What Long Term Care Rx does

Long Term Care Rx is a privately held, founder-owned closed-door pharmacy founded in 1986 by James Anderson, RPh and headquartered in Overland (Saint Louis metropolitan area), Missouri. The company dispenses medications and provides clinical pharmacy services exclusively to long term care facilities, including nursing homes, skilled nursing facilities, and assisted living communities. Its service portfolio spans multi-dose packet and bubble card dispensing, same-day and emergency delivery (24/7), compounding and infusion therapy (IV antibiotics, pain management, hydration, TPN), consultant pharmacist and nurse services, transitions of care programs, disease state management (diabetes, COPD, CHF), antibiotic stewardship, hospital readmission reduction, medication reconciliation, prior authorization handling, insurance/Part D plan comparison, and on-site vaccination services.

The underlying technology stack is built on Softwriter's FrameworkLTC pharmacy management software, supplemented by FrameworkLink (a facility-facing portal for secure messaging, resident demographics, orders, billing preview, and MAR/physician order printing) and FrameworkECM (an electronic content management system unifying fax, phone, and e-prescribing workflows). A partnership with Accu-Flo by Creative Strategies provides bi-directional point-of-care eMAR integration, enabling real-time exchange of medication administration, behavioral monitoring, and resident care data between the pharmacy and facility EHR systems.

The business model combines recurring pharmacy dispensing revenue (Medicare A, Medicaid, Medicare D, and private insurance reimbursements) with professional services revenue from consultant pharmacist and clinical programs. Pricing is contract-based and quote-driven rather than publicly disclosed. Go-to-market is direct enterprise field sales targeting facility administrators and clinical staff within a single regional geography — the St. Louis metropolitan area. Marketing is limited to LinkedIn presence, email newsletter, and educational blog content. The company has 11-50 employees, no external investors or parent company, and ongoing family involvement in operations.

Name

Long Term Care Rx

Legal name

Long Term Care Rx

Website

https://longtermcarerx.com

Company type

Private

Founded year

1986

Operating status

Operating

Headcount range

11–50 employees

Short description

Long Term Care Rx is a founder-owned closed-door pharmacy founded in 1986, dispensing medications and providing clinical pharmacy services to nursing homes and skilled nursing facilities in the Saint Louis, Missouri metropolitan area.

Ownership category

akta.pro rank

Product category

Long-Term Care Pharmacy Services

SIC

Services-Health Services (8000)

akta.pro primary industry

Long-Term Care (LTC) & Skilled Nursing Facility Pharmacies (HLAFALAF)

akta.pro secondary industries

Medication Reconciliation & Skilled Medication Administration (Clinical) (HSABACAH), Care Transitions Management (Hospital/SNF-to-Home) (HSABAIAC)

Keywords

• Closed-door pharmacy
• Long-term care pharmacy
• Skilled nursing pharmacy
• Clinical pharmacy services
• Medication management

Headquarters

HQ city

Saint Louis

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Services

Cost components

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

Revenue model

1. Pharmacy Dispensing Services: Core revenue stream from dispensing medications to long term care facility residents. Services include multi-dose packets, bubble cards, short-cycle dispensing, and emergency deliveries. Accepts Medicare A, Medicaid, Medicare D Plans, and private insurance.
2. Clinical Services: Consultant pharmacist services including transitions of care programs, disease state management (diabetes, COPD, CHF), antibiotic stewardship, and medication management reviews. Also includes consultant nurse services for med room reviews, inspections, and training.
3. Compounding & Infusion Therapy: Compounding IV antibiotics, pain management, hydration fluids, and TPN (Total Peranteral Nutrition) for skilled nursing facilities.

Go-to-market motion1 record

Distribution channels1 record

Marketing channels3 records

Core offering

Long Term Care Rx is a privately owned, closed-door pharmacy that dispenses medications and delivers pharmacy, clinical, and technology services exclusively to long-term care facilities such as nursing homes, skilled nursing facilities, and assisted living communities in the St. Louis metropolitan area. It provides multi-dose packaging, bubble card dispensing, compounding/infusion therapy, 24/7 emergency coverage, consultant pharmacist and nurse services, transitions of care, disease state management, antibiotic stewardship, and integrates eMAR and electronic content management technology into facility workflows.

