Net-Rx

What Net-Rx does

Net-Rx, an MHA Solution, is a private U.S. pharmacy management software subsidiary of Managed Health Care Associates, Inc. (MHA), headquartered in Parsippany, NJ, with over 20 years of operational experience serving pharmacies. The company provides an interlocking, cloud-based suite of pharmacy reimbursement and business intelligence products: RecRx (third-party claims reconciliation achieving up to 100% reconciliation via automated matching of insurance payments to dispense system data), EditRx (proprietary post-adjudication claims editing with dedicated Reimbursement Analyst support), Script-IQ® (pre-edit claim quality checking for LTC pharmacies integrated with dispensing software), Metric-Rx® (business intelligence platform with nightly data refresh), Price-It Rx (real-time cash/private-pay prescription pricing), and Contract Assure (exclusive MHA member tool for verifying LTC contracted Medicare Part D rates). These are delivered as a platform-plus-modules architecture anchored by the Pharmacy Reimbursement Suite bundling RecRx and EditRx, and the company integrates directly with 110+ third-party payers and major dispensing systems (BestRx, QS1, Rx30, PrimeRx, WellSky, among others). Net-Rx is also a CMS-certified Third-Party Support Entity (TPSE) within the Medicare Transaction Facilitator Data Module, enabling IRA-era manufacturer refund reconciliation.

The company generates revenue primarily through subscription-based software pricing scaled to pharmacy volume and service selection, supplemented by optional professional services such as Third-party Accounts Receivable, Archive Assistance, and Aging Assist. Pricing is quote-based and not publicly disclosed. Go-to-market is sales-led and consultative, combining direct sales (phone, live chat, web forms) with distribution through MHA's GPO network, customer referrals, and presence at industry events such as NCPA. Net-Rx serves four primary verticals — Long-Term Care, Retail Chain, Community Retail, and Combo Pharmacies — with named customers spanning SMBs (Okeechobee Discount Drugs, CHN Green Lake, Maxwell Pharmacy), mid-market (Parkview Health Services, Hartig Pharmacy Services), and enterprise (Tristate Medical Group Pharmacies, Notch Pharmacy). The company is HIPAA-compliant and recognized on the RXinsider 2025 Pharmacy500 list.

Name

Net-Rx

Legal name

Managed Health Care Associates, Inc.

Website

https://net-rx.com

Company type

Private

Founded year

2009

Operating status

Operating

Headcount range

11–50 employees

Short description

Net-Rx is a U.S. pharmacy management software subsidiary of MHA providing cloud-based reimbursement reconciliation, claims editing, pricing, and business intelligence solutions to long-term care, retail chain, community, and combo pharmacies across the United States.

Ownership category

akta.pro rank

Product category

Pharmacy Revenue Cycle Management

NAICS

Custom Computer Programming Services (541511)

SIC

Wholesale-Drugs, Proprietaries & Druggists' Sundries (5122)

akta.pro primary industry

Patient Billing, Statements & Payment Processing (HLACACAG)

akta.pro secondary industry

Medication Pricing, Copay Assistance & Patient Financial Support Tools (HLACAKAN)

Keywords

• Pharmacy revenue cycle management
• Claims reconciliation software
• Reimbursement analytics
• Prescription pricing software
• Long-term care pharmacy

Headquarters

HQ city

Vancouver

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Software

Cost components

Personnel, Technology or R&D, Operations, Marketing or Sales, Infrastructure

Revenue model

1. Pharmacy Software Solutions Subscription: Net-Rx generates revenue through subscription-based software solutions for pharmacy reimbursement management, claims reconciliation, and business analytics. Services include RecRx, EditRx, Metric-Rx, Price-It Rx, Script-IQ, Contract Assure, and bundled Reimbursement Suite. Pricing appears to be based on pharmacy volume and specific services utilized.
2. Add-on Services: Additional revenue from optional add-on services including Third-party Accounts Receivable, Archive Assistance, and Aging Assist that provide enhanced reconciliation and follow-up capabilities.

Go-to-market motion1 record

Distribution channels3 records

Marketing channels4 records

Core offering

Net-Rx provides pharmacy-focused revenue cycle, reimbursement, claims, pricing, and business analytics software and services. Its portfolio supports long-term care, retail-chain, community, and combo pharmacies with pre-claim editing, post-claim analysis, third-party reconciliation, contracted-rate verification, prescription pricing, and performance analytics.

Product overview

Net-Rx provides an interlocking suite of pharmacy management software solutions designed to drive operational excellence and optimum financial performance. The portfolio includes core products for reconciliation (RecRx), post-claim editing (EditRx), pre-claim submission validation (Script-IQ), contract rate verification (Contract Assure), prescription pricing (Price-It Rx), and business analytics (Metric-Rx). These solutions work together through a bundled platform offering called the Pharmacy Reimbursement Suite, which combines RecRx and EditRx. The architecture follows a platform-plus-modules design where Reimbursement Suite serves as the primary integration point, with Script-IQ providing pre-submission error detection that complements the post-adjudication analysis of EditRx, and Metric-Rx providing overarching business intelligence across all solutions.

