Pharmacy First
Pharmacy First is an independent, privately held PSAO based in Overland Park, KS that delivers credentialing, contracting, claims reconciliation, and clinical services to 2,100+ independent community pharmacies (5,600+ combined with AlignRx). It generates revenue through recurring administrative fees from pharmacy network members without wholesaler affiliation requirements.
- Company typePrivate
- Founded2001
- HeadquartersOverland Park, United States
- Headcount11–50
- GTM typeB2B
- OfferingServices
What Pharmacy First does
Pharmacy First is a privately held, independent Pharmacy Services Administrative Organization (PSAO) headquartered in the Kansas City metro area (Overland Park / Shawnee Mission, KS), founded around 2001. It provides back-office administrative services to independent community pharmacies, including PBM network credentialing, contracting, claims reconciliation, and a suite of operational and clinical services. According to the company, it has reconciled $53 billion in pharmacy claims over its roughly 20-year operating history and reports 100% compliance with PBM Network Audits, with a stated customer base of 2,100+ independent pharmacies prior to its AlignRx deal.
The company's core offering is a PSAO services platform centered on credentialing and contract management with multiple PBMs, claims reconciliation against expected reimbursement, and a member portal for account access (authentication tied to pharmacy NCPDP identifiers). The product surface is extended by add-on modules for credentialing, claims reconciliation, and clinical services. Pharmacy First differentiates by being unaffiliated with any wholesaler or buying group, allowing pharmacies to retain freedom of choice in procurement. Its go-to-market is direct enterprise/field sales targeting mid-market independent pharmacies, supported by phone (800-460-1575), email, LinkedIn, and Twitter presence.
The business model is recurring administrative fees paid by pharmacy network members, with pricing not publicly disclosed. Revenue mechanics are opaque from the public record. On April 1, 2023, Pharmacy First became a joint owner of AlignRx alongside Pharmacy Providers of Oklahoma and Arete Pharmacy Network, expanding its combined network to 5,600+ community pharmacies and positioning AlignRx as the largest PSAO in the segment. No institutional investors, parent company, or venture capital ownership is disclosed.
Pharmacy First firmographics
Firmographics- Name
- Pharmacy First
- Legal name
- Pharmacy First
- Website
- https://pharmacyfirst.com
- Company type
- Private
- Founded year
- 2001
- Operating status
- Operating
- Headcount range
- 11–50 employees
- Short description
- Pharmacy First is an independent, privately held PSAO based in Overland Park, KS that delivers credentialing, contracting, claims reconciliation, and clinical services to 2,100+ independent community pharmacies (5,600+ combined with AlignRx). It generates revenue through recurring administrative fees from pharmacy network members without wholesaler affiliation requirements.
- Ownership category
- akta.pro rank
Pharmacy First industry classification
Industry- Product category
- Pharmacy Services Administration
- NAICS
- Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds (524292)
- SIC
- Services-Misc Health & Allied Services, Nec (8090)
- akta.pro primary industry
- Pharmacy Benefit/Channel Services (PSAO, 340B Admin, Chargebacks/Rebates Ops) (CRAOAHAK)
- akta.pro secondary industry
- Pharmacy Benefit Management (PBM) & Pharmacy Network Administration (HLAFALAI)
Keywords
Where Pharmacy First is headquartered
LocationHeadquarters
- HQ city
- Overland Park
- HQ country
- United States
- HQ region
- North America
Offices2 records
Markets served
Pharmacy First business model
Business model- GTM type
- B2B
- Offering type
- Services
- Cost components
- Personnel, Operations, Technology or R&D, Marketing or Sales
Revenue model
- PSAO Administrative Services: Pharmacy Services Administrative Organization providing backend administrative services to independent pharmacies including credentialing, contracting, network management, and claims reconciliation. Revenue derived from administrative fees charged to pharmacy network members.
Go-to-market motion1 record
Distribution channels1 record
Marketing channels3 records
Pharmacy First product offering
Product offeringCore offering
Pharmacy First is an independent Pharmacy Services Administrative Organization (PSAO) that provides administrative services to independent community pharmacies. Its core services include PBM credentialing, contracting, claims reconciliation, operational support, and clinical services, delivered through a pharmacy-centric business platform.
Product overview
Pharmacy First is a premier Pharmacy Services Administrative Organization (PSAO) offering a unified platform with multiple integrated service modules. The core PSAO Services Platform provides credentialing, contracting, and claims reconciliation capabilities, complemented by a Member Portal for administrative access and Clinical Services for operational support. Collectively, these services serve over 2,100 network pharmacies with a track record of reconciling $53 billion in pharmacy claims and maintaining 100% PBM Network Audit compliance.
Differentiator
Problem solved
Functional benefit
Products and services
- PSAO Services Platform
Quantifiable outcome
- 100% Compliance with PBM Network Audits
- +1 more outcomes
Companies that use Pharmacy First
Customer profileNamed customers1 record
Segments1 record
Ideal customer profiles1 record
Pharmacy First technology and API
TechnologyTechnology focussed No
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Feature1 record
Pharmacy First partnerships and signals
Strategic signalPartnerships
One partnership is on record.
