MAC Rx
MAC Rx is an independent single-location long-term care pharmacy founded in 2014 in Des Plaines, Illinois, dispensing prescription medications at state Medicaid MAC-based pricing to 19,000+ residents across 130+ long-term care and skilled nursing facilities in Illinois, Indiana, and Wisconsin, bundled with on-site nursing and consulting services.
- Company typePrivate
- Founded2014
- HeadquartersDes Plaines, United States
- Headcount101–250
- GTM typeB2B
- OfferingServices
What MAC Rx does
MAC Rx is an independent, single-location long-term care pharmacy founded in 2014 and headquartered at 2307 S Mount Prospect Road, Des Plaines, Illinois. The company dispenses prescription medications to residents of long-term care and skilled nursing facilities across Illinois, Indiana, and Wisconsin, serving more than 19,000 residents across over 130 facilities and self-describing as the largest independent single-location LTC pharmacy in the Midwest and one of the top four nationally. Its core economic engine is a state Medicaid-based Maximum Allowable Cost (MAC) pricing model: generic medications are billed at the state MAC rate plus $5.50 per prescription, single-source brand drugs use a WAC-based formula under the state Medicaid reimbursement framework, and a split billing process separates facility charges for Medicare Part A/Managed Care stays from resident discharge billing. The company documents 13%-28% savings versus competing LTC pharmacies, validated through more than 110 cost-out evaluations.
The product offering is a bundled service suite across three core lines: Pharmacy Services (dispensing with weekly delivery and white-glove service), Nursing Services (on-site mock surveys, in-services, weekly facility visits, spot checks of refrigerated items and medication carts), and Pharmacy Consulting (medication management reviews and clinical reporting). Operations are supported by a customer service team available 22 hours daily by phone, with CEO Curt Ayers directly reachable at extension 101, and by a facility-facing FrameworkVision portal and online bill-pay platform. Go-to-market combines enterprise field sales targeting LTC/SNF administrators with inside sales, free no-obligation cost comparison evaluations, content marketing, free nursing CEU webinars, a quarterly email newsletter, and a LinkedIn presence.
The business model is predominantly transaction-based per-prescription dispensing revenue, supplemented by ancillary professional-services revenue from nursing and consulting engagements. MAC Rx is privately held with no disclosed institutional investors, funding rounds, mergers, acquisitions, patents, awards, or regulatory actions in the available source material. No explicit revenue, headcount, or employee-count figures were disclosed.
MAC Rx firmographics
Firmographics- Name
- MAC Rx
- Legal name
- MAC Rx
- Website
- https://macrx.com
- Company type
- Private
- Founded year
- 2014
- Operating status
- Operating
- Headcount range
- 101–250 employees
- Short description
- MAC Rx is an independent single-location long-term care pharmacy founded in 2014 in Des Plaines, Illinois, dispensing prescription medications at state Medicaid MAC-based pricing to 19,000+ residents across 130+ long-term care and skilled nursing facilities in Illinois, Indiana, and Wisconsin, bundled with on-site nursing and consulting services.
- Ownership category
- akta.pro rank
MAC Rx industry classification
Industry- Product category
- Long-Term Care Pharmacy Services
- NAICS
- Pharmacies and Drug Retailers (456110), Pharmacies and Drug Retailers (45611)
- SIC
- Retail-Drug Stores And Proprietary Stores (5912)
- akta.pro primary industry
- Medication Setup & Organization (Pill Boxes/Dispill/Packaging) (HSABALAB)
- akta.pro secondary industry
- Injectables & Specialty Medication Support (e.g., insulin, biologics) (HSABALAG)
Keywords
Where MAC Rx is headquartered
LocationHeadquarters
- HQ city
- Des Plaines
- HQ country
- United States
- HQ region
- North America
Offices1 record
Markets served
MAC Rx business model
Business model- GTM type
- B2B
- Offering type
- Services
- Cost components
- Personnel, Operations, Supply Chain, Marketing or Sales, Technology or R&D, Infrastructure
Revenue model
- Pharmacy Dispensing: Revenue from dispensing prescription medications to long-term care facility residents. Charges based on state MAC pricing model with transparent and auditable billing. Services over 130 facilities and 19,000+ residents.
