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CastiaRx

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uuid000eruv

Namestring
CastiaRx
Websiteurl
castiarx.com
Company typeenum
Private
Founded yearint
2018
Operating statusenum
Operating
Ownership categoryenum
Headcount rangeband
51–100
akta.pro rankint
HeadquartersDeerfield, United States
HQ citystring
Deerfield
HQ countrystring
United States
HQ regionstring
North America
Markets served

Serves global market

Keyword5 values
pharmacy benefit management, specialty pharmacy services, home delivery pharmacy, drug pricing tools, medication adherence
Industry4 codes
1Specialty Pharmacy & Complex Therapy Management Platforms
CodeHLACAKAGPrimaryYes
2Group Pharmacy Benefit (Rx) Coverage & PBM-Integrated Plans
CodeFSAIAFANPrimaryNo
3Infusion & Home Infusion Pharmacy Services
CodeHLAFALAGPrimaryNo
4Pharmacy/Medication Management & Virtual MTM (Payer-Sponsored)
CodeHLALACAKPrimaryNo
NAICS code1 code
  • Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds524292
SIC code2 codes
  • Wholesale-Drugs, Proprietaries & Druggists' Sundries5122
  • Hospital & Medical Service Plans6324
Product category
Pharmacy Benefit Management
No data
Distribution channels5 records

Each record includes

Title, Type, Scope, Target buyer, Description, Source

Cost components5 values
Personnel, Operations, Technology or R&D, Supply Chain, Marketing or Sales
GTM typeB2B
B2B
Offering typeServices
Services
Core offering1 text field

CastiaRx operates as a specialty benefit manager providing full-service pharmacy benefit management capabilities, including prescription home delivery, specialty pharmacy fulfillment, infusion pharmacy services, dose packaging, and behavioral health pharmacy. Services are accessed by members through an online portal with HealthSafe ID authentication, supported by mobile applications, drug pricing tools, pharmacy locator functionality, and 24/7 pharmacist access.

Differentiator
Functional benefit
Problem solved
Quantifiable outcome1 value
  • $35/month insulin for those without insurance
Product and service6 records
1Optum Home Delivery Pharmacy
CategoryMail-order / Home Delivery Pharmacy
Description

Home delivery pharmacy service offering free standard shipping, 24/7 pharmacist access, and convenient prescription management for plan members.

2Optum Specialty Pharmacy
CategorySpecialty Pharmacy
Description

Specialty pharmacy services for complex medications requiring special handling, integrated within the Optum ecosystem.

3Optum Infusion Pharmacy
CategoryInfusion Pharmacy
Description

Infusion pharmacy services for intravenous medications and treatments within the Optum ecosystem.

4divvyDOSE
CategoryMedication Adherence Packaging
Description

Daily dose packaging solution designed to improve medication adherence for members.

5Genoa Healthcare
CategoryBehavioral Health Pharmacy
Description

Behavioral health pharmacy services providing telepsychiatry and pharmacy support for behavioral health populations.

6$35/month Insulin Program
CategorySpecialty Drug Pricing Program
Description

Low-cost insulin program offering monthly insulin for $35 to members without insurance coverage.

Partnership4 partners
1Optum Specialty Pharmacy
Strategic tierCoreTypeOthers
Description

Integrated specialty pharmacy services for complex medication needs

2Optum Infusion Pharmacy
Strategic tierCoreTypeOthers
Description

Provides infusion pharmacy services for intravenous medications and treatments

3divvyDOSE
Strategic tierCoreTypeOthers
Description

Daily dose packaging solution for medication adherence

4Genoa Healthcare
Strategic tierCoreTypeOthers
Description

Behavioral health pharmacy and telepsychiatry services

Recent move6 records

Each record includes

Date, Type, Title, Description, Source

Expansion highlight4 records

Each record includes

Type, Description

Peers10 records
1Optum Rx
TypeBroad incumbent
Description

Sister brand within Optum and the broader PBM platform that powers CastiaRx's specialty benefit management capabilities. Directly comparable because it administers the same prescription benefits, mail-order pharmacy, and specialty drug services through the Optum ecosystem that CastiaRx leverages.

2Express Scripts
TypeDirect peer
Description

Largest standalone PBM in the US, serving health plans, employers, and government programs. Directly comparable as a full-service PBM managing specialty and traditional pharmacy benefits with mail-order distribution — the most direct competitive benchmark for CastiaRx's specialty focus.

3CVS Caremark
TypeDirect peer
Description

PBM arm of CVS Health, administering prescription benefits for insurers and large employers. Directly comparable to CastiaRx because it manages formularies, specialty pharmacy networks, and mail-order fulfillment at scale, competing for the same payer and employer contracts.

