340B Pharmacy Operations-as-a-Service

Specialty pharmacy, delivered inside your walls.

VarickRX is the only pharmacy operations platform purpose-built for Critical Access Hospitals — so you capture full 340B savings without building the infrastructure yourself.

Built exclusively for
Critical Access Hospitals Rural Health Clinics 340B Covered Entities
💊
1,300+
Critical Access Hospitals across the US
<16 wks
Average time to full specialty pharmacy ops
3
Specialty verticals. One regulatory framework.
$ 0
Infrastructure or technology investment required at launch
340B
The only regulatory framework we operate under — no ambiguity
100%
Pharmacy license and drug purchasing retained by covered entity
The VarickRX Platform

Everything except the license and the drugs.

Complete operational infrastructure inside your hospital — staff, technology, formulary, payer access, and day-to-day management.

🏗️
Standup

Turnkey pharmacy launch within your facility

From licensing support and space planning to payer credentialing and formulary configuration — live inside your hospital without disrupting existing operations.

  • Site assessment & space optimization
  • Pharmacy licensing & permitting support
  • PBM credentialing & payer contracting
  • DEA registration & Board of Pharmacy compliance
  • Formulary setup across three therapeutic verticals
⚙️
Operations

Day-to-day pharmacy management, fully handled

All pharmacy staff, formulary oversight, prior authorization support, patient adherence programs, and audit management — end-to-end, every day.

  • Licensed pharmacist placement & management
  • Formulary & utilization management
  • Prior authorization & appeals
  • Patient adherence & therapy navigation
  • 340B, PBM & Board of Pharmacy audit support
🔗
Access

Specialty access your rural patients can't get anywhere else

Integrated telehealth specialist access, specialty drug procurement, and white-glove patient navigation — connecting rural communities to care.

  • Telehealth specialist network (neurology, oncology, rheumatology)
  • 340B-compliant drug procurement management
  • Proprietary pharmacy operations technology
  • Real-time reporting & compliance dashboard
  • Patient adherence & outcomes tracking
Therapeutic Focus

Narrow by design. Deep by necessity.

Three verticals where specialty pharmacy complexity is highest, 340B savings are greatest, and rural access gaps are most acute.

01 —
Neurology

Complex neurological conditions demand specialist-coordinated care and high-cost specialty medications that most rural hospