Integrated Pharmacy Solutions

What Integrated Pharmacy Solutions does

Integrated Pharmacy Solutions (IPS) is a privately held pharmacy consulting firm founded in 1992 and headquartered in Melrose, Massachusetts. The company delivers five interconnected service lines: Pharmacy Management Services (full-service pharmacy setup, licensing, accreditation, 340B program support, and operational oversight), Pharmacy Auditing Services (on-site, desk, investigative, and 340B audits plus fraud/waste/abuse investigations), Pharmacy Data Management (cross-network claims analysis and rebate auditing), Legislative and Regulatory Affairs (accreditation consulting for URAC, ACHC, and other bodies, plus statutory interpretation), and REMS Auditing (FDA REMS compliance verification for pharmacies, wholesalers, and healthcare settings).

The company's technological backbone is an internally constructed audit platform featuring a proprietary Pharmacy Stratification System that reconciles claims data against 100% of provided claims and applies dozens of scoring formulas to identify fraud, waste, and abuse candidates, alongside a secure client web portal for real-time audit status and reporting. Services are delivered on a professional services, fee-for-engagement basis through direct client relationships, with no disclosed pricing or subscription product.

IPS generates revenue through customized consulting engagements for pharmacies (retail, hospital, long-term care, specialty, compounding, institutional), Pharmacy Benefit Managers, managed care organizations (Medicaid, Medicare, commercial), healthcare providers (assisted living, skilled nursing, acute care, physician practices), and pharmaceutical manufacturers. Geographic coverage spans all 48 contiguous U.S. states. The firm is sales-led, marketed through its website and LinkedIn presence, and relies on direct client engagement and longstanding contractual relationships rather than channel partners. No external funding, M&A activity, or ownership changes are disclosed, and the business has been organically grown over 30 years.

Name

Integrated Pharmacy Solutions

Legal name

Integrated Pharmacy Solutions, Inc.

Website

https://integratedrx.net

Company type

Private

Founded year

1992

Operating status

Operating

Headcount range

11–50 employees

Short description

Integrated Pharmacy Solutions is a privately held U.S. pharmacy consulting firm founded in 1992, providing pharmacy management, claims auditing, data analytics, regulatory affairs, and REMS auditing services to pharmacies, PBMs, managed care organizations, healthcare providers, and pharmaceutical manufacturers across all 48 contiguous states.

Ownership category

akta.pro rank

Product category

Pharmacy Consulting Services

NAICS

Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds (524292)

akta.pro primary industry

Pharmacy Benefit Management (PBM) & Pharmacy Network Administration (HLAFALAI)

Keywords

• Pharmacy consulting services
• Pharmacy claims auditing
• Pharmacy regulatory compliance
• 340B program management
• REMS compliance auditing

Headquarters

HQ city

Melrose

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

Revenue model

1. Professional Consulting Services: Fee-for-service consulting engagements for pharmacy management, regulatory compliance, and legislative affairs. Services include customized audit programs, pharmacy setup and licensing support, and ongoing operational oversight.

Go-to-market motion1 record

Distribution channels1 record

Marketing channels2 records

Core offering

Integrated Pharmacy Solutions (IPS) is a pharmacy consulting firm that provides pharmacy management, pharmacy auditing, pharmacy data management, legislative and regulatory affairs, and REMS auditing services to pharmacies, PBMs, managed care organizations, healthcare providers, and pharmaceutical manufacturers. Founded in 1992 and headquartered in Melrose, MA, IPS operates a proprietary audit platform with sophisticated analytical tools, clinical data analytics, plan performance management, and a client-facing web portal to deliver its services.

Product overview

Integrated Pharmacy Solutions (IPS) provides a portfolio of five interconnected service offerings rather than a unified software product. The core services include Pharmacy Management Services (full-service pharmacy setup, licensing, and operational management), Pharmacy Auditing Services (claims integrity and fraud detection using proprietary stratification analytics), Pharmacy Data Management (cross-pharmacy network analysis and compliance assessments), Legislative and Regulatory Affairs (accreditation consulting and compliance risk management), and REMS Auditing (FDA REMS program compliance verification for pharmacies, wholesalers, and healthcare settings). These services work together to provide clients with end-to-end pharmacy operations support, regulatory compliance, and claims integrity management across the pharmacy delivery process.

