AuthorityRx
AuthorityRx is a San Diego-based 340B Drug Pricing Program compliance and optimization firm serving hospitals, health systems, and FQHCs with a proprietary claims-monitoring platform and paid services such as Advanced Claims Capture and MFG Mandate Support, anchored by no-cost annual audits.
- Company typePrivate
- Founded2018
- HeadquartersOverland Park, United States
- Headcount—
- GTM typeB2B
- OfferingServices
What AuthorityRx does
AuthorityRx (ARx) is a privately held LLC founded in 2018 by Aaron Lott PharmD, headquartered at 10181 Scripps Gateway Court in San Diego, California, that delivers 340B Drug Pricing Program compliance and optimization services to covered entities including hospitals, health systems, and federally qualified health centers (FQHCs). The company's core offering is a proprietary web-based platform that aggregates 340B claims, pricing, and status data across multiple third-party administrators (TPAs), wholesalers, manufacturers, and ESPs, enabling real-time monitoring of manufacturer-mandate compliance and exposure. Its three flagship products are Advanced Claims Capture (a service that compliantly recovers an additional 20-30% of program savings beyond referral capture), Care Coordination Services (EHR-integrated automation of referrals and consult-note returns), and MFG Mandate Support (automatic, secure claims submission across all of an entity's TPAs).
The business model is a tiered professional-services construct: the company provides no-cost annual 340B compliance audits, unlimited help-desk support, pharmacy consulting and education, and implementation as customer-acquisition and trust-building entry points, then monetizes through paid Advanced Claims Capture engagements and MFG Mandate Support contracts (billing cadence described as multi-year, pricing quote-based and undisclosed). Go-to-market is direct enterprise field sales anchored by a Calendly-based "Get a Demo" CTA, supported by phone, email, and fax outreach, targeting 340B pharmacy operations leadership across the United States. Add-on service lines extend across contract pharmacy analysis and negotiation, specialty, ambulatory, and infusion pharmacy advisory, formulary management, plan design, DIR mitigation, and direct-to-employer services. No external funding, M&A activity, or institutional investors are disclosed; the company appears to operate as a lean, founder-led LLC with two named executives (CEO Aaron Lott PharmD and VP of Care Coordination Kimberly Lott, RN, ACE).
AuthorityRx firmographics
Firmographics- Name
- AuthorityRx
- Legal name
- AuthorityRx, LLC
- Website
- https://authorityrx.com
- Company type
- Private
- Founded year
- 2018
- Operating status
- Operating
- Short description
- AuthorityRx is a San Diego-based 340B Drug Pricing Program compliance and optimization firm serving hospitals, health systems, and FQHCs with a proprietary claims-monitoring platform and paid services such as Advanced Claims Capture and MFG Mandate Support, anchored by no-cost annual audits.
- Ownership category
- akta.pro rank
AuthorityRx industry classification
Industry- Product category
- 340B Program Compliance and Optimization Services
- NAICS
- Custom Computer Programming Services (541511), Financial Transactions Processing, Reserve, and Clearinghouse Activities (52232), Computing Infrastructure Providers, Data Processing, Web Hosting, and Related Services (51821)
- SIC
- Services-Computer Programming, Data Processing, Etc. (7370), Hospital & Medical Service Plans (6324)
- akta.pro primary industry
- Claims Management, Scrubbing & Clearinghouse (HLACACAB)
- akta.pro secondary industries
- PBM Technology Platforms (ePA/eRx/Real-Time Benefit Tools) (HLAEAKAL), Payer-Provider Data Exchange (X12, prior auth, claims/clinical attachment) (HLACABAK)
Keywords
Where AuthorityRx is headquartered
LocationHeadquarters
- HQ city
- Overland Park
- HQ country
- United States
- HQ region
- North America
Offices1 record
Markets served
AuthorityRx business model
Business model- GTM type
- B2B
- Offering type
- Services
- Cost components
- Personnel, Operations, Technology or R&D, Marketing or Sales, Infrastructure
Revenue model
- 340B Compliance and Consulting Services: The company offers a tiered service model where initial services (annual independent audit, pharmacy consulting and education, and implementation of services) are provided at no cost as lead-generation entry points. Revenue is generated from ongoing paid services, including Advanced Claims Capture (priced at 'Various' tiers) and MFG Mandate Support services. The no-cost audit serves as an immediate cost savings to the client while positioning the company for long-term paid engagement.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Freemium | Annual | No Cost Services — Annual Audit, Consulting & Education, Implementation |
| Other | Multi-year contract | Advanced Claims Capture — Move Beyond Referrals |
Go-to-market motion1 record
Distribution channels1 record
Marketing channels2 records
AuthorityRx product offering
Product offeringCore offering
AuthorityRx provides 340B program optimization services for healthcare covered entities (hospitals, health systems, FQHCs). Its paid core offerings include Advanced Claims Capture (compliantly expanding beyond referral capture to add 20–30% annual savings), Care Coordination Services (EHR-integrated referral automation), and MFG Mandate Support (a proprietary platform that submits and tracks 340B claims across TPAs, manufacturers, wholesalers, and ESPs). The company also provides no-cost annual compliance audits, unlimited help desk support, and ongoing pharmacy consulting and education as customer acquisition tools.
