PerformSpecialty

What PerformSpecialty does

PerformSpecialty is a full-service specialty pharmacy founded in 2014 and headquartered in Orlando, Florida, operating as a wholly owned subsidiary of PerformRx, which itself sits within AmeriHealth Caritas, a Medicaid managed care organization. The company dispenses specialty medications for serious and chronic conditions including multiple sclerosis, hepatitis C, rheumatoid arthritis, RSV, cancer, and rare diseases, with an explicit focus on Medicaid beneficiaries and underinsured populations. Its service portfolio includes disease-specific Patient Support Programs, Adherence Programs, Fulfillment with access to limited distribution medications, Complete Pharmaceutical Care Management (prior authorization, care plan implementation, payer coordination), and Refill Reminders, delivered through a digital Patient Portal branded Connect.

The underlying technology stack centers on interoperability rather than proprietary platforms: a Surescripts Specialty Medications Gateway integration launched in April 2022 enables direct EHR access for clinical information, reducing prescription turnaround from 3-4 weeks to 2.5 days and achieving a 90% document return rate against an 80% network average. Additional integrations include the NaviNet provider portal and the Citus Health patient desktop and mobile app for messaging and document access, with VUCA Health providing medication video education. The company holds URAC Specialty Pharmacy Accreditation (third consecutive cycle as of 2021), URAC Rare Disease Center of Excellence Designation, and ACHC accreditation, which function as procurement prerequisites for payer and manufacturer contracts.

PerformSpecialty operates a B2B2C go-to-market motion: patients are acquired through prescriber referrals, payer partnerships, and manufacturer relationships, and the company serves as the operational bridge between prescribers and payers. The addressable customer base spans Medicaid/underinsured patients, healthcare prescribers, payers, and pharmaceutical manufacturers. Geographic operating scope is limited to the Southeast United States, and the parent-subsidiary structure with PerformRx and AmeriHealth Caritas indicates that a meaningful share of volume is internally sourced, with external payer contracts described at a category level rather than by named logos.

Name

PerformSpecialty

Legal name

PerformSpecialty

Website

https://performspecialty.com

Company type

Private

Founded year

2014

Operating status

Operating

Headcount range

11–50 employees

Short description

PerformSpecialty is a URAC- and ACHC-accredited specialty pharmacy, founded in 2014 and headquartered in Orlando, FL, that dispenses specialty medications and care management services to Medicaid and underinsured patients with serious conditions such as MS, hepatitis C, and rare diseases. It operates as a wholly owned subsidiary of PerformRx within the AmeriHealth Caritas Medicaid managed care organization.

Ownership category

akta.pro rank

Product category

Specialty Pharmacy Services

NAICS

Ambulatory Health Care Services (621)

SIC

Services-Health Services (8000)

akta.pro primary industry

Specialty Pharmacy & Complex Therapy Management Platforms (HLACAKAG)

Keywords

• Specialty pharmacy services
• Prescription fulfillment
• Pharmaceutical care management
• Medication adherence
• Care coordination

Headquarters

HQ city

Orlando

HQ country

United States

HQ region

North America

Offices2 records

Markets served

GTM type

B2B

Offering type

Services

Cost components

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

Revenue model

1. Specialty Pharmacy Prescription Fulfillment: PerformSpecialty generates revenue through dispensing specialty medications to patients. As a Medicaid-focused specialty pharmacy, they serve underinsured populations facing serious conditions. The company provides complete pharmaceutical care management, handling prior authorizations and care coordination.

Go-to-market motion2 records

Distribution channels3 records

Marketing channels4 records

Core offering

PerformSpecialty is a full-service specialty pharmacy that dispenses specialty medications for complex and chronic conditions including multiple sclerosis, rheumatoid arthritis, hepatitis C, and RSV. It operates as a B2B2C provider, working with prescribers, payers, and manufacturers while delivering condition-specific patient support, adherence, and care coordination services to patients, with a focus on Medicaid and underinsured populations.

Product overview

PerformSpecialty is a full-service specialty pharmacy offering an integrated portfolio of service modules centered on personalized patient care. The core offerings include Patient Support Programs (with disease-specific tracks for Multiple Sclerosis, Rheumatoid Arthritis, Hepatitis C, and RSV), Adherence Programs, Fulfillment services with access to limited distribution medications, Complete Pharmaceutical Care Management, and Refill Reminders. These services are supported by a digital Patient Portal (Connect) for member access. The company bridges prescribers, payers, and patients to achieve better health outcomes, particularly for underinsured populations.

Differentiator

Problem solved

Functional benefit

Products and services

• Specialty Medication Fulfillment Full-service dispensing and delivery of specialty medications for complex chronic conditions, serving patients referred by prescribers and reimbursed through payer contracts.
• Patient Support Programs Condition-specific support programs for multiple sclerosis, rheumatoid arthritis, hepatitis C, and RSV patients, providing education, adherence coaching, and care coordination.
• Adherence Programs Structured medication adherence support and refill reminder services designed to improve outcomes for patients on specialty therapies.
• Patient Portal (Connect) Citus Health-powered portal enabling patients to manage refills, communicate with the care team, and access support resources.

Quantifiable outcome

• Reduced prescription turnaround time from 3-4 weeks to 2.5 days
• +1 more outcomes

Named customers4 records

Segments4 records

Ideal customer profiles4 records

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration3 records

Feature3 records

Partnerships

Three partnerships are on record, tiered core.

• SurescriptscoreTechnology or Integration · 1 April 2022PerformSpecialty uses Surescripts' Specialty Medications Gateway technology to access patient clinical information directly from providers' electronic health records. This partnership has enabled reduced prescription turnaround times from 3-4 weeks to 2.5 days and achieved a 90% document return rate.
• PerformRxcoreOthersPerformSpecialty is wholly owned by PerformRx. PerformSpecialty operates as the specialty pharmacy subsidiary within the PerformRx organization.
• AmeriHealth CaritascoreChannel Partner/ Reseller/ DistributorPerformSpecialty refers job applicants to the AmeriHealth Caritas job postings page, indicating an operational relationship. PerformRx, PerformSpecialty's parent, appears to be related to the AmeriHealth Caritas organization.

Scale indicators3 records

Recent moves6 records

Expansion highlights3 records

Direct peers

• Accredo (Evernorth/Cigna): One of the largest US specialty pharmacies, dispensing specialty medications for chronic and complex conditions through mail-order. Direct competitor to PerformSpecialty across fulfillment, adherence, and patient support services, though Accredo operates at vastly greater scale.
• CVS Specialty (CVS Health): Specialty pharmacy arm of CVS Health providing specialty drug fulfillment, care management, and adherence support. Comparable to PerformSpecialty on core offering (specialty fulfillment + patient services) but with national retail footprint and integrated PBM (Caremark).
• Optum Specialty Pharmacy (formerly Diplomat): National specialty pharmacy offering dispensing, clinical management, and hub services for complex therapies including oncology, hepatitis, and rare diseases. Comparable to PerformSpecialty's disease-specific support programs and rare disease capabilities.
• Walgreens Specialty Pharmacy: Specialty pharmacy division of Walgreens offering mail-order specialty fulfillment and care management for chronic conditions. Direct overlap with PerformSpecialty on prescription fulfillment, adherence, and prior authorization support.
• PANTHERx Rare Pharmacy: Specialty pharmacy focused exclusively on rare and orphan diseases, with URAC Rare Disease Center of Excellence designation. Closest peer to PerformSpecialty on rare disease accreditation and limited distribution drug handling.
• AllianceRx Walgreens Prime: Specialty and home delivery pharmacy formed by Walgreens and Prime Therapeutics, serving health plan members with complex conditions. Comparable on payer-aligned specialty fulfillment and chronic condition support programs.
• BioPlus Specialty Pharmacy: Specialty pharmacy providing fulfillment and clinical services for complex conditions including oncology, hepatitis, and MS. Direct comparability to PerformSpecialty's disease-specific care programs and patient coordinator model.
• Kroger Specialty Pharmacy: Specialty pharmacy operated by Kroger Health offering mail-order specialty drug fulfillment and clinical support. Comparable to PerformSpecialty's mail-order specialty fulfillment model and condition-specific patient services.

Broad incumbents

• Humana Specialty Pharmacy: Specialty pharmacy operated within Humana's healthcare segment, primarily serving Medicare Advantage and Medicaid members. Comparable payer-aligned specialty model, though part of a broader health plan portfolio.
• Aetna Specialty Pharmacy (CVS Health): Specialty pharmacy capability within Aetna (a CVS Health company), serving commercial and Medicaid members. Similar payer-integrated specialty fulfillment model, embedded in a much larger carrier.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks5 records

Key highlights6 records

Customer concentration

• Xx.com/PerformSP

Compliance3 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 PerformSpecialty