4Prime Therapeutics
TypeDirect peer
Description

Blue-owned PBM serving health plans and employer clients across the US. Comparable to CastiaRx as a PBM focused on specialty drug management, formulary administration, and mail-service pharmacy for payer clients.

5MedImpact Healthcare Systems
TypeDirect peer
Description

Independently owned PBM serving health plans, employers, and government programs. Comparable to CastiaRx because it administers prescription benefits including specialty drug management and operates mail-order pharmacy services for similar client segments.

6Humana Pharmacy Solutions
TypeDirect peer
Description

PBM and pharmacy operation within Humana, focused on Medicare Advantage and commercial populations. Comparable to CastiaRx because it integrates PBM services with specialty and mail-order pharmacy, often competing for the same payer-sponsored contracts.

7Amazon Pharmacy
TypeEmerging player
Description

Cash-pay and insured mail-order pharmacy launched by Amazon, plus its PillPack subsidiary focused on adherence packaging. Comparable to CastiaRx as a digitally native mail-order and specialty pharmacy competitor that pressures pricing and convenience benchmarks.

8Mark Cuban Cost Plus Drug Company
TypeEmerging player
Description

Direct-to-consumer pharmacy offering transparent cost-plus pricing on generics and select brand drugs. Comparable to CastiaRx because it competes on drug affordability and price transparency — directly contesting CastiaRx's $35 insulin and price-comparison positioning.

9Walgreens Specialty Pharmacy
TypeBroad incumbent
Description

Specialty and mail-order pharmacy arm of Walgreens Boots Alliance serving patients with complex conditions. Comparable to CastiaRx as a retail-rooted specialty pharmacy competing for the same patient and prescriber relationships, particularly in chronic and infused therapies.

10Genoa Healthcare
TypeDirect peer
Description

Behavioral-health-focused pharmacy and telepsychiatry provider operating as a sister company within Optum. Comparable to CastiaRx because it is part of the same Optum pharmacy ecosystem and operates within Optum's specialty and adherence pharmacy stack.

Market position
Strengths4 records

Each record includes

Headline, Details, Source

Weaknesses5 records

Each record includes

Headline, Details, Source

Competitive moat5 records

Each record includes

Type, Details

Key risks6 records

Each record includes

Headline, Details, Source

Key highlights7 records

Each record includes

Headline, Details, Source

Customer concentration

Classification, Details

Segment1 record

Each record includes

Title, Type, Primary, Description, Pain point addressed, Use case, Source

Ideal customer profile2 records

Each record includes

Profile, Firmographic size, Sales motion, Sales cycle length, Buying structure, Purchase trigger, Buyer persona, Geography, Industry vertical, Primary use case, Description, Pain points, Evidence proof points, Target buyer

Technology focused
Yes
API detail
Has APIbool
No

Docs URL, Description

AI maturity
App detail

Has app

Core technology
Revenue estimate
Valuation estimate
Number of profiles
No data
Compliance5 records

Each record includes

Name, Class, Description

Funding overview

Funding stage, Last funding date, Total funding USD

Funding rounds

Each record includes

Round, Amount USD, Date, Pre money valuation, Total investors, Investors, News

Investors

Each record includes

Name, Type, Date of entry, Rounds participated, Website

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

M&A

Each record includes

Name, Acquisition type, Announced date, Completed date, Status, Website, News

Investment

Each record includes

Name, Round, Announced date, Lead investor, Website, News

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

CastiaRx

Pharmacy Benefit Managementcastiarx.com

CastiaRx firmographics

Firmographics
Name
CastiaRx
Website
https://castiarx.com
Company type
Private
Founded year
2018
Operating status
Operating
Headcount range
51–100 employees
Ownership category
akta.pro rank

CastiaRx industry classification

Industry
Product category
Pharmacy Benefit Management
NAICS
Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds (524292)
SIC
Wholesale-Drugs, Proprietaries & Druggists' Sundries (5122), Hospital & Medical Service Plans (6324)
akta.pro primary industry
Specialty Pharmacy & Complex Therapy Management Platforms (HLACAKAG)
akta.pro secondary industries
Group Pharmacy Benefit (Rx) Coverage & PBM-Integrated Plans (FSAIAFAN), Infusion & Home Infusion Pharmacy Services (HLAFALAG), Pharmacy/Medication Management & Virtual MTM (Payer-Sponsored) (HLALACAK)

Keywords

  • Pharmacy benefit management
  • Specialty pharmacy services
  • Home delivery pharmacy
  • Drug pricing tools
  • Medication adherence

