MANIFEST PHARMACY

What MANIFEST PHARMACY does

Manifest Pharmacy is the licensed mail-order pharmacy division of ReviveHealth, Inc., a Delaware-incorporated virtual care holding company. Founded in 2021 and operationally based in Greer, South Carolina, Manifest dispenses prescription medications on a cash-pay, self-pay basis, meaning it does not accept health insurance and patients cover medication costs directly out of pocket via major credit cards or HSA/FSA cards. It is licensed to ship prescriptions to all 50 U.S. states and Washington, DC, fulfilling orders through FedEx and USPS with a standard 2-5 business day delivery window. The platform supports new patient intake, prescription refills, proactive 7-10 day refill reminders, secure text and email communications, and an authenticated Revive Member Portal built on Auth0.

The technology stack is a web-based pharmacy platform with online intake forms, e-prescribing integration via NPI 1811205081, secure messaging, and an AI-powered chatbot plus an AI-assisted voice response system for general inquiries and call routing. Translation services are delivered through a Language Line partnership. The company holds LegitScript certification, NABP accreditation, and HIPAA certification, and sources medications exclusively from U.S.-based wholesalers and manufacturers.

Commercially, Manifest operates a direct-to-consumer go-to-market targeting individual consumers seeking home delivery of maintenance medications, supplemented by provider-directed fulfillment (doctors sending prescriptions electronically, by fax, or by phone) and a channel partnership with the Kingston Trust Fund (KTF) Teachers' Union Program serving union members. Revenue is transaction-based with pay-as-you-go billing collected prior to shipment. The pharmacy functions as one vertical within the broader ReviveHealth platform, which also offers virtual primary, urgent, acute, pediatric, mental health, weight health, dermatology, psychiatry, endocrinology, vision, and virtual physical therapy services.

Name

MANIFEST PHARMACY

Legal name

ReviveHealth, Inc.

Website

https://manifestpharmacy.com

Company type

Private

Founded year

2021

Operating status

Operating

Headcount range

11–50 employees

Short description

Manifest Pharmacy is a cash-pay, mail-order pharmacy (licensed in all 50 states plus DC) that delivers prescriptions to individual patients' homes via FedEx and USPS, operating as the licensed pharmacy arm of the multi-vertical ReviveHealth virtual care platform.

Ownership category

akta.pro rank

Product category

Mail-Order Pharmacy

NAICS

Pharmacies and Drug Retailers (456110), Pharmacies and Drug Retailers (45611)

SIC

Retail-Drug Stores And Proprietary Stores (5912)

akta.pro industry

PRIMARYHLAFALAD

Mail-Order & Home Delivery Pharmacies

Healthcare & Life Sciences/Healthcare Providers & Systems/Pharmacy & Medication Management Services

SECONDARYCRAFAFAI

Pharmacy & Health Essentials Delivery

Consumer Products & Retail/E-commerce & Marketplaces/Grocery & On-demand Delivery Commerce

Keywords

• Mail-order pharmacy
• Prescription fulfillment
• Home delivery pharmacy
• Online prescription refills
• Pharmacy savings program

Headquarters

HQ city

Greer

HQ country

United States

HQ region

North America

Offices2 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

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

Revenue model

1. Prescription Fulfillment: Pharmacy generates revenue through dispensing prescription medications directly to patients. Patients pay out-of-pocket as insurance is not accepted. Payment is collected via secure text/email prior to shipment.
2. Pharmacy Services: Revenue derived from pharmacy care services including prescription processing, medication dispensing, and home delivery. Self-pay model where patients cover medication costs directly.

Pricing tiers

Go-to-market motion2 records

Distribution channels3 records

Marketing channels4 records

Core offering

Manifest Pharmacy is a mail-order pharmacy that dispenses medications directly to patients across all 50 U.S. states and Washington DC and ships prescriptions via FedEx or USPS within 2–5 business days. The pharmacy operates on a self-pay basis (no health insurance accepted) and accepts prescriptions submitted by providers via phone, fax, or e-prescribing or by patients through online new-patient intake and refill forms. Home delivery is supported by proactive 7–10 day refill reminders, secure text and email notifications, and translation services via Language Line for non-English-speaking patients.

Product overview

Manifest Pharmacy operates as the licensed pharmacy within the ReviveHealth platform, providing a unified pharmacy services ecosystem with nationwide prescription fulfillment and home delivery. The core offering includes Revive Pharmacy Services, combining New Patient Intake, Prescription Refill, and Home Delivery Pharmacy into a single seamless experience. The platform supports special programs like the KTF Teachers' Union Program and offers translation services via Language Line. The pharmacy is accredited by LegitScript and NABP, accepts various payment methods including HSA/FSA cards, and delivers to all 50 states and Washington DC.