Product overview
AuthorityRx (ARx) is a 340B program optimization company offering a unified suite of pharmacy services for healthcare entities. The core offering centers on Advanced Claims Capture, which enables compliant movement beyond referral capture strategies to increase 340B savings by up to 30%. This is supported by Care Coordination Services (automating referral processing and consult note returns) and MFG Mandate Support (submitting claims for TPAs with real-time monitoring). The portfolio also includes no-cost annual compliance audits, 340B help desk support, ongoing pharmacy consulting, and specialized services for specialty pharmacy, ambulatory pharmacy, infusion, contract pharmacy analysis/negotiations, formulary management, plan design, and direct-to-employer offerings.
Differentiator
Problem solved
Functional benefit
Products and services
- Advanced Claims Capture A 340B compliance service that enables healthcare covered entities to move beyond referral-based claims capture, compliantly increase 340B savings by up to 30%, and automate referral processing and consult note returns to improve patient care and EHR completeness.
- Care Coordination Services A 340B-aligned service that automates the referral process and the return of consult notes, providing real-time visibility into patient interactions with outside providers to improve care coordination and increase compliant 340B savings.
- MFG Mandate Support (ESP Support) A platform service that automatically and securely submits claims for all of a covered entity's TPAs, provides real-time overview of individual claims, pricing, and status metrics, and consolidates optics from across stakeholder platforms to resolve manufacturer mandate challenges.
- 340B Compliance Audit A no-cost annual independent 340B compliance audit that provides covered entities with comprehensive program understanding and immediate cost savings.
- 340B Help Desk Support No-cost unlimited email correspondence support for 340B program questions and issues, available to covered entity clients.
- Pharmacy Consulting and Education Ongoing affordable consulting and education services for pharmacy clients covering 340B program optimization and compliance.
- Contract Pharmacy Services Contract pharmacy analysis, negotiations, and DIR fee mitigation options delivered as part of 340B program optimization services.
- Specialty Pharmacy Services Specialty pharmacy advisory and support services integrated with 340B program strategy.
- Ambulatory Pharmacy Services Ambulatory pharmacy advisory services as part of comprehensive pharmacy strategy.
- Formulary Management and Plan Design Formulary management and benefit plan design services for pharmacy benefit optimization as part of 340B program strategy.
- Direct to Employer Services Direct employer pharmacy services for benefit plan design and optimization.
Quantifiable outcome
- Increase in annual 340B savings of 20% or more through Advanced Claims Capture
- +2 more outcomes
Companies that use AuthorityRx
Customer profileSegments2 records
Ideal customer profiles1 record
AuthorityRx technology and API
TechnologyTechnology focussed Yes
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Feature3 records
AuthorityRx partnerships and signals
Strategic signalScale indicators1 record
Recent moves3 records
Expansion highlights3 records
AuthorityRx competitors and assessment
Company assessmentDirect peers
- SunRx: 340B program management and compliance services for covered entities including contract pharmacy administration and optimization. Comparable mid-sized competitor in the 340B services space.
