Pharmacare Hawaii

What Pharmacare Hawaii does

Pharmacare Hawaii is a privately-held, family-owned diversified pharmacy company headquartered in Honolulu, Hawaii, founded in 1983 by Byron Yoshino and Rick Sakurada as the first provider in Hawaii to deliver high-tech IV and total parenteral nutrition treatments outside the hospital setting. The company operates four integrated service lines: home infusion therapy and ambulatory infusion suites (across Oahu, Maui, Kauai, and the Big Island), specialty pharmacy for complex and chronic conditions, long-term care medication management for nursing homes, assisted living facilities, skilled nursing, hospice, and adult residential care homes, and payment assistance plus free statewide delivery. It holds three concurrent URAC accreditations (Specialty Pharmacy, Medicare Home Infusion Therapy Supplier, and Infusion Pharmacy) plus an ongoing Exemplary Provider designation from The Compliance Team, making it one of the most credentialed pharmacy operators in Hawaii.

The underlying technical and operational platform comprises cleanroom-based pharmaceutical production, 6 physical ambulatory infusion suite locations across the state, home delivery infrastructure covering all 7 major Hawaiian islands, and the Citus Health digital patient engagement platform for messaging, electronic form signing, training videos, and care updates. Cardinal Health serves as a primary distribution and technology partner for pharmaceutical supply chain. Revenue is generated through insurance billing, copay assistance coordination, and prior authorization management, with pricing determined by insurance coverage and medication requirements rather than transparent public pricing.

The go-to-market model is sales-led and relationship-driven, anchored on network participation agreements with dominant Hawaii payers (HMSA, UHA) and referral partnerships with all major state health systems (Queen's Health Systems, Hawaii Pacific Health, Kaiser Permanente Hawaii, Tripler Army Medical Center, Kuakini Medical Center). Customer acquisition flows through physician referrals via dedicated referral forms and direct engagement with long-term care facilities, hospice providers, and hospital systems. The company employs 101-250 staff including pharmacists, registered nurses, registered dietitians, and patient care assistants, and is led by third-generation Yoshino family ownership with a professional management team that includes a COO with prior hospital CEO experience and a Director of Revenue Cycle Management recruited from UnitedHealthcare/Optum.

Name

Pharmacare Hawaii

Legal name

Pharmacare Hawaii

Website

https://pharmacarehawaii.com

Company type

Private

Founded year

1983

Operating status

Operating

Headcount range

101–250 employees

Short description

Pharmacare Hawaii is a family-owned diversified pharmacy company in Honolulu providing home and ambulatory infusion therapy, specialty pharmacy, long-term care medication management, and payment assistance across all 7 major Hawaiian islands, serving individual patients, health systems, and care facilities under three concurrent URAC accreditations.

Ownership category

akta.pro rank

Product category

Specialty Pharmacy Services

NAICS

Pharmacies and Drug Retailers (45611), Nursing and Residential Care Facilities (623)

SIC

Services-Home Health Care Services (8082), Services-Nursing & Personal Care Facilities (8050)

akta.pro primary industry

In-Home Infusion Pharmacy Support & Coordination (HSABALAH)

akta.pro secondary industries

Mail-Order & Home Delivery Pharmacies (HLAFALAD), Medication Reconciliation & Transitions-of-Care Pharmacy Services (HLAFALAK), Injectables & Specialty Medication Support (e.g., insulin, biologics) (HSABALAG)

Keywords

• Infusion therapy services
• Specialty pharmacy
• Long term care pharmacy
• Home infusion therapy
• Medication management

Headquarters

HQ city

Honolulu

HQ country

United States

HQ region

North America

Offices6 records

Markets served

GTM type

B2B and B2C

Offering type

Services

Cost components

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

Revenue model

1. Infusion Therapy Services: Provides home infusion and ambulatory infusion suite services. Revenue generated from administration of IV medications, antibiotics, and specialty infusions. Covered by insurance including Medicare home infusion therapy.
2. Specialty Pharmacy: Dispensing of high-cost specialty medications for complex and chronic conditions. Revenue from medication dispensing, insurance billing, and prior authorization coordination.
3. Long Term Care Medication Management: Medication management services for nursing homes, assisted living, skilled nursing facilities, hospice, and adult residential care homes. Includes daily medication delivery and claims processing.
4. Payment Assistance Coordination: Assistance with insurance claims processing, prior authorizations, and copay assistance programs to help patients access medications.

Pricing tiers

Go-to-market motion2 records

Distribution channels4 records

Marketing channels4 records

Core offering

Pharmacare Hawaii is a diversified pharmacy company that delivers clinical pharmacy services — including home and ambulatory infusion therapy, specialty pharmacy dispensing for complex chronic conditions, long-term care medication management for care facilities, and payment/insurance coordination — to patients and partner providers across all seven major Hawaiian islands. The company coordinates care transitions between hospitals, providers, payers, and patients, and dispenses medications alongside in-home nursing and clinical support.

Product overview

Pharmacare Hawaii operates as a diversified healthcare provider offering a coordinated suite of pharmacy services built around four core offerings: Infusion Therapy (home infusion and ambulatory infusion suites across Hawaii's major islands), Specialty Pharmacy (medications for complex/chronic conditions with comprehensive support including insurance coordination and monitoring), Long Term Care Medication Management (medication management for care facilities with blister packaging and 24/7 pharmacist access), and Payment Assistance & Delivery (copay assistance, insurance claims processing, and free delivery services). These services integrate through shared clinical teams (Pharmacists, Registered Nurses, Dietitians, Patient Care Specialists) and coordinated care transitions, unified by a Care Done Right mission and delivered across all major Hawaiian islands.