- Nursing Services: On-site nursing support including mock surveys, in-services, weekly facility visits, spot checks of refrigerated items and medication carts, and direct troubleshooting with facility staff.
- Pharmacy Consulting: Medication management reviews, recommendations, and reporting services provided by pharmacy staff to enhance resident care and facility operations.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Transaction based/ take rate | Pay-as-you-go | State MAC-Based Generic Pricing |
| Transaction based/ take rate | Pay-as-you-go | Single-Source Brand Drug Pricing |
Go-to-market motion2 records
Distribution channels2 records
Marketing channels5 records
MAC Rx product offering
Product offeringCore offering
MAC Rx dispenses prescription medications to residents of long-term care and skilled nursing facilities using state Medicaid-based Maximum Allowable Cost (MAC) pricing, charges generic drugs at the state MAC rate plus $5.50 per prescription, and uses a WAC-based formula for single-source brand drugs. Beyond dispensing, it provides on-site nursing support (weekly facility visits, mock surveys, in-services, and cart/refrigerated item spot checks) and pharmacy consulting services including medication management reviews and clinical reporting.
Product overview
MAC Rx operates as a single-location independent long-term care pharmacy offering a unified suite of services centered around three core offerings: Pharmacy Services for medication dispensing with state Medicaid-based MAC pricing, Nursing Services for on-site facility support and clinical assistance, and Pharmacy Consulting for medication management reviews. The company serves long-term care facilities across Illinois, Indiana, and Wisconsin, positioning itself as an alternative to large publicly-traded pharmacy chains by combining competitive Medicaid-based pricing (saving customers 13%-28%) with personalized service and weekly nurse visits. The MAC Pricing model serves as the foundational pricing mechanism across all services.
Differentiator
Problem solved
Functional benefit
Products and services
- Pharmacy Services Long-term care pharmacy dispensing services providing prescription medications to residents of skilled nursing and long-term care facilities at state Medicaid-based MAC pricing, with white-glove delivery, 5-star customer service, and weekly on-site nurse support.
- Nursing Services On-site registered nurse support for facility nursing staff including mock surveys, in-services, weekly facility visits, spot checks of refrigerated items and medication carts, and direct troubleshooting.
- Pharmacy Consulting Medication management reviews, clinical recommendations, and reporting services delivered by MAC Rx pharmacy staff to enhance resident care quality and facility regulatory compliance.
- MAC Pricing Program State Medicaid-based Maximum Allowable Cost (MAC/SMAC) pricing model for generic medications delivered to long-term care facilities, providing 13%-28% savings versus other long-term care pharmacies with transparent, auditable billing.
Quantifiable outcome
- 13%-28% average savings on prescription medication costs versus other long-term care pharmacies
- +2 more outcomes
Companies that use MAC Rx
Customer profileNamed customers2 records
Segments3 records
Ideal customer profiles2 records
MAC Rx technology and API
TechnologyTechnology focussed No
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Feature3 records
MAC Rx partnerships and signals
Strategic signalScale indicators6 records
Recent moves5 records
Expansion highlights5 records
MAC Rx competitors and assessment
Company assessmentBroad incumbents
- Omnicare (CVS Health): Once the largest standalone LTC pharmacy in the U.S., now a CVS Health subsidiary serving skilled nursing and assisted living facilities nationwide. Comparable because it dispenses prescription medications to LTC and SNF residents, the same core service MAC Rx provides, but at vastly greater scale and as part of a much broader retail/PBM portfolio.
Direct peers
- PharMerica: One of the two largest U.S. long-term care pharmacy operators, dispensing to skilled nursing, assisted living, and behavioral health facilities. Directly comparable to MAC Rx as a national LTC pharmacy serving facility residents with similar dispensing, consulting, and clinical service offerings.
- Guardian Pharmacy Services: Major U.S. LTC pharmacy group operating through regional partner pharmacies serving assisted living, skilled nursing, and behavioral health facilities. Directly comparable to MAC Rx's regional, service-led LTC pharmacy model, with similar customer base of facility operators.