Product overview

Long Term Care Rx operates as a closed-door pharmacy offering a comprehensive suite of products and services for long term care facilities. The core dispensing products include multi-dose packets/pouches and traditional bubble cards, supported by delivery services (routine and same day, 7 days/week) and 24/7 emergency pharmacy coverage. Clinical services encompass Transitions of Care, Disease State Management (diabetes, COPD, CHF), Antibiotic Stewardship, Consultant Pharmacist Services, Consultant Nurse Services, Hospital Readmission Reduction, and Medication Reconciliation. Technology integrations include Accu-Flo eMAR, FrameworkLink, and FrameworkECM from Softwriter. Additional services cover compounding/infusion therapy, medical records, insurance/Part D comparison, prior authorizations, and vaccination services.

Differentiator

Problem solved

Functional benefit

Products and services

• Multi-dose Packets/Pouches Medication packaging system that organizes medications by resident, day, and time in clear plastic pouches, reducing errors during med passes and supporting 7-day or 4-3 short-cycle dispensing to minimize waste.
• Bubble Cards Traditional 30 or 31-day bubble card dispensing system with short-cycle dispensing compliance and automatic refilling for certain medications.
• Delivery Services Routine and same-day medication delivery services available seven days a week, including two routine same-day deliveries on weekdays, to long-term care facilities in the St. Louis metro area.
• Emergency/After Hours Pharmacy Services 24/7 pharmacy coverage with emergency or after-hours medication deliveries dispensed by Long Term Care Rx or a trusted back-up pharmacy partner.
• Compounding & Infusion Therapy Specially trained staff compounds IV antibiotics, pain management medications, hydration fluids, and total parenteral nutrition (TPN), enabling skilled nursing facilities to accept a broader spectrum of admissions and reduce costs.
• Transitions of Care Program Within three business days of admission or readmission, a licensed pharmacist performs remote interim medication management review to reduce or eliminate preventable medication errors, targeting hospital readmissions occurring within 30 days.
• Disease State Management Clinical monitoring programs for diabetes, chronic obstructive pulmonary disease (COPD), and congestive heart failure (CHF) in which pharmacy and nurse consultants educate facility staff and ensure residents are on optimal therapies.
• Antibiotic Stewardship Program Education program designed to ensure appropriate antibiotic use in long-term care facilities, addressing inappropriate antibiotic prescribing practices.
• Consultant Pharmacist Services Regular on-site facility visits to review each resident's medication regimen, perform mandated medication regimen reviews, and provide clinical recommendations covering transitions of care, readmission reduction, psychoactive medication use, dementia care, CHF, COPD, pneumonia, and diabetes.
• Consultant Nurse Services Free med room reviews, inspections, and med pass documentation; contracted services include med pass observations, recapping training, psychotropic medication audits, in-servicing, medication room/cart inspections, chart audits, policy review, Level 1 Medication Aide instruction, insulin instruction, infection control, and mock state inspections.
• Hospital Readmission Reduction Program Initiated in 2013, identifies common causes for rehospitalization and works with facilities to reduce these problems by reviewing all orders to ensure medication continuity when patients transfer from hospital to long-term care.
• Medication Reconciliation Ensures accurate medication lists during care transitions by reviewing previous medications prior to level-of-care changes and confirming ideal medication regimens.
• Accu-Flo eMAR Point-of-care electronic medication administration record offered to facilities in partnership with Creative Strategies, with bi-directional interface to the pharmacy management system for medication administration, behavioral monitoring, resident personal care, progress notes, and assessments.
• FrameworkLink Online access tool provided via Softwriter's FrameworkLTC that lets facilities exchange secure messages with the pharmacy, sync resident demographics, allergies, payer status, drug/non-drug orders, transfer/discharge residents, request prescriptions and refills, view order status, preview billing, and print MARs and physician order forms.
• FrameworkECM Electronic content management system from Softwriter that consolidates fax, phone, and electronic prescriptions into a singular workflow, integrates with FrameworkLTC, automates tasks, and stores digital content such as PDFs, voicemails, and Microsoft documents for a paperless workflow.
• Medical Records Services Provides customized medical record forms processed by the pharmacy, with direct access available through FrameworkLink for facilities to access and print records.
• Insurance & Part D Comparison Services Accepts Medicare A, Medicaid, most Medicare D plans, and private insurance; assesses best Part D plan for each patient to reduce out-of-pocket medication costs and re-evaluates plans as medication therapies change.
• Prior Authorization Services Works with physicians to obtain prior authorizations for non-formulary medications, facilitates conversations between physicians, nursing facilities, and insurers, and recommends alternative therapies when coverage cannot be obtained.
• Vaccination Services Certified pharmacists and nurse consultants assist facilities with patient vaccination programs by scheduling dates, coming on site, and assisting with paperwork and reporting.