- AlignRxcorePharmacy First became a joint owner of AlignRx alongside Pharmacy Providers of Oklahoma, Inc. (PPOk) and Arete Pharmacy Network LLC on April 1, 2023. The partnership combines AlignRx's 3,500+ network pharmacies with Pharmacy First's 2,100+ network pharmacies, creating the largest PSAO serving over 5,600 community pharmacies. Both organizations share the mission of ensuring long-term prosperity and relevance of community pharmacy in healthcare.
Scale indicators5 records
Recent moves4 records
Expansion highlights4 records
Pharmacy First competitors and assessment
Company assessmentBroad incumbents
- Good Neighbor Pharmacy (AmerisourceBergen): Wholesaler-affiliated PSAO network under AmerisourceBergen/Cencora serving independent pharmacies with credentialing, contracting, and clinical support — a much larger but wholesaler-tied competitor to Pharmacy First's independent positioning.
- Cardinal Health Pharmacy Services: Wholesaler-affiliated PSAO and pharmacy network administered by Cardinal Health, providing credentialing and contract management for independent pharmacies. Competes with Pharmacy First at scale but lacks the independent-ownership angle.
- McKesson RxOwnership / PSAO Services: Wholesaler-affiliated PSAO and pharmacy ownership solutions offered by McKesson to independent pharmacies, combining distribution with administrative services as part of a broader portfolio.
Emerging players
- Aspen RxHealth: Tech-enabled clinical services network for pharmacists, adjacent to PSAO offerings. Not a direct PSAO competitor but increasingly relevant as independent pharmacies seek clinical services revenue alongside administrative support.
Direct peers
- Arete Pharmacy Network: Independent PSAO and joint owner of AlignRx. Provides credentialing, contracting, and other administrative services to independent pharmacies, directly overlapping with Pharmacy First's core offering and member base.
- AlignRx: PSAO jointly owned by Pharmacy First, PPOk, and Arete Pharmacy Network serving 3,500+ network pharmacies. Operates the same PSAO business model (credentialing, contracting, claims reconciliation) for independent community pharmacies and is now structurally intertwined with Pharmacy First.
- Independent Pharmacy Cooperative (IPC) / PBA Health: Independent pharmacy services organization (formed via PBA Health / IPC combination) offering PSAO-style services, group purchasing, and member support to independent community pharmacies nationally.
- Pharmacy Providers of Oklahoma (PPOk): Independent PSAO based in Oklahoma and the third joint owner of AlignRx. Offers contracting and administrative services to community pharmacies with a comparable business model and customer segment.
Others
- Pharmacy Times / Pharmacy Networks Coalition: Industry media and advocacy group closely tied to the PSAO and independent pharmacy ecosystem; provides context on competitive dynamics and regulatory issues affecting Pharmacy First's market.
- NCPA (National Community Pharmacists Association): Trade association representing independent community pharmacies — Pharmacy First's core customer base. NCPA shapes policy and advocacy that materially affects Pharmacy First's regulatory and reimbursement environment.
Market position
Strengths4 records
Weaknesses4 records
Competitive moat4 records
Key risks5 records
Key highlights6 records
Customer concentration
Pharmacy First social profiles
Digital presencePharmacy First financial estimates
Financial estimateRevenue estimate
Valuation estimate
Pharmacy First leadership team
Management profileNumber of profiles
Pharmacy First funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
Pharmacy First 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 Pharmacy First
What does Pharmacy First do?
Pharmacy First is an independent Pharmacy Services Administrative Organization (PSAO) that provides administrative services to independent community pharmacies. Its core services include PBM credentialing, contracting, claims reconciliation, operational support, and clinical services, delivered through a pharmacy-centric business platform.
Is Pharmacy First a public or private company?
Pharmacy First is a private company. It is classified as unknown and is currently operating.
When was Pharmacy First founded?
Pharmacy First was founded in 2001. It employs 11 to 50 people.
Where is Pharmacy First based?
Pharmacy First is headquartered in Overland Park, United States, in the North America region.
How does Pharmacy First make money?
One revenue line is on record: PSAO Administrative Services.
Who are Pharmacy First's main competitors?
Broad incumbents on record are Good Neighbor Pharmacy (AmerisourceBergen), Cardinal Health Pharmacy Services and McKesson RxOwnership / PSAO Services. Aspen RxHealth is listed as an emerging player. Direct peers are Arete Pharmacy Network, AlignRx, Independent Pharmacy Cooperative (IPC) / PBA Health and Pharmacy Providers of Oklahoma (PPOk). Others are Pharmacy Times / Pharmacy Networks Coalition and NCPA (National Community Pharmacists Association).
Does Pharmacy First have an API?
No public API is recorded for Pharmacy First.
What industry is Pharmacy First in?
Pharmacy First's product category is Pharmacy Services Administration. Its primary akta.pro industry code is CRAOAHAK, Pharmacy Benefit/Channel Services (PSAO, 340B Admin, Chargebacks/Rebates Ops), with a secondary code of HLAFALAI, Pharmacy Benefit Management (PBM) & Pharmacy Network Administration. Its NAICS code is 524292 and its SIC code is 8090.