Where CastiaRx is headquartered

Location

Headquarters

HQ city
Deerfield
HQ country
United States
HQ region
North America

Markets served

CastiaRx business model

Business model
GTM type
B2B
Offering type
Services
Cost components
Personnel, Operations, Technology or R&D, Supply Chain, Marketing or Sales

Distribution channels5 records

CastiaRx product offering

Product offering

Core offering

CastiaRx operates as a specialty benefit manager providing full-service pharmacy benefit management capabilities, including prescription home delivery, specialty pharmacy fulfillment, infusion pharmacy services, dose packaging, and behavioral health pharmacy. Services are accessed by members through an online portal with HealthSafe ID authentication, supported by mobile applications, drug pricing tools, pharmacy locator functionality, and 24/7 pharmacist access.

Differentiator

Problem solved

Functional benefit

Products and services

  • Optum Home Delivery Pharmacy Home delivery pharmacy service offering free standard shipping, 24/7 pharmacist access, and convenient prescription management for plan members.
  • Optum Specialty Pharmacy Specialty pharmacy services for complex medications requiring special handling, integrated within the Optum ecosystem.
  • Optum Infusion Pharmacy Infusion pharmacy services for intravenous medications and treatments within the Optum ecosystem.
  • divvyDOSE Daily dose packaging solution designed to improve medication adherence for members.
  • Genoa Healthcare Behavioral health pharmacy services providing telepsychiatry and pharmacy support for behavioral health populations.
  • $35/month Insulin Program Low-cost insulin program offering monthly insulin for $35 to members without insurance coverage.

Quantifiable outcome

  • $35/month insulin for those without insurance

Companies that use CastiaRx

Customer profile

Segments1 record

Ideal customer profiles2 records

CastiaRx technology and API

Technology

Technology focussed Yes

API detail

Has API
No
API docs
API detail

Core technology

AI maturity

App detail

CastiaRx partnerships and signals

Strategic signal

Partnerships

Four partnerships are on record, tiered core.

  • Optum Specialty PharmacycoreOthersIntegrated specialty pharmacy services for complex medication needs
  • Optum Infusion PharmacycoreOthersProvides infusion pharmacy services for intravenous medications and treatments
  • divvyDOSEcoreOthersDaily dose packaging solution for medication adherence
  • Genoa HealthcarecoreOthersBehavioral health pharmacy and telepsychiatry services

Recent moves6 records

Expansion highlights4 records

CastiaRx competitors and assessment

Company assessment

Broad incumbents

  • Optum Rx: Sister brand within Optum and the broader PBM platform that powers CastiaRx's specialty benefit management capabilities. Directly comparable because it administers the same prescription benefits, mail-order pharmacy, and specialty drug services through the Optum ecosystem that CastiaRx leverages.
  • Walgreens Specialty Pharmacy: Specialty and mail-order pharmacy arm of Walgreens Boots Alliance serving patients with complex conditions. Comparable to CastiaRx as a retail-rooted specialty pharmacy competing for the same patient and prescriber relationships, particularly in chronic and infused therapies.

Direct peers

  • Express Scripts: Largest standalone PBM in the US, serving health plans, employers, and government programs. Directly comparable as a full-service PBM managing specialty and traditional pharmacy benefits with mail-order distribution — the most direct competitive benchmark for CastiaRx's specialty focus.
  • CVS Caremark: PBM arm of CVS Health, administering prescription benefits for insurers and large employers. Directly comparable to CastiaRx because it manages formularies, specialty pharmacy networks, and mail-order fulfillment at scale, competing for the same payer and employer contracts.
  • Prime Therapeutics: Blue-owned PBM serving health plans and employer clients across the US. Comparable to CastiaRx as a PBM focused on specialty drug management, formulary administration, and mail-service pharmacy for payer clients.
  • MedImpact Healthcare Systems: Independently owned PBM serving health plans, employers, and government programs. Comparable to CastiaRx because it administers prescription benefits including specialty drug management and operates mail-order pharmacy services for similar client segments.
  • Humana Pharmacy Solutions: PBM and pharmacy operation within Humana, focused on Medicare Advantage and commercial populations. Comparable to CastiaRx because it integrates PBM services with specialty and mail-order pharmacy, often competing for the same payer-sponsored contracts.
  • Genoa Healthcare: Behavioral-health-focused pharmacy and telepsychiatry provider operating as a sister company within Optum. Comparable to CastiaRx because it is part of the same Optum pharmacy ecosystem and operates within Optum's specialty and adherence pharmacy stack.