Differentiator

Problem solved

Functional benefit

Products and services

• Infusion Therapy

Quantifiable outcome

• Reduce readmission risk and avoidable utilization through expedited care initiation post-discharge
• +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

Integration1 record

Feature3 records

Partnerships

Eleven partnerships are on record, tiered core, major and support.

• HMSA (Hawaii Medical Service Association)coreChannel Partner/ Reseller/ DistributorHealth plan partner providing insurance coverage for Pharmacare's pharmacy services including infusion therapy and specialty pharmacy.
• UHAcoreChannel Partner/ Reseller/ DistributorHealth plan partner working with Pharmacare to provide advanced pharmacy services to UHA members.
• Queen's Health SystemscoreStrategic or Co-development PartnerLeading healthcare system in Hawaii. Pharmacare partners with Queen's Medical facilities including Downtown Honolulu, West Oahu, and Wahiawa locations for patient care coordination.
• St. Francis HospicecoreStrategic or Co-development PartnerHospice provider partnership for long-term care medication management services, ensuring proper medication delivery and management for hospice patients.
• Navian HawaiicoreStrategic or Co-development PartnerHealthcare partnership for hospice and palliative care services, providing medication management support for patients.
• HPH - Hawaii Pacific HealthcoreStrategic or Co-development PartnerPartnership with Hawaii Pacific Health hospital system including Kapiolani Medical Center, Pali Momi, Straub, and Wilcox Medical Center for patient referrals and care coordination.
• Kaiser Permanente HawaiicoreChannel Partner/ Reseller/ DistributorKaiser Permanente Hawaii including Moanalua Medical Center and Maui Health System for patient referrals and specialty pharmacy services.
• Tripler Army Medical CentermajorChannel Partner/ Reseller/ DistributorMilitary hospital partnership for providing pharmacy services to military personnel and their families.
• Kuakini Medical CentermajorChannel Partner/ Reseller/ DistributorPartnership with Honolulu-based Kuakini Medical Center for patient referrals and care coordination.
• Cardinal HealthsupportTechnology or IntegrationHealthcare distribution and technology partner providing pharmaceutical products and supply chain solutions.
• Citus HealthsupportTechnology or IntegrationDigital health platform partner providing the patient communication app for secure messaging, form signing, and care coordination.

Scale indicators4 records

Recent moves6 records

Expansion highlights6 records

Direct peers

• Option Care Health: Largest independent provider of home and alternate-site infusion services in the U.S. with both home infusion and ambulatory infusion suite (AIS) operations. Direct functional overlap with Pharmacare's infusion therapy line, including physician referrals, payer contracts, and URAC-accredited clinical operations.
• Vivo Infusion: Specialty ambulatory infusion suite operator focused on delivering in-office IV biologics for rheumatology, gastroenterology, allergy, and neurology. Closest direct peer to Pharmacare's multi-location ambulatory infusion suite model, with physician-embedded AIS economics similar to Pharmacare's Oahu/Maui/Kauai/Big Island suites.
• CSI Pharmacy: Specialty pharmacy with focus on home infusion and Ig/home-infusion therapies, including a network of ambulatory infusion centers across multiple states. Closely comparable in terms of clinical specialty pharmacy services, infusion suite footprint, and chronic-condition focus areas.
• Soleo Health: Specialty pharmacy and home/alternate-site infusion provider operating across the U.S. with a focus on chronic, complex specialty conditions. Direct functional comparison for Pharmacare's specialty pharmacy + infusion combination and chronic care management.
• Avita Pharmacy: Specialty pharmacy focused on HIV, LGBTQ+, and 340B pharmacy services with chronic-condition specialty drug dispensing. Comparable to Pharmacare on specialty medication management, copay/insurance coordination, and adherence-support services.
• Guardian Pharmacy Services: Long-term care pharmacy provider serving assisted living, skilled nursing, and behavioral health facilities. Closest functional peer to Pharmacare's long-term care medication management service line, including blister packaging, daily delivery, and clinical pharmacy support.

Broad incumbents

• Coram CVS Specialty Infusion Services: National home infusion and specialty pharmacy provider owned by CVS Health. Coram operates specialty infusion pharmacies and home-delivered infusion services to commercial and Medicare patients — directly competing with Pharmacare's infusion suite/home infusion model, only at national scale.
• Diplomat Pharmacy (now Optum Specialty Pharmacy): Formerly a leading U.S. independent specialty pharmacy now part of Optum/UnitedHealth Group. Diplomat was the model independent specialty pharmacy for chronic and high-cost therapies; Pharmacare's specialty pharmacy line competes directly against Optum Specialty for limited distribution drug contracts and insurer preferred networks.
• Walgreens Specialty Pharmacy: National specialty pharmacy and home delivery pharmacy division of Walgreens Boots Alliance. Competes for specialty drug fulfillment and home delivery contracts; also operates limited home infusion capabilities. National-scale incumbent that Pharmacare's HMSA/UHA partnerships help insulate against.
• CVS Specialty: Specialty pharmacy arm of CVS Health offering dispensing and care management for complex chronic conditions, integrated with Aetna insurance networks and Coram infusion services. National-scale incumbent whose vertical insurance/pharmacy integration represents the strategic threat Pharmacare must defend against in Hawaii.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights6 records

Customer concentration

• Xx.com/pharmacarehi
• Facebookfacebook.com/Pharmacare.Hawaii

Revenue estimate

Valuation estimate

Number of profiles

Profiles10 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 Pharmacare Hawaii