Quantifiable outcome

• Transitions of care program aims to reduce preventable hospital readmissions; studies show 19.6% hospital readmissions occur within 30 days and up to 76% may be preventable
• +2 more outcomes

Segments2 records

Ideal customer profiles1 record

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration3 records

Feature4 records

Partnerships

Three partnerships are on record, tiered core.

• Accu-Flo (Creative Strategies)coreTechnology or IntegrationLong Term Care Rx has partnered with Accu-Flo by Creative Strategies to provide the best eMAR solution on the market. Accu-Flo is a complete point of care eMAR solution specializing in accurate tracking of resident healthcare data. The seamless bi-directional interface with the pharmacy management system allows instant exchange of information including medication administration, behavioral monitoring, resident personal care, and progress notes.
• FrameworkLink (Softwriter)coreTechnology or IntegrationFrameworkLink is provided through Long Term Care Rx's use of Softwriter's pharmacy management software FrameworkLTC. FrameworkLink enables facilities to send and receive secure messages, receive profile information on residents, automatically update FrameworkLTC with demographics, allergies, medical conditions, payer status, drug and non-drug orders, transfer/discharge/re-admit residents, request prescriptions/refills, view order status, preview billing, and print MARs and physician order forms.
• FrameworkECM (Softwriter)coreTechnology or IntegrationFrameworkECM is an electronic content management system that manages all orders through a singular process including fax, phone and electronic prescriptions. It integrates fully with FrameworkLTC, unifies workflow for faxes, phone orders and ePrescribing, automates workflow tasks and stores all types of digital content. Benefits include streamlined communication, increased reliability, fewer follow-up calls, on-time deliveries, no lost faxes, heightened security, faster order processing, instant information retrieval, fewer errors, and more personal service.

Scale indicators2 records

Recent moves8 records

Expansion highlights4 records

Direct peers

• Guardian Pharmacy Services: Guardian Pharmacy Services is one of the largest privately held LTC pharmacy groups in the U.S., operating regional closed-door pharmacies serving assisted living and skilled nursing facilities. Closely comparable specialty LTC pharmacy model with multi-state regional operating structure.
• PharmScript: PharmScript is a closed-door LTC pharmacy serving long-term care and behavioral health facilities across multiple states with dispensing, clinical consulting, and technology integration. Directly comparable specialty pharmacy model.
• Procare LTC Pharmacy: Procare LTC is a closed-door long-term care pharmacy providing medication dispensing, packaging, and clinical services to nursing facilities. Closely comparable mid-sized LTC pharmacy competitor.
• Remedi SeniorCare: Remedi SeniorCare is a closed-door LTC pharmacy providing dispensing, IV compounding, and clinical services to skilled nursing facilities. Directly comparable product offering including infusion/IV therapy that overlaps with Long Term Care Rx's compounding services.

Broad incumbents

• Omnicare (CVS Health): Omnicare, owned by CVS Health, is a national closed-door LTC pharmacy serving skilled nursing and assisted living facilities with dispensing, consultant pharmacist, and clinical programs. Same target customer and service mix as Long Term Care Rx, but operates as part of a national incumbent.
• BrightSpring Health Services / PharMerica: BrightSpring acquired PharMerica to create one of the largest U.S. long-term care pharmacy platforms serving SNFs and senior living communities. Directly comparable business model (closed-door LTC pharmacy with clinical and eMAR capabilities) but operates at vastly greater national scale.

Regional players

• Forum Extended Care Services: Forum Extended Care Services is an independent closed-door LTC pharmacy serving skilled nursing, assisted living, and behavioral health facilities in the Midwest. Comparable independent LTC pharmacy operating model with regional focus.

Emerging players

• ExactCare Pharmacy: ExactCare Pharmacy is a closed-door pharmacy specializing in medication management, multi-dose packaging, and clinical pharmacy services for patients with chronic conditions, including those in long-term care settings. Comparable in multi-dose packaging and clinical pharmacy focus.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks5 records

Key highlights6 records

Customer concentration

• LinkedInlinkedin.com/company/9212067

Revenue estimate

Valuation estimate

Number of profiles

Profiles7 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 Long Term Care Rx