Emerging players

  • Amazon Pharmacy: Cash-pay and insured mail-order pharmacy launched by Amazon, plus its PillPack subsidiary focused on adherence packaging. Comparable to CastiaRx as a digitally native mail-order and specialty pharmacy competitor that pressures pricing and convenience benchmarks.
  • Mark Cuban Cost Plus Drug Company: Direct-to-consumer pharmacy offering transparent cost-plus pricing on generics and select brand drugs. Comparable to CastiaRx because it competes on drug affordability and price transparency — directly contesting CastiaRx's $35 insulin and price-comparison positioning.

Market position

Strengths4 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

CastiaRx compliance and trust

Trust signal

Compliance5 records

CastiaRx financial estimates

Financial estimate

Revenue estimate

Valuation estimate

CastiaRx leadership team

Management profile

Number of profiles

CastiaRx funding detail

Funding detail

Funding overview

Funding rounds

Investors

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

CastiaRx M&A and investment

M&A and investment

M&A

Investments

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

Frequently asked questions about CastiaRx

What does CastiaRx do?

CastiaRx operates as a specialty benefit manager providing full-service pharmacy benefit management capabilities, including prescription home delivery, specialty pharmacy fulfillment, infusion pharmacy services, dose packaging, and behavioral health pharmacy. Services are accessed by members through an online portal with HealthSafe ID authentication, supported by mobile applications, drug pricing tools, pharmacy locator functionality, and 24/7 pharmacist access.

Is CastiaRx a public or private company?

CastiaRx is a private company. It is classified as corporate owned and is currently operating.

When was CastiaRx founded?

CastiaRx was founded in 2018. It employs 51 to 100 people.

Where is CastiaRx based?

CastiaRx is headquartered in Deerfield, United States, in the North America region.

Who are CastiaRx's main competitors?

Broad incumbents on record are Optum Rx and Walgreens Specialty Pharmacy. Direct peers are Express Scripts, CVS Caremark, Prime Therapeutics, MedImpact Healthcare Systems, Humana Pharmacy Solutions and Genoa Healthcare. Emerging players are Amazon Pharmacy and Mark Cuban Cost Plus Drug Company.

Does CastiaRx have an API?

No public API is recorded for CastiaRx.

What industry is CastiaRx in?

CastiaRx's product category is Pharmacy Benefit Management. Its primary akta.pro industry code is HLACAKAG, Specialty Pharmacy & Complex Therapy Management Platforms, with a secondary code of FSAIAFAN, Group Pharmacy Benefit (Rx) Coverage & PBM-Integrated Plans. Its NAICS code is 524292 and its SIC code is 5122.

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Live signals
PR NewswireDiplomat Announces Promotion of David Skomo to Chief Operating Officer of CastiaRxDiplomat Pharmacy, Inc. has appointed David Skomo as Chief Operating Officer of CastiaRx, succeeding Chris Luthin who retired. Skomo, who joined CastiaRx in 2018 as senior vice president of PBM operations, brings more than 25 years of pharmacy industry experience, having previously held leadership roles at CVS Caremark, BriovaRx specialty pharmacy, and OptumRx. During the past 14 months, Skomo has led transformations in mail-order prescription fulfillment and contact-center operations, which the company credits as key operational improvements.PR NewswireDiplomat Provides Updated 2018 Guidance and Preliminary 2019 OutlookDiplomat Pharmacy announced updated 2018 financial guidance and preliminary 2019 outlook at the JP Morgan Healthcare Conference, with 2018 revenue expected at the lower end of the $5.5–$5.7 billion range and adjusted EBITDA up at least 64% year-over-year to $167–$170 million. The company also disclosed the immediate departures of President Joel Saban and CastiaRx President/COO Albert Thigpen as part of a strategic review of its underperforming PBM segment, which experienced $200 million in Medicare Part D contract losses. Preliminary 2019 guidance projects revenue of $5.6–$5.8 billion, representing approximately 3% year-over-year growth, and the company announced new contracts with Hospitality Rx and CSI Specialty Group.PR NewswireDiplomat Launches CastiaRx, Industry-Leading Specialty Benefit ManagerDiplomat Pharmacy, Inc. has launched CastiaRx, a specialty benefit manager that combines the PBM capabilities of its recently acquired LDI Integrated Pharmacy Services and National Pharmaceutical Services with its own specialty pharmacy and infusion expertise. The new entity is positioned to address the growing specialty drug market, which industry projections suggest will account for more than 50 percent of U.S. drug spending by 2020, with over 800 specialty drugs in late-phase development. CastiaRx targets small and midsize payers with services spanning the pharmacy and medical benefit spectrum, offering 24/7 patient support, advanced analytics, and clinical expertise.