INR Online

What INR Online does

INR Online is a New Zealand-based, cloud-hosted clinical decision support platform that helps healthcare providers manage warfarin anticoagulation therapy. Founded in 2010 by Specialist Haematologist Dr Paul Harper and software developer Joe Harper, the company operates the Community Pharmacy Anticoagulation Management Service (CPAMS) model, enabling accredited community pharmacists to perform point-of-care INR testing, receive automated warfarin dose recommendations, and coordinate care with supervising GPs. The SaaS platform is accessed via internet browser with no local installation, automatically backs up data to independent servers, and integrates directly with CoaguChek XS Pro point-of-care testing devices through the CoaguChek Link module to transfer INR results in real time. As of a 2020 review, over 6,000 patients were being managed on the platform with time in therapeutic range consistently above 70% over five years.

The platform is offered on a subscription basis priced per patient using the software, billed monthly, and is primarily sold to community pharmacies and general practitioners in New Zealand. Pharmacists must complete accreditation through the Pharmaceutical Society of New Zealand before offering the service, and the CPAMS model is funded under the Community Pharmacy Agreement through Te Whatu Ora (New Zealand Health Authorities). In September 2022 the company announced it was rebranding to POC Health Online, a parent platform that also encompasses the Gout Buster product and is positioned as a platform for additional point-of-care health services. The company has also released companion smartphone apps (Reversing Warfarin and Dabigatran Management) for iOS and Android. INR Online is privately held, founder-owned, operates only in New Zealand, and has no disclosed external funding or institutional investors.

Name

INR Online

Legal name

INR Online Ltd

Website

https://inronline.net

Company type

Private

Founded year

2010

Operating status

Operating

Headcount range

11–50 employees

Short description

INR Online is a New Zealand-based cloud SaaS platform that provides clinical decision support for warfarin management, serving accredited community pharmacies and GPs under the CPAMS service model with over 6,000 patients managed.

Ownership category

akta.pro rank

Product category

Anticoagulation Management Software

NAICS

Computing Infrastructure Providers, Data Processing, Web Hosting, and Related Services (51821)

SIC

Services-Prepackaged Software (7372)

akta.pro industry

PRIMARYHLALABAL

Virtual Pharmacy & Medication Management Integration Platforms

Healthcare & Life Sciences/Telehealth Platforms/Provider-Integrated Virtual Care Platforms (Health Systems/Clinics)

SECONDARYHLACAPAK

Remote Diagnostics & Point-of-Care (Connected Testing, Home Lab Devices)

Healthcare & Life Sciences/Digital Health & Health IT/Healthcare IoT & Remote Patient Monitoring

SECONDARYHLALACAE

Chronic Condition Virtual Care & Disease Management (Payer-Sponsored)

Healthcare & Life Sciences/Telehealth Platforms/Payer-Sponsored Virtual Care Platforms

Keywords

• Anticoagulation management software
• Warfarin dosing software
• Point-of-care INR testing
• Clinical decision support
• Community pharmacy SaaS

Headquarters

HQ city

Palmerston North

HQ country

New Zealand

HQ region

Oceania

Offices1 record

Markets served

GTM type

B2B

Offering type

Software

Cost components

Technology or R&D, Personnel, Operations, Infrastructure

Revenue model

1. Subscription-based Software Licensing: INR Online operates on a subscription model where healthcare providers pay based on the number of patients using the software, avoiding high upfront software license costs.

Pricing tiers

Go-to-market motion1 record

Distribution channels1 record

Marketing channels4 records

Core offering

INR Online is a cloud-based SaaS platform that provides decision support software for warfarin anticoagulation management. It enables community pharmacies and GPs to perform point-of-care INR testing, receive automated warfarin dose recommendations, generate patient dosing calendars, and send results to patient management systems via an internet browser without local software installation. The platform integrates with CoaguChek point-of-care testing devices and supports the Community Pharmacy Anticoagulation Management Service (CPAMS) workflow in New Zealand.

Product overview

INR Online is a web-based warfarin management platform providing decision support software for anticoagulation therapy. The core product, INR Online, integrates with the CPAMS (Community Pharmacy Anticoagulation Management Service) model to enable pharmacists to manage warfarin patients. The company has rebranded under POC Health Online as a parent platform that also includes Gout Buster. INR Online offers point-of-care testing integration via CoaguChek devices and includes companion smartphone apps for warfarin overdose management and dabigatran dosing. The system operates entirely over the internet with no local software installation required, automatically backing up data and sending results to patient management systems.

