Avia Partners

Name

Avia Partners

Website

https://aviapartners.com

Company type

Private

Founded year

1992

Operating status

Operating

Headcount range

1–10 employees

Short description

Avia Partners is a small, privately held U.S. pharmacy benefit manager (PBM) founded in 1992 and headquartered in Pleasanton, California. Operating with 1-10 employees, it differentiates through one-on-one, high-touch client service rather than scale-driven automation.

Ownership category

akta.pro rank

Product category

Pharmacy Benefits Management

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 Analytics, Reporting & Employer Consulting (HLAEAKAK)

akta.pro secondary industries

Copay Assistance, Patient Support & Affordability Programs (HLAEAKAI), Pharmacy Benefit Management (PBM) & Pharmacy Network Administration (HLAFALAI)

Keywords

• Pharmacy benefits management
• Prescription drug plans
• Managed care pharmacy
• Drug utilization review
• Pharmacy benefit consulting

Headquarters

HQ city

Pleasanton

HQ country

United States

HQ region

North America

Markets served

GTM type

B2B

Offering type

Services

Cost components

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

Core offering

Avia Partners is a small Pharmacy Benefits Manager (PBM) that administers prescription drug benefit programs, with a stated emphasis on providing one-on-one contact to its clients or members. The firm delivers managed care pharmacy services for plan sponsors seeking a more personalized alternative to large, high-volume PBMs.

Differentiator

Problem solved

Functional benefit

Products and services

• Pharmacy Benefits Management Services Pharmacy benefit administration services delivered with a one-on-one member contact model, intended for employer plan sponsors or benefit buyers seeking a smaller, more personalized PBM alternative.

Ideal customer profiles1 record

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Direct peers

• MedImpact Healthcare Systems: Independent, mid-to-large PBM that serves health plans, employers, and government programs with a focus on transparent, pass-through-style offerings. Directly comparable to Avia Partners as a non-vertically-integrated PBM operating outside the top-three giants.
• Capital Rx: PBM offering a claims-processing platform and pharmacy benefit management services to employers, unions, and health plans. Comparable as an alternative, technology-enabled PBM competing against the top-three for the same employer/plan RFPs.
• SmithRx: Technology-forward, smaller PBM targeting self-funded employers with transparent pricing and a high-touch service model. Closely comparable to Avia Partners' stated boutique, employer-focused positioning, with the addition of modern tech infrastructure.
• EmpiRx Health: Smaller, clinically-oriented PBM focused on self-funded employers with a high-touch, consultative service model. Highly comparable to Avia Partners' 'one-on-one contact' boutique positioning.
• Prime Therapeutics: Owned by a consortium of Blue Cross plans, Prime Therapeutics is a PBM focused on health-plan and employer clients. Comparable to Avia Partners as a PBM competing against the top three, with similar employer/plan orientation.
• WellDyneRx (now Archwell Health): Was a smaller, full-service PBM and specialty pharmacy serving health plans, employers, and government programs. Comparable as a mid/small PBM competing for similar employer and plan clients.

Broad incumbents

• Express Scripts (Evernorth / Cigna): One of the three largest PBMs in the U.S., part of Cigna's Evernorth services portfolio. Comparable as the dominant incumbent PBM that small PBMs like Avia Partners position themselves against.
• CVS Caremark: PBM arm of CVS Health, vertically integrated with retail and specialty pharmacy. Comparable as one of the three dominant PBM incumbents shaping the competitive environment Avia Partners operates within.
• OptumRx (UnitedHealth Group): PBM arm of UnitedHealth Group, integrated with Optum's care delivery and data assets. Represents the scale-end incumbent against which smaller PBMs compete for self-funded and mid-market employer business.
• Humana Pharmacy Solutions: PBM arm of Humana focused primarily on Medicare Advantage and commercial plan members. Relevant incumbent peer shaping the competitive landscape for PBM services in the U.S.

Market position

Customer concentration

• LinkedInlinkedin.com/company/avia-partners

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 Avia Partners