Differentiator

Problem solved

Functional benefit

Brands

• RecRx: Pharmacy claims reconciliation solution that automates the matching process between adjudicated claims data and actual payment amounts received from third-party payers.
• EditRx
• Metric-Rx
• Price-It Rx
• Contract Assure
• Reimbursement Suite
• Script-IQ

Products and services

• Contract Assure An exclusive tool for MHA Long Term Care Network members that verifies that LTC pharmacies are paid according to MHA-negotiated contracted rates for Medicare Part D plans, enabling recovery of missing revenue.
• EditRx An enhanced claims analysis service using proprietary analytics and dedicated Reimbursement Analyst support to detect and correct billing and database errors, resulting in increased profitability.
• Metric-Rx A business analytics platform providing key performance indicators such as profitability, utilization, and comparable metrics to help pharmacies make informed business decisions.
• Price-It Rx A prescription pricing tool delivering real-time cash and private-pay pricing consistent with the market, allowing pharmacies to manage profits, serve non- and underinsured patients, and maintain internal efficiencies.
• RecRx A third-party claims reconciliation solution achieving up to 100% reconciliation by automating the matching of insurance payments to dispensing-system claims data and promise-to-pay amounts from adjudication.
• Pharmacy Reimbursement Suite A comprehensive integrated service combining RecRx and EditRx to detect billing and database errors, identify underpaid claims, and provide actionable, data-driven insights with a dedicated Reimbursement Analyst.
• Script-IQ A pre-claim submission editing solution for long-term care pharmacies that detects and corrects errors before transactions reach the switch or payer, improving reimbursements and payment timeliness.
• Third-party Accounts Receivable An optional add-on service for third-party accounts-receivable reconciliation and follow-up.
• Archive Assistance An optional archive-assistance service associated with Net-Rx's enhanced reconciliation and follow-up capabilities.
• Aging Assist An optional aging-assistance service associated with Net-Rx's enhanced reconciliation and follow-up capabilities.

Quantifiable outcome

• $15.3 million recovered for customers in 2022
• +3 more outcomes

Named customers7 records

Segments4 records

Ideal customer profiles5 records

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration15 records

Feature6 records

Partnerships

One partnership is on record.

• Managed Health Care Associates, Inc. (MHA)coreStrategic or Co-development PartnerNet-Rx operates as an MHA Solution, part of the Managed Health Care Associates family of companies. MHA is a leading health care services and software company serving alternate site health care providers. Net-Rx plays a key role in providing software and services to the post-acute landscape. MHA membership provides access to exclusive Contract Assure tool for verifying LTC pharmacy contracted rates.

Scale indicators4 records

Recent moves5 records

Expansion highlights5 records

Direct peers

• Rx30 (Transaction Data Systems): Pharmacy management software for independent and chain pharmacies; directly comparable dispensing platform that Net-Rx integrates with and could be displaced by for analytics/reconciliation.
• Computer-Rx: Pharmacy management software serving independent and community pharmacies; integrated with Net-Rx and competes for the same pharmacy IT spend.
• PioneerRx: Pharmacy management software vendor for independent and community pharmacies; comparable because Net-Rx integrates with PioneerRx and competes for the same pharmacy IT budget.
• FrameworkLTC (SoftWriters): Long-term care pharmacy management software; Net-Rx lists FrameworkLTC as an integration partner and competes for the LTC pharmacy software stack.
• BestRx: Pharmacy management software for independent pharmacies; Net-Rx lists BestRx as an integrated dispensing platform and competes for the same pharmacy customer.
• PrimeRx (Micro Merchant Systems): Pharmacy management system for independent and chain pharmacies; Net-Rx integrates with PrimeRx and competes for the same pharmacy software budget.
• KeyCentrix: Pharmacy software for retail and LTC pharmacies; Net-Rx integrates with KeyCentrix, making it a peer for pharmacy software and analytics spend.
• QS/1 (Inmar): Pharmacy management and POS solutions serving independent, chain, and LTC pharmacies; competes for the same pharmacy software wallet and integrates with Net-Rx.

Broad incumbents

• Surescripts: Dominant e-prescribing and health information network used by pharmacies; broader incumbent in pharmacy IT whose network and clinical tools overlap with Net-Rx's payer-data integrations.
• CoverMyMeds (McKesson): Prior authorization and medication access platform serving pharmacies and prescribers; broader healthcare incumbent with adjacent pharmacy reimbursement and benefit technology.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

• LinkedInlinkedin.com/company/net-rx

Compliance1 record

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 Net-Rx