What HealthDirect Pharmacy Services does

HealthDirect Pharmacy Services is a privately held, employee-owned long-term care (LTC) pharmacy provider headquartered in East Syracuse, New York. Founded in 2017, the company operates approximately 22-23 closed-door pharmacy locations across 12-13 US states concentrated in the Northeast, Midwest, and Mid-Atlantic regions, serving skilled nursing facilities (SNF), assisted living facilities (ALF), and additional care settings including intellectual and developmental disabilities (I/DD) services, behavioral health, correctional facilities, and independent living communities.

The company's core offering is institutional pharmacy dispensing augmented by compliance packaging, emergency medication services, IV services, and pharmacy consulting spanning cost management and continuum-of-care planning. Technology integrations with facility electronic health records (eHRs) and dedicated account managers support workflow embedding. In March 2024, HealthDirect extended its clinical services portfolio through a partnership with AccessDx Laboratory to offer pharmacogenomic (PGx) testing to LTC residents, marketed at $249 self-pay for uninsured patients.

Revenue is generated through recurring prescription dispensing contracts with LTC facilities, supplemented by professional services such as consulting and PGx testing. The firmographic employee count sits in the 1,001-5,000 range, consistent with a multi-site institutional pharmacy operation, though no financial metrics are publicly disclosed. Customer concentration is moderate given a distributed facility base but reliance on the LTC segment exposes the business to Medicare/Medicaid reimbursement and facility census dynamics.

Name

HealthDirect Pharmacy Services

Legal name

HealthDirect Pharmacy Services

Website

https://hdrxservices.com

Company type

Private

Founded year

2017

Operating status

Operating

Headcount range

1,001–5,000 employees

Short description

HealthDirect Pharmacy Services is an employee-owned, multi-site long-term care pharmacy operator dispensing medications, compliance packaging, IV services, and pharmacogenomic testing to skilled nursing, assisted living, I/DD, behavioral health, and correctional facilities across the Northeast, Midwest, and Mid-Atlantic.

Ownership category

akta.pro rank

Product category

Long-Term Care Pharmacy Services

NAICS

Health Care and Social Assistance (62), Ambulatory Health Care Services (621)

SIC

Services-Skilled Nursing Care Facilities (8051), Services-Health Services (8000), Services-Nursing & Personal Care Facilities (8050)

akta.pro primary industry

Long-Term Care (LTC) & Skilled Nursing Facility Pharmacies (HLAFALAF)

akta.pro secondary industries

Medication Therapy Management (MTM) & Clinical Pharmacy Services (HLAFALAH), Medication Reconciliation & Transitions-of-Care Pharmacy Services (HLAFALAK), Medication Therapy Management (MTM) & Clinical Pharmacy Services Tools (HLACAKAH)

Keywords

• Long-term care pharmacy
• Pharmacy consulting services
• Medication compliance packaging
• Skilled nursing pharmacy
• Pharmacogenomic testing

Headquarters

HQ city

Syracuse

HQ country

United States

HQ region

North America

Offices23 records

Markets served

GTM type

B2B

Offering type

Services

Cost components

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

Revenue model

1. Pharmacy Services: Dispensing prescription medications to long-term care facility residents with services including personalized care, transition services, medication compliance packaging, emergency services, and IV services.
2. Pharmacy Consulting: Clinical consulting services including cost management, continuum of care services, clinical team education, and medication regimen reviews.
3. Pharmacogenomic Testing: PGx testing coordination service through AccessDx partnership, covered by Medicare and major payors at $249 discounted rate for uninsured individuals.

Go-to-market motion1 record

Distribution channels1 record

Marketing channels3 records

Core offering

HealthDirect Pharmacy Services is a long-term care (LTC) pharmacy provider dispensing prescription medications and offering medication compliance packaging, emergency pharmacy services, IV services, transition support, and clinical pharmacy consulting to skilled nursing facilities, assisted living communities, behavioral health providers, and correctional facilities across 23 locations in 12 U.S. states. The company also offers pharmacogenomic (PGx) testing through a partnership with AccessDx Laboratory, analyzing drug-gene interactions to support precision medicine in LTC settings.

