needs of hospice and serious illness providers.
• On-Demand Pharmacist Services (ODPS) Real-time pharmacist consultation service providing immediate clinical pharmacy expertise to hospice care teams on demand.
• Hospice Taper Transparent pass-through pricing model that pays pharmacies the actual medication cost and passes that cost directly to hospice clients with no markup or spread.
• Inpatient Innovations Remote on-site pharmacy solution that functions as a Delta Care Rx pharmacy located within hospice inpatient units, providing on-demand access to commonly used therapies with hardware provision.
• DME + Medical Supply Management Services Durable medical equipment and medical supply management services integrated with pharmacy solutions following the merger with StateServ to form Dragonfly Health, the first and only DME + pharmacy network in the nation.
• Hospice Live (1-Click Secure Video) One-click secure video platform enabling real-time video communication for hospice care teams and patients.
• Delta Lily Mobile App Mobile application (iOS and Android) providing hospice clinicians with access to Delta Care Rx pharmacy tools and resources.
• e-Tools Suite Suite of digital tools for hospice pharmacy management accessed via the e-Tools login portal.
• PDM-Pal Standalone tool that simplifies hospice clinician compliance with Prescription Drug Monitoring Program (PDMP) requirements.

Quantifiable outcome

• Transparent pass-through pricing eliminates markup and spread in medication procurement
• +1 more outcomes

Named customers5 records

Segments1 record

Ideal customer profiles2 records

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration4 records

Feature6 records

Partnerships

Five partnerships are on record, tiered flagship and core.

• StateServflagshipStrategic or Co-development Partner · 1 March 2022Delta Care Rx has combined with StateServ to form Dragonfly Health, the nation's first one-stop shop for both pharmacy and DME services. This merger creates the first and only DME + pharmacy network in the nation, significantly expanding service capabilities for hospice providers.
• Net HealthcoreTechnology or Integration · 14 September 2021Net Health partners with Delta Care Rx to provide integrated PBM services for hospices, combining Net Health's therapy management expertise with Delta Care's hospice pharmacy solutions.
• NetsmartcoreTechnology or Integration · 7 October 2020Netsmart and Delta Care Rx announced a new digital solution to manage hospice outpatient and inpatient medication records, providing seamless integration between Netsmart's EHR systems and Delta Care's pharmacy management platform.
• Suncoast EMRcoreTechnology or Integration · 15 August 2019Partnership with Suncoast EMR to enhance clinician workflow through revolutionary integration, combining hospice EMR technology with Delta Care Rx's pharmacy solutions.
• ADAPT Health (via Delta Care Rx)coreStrategic or Co-development Partner · 15 August 2018Through its ADAPT Health service, Delta Care Rx announced Medicare Advantage Preparedness Program to help hospices prepare for Medicare Advantage opportunities.

Scale indicators2 records

Recent moves7 records

Expansion highlights6 records

Others

• Amedisys: Amedisys is a major home health and hospice operator that procures pharmacy and DME services for its hospice patients. It is a customer-adjacent peer representing the demand side of the hospice pharmacy market Delta Care Rx serves.

Broad incumbents

• BrightSpring Health Services: BrightSpring Health Services is a diversified home and community-based health provider with pharmacy, hospice, and home health segments. Its pharmacy services division overlaps with Delta Care Rx's offerings across the hospice patient population.
• Omnicare (CVS Health): Omnicare, now part of CVS Health, is a large institutional pharmacy provider serving skilled nursing, assisted living, and hospice populations. It is a broad incumbent competitor with significantly greater scale and formulary leverage than Delta Care Rx.
• OptumRx: OptumRx is one of the largest U.S. pharmacy benefit managers, part of UnitedHealth Group. While not hospice-specialized, it competes for hospice and palliative pharmacy spend through broader PBM contracts and represents the dominant alternative to specialized hospice PBMs.
• PharMerica: PharMerica is a national institutional pharmacy services company serving long-term care, senior living, and hospice providers. As a much larger incumbent with broader service lines, it competes with Delta Care Rx for hospice pharmacy contracts as part of a wider portfolio.

Regional players

• Vitas Healthcare (Chemed): Vitas Healthcare, a subsidiary of Chemed Corporation, is the largest U.S. hospice provider operating its own in-house pharmacy and clinical services. While primarily a hospice operator rather than a pharmacy vendor, it competes for hospice market share and illustrates vertical integration pressures Delta Care Rx's customers face.

Emerging players

• Guardian Pharmacy Services: Guardian Pharmacy Services is a long-term care and senior living pharmacy provider offering medication management, consulting, and distribution. While broader than hospice-only, it competes for institutional pharmacy spend in adjacent end-of-life and palliative care settings.

Direct peers

• Hospice Pharmacia: Hospice Pharmacia is a hospice-specialty pharmacy and consulting service that provides medication therapy management and clinical pharmacy support to hospice providers. It is a longstanding direct competitor in the hospice pharmacy category.
• ProCare HospiceCare: ProCare HospiceCare is a hospice-focused pharmacy benefit management company providing medications, clinical support, and consulting to hospices. It competes directly with Delta Care Rx in the hospice PBM niche with overlapping services and customer base.
• OnePoint Patient Care: OnePoint Patient Care is a dedicated hospice pharmacy and PBM provider offering medication management, mail order, and clinical pharmacy services to hospice organizations nationwide. It is the closest direct competitor to Delta Care Rx in hospice-specific pharmacy solutions.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat6 records

Key risks7 records

Key highlights7 records

Customer concentration

• Xx.com/DeltaCareRx
• YouTubeyoutube.com/user/deltacarerx?feature=sub_widget_1
• LinkedInlinkedin.com/company/delta-care-rx
• Facebookfacebook.com/DeltaCareRx

Revenue estimate

Valuation estimate

Number of profiles

Profiles5 records

Subsidiaries1 record

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 Delta Care Rx