Differentiator

Problem solved

Functional benefit

Products and services

• Revive Pharmacy Services A modern mail-order pharmacy platform providing prescription fulfillment and home delivery for new and existing patients across all 50 U.S. states. Includes secure online intake forms, prescription refills, and direct-to-door medication delivery via FedEx or USPS. Self-pay model with no insurance required.
• Home Delivery Pharmacy Mail-order pharmacy service delivering prescriptions safely and conveniently to patients' doors. Accepts prescriptions via phone, fax, and e-prescribing and ships via FedEx or USPS within 2–5 business days across all 50 U.S. states.
• New Patient Intake Online intake form enabling new patients to begin filling prescriptions with the pharmacy. Includes a specialized enrollment path for KTF Teachers' Union Program members. The pharmacy team reviews submitted information, contacts patients for missing details, and coordinates first shipment.
• Prescription Refill Secure online refill submission form for existing patients. Requests are routed directly to the pharmacy team, with updates sent via secure text and email. No credit card information is collected on the refill page; payment is handled securely later.
• KTF Teachers' Union Program A specialized program for members of the Kingston Trust Fund (KTF) Teachers' Union providing dedicated support, dedicated intake information page, and a streamlined onboarding pathway for prescription fulfillment and home delivery.
• Language Line Translation Services Translation services for non-English-speaking patients, provided through the Language Line partnership. Patients can call the pharmacy and request language assistance to communicate with the pharmacy team.

Quantifiable outcome

• 2-5 business day delivery via FedEx or USPS
• +1 more outcomes

Named customers2 records

Segments3 records

Ideal customer profiles3 records

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration2 records

AI capability3 records

Feature3 records

Partnerships

Four partnerships are on record, tiered support and core.

• Language LinesupportOthersTranslation services partner enabling Manifest Pharmacy to communicate with patients who prefer services in languages other than English. Patients can request translation assistance by calling the pharmacy.
• FedExcoreOthersPrimary shipping carrier for prescription home delivery. Orders are shipped via FedEx with 2-5 business day delivery timeframe.
• USPScoreOthersShipping carrier for prescription home delivery. Used alongside FedEx for order fulfillment with 2-5 business day delivery.
• U.S. Based Wholesalers and ManufacturerscoreOthersMedication sourcing partners supplying pharmaceuticals exclusively from U.S.-based wholesalers and manufacturers, ensuring medication quality and regulatory compliance.

Scale indicators3 records

Recent moves2 records

Expansion highlights5 records

Broad incumbents

• Express Scripts (Evernorth): Express Scripts, part of Evernorth/Cigna, runs a major mail-order pharmacy operation serving insured members. It is a broad incumbent whose mail-order arm overlaps with Manifest's fulfillment model, although Express Scripts operates predominantly through insurance/PBM contracts.
• CVS Caremark (Mail-Order Pharmacy): CVS Caremark operates one of the largest mail-order pharmacy networks in the U.S. as part of CVS Health. It is a broad incumbent that competes with Manifest for mail-order prescription volume, though within a much wider PBM/retail portfolio.

Direct peers

• Alto Pharmacy: Alto is a digital mail-order pharmacy with free same-day delivery in select markets and a strong tech stack for patient management. It competes head-on with Manifest in the modern, app/portal-driven mail-order pharmacy category.
• Blink Health: Blink Health is a digital pharmacy platform offering discounted prescriptions via home delivery and a cash-pay pricing model. It targets a similar uninsured/underinsured audience as Manifest and competes on transparent pricing and online ordering.
• Hims & Hers Health: Hims & Hers operates a direct-to-consumer telehealth + pharmacy platform with home delivery, accepting cash-pay patients across multiple therapeutic areas. Manifest shares the DTC pharmacy-plus-online-portal model, though Hims operates at significantly greater scale and brand recognition.
• Capsule: Capsule is a digital pharmacy offering free same-day delivery and a chat-based patient experience, accepting most insurance plus cash-pay. It is comparable to Manifest as a modern, digitally native mail-order/same-day pharmacy competitor.
• Mark Cuban Cost Plus Drug Company: Cost Plus Drugs is a transparent cash-pay mail-order pharmacy offering low-cost generics directly to consumers. It is the closest direct competitor on the cash-pay, no-insurance pharmacy thesis that Manifest is built on.
• Honeybee Health: Honeybee Health is an online mail-order pharmacy focused on affordable cash-pay prescriptions with nationwide delivery. It directly competes with Manifest on the cash-pay, no-insurance model and small-team digital operations.
• Ro (Roman): Ro operates a vertically integrated telehealth and pharmacy platform offering online consultations and cash-pay prescription home delivery, including through its Ro Pharmacy. It is comparable in combining DTC telehealth with mail-order fulfillment.
• Amazon Pharmacy (PillPack): Amazon Pharmacy, built on the PillPack acquisition, is a mail-order pharmacy offering home delivery of prescriptions, including a cash-pay option. It is the most direct comparable to Manifest on DTC mail-order fulfillment, though at vastly greater scale and capital base.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks6 records

Key highlights7 records

Customer concentration

• LinkedInlinkedin.com/company/manifest-pharmacy1

Compliance3 records

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 MANIFEST PHARMACY