Product overview

HealthDirect Pharmacy Services is a long-term care (LTC) pharmacy network offering a unified platform of pharmacy services for skilled nursing facilities, assisted living, I/DD services providers, independent living, behavioral health providers, correctional facilities, and residents/families. The core offering consists of Pharmacy Services (including Personalized Care, Transition Services, Assisted Refill Programs, Medication Compliance Packaging in multi-dose/unit-dose formats, Emergency Services with 24/7 pharmacist availability, Pharmacy Technology with eHR integrations, and Pharmacy Billing and Reporting) supplemented by Pharmacy Consulting services (Cost Management, Continuum of Care Services, Clinical Team Education, and IV Services). The company also provides clinical resources including Pharmacogenomic Testing in partnership with AccessDx Laboratory, and publishes clinical reference guides on topics such as ophthalmic medication beyond-use dates, insulin/GLP-1 expiration, medications that should not be crushed, and nebulizer storage recommendations. With 22 pharmacy locations across 13 states, the company delivers medications via daily deliveries and UPS mailings with dedicated customer service representatives.

Differentiator

Problem solved

Functional benefit

Products and services

• Pharmacy Services

Segments7 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature1 record

Partnerships

One partnership is on record.

• AccessDx LaboratorycoreStrategic or Co-development Partner · 26 March 2024HealthDirect has partnered with AccessDx Laboratory, a leading pharmacogenomic (PGx) testing provider, to deliver precision medicine analysis to long-term care communities. The partnership enables comprehensive drug-gene interaction analysis covering over 200 medications across 16+ therapeutic areas. AccessDx uses validated gene-drug interaction data to create individualized risk assessments, analyzing genes including CYP2D6, CYP2C19, CYP2B6, and others based on CPIC, FDA, and PharmGKB guidelines. Samples are collected via on-site buccal swab with results delivered within a week. AccessDx is an Arsionia company specializing in advanced molecular diagnostics for precision medicine programs nationwide.

Scale indicators5 records

Recent moves5 records

Expansion highlights5 records

Broad incumbents

• Omnicare (CVS Health): Largest US long-term care pharmacy, now part of CVS Health. Directly comparable to HealthDirect across SNF, assisted living and behavioral health dispensing, with national scale and deeper eHR/PBM integration.
• PharMerica: Second-largest LTC pharmacy in the US, owned by BrightSpring Health Services with KKR sponsorship. Closest direct competitor to HealthDirect in SNF/ALF dispensing, IV services, and clinical consulting.

Direct peers

• Guardian Pharmacy Services: Major LTC and assisted living pharmacy operator with a regional-decentralized model similar to HealthDirect's 22-site footprint, serving SNFs, ALFs, I/DD and behavioral health customers across multiple states.
• Remedi SeniorCare: LTC pharmacy provider with a focus on skilled nursing and assisted living, offering multi-dose compliance packaging, consulting, and electronic medication administration — directly comparable to HealthDirect's core services.
• Polaris Pharmacy Services: Mid-size LTC pharmacy serving skilled nursing, assisted living, behavioral health and correctional facilities — a regional direct peer with a similar multi-state, service-line depth profile to HealthDirect.
• ExactCare Pharmacy: Pharmacy focused on complex, chronic and post-acute patients including LTC and home-bound populations, offering multi-dose packaging, MTM and clinical services — directly comparable on service model and clinical depth.
• Forum Extended Care Services: Regional LTC pharmacy serving skilled nursing and assisted living facilities in the Midwest with consulting, compliance packaging and IV services — comparable in scale, geography and service mix to HealthDirect's Midwest sites.
• ProCare LTC Pharmacy: Long-term care pharmacy serving SNFs, ALFs, and behavioral health facilities with compliance packaging, consulting and delivery services; comparable in customer mix and regional operating model.

Others

• AtriCure: Not a peer — listed only to confirm no overlap; included as a placeholder to illustrate filtering.

Regional players

• CHC Pharmacy (Centers Health Care): Captive and affiliated LTC pharmacy serving a regional SNF/ALF network in the Northeast; comparable to HealthDirect on facility mix, though smaller in geographic reach.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks7 records

Key highlights7 records

Customer concentration

• Facebookfacebook.com/Hdrxservices
• LinkedInlinkedin.com/company/healthdirect-pharmacy-services
• Xx.com/HealthDirectRX

Revenue estimate

Valuation estimate

Number of profiles

Profiles9 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 HealthDirect Pharmacy Services