- CaptureRx: Direct 340B competitor offering split-billing software, contract pharmacy solutions, and compliance services to hospitals and FQHCs. Highly comparable product surface (claims capture, ESP submission, manufacturer-mandate support) targeting the same covered-entity buyer.
- Verity Solutions: 340B software and services platform for hospitals, health systems, and FQHCs — focused on compliance, claims capture, and program integrity. Closest direct competitor given shared focus on multi-stakeholder claims visibility and audit support.
- Sentry Data Systems: 340B TPA software, analytics, and program management platform for hospitals and health systems. Overlaps with AuthorityRx on claims capture, compliance, and stakeholder data consolidation.
- Macro Helix: 340B compliance, analytics, and program-management software serving covered entities and TPAs. Competes directly in the ESP submission, split-billing, and audit-readiness segments where AuthorityRx operates.
Emerging players
- Visante: Pharmacy consulting firm specializing in 340B optimization, PBM strategy, specialty pharmacy, and benefit plan design — overlapping with AuthorityRx's 'Other Services' portfolio of specialty, ambulatory, and PBM advisory.
- RxBenefits: Pharmacy benefit consultant serving employers and health plans with PBM contracting, specialty pharmacy strategy, and benefit plan design — overlapping with AuthorityRx's PBM, formulary management, and direct-to-employer service lines.
Broad incumbents
- Apexus (340B Prime Vendor Program): The federal 340B Prime Vendor; offers Apexus 340B ACE certification, contracting, and program resources to covered entities nationally. Acts as a broad incumbent AuthorityRx must position alongside — entities often engage Apexus resources in parallel with vendor tools.
- Craneware: Healthcare revenue integrity and pharmacy chargemaster platform serving hospitals and health systems. Adjacent incumbent that overlaps in the 340B claims and pricing analytics space through its pharmacy and revenue-cycle suite.
- Waystar: Large healthcare revenue-cycle management platform with claims processing, denial management, and analytics modules. A broad incumbent whose claims-processing infrastructure overlaps with the back-end workflows AuthorityRx manages for 340B clients.
Market position
Strengths5 records
Weaknesses5 records
Competitive moat4 records
Key risks6 records
Key highlights6 records
Customer concentration
AuthorityRx financial estimates
Financial estimateRevenue estimate
Valuation estimate
AuthorityRx leadership team
Management profileNumber of profiles
Profiles2 records
AuthorityRx funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
AuthorityRx M&A and investment
M&A and investmentM&A
Investments
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about AuthorityRx
What does AuthorityRx do?
AuthorityRx provides 340B program optimization services for healthcare covered entities (hospitals, health systems, FQHCs). Its paid core offerings include Advanced Claims Capture (compliantly expanding beyond referral capture to add 20–30% annual savings), Care Coordination Services (EHR-integrated referral automation), and MFG Mandate Support (a proprietary platform that submits and tracks 340B claims across TPAs, manufacturers, wholesalers, and ESPs). The company also provides no-cost annual compliance audits, unlimited help desk support, and ongoing pharmacy consulting and education as customer acquisition tools.
Is AuthorityRx a public or private company?
AuthorityRx is a private company. It is classified as founder individual operated bootstrapped and is currently operating.
When was AuthorityRx founded?
AuthorityRx was founded in 2018.
Where is AuthorityRx based?
AuthorityRx is headquartered in Overland Park, United States, in the North America region.
How does AuthorityRx make money?
One revenue line is on record: 340B Compliance and Consulting Services.
Who are AuthorityRx's main competitors?
Direct peers on record are SunRx, CaptureRx, Verity Solutions, Sentry Data Systems and Macro Helix. Emerging players are Visante and RxBenefits. Broad incumbents are Apexus (340B Prime Vendor Program), Craneware and Waystar.
Does AuthorityRx have an API?
No public API is recorded for AuthorityRx.
What industry is AuthorityRx in?
AuthorityRx's product category is 340B Program Compliance and Optimization Services. Its primary akta.pro industry code is HLACACAB, Claims Management, Scrubbing & Clearinghouse, with a secondary code of HLAEAKAL, PBM Technology Platforms (ePA/eRx/Real-Time Benefit Tools). Its NAICS code is 541511 and its SIC code is 7370.