- Polaris Pharmacy Services: Independent LTC and specialty pharmacy serving skilled nursing, assisted living, and behavioral health facilities on the East Coast. Directly comparable as a mid-size independent LTC pharmacy competing on service quality and clinical support to the same facility customer segment MAC Rx targets.
- PharmScript: Specialty LTC pharmacy focused on skilled nursing and assisted living facilities, providing dispensing, delivery, and clinical consulting. Directly comparable to MAC Rx in customer segment, product offering, and emphasis on customer service differentiation.
- ExactCare Pharmacy: LTC and home-based pharmacy serving patients with complex, chronic medication regimens, including facility and community-dwelling seniors. Comparable to MAC Rx as a pharmacy serving chronic-care senior populations with adherence packaging and clinical services.
- Remedi SeniorCare: Regional LTC pharmacy operating a network of pharmacy hubs serving skilled nursing and assisted living facilities across the Midwest and Mid-Atlantic. Directly comparable to MAC Rx as a facility-focused LTC pharmacy emphasizing technology-enabled dispensing and consultant pharmacist services.
- Diamond Pharmacy Services: Independent LTC pharmacy group serving skilled nursing, assisted living, and behavioral health facilities, with operations in multiple states. Comparable to MAC Rx as a mid-size independent LTC pharmacy with a regional, service-led model.
Others
- Innovatix: Group purchasing organization serving independent LTC pharmacies, senior living operators, and non-acute healthcare providers. Adjacent to MAC Rx as an enabling partner that helps independent LTC pharmacies compete on purchasing and contracts against national chains.
- Framework LTC (FrameworkVision): MAC Rx's own customer-facing portal for LTC facility clients, reflecting a category of pharmacy technology and documentation platforms used by LTC facilities. Listed as a related ecosystem technology rather than a competing pharmacy operator.
Market position
Strengths5 records
Weaknesses5 records
Competitive moat5 records
Key risks6 records
Key highlights6 records
Customer concentration
MAC Rx social profiles
Digital presenceMAC Rx financial estimates
Financial estimateRevenue estimate
Valuation estimate
MAC Rx leadership team
Management profileNumber of profiles
Profiles1 record
MAC Rx funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
MAC Rx M&A and investment
M&A and investmentM&A
Investments
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about MAC Rx
What does MAC Rx do?
MAC Rx dispenses prescription medications to residents of long-term care and skilled nursing facilities using state Medicaid-based Maximum Allowable Cost (MAC) pricing, charges generic drugs at the state MAC rate plus $5.50 per prescription, and uses a WAC-based formula for single-source brand drugs. Beyond dispensing, it provides on-site nursing support (weekly facility visits, mock surveys, in-services, and cart/refrigerated item spot checks) and pharmacy consulting services including medication management reviews and clinical reporting.
Is MAC Rx a public or private company?
MAC Rx is a private company. It is classified as founder individual operated bootstrapped and is currently operating.
When was MAC Rx founded?
MAC Rx was founded in 2014. It employs 101 to 250 people.
Where is MAC Rx based?
MAC Rx is headquartered in Des Plaines, United States, in the North America region.
How does MAC Rx make money?
Three revenue lines are on record. Pharmacy Dispensing is the primary driver. The others are nursing Services and pharmacy Consulting.
Who are MAC Rx's main competitors?
Omnicare (CVS Health) is listed as a broad incumbent. Direct peers are PharMerica, Guardian Pharmacy Services, Polaris Pharmacy Services, PharmScript, ExactCare Pharmacy, Remedi SeniorCare and Diamond Pharmacy Services. Others are Innovatix and Framework LTC (FrameworkVision).
Does MAC Rx have an API?
No public API is recorded for MAC Rx.
What industry is MAC Rx in?
MAC Rx's product category is Long-Term Care Pharmacy Services. Its primary akta.pro industry code is HSABALAB, Medication Setup & Organization (Pill Boxes/Dispill/Packaging), with a secondary code of HSABALAG, Injectables & Specialty Medication Support (e.g., insulin, biologics). Its NAICS code is 456110 and its SIC code is 5912.