Differentiator

Problem solved

Functional benefit

Products and services

• Pharmacy Management Services Outsourced pharmacy management support covering operational, administrative, and compliance functions for pharmacy operators, PBMs, and managed care organizations.
• Pharmacy Auditing Services Independent auditing of pharmacy claims, dispensing, billing accuracy, and contract compliance for PBMs, managed care organizations, and other healthcare payers.
• Pharmacy Data Management Pharmacy data management and analytics support, leveraging the firm's clinical data analytics and proprietary audit platform to provide plan performance management insights to clients.
• Legislative and Regulatory Affairs Advisory and monitoring services tracking pharmacy-related legislation and regulatory changes for pharmacies, PBMs, managed care organizations, healthcare providers, and pharmaceutical manufacturers.
• REMS Auditing Risk Evaluation and Mitigation Strategy (REMS) auditing services for pharmaceutical manufacturers and other stakeholders to verify compliance with FDA-mandated restricted drug distribution requirements.

Quantifiable outcome

• Longstanding contractual relationships with clients evidenced by repeat business

Named customers5 records

Segments5 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature2 records

Scale indicators4 records

Recent moves13 records

Expansion highlights4 records

Broad incumbents

• Express Scripts / Evernorth (Cigna): Express Scripts/Evernorth is one of the largest U.S. PBMs and offers internal pharmacy claims auditing and clinical compliance services, representing a broad incumbent that competes with IPS for external PBM audit engagements and Medicaid contracts.
• CVS Caremark (CVS Health): CVS Caremark operates one of the largest PBMs in the U.S. along with retail pharmacy and clinical services, frequently procuring external audits and consulting—directly relevant to IPS's PBM network audit practice.
• Optum Rx (UnitedHealth Group): Optum Rx is the largest U.S. PBM and provides comprehensive pharmacy benefit, audit, and compliance services—functionally adjacent to IPS's PBM claims audit and network compliance business at much greater scale.

Direct peers

• Artemetrx: Artemetrx provides independent PBM contract oversight, audit, and analytics services to health plans and employers, directly mirroring IPS's combination of proprietary claims stratification analytics and PBM audit engagements.
• RxBenefits: RxBenefits is a pharmacy benefit consulting and administration firm helping self-funded plans optimize PBM contracts—a comparable B2B pharmacy consulting model targeting payers and employers in the same regulatory and contract-compliance domain as IPS.
• PerformRx: PerformRx is a PBM that delivers pharmacy benefit administration, clinical services, and audit/compliance support—paralleling IPS's managed Medicaid PBM service contracts and PBM audit work.
• Navitus Health Solutions: Navitus is a full-service PBM providing pharmacy benefit administration, clinical programs, and audit/compliance services—mirroring IPS's Medicaid PBM management practice and overlapping on PBM audit and network oversight work.
• PAAS National (Pharmacy Audit Assistance Services): PAAS National specializes in helping independent pharmacies prepare for and respond to PBM audits—the same core audit-defense and FWA space IPS operates in for PBM and health plan clients, making it the closest functional peer in pharmacy audit consulting.
• Comprehensive Pharmacy Services (CPS): CPS provides hospital and health-system pharmacy management, consulting, and compliance services directly overlapping IPS's Pharmacy Management, accreditation, and regulatory affairs offerings to hospitals and healthcare providers.

Emerging players

• Truveris: Truveris is a healthcare data and analytics company providing PBM contract transparency, auditing, and pharmacy claims intelligence—directly competing with IPS's proprietary Pharmacy Stratification System in PBM audit analytics.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

• LinkedInlinkedin.com/company/integrated-pharmacy-solutions-inc

Compliance8 records

Revenue estimate

Valuation estimate

Number of profiles

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 Integrated Pharmacy Solutions