Differentiator

Problem solved

Functional benefit

Products and services

• INR Online Web-based anticoagulation management system that provides warfarin dose recommendations based on INR test results. Accessible via internet browser with no software installation required. Targeted at community pharmacies and general practitioners managing warfarin patients.
• Gout Buster Point-of-care health product for gout management, part of the POC Health Online portfolio alongside INR Online.
• Reversing Warfarin (Smartphone App) Mobile application available on iOS and Android to assist healthcare providers with managing warfarin overdose situations and treatment protocols.
• Dabigatran Management (Smartphone App) Mobile application to help with dabigatran (Pradaxa) dosing management, available on iOS and Android app stores.

Quantifiable outcome

• Time in therapeutic range consistently maintained over 70% for the last 5 years
• +2 more outcomes

Named customers1 record

Segments3 records

Ideal customer profiles2 records

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration1 record

AI capability2 records

Feature5 records

Partnerships

Five partnerships are on record, tiered core and minor.

• Firecrest SystemscoreTechnology or IntegrationFirecrest Systems provides software development and help desk support services for INR Online. They handle technical development and customer support functions.
• Pharmaceutical Society of New ZealandcoreImplementation/ SI/ Consulting PartnerThe Pharmaceutical Society provides accreditation training for pharmacists wanting to offer the CPAMS anticoagulation management service. Pharmacists must complete this training before providing INR testing services using INR Online.
• Coagulation ConversationminorStrategic or Co-development PartnerExternal blog resource providing patient and healthcare provider education on coagulation topics and COVID-19 information related to anticoagulation.
• Te Whatu Ora (New Zealand Health Authorities)coreStrategic or Co-development PartnerGovernment health authority providing Community Pharmacy Agreement funding and oversight for the CPAMS anticoagulation management service. INR Online operates under this framework for pharmacy-based INR testing.
• POC Health OnlinecoreOthersPOC (Point Of Care) Health Online is the parent company that INR Online is rebranding to. It incorporates all health products including INR Online and Gout Buster, serving as the platform for future services.

Scale indicators3 records

Recent moves7 records

Expansion highlights4 records

Broad incumbents

• Oracle Health (formerly Cerner): Oracle Health provides large-scale EHR and population health platforms with embedded clinical decision support. Like Epic, it represents a horizontal incumbent whose anticoagulation decision-support features could erode the niche INR Online occupies.
• Wolters Kluwer (UpToDate / Medi-Span): Wolters Kluwer provides broad clinical decision support and drug-interaction databases (UpToDate, Medi-Span, Lexicomp) used by pharmacists and physicians. It overlaps with INR Online's dosing guidance use case as part of a much larger health informatics portfolio.
• Hearst Health (First Databank / Zynx Health): Hearst Health subsidiaries (FDB, Zynx) provide clinical decision support, drug knowledge bases, and evidence-based care guidance embedded in EHRs. They are a horizontal incumbent competing for the same pharmacy clinical-workflow budget INR Online serves.
• Epic Systems: Epic is the dominant acute-care EHR vendor and offers integrated decision support modules that could subsume warfarin dosing functionality over time. It represents the most significant long-term competitive threat from horizontal health IT platforms.

Direct peers

• DoseMe: DoseMe is a clinical decision support platform for precision dosing of drugs with narrow therapeutic ranges (including anticoagulants). It is the closest direct competitor to INR Online's warfarin dosing engine, serving hospital pharmacists and clinics with similar SaaS-based dose-recommendation workflows.
• Tabula Rasa HealthCare (now Nautic Partners): Tabula Rasa's MedWise platform provides medication risk mitigation and dosing decision support for pharmacists managing polypharmacy patients, including anticoagulants. It competes for the same pharmacy software budget INR Online sells into.
• Monarch Medical Technologies: Monarch provides the EndoTool decision-support platform for inpatient dosing of high-risk drugs (insulin, heparin, warfarin). It competes directly with INR Online in the narrow-therapeutic-index dosing-software category and shares the same clinical-pharmacy buyer persona.

Emerging players

• WellDoc: WellDoc provides chronic disease management digital therapeutic platforms (notably diabetes) with pharmacy and provider distribution. It is an emerging player in condition-specific decision support that signals the direction INR Online's POC Health Online platform could expand into.

Regional players

• HealthNet Connect / Health Information Exchange NZ: New Zealand regional health information exchanges and shared electronic health record platforms (operated under Te Whatu Ora) interact with INR Online's CPAMS workflows. They are regional infrastructure participants whose evolution could either complement or disintermediate INR Online's pharmacy integration layer.

Others

• Roche Diagnostics (CoaguChek): Roche manufactures the CoaguChek XS Pro point-of-care INR device that INR Online integrates with. As a critical technology partner (and indirect ecosystem participant), Roche's device strategy and pricing materially shape INR Online's value proposition and unit economics.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks6 records

Key highlights7 records

Customer concentration

• LinkedInlinkedin.com/company/inr-online

Revenue estimate

Valuation estimate

Number of profiles

Profiles2 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 INR Online