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AvaCare

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uuid000rxh1

Namestring
AvaCare
Legal namestring
AvaCare, Inc.
Websiteurl
avacare.biz
Company typeenum
Private
Founded yearint
2019
Descriptiontext

AvaCare, Inc. is a privately held pharmacy benefits manager (PBM) founded in 2019 and headquartered in Greensboro, North Carolina, that operates exclusively in the hospice care vertical. The company was co-founded by Keith B. Sanderson (CEO) and Tammi M. Summers (President), both of whom combine pharmacy operations backgrounds with hospice and respiratory care experience. AvaCare sells a managed-services PBM suite to hospice organizations, including pharmacy claims management, customizable formularies, medication therapy management (with deprescribing guidance and drug therapy consolidation), e-prescribe integration, dashboard metrics and reporting, clinical education, implementation, training, and 24/7/365 pharmacist consulting.

The underlying platform combines a client-facing portal (my.avacare.biz) with HIPAA-compliant data encryption, electronic prescribing, and business intelligence dashboards tailored to hospice clinical and cost workflows. AvaCare does not own dispensing infrastructure; instead, it partners with local pharmacies to fulfill prescriptions while acting as the coordinating PBM layer, and it maintains a co-marketing partnership with PDC Rx.

AvaCare's business model is managed-services revenue derived from service fees and pharmacy claims economics, with quote-based/undisclosed pricing set through direct sales engagement. The company is sales-led, targeting hospice decision-makers (Directors of Nursing, Administrators, Owners) through phone, email, website, and the client portal. It markets itself as one of the few privately owned hospice PBMs, positioning independence from external investor pressures as a clinical and customer-service differentiator against large generalist PBMs. No institutional funding, acquisition history, or revenue disclosures are present in the source material.

Short descriptiontext

AvaCare is a privately held, hospice-exclusive pharmacy benefits manager that provides pharmacy claims management, customizable formularies, medication therapy management, e-prescribing, reporting, and 24/7 pharmacist consulting to hospice organizations across the United States.

Operating statusenum
Operating
Ownership categoryenum
Headcount rangeband
11–50
akta.pro rankint
HeadquartersGreensboro, United States
HQ citystring
Greensboro
HQ countrystring
United States
HQ regionstring
North America
Markets served

Serves global market

Offices1 record

Each record includes

City, Country, Type, Description, Source

Keyword5 values
hospice pharmacy benefits, pharmacy benefits management, medication therapy management, hospice pharmacy services, formulary management
Industry4 codes
1Pharmacy Benefit Management (PBM) & Pharmacy Network Administration
CodeHLAFALAIPrimaryYes
2Formulary Management & Clinical Pharmacy Programs
CodeHLAEAKAAPrimaryNo
3Claims Processing, Adjudication & Payment Integrity
CodeHLAEAKACPrimaryNo
4PBM Technology Platforms (ePA/eRx/Real-Time Benefit Tools)
CodeHLAEAKALPrimaryNo
NAICS code1 code
  • Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds524292
SIC code1 code
  • Hospital & Medical Service Plans6324
Product category
Pharmacy Benefits Management (Hospice PBM)
Social media profiles1 record
GTM motion1 record

Each record includes

Type, Description, Source

Revenue model1 record
1Pharmacy Benefits Management Services
TypeManaged Services
Description

AvaCare operates as a Pharmacy Benefits Manager (PBM) specifically serving hospice organizations. The company generates revenue through managed pharmacy benefits services, providing formulary management, claims processing, medication therapy management, and clinical consulting. As one of the few privately owned hospice PBMs, it can focus on patient care and cost-effectiveness without external pressures. Revenue is derived from service fees and potentially spread/markup on pharmacy claims processing.

avacare.biz
Marketing channels4 records

Each record includes

Title, Type, Stage, Description, Source

Distribution channels3 records

Each record includes

Title, Type, Scope, Target buyer, Description, Source

Cost components6 values
Personnel, Operations, Technology or R&D, Marketing or Sales, Infrastructure, Supply Chain
GTM typeB2B
B2B
Offering typeServices
Services
Core offering1 text field

AvaCare is a pharmacy benefits manager (PBM) exclusively serving hospice organizations. The company provides pharmacy claims management, customizable formularies, medication therapy management, e-prescribing, 24/7 pharmacist consulting, and dashboard reporting/analytics. Services are delivered through a secure client portal and supported by partnerships with local pharmacies for medication fulfillment.

Differentiator
Functional benefit
Problem solved
Product overview1 text field

AvaCare is a pharmacy benefits management (PBM) company focused exclusively on the hospice sector. The company offers a unified platform combining Medication Management (Pharmacy Claims Management, Customizable Formularies, Medication Therapy Management), Customer Service, and Business Intelligence (Dashboard Metrics, E-Prescribe Integration) with HIPAA-compliant data encryption. The core offering integrates pharmacy claims processing, clinical pharmacy services with 24/7 pharmacist consulting, e-prescribing capabilities, and reporting/analytics tools. Additional services include Clinical Education, Training, and Implementation support for hospice clients. The company provides a customer portal at my.avacare.biz for client access.

Product and service9 records
1Pharmacy Claims Management
2Customizable Formularies
3Medication Therapy Management
4E-Prescribe
5Reporting and Dashboard Analytics
624/7/365 Pharmacist Consulting
7Clinical Education
8Training
9Implementation Services
Partnership1 partner
1PDC Rx
Strategic tierCoreTypeStrategic or Co-development Partner
Description

PDC Rx is referenced as a partner with AvaCare, appearing alongside AvaCare's branding. A joint press release suggests collaboration between the two pharmacy benefits companies, with AvaCare positioned as a specialized hospice PBM and PDC Rx potentially serving as a pharmacy partner or co-marketing ally in the hospice pharmacy space.

Recent move4 records

Each record includes

Date, Type, Title, Description, Source

Expansion highlight4 records

Each record includes

Type, Description

Peers10 records
1Express Scripts
TypeBroad incumbent
Description

Large PBM offering formulary, claims processing, and specialty pharmacy services across populations; relevant as a broad incumbent that could compete for hospice business.

2OptumRx
TypeBroad incumbent
Description

Major generalist PBM within UnitedHealth Group providing formulary, claims, and clinical programs; a broad incumbent whose hospice PBM initiatives could pressure niche players like AvaCare.

3Delta Care Rx
TypeDirect peer
Description

Pharmacy services company focused on hospice and palliative care, offering customized formularies, pharmacist consulting, and dispensing — a comparable hospice-specialized PBM/pharmacy provider.

4ProCare HospiceCare
TypeDirect peer
Description

Hospice-focused PBM providing pharmacy benefits management, customized formularies, and clinical pharmacy services tailored to hospice providers, comparable to AvaCare's core offering.

5Asembia
TypeEmerging player
Description

Specialty pharmacy services and PBM-adjacent platform focused on specialty drug distribution, hub services, and patient support — relevant adjacent comparator in the specialty PBM space.

6Managed Health Care Associates (MHA)
TypeOthers
Description

GPO and pharmacy services organization serving long-term care, hospice, and specialty pharmacy providers; an ecosystem/buying-group peer that interacts with hospice PBMs and their customers.

7CVS Health / Caremark
TypeBroad incumbent
Description

One of the largest U.S. PBMs serving commercial, Medicare, and specialty populations; while not hospice-specialized, it sets the competitive benchmark and can extend into hospice PBM at scale.

8Enclara Pharmacia
TypeDirect peer
Description

Largest U.S. hospice-focused pharmacy and PBM, providing medication management, dispensing, and clinical support to hospice organizations — the most direct competitor to AvaCare's hospice PBM offering.

9PDX-Rx / PDC Rx
TypeEmerging player
Description

Long-term care and hospice pharmacy operator that is also AvaCare's stated partner; serves overlapping hospice customers and represents both a collaboration and a potential competitive adjacency.

10OnePoint Patient Care
TypeDirect peer
Description

Hospice-specialized pharmacy services provider offering local same-day delivery, clinical pharmacist support, and PBM-style services to hospices across multiple states, directly overlapping with AvaCare's value proposition.

Market position
Strengths4 records

Each record includes

Headline, Details, Source

Weaknesses4 records

Each record includes

Headline, Details, Source

Competitive moat4 records

Each record includes

Type, Details

Key risks5 records

Each record includes

Headline, Details, Source

Key highlights6 records

Each record includes

Headline, Details, Source

Customer concentration

Classification, Details

Named customers1 record

Each record includes

Name, Industry, Type, Use case, Source, UUID

Segment1 record

Each record includes

Title, Type, Primary, Description, Pain point addressed, Use case, Source

Ideal customer profile1 record

Each record includes

Profile, Firmographic size, Sales motion, Sales cycle length, Buying structure, Purchase trigger, Buyer persona, Geography, Industry vertical, Primary use case, Description, Pain points, Evidence proof points, Target buyer

Technology focused
Yes
API detail
Has APIbool
No

Docs URL, Description

AI maturity
App detail

Has app

Feature5 records

Each record includes

Title, Differentiator, Description, Source

Core technology
Revenue estimate
Valuation estimate
Number of profiles
Profiles2 records

Each record includes

Name, Designation, Designation category, Overview, Profile commentary, Source

No data
Compliance1 record

Each record includes

Name, Class, Description

Funding overview

Funding stage, Last funding date, Total funding USD

Funding rounds

Each record includes

Round, Amount USD, Date, Pre money valuation, Total investors, Investors, News

Investors

Each record includes

Name, Type, Date of entry, Rounds participated, Website

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Each record includes

Name, Acquisition type, Announced date, Completed date, Status, Website, News

Investment

Each record includes

Name, Round, Announced date, Lead investor, Website, News

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

AvaCare

Pharmacy Benefits Management (Hospice PBM)avacare.biz

AvaCare is a privately held, hospice-exclusive pharmacy benefits manager that provides pharmacy claims management, customizable formularies, medication therapy management, e-prescribing, reporting, and 24/7 pharmacist consulting to hospice organizations across the United States.

What AvaCare does

AvaCare, Inc. is a privately held pharmacy benefits manager (PBM) founded in 2019 and headquartered in Greensboro, North Carolina, that operates exclusively in the hospice care vertical. The company was co-founded by Keith B. Sanderson (CEO) and Tammi M. Summers (President), both of whom combine pharmacy operations backgrounds with hospice and respiratory care experience. AvaCare sells a managed-services PBM suite to hospice organizations, including pharmacy claims management, customizable formularies, medication therapy management (with deprescribing guidance and drug therapy consolidation), e-prescribe integration, dashboard metrics and reporting, clinical education, implementation, training, and 24/7/365 pharmacist consulting.

The underlying platform combines a client-facing portal (my.avacare.biz) with HIPAA-compliant data encryption, electronic prescribing, and business intelligence dashboards tailored to hospice clinical and cost workflows. AvaCare does not own dispensing infrastructure; instead, it partners with local pharmacies to fulfill prescriptions while acting as the coordinating PBM layer, and it maintains a co-marketing partnership with PDC Rx.

AvaCare's business model is managed-services revenue derived from service fees and pharmacy claims economics, with quote-based/undisclosed pricing set through direct sales engagement. The company is sales-led, targeting hospice decision-makers (Directors of Nursing, Administrators, Owners) through phone, email, website, and the client portal. It markets itself as one of the few privately owned hospice PBMs, positioning independence from external investor pressures as a clinical and customer-service differentiator against large generalist PBMs. No institutional funding, acquisition history, or revenue disclosures are present in the source material.

AvaCare firmographics

Firmographics
Name
AvaCare
Legal name
AvaCare, Inc.
Website
https://avacare.biz
Company type
Private
Founded year
2019
Operating status
Operating
Headcount range
11–50 employees
Short description
AvaCare is a privately held, hospice-exclusive pharmacy benefits manager that provides pharmacy claims management, customizable formularies, medication therapy management, e-prescribing, reporting, and 24/7 pharmacist consulting to hospice organizations across the United States.
Ownership category
akta.pro rank

AvaCare industry classification

Industry
Product category
Pharmacy Benefits Management (Hospice PBM)
NAICS
Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds (524292)
SIC
Hospital & Medical Service Plans (6324)
akta.pro primary industry
Pharmacy Benefit Management (PBM) & Pharmacy Network Administration (HLAFALAI)
akta.pro secondary industries
Formulary Management & Clinical Pharmacy Programs (HLAEAKAA), Claims Processing, Adjudication & Payment Integrity (HLAEAKAC), PBM Technology Platforms (ePA/eRx/Real-Time Benefit Tools) (HLAEAKAL)

Keywords

  • Hospice pharmacy benefits
  • Pharmacy benefits management
  • Medication therapy management
  • Hospice pharmacy services
  • Formulary management

Where AvaCare is headquartered

Location

Headquarters

HQ city
Greensboro
HQ country
United States
HQ region
North America

Offices1 record

Markets served

AvaCare business model

Business model
GTM type
B2B
Offering type
Services
Cost components
Personnel, Operations, Technology or R&D, Marketing or Sales, Infrastructure, Supply Chain

Revenue model

  1. Pharmacy Benefits Management Services: AvaCare operates as a Pharmacy Benefits Manager (PBM) specifically serving hospice organizations. The company generates revenue through managed pharmacy benefits services, providing formulary management, claims processing, medication therapy management, and clinical consulting. As one of the few privately owned hospice PBMs, it can focus on patient care and cost-effectiveness without external pressures. Revenue is derived from service fees and potentially spread/markup on pharmacy claims processing.

Go-to-market motion1 record

Distribution channels3 records

Marketing channels4 records

AvaCare product offering

Product offering

Core offering

AvaCare is a pharmacy benefits manager (PBM) exclusively serving hospice organizations. The company provides pharmacy claims management, customizable formularies, medication therapy management, e-prescribing, 24/7 pharmacist consulting, and dashboard reporting/analytics. Services are delivered through a secure client portal and supported by partnerships with local pharmacies for medication fulfillment.

Product overview

AvaCare is a pharmacy benefits management (PBM) company focused exclusively on the hospice sector. The company offers a unified platform combining Medication Management (Pharmacy Claims Management, Customizable Formularies, Medication Therapy Management), Customer Service, and Business Intelligence (Dashboard Metrics, E-Prescribe Integration) with HIPAA-compliant data encryption. The core offering integrates pharmacy claims processing, clinical pharmacy services with 24/7 pharmacist consulting, e-prescribing capabilities, and reporting/analytics tools. Additional services include Clinical Education, Training, and Implementation support for hospice clients. The company provides a customer portal at my.avacare.biz for client access.

Differentiator

Problem solved

Functional benefit

Products and services

  • Pharmacy Claims Management
  • Customizable Formularies
  • Medication Therapy Management
  • E-Prescribe
  • Reporting and Dashboard Analytics
  • 24/7/365 Pharmacist Consulting
  • Clinical Education
  • Training
  • Implementation Services

Companies that use AvaCare

Customer profile

Named customers1 record

Segments1 record

Ideal customer profiles1 record

AvaCare technology and API

Technology

Technology focussed Yes

API detail

Has API
No
API docs
API detail

Core technology

AI maturity

App detail

Feature5 records

AvaCare partnerships and signals

Strategic signal

Partnerships

One partnership is on record.

  • PDC RxcoreStrategic or Co-development PartnerPDC Rx is referenced as a partner with AvaCare, appearing alongside AvaCare's branding. A joint press release suggests collaboration between the two pharmacy benefits companies, with AvaCare positioned as a specialized hospice PBM and PDC Rx potentially serving as a pharmacy partner or co-marketing ally in the hospice pharmacy space.

Recent moves4 records

Expansion highlights4 records

AvaCare competitors and assessment

Company assessment

Broad incumbents

  • Express Scripts: Large PBM offering formulary, claims processing, and specialty pharmacy services across populations; relevant as a broad incumbent that could compete for hospice business.
  • OptumRx: Major generalist PBM within UnitedHealth Group providing formulary, claims, and clinical programs; a broad incumbent whose hospice PBM initiatives could pressure niche players like AvaCare.
  • CVS Health / Caremark: One of the largest U.S. PBMs serving commercial, Medicare, and specialty populations; while not hospice-specialized, it sets the competitive benchmark and can extend into hospice PBM at scale.

Direct peers

  • Delta Care Rx: Pharmacy services company focused on hospice and palliative care, offering customized formularies, pharmacist consulting, and dispensing — a comparable hospice-specialized PBM/pharmacy provider.
  • ProCare HospiceCare: Hospice-focused PBM providing pharmacy benefits management, customized formularies, and clinical pharmacy services tailored to hospice providers, comparable to AvaCare's core offering.
  • Enclara Pharmacia: Largest U.S. hospice-focused pharmacy and PBM, providing medication management, dispensing, and clinical support to hospice organizations — the most direct competitor to AvaCare's hospice PBM offering.
  • OnePoint Patient Care: Hospice-specialized pharmacy services provider offering local same-day delivery, clinical pharmacist support, and PBM-style services to hospices across multiple states, directly overlapping with AvaCare's value proposition.

Emerging players

  • Asembia: Specialty pharmacy services and PBM-adjacent platform focused on specialty drug distribution, hub services, and patient support — relevant adjacent comparator in the specialty PBM space.
  • PDX-Rx / PDC Rx: Long-term care and hospice pharmacy operator that is also AvaCare's stated partner; serves overlapping hospice customers and represents both a collaboration and a potential competitive adjacency.

Others

  • Managed Health Care Associates (MHA): GPO and pharmacy services organization serving long-term care, hospice, and specialty pharmacy providers; an ecosystem/buying-group peer that interacts with hospice PBMs and their customers.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat4 records

Key risks5 records

Key highlights6 records

Customer concentration

AvaCare social profiles

Digital presence

AvaCare compliance and trust

Trust signal

Compliance1 record

AvaCare financial estimates

Financial estimate

Revenue estimate

Valuation estimate

AvaCare leadership team

Management profile

Number of profiles

Profiles2 records

AvaCare funding detail

Funding detail

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

AvaCare M&A and investment

M&A and investment

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about AvaCare

What does AvaCare do?

AvaCare is a pharmacy benefits manager (PBM) exclusively serving hospice organizations. The company provides pharmacy claims management, customizable formularies, medication therapy management, e-prescribing, 24/7 pharmacist consulting, and dashboard reporting/analytics. Services are delivered through a secure client portal and supported by partnerships with local pharmacies for medication fulfillment.

Is AvaCare a public or private company?

AvaCare is a private company. It is classified as founder individual operated bootstrapped and is currently operating.

When was AvaCare founded?

AvaCare was founded in 2019. It employs 11 to 50 people.

Where is AvaCare based?

AvaCare is headquartered in Greensboro, United States, in the North America region.

How does AvaCare make money?

One revenue line is on record: pharmacy Benefits Management Services.

Who are AvaCare's main competitors?

Broad incumbents on record are Express Scripts, OptumRx and CVS Health / Caremark. Direct peers are Delta Care Rx, ProCare HospiceCare, Enclara Pharmacia and OnePoint Patient Care. Emerging players are Asembia and PDX-Rx / PDC Rx. Managed Health Care Associates (MHA) is listed as an others.

Does AvaCare have an API?

No public API is recorded for AvaCare.

What industry is AvaCare in?

AvaCare's product category is Pharmacy Benefits Management (Hospice PBM). Its primary akta.pro industry code is HLAFALAI, Pharmacy Benefit Management (PBM) & Pharmacy Network Administration, with a secondary code of HLAEAKAA, Formulary Management & Clinical Pharmacy Programs. Its NAICS code is 524292 and its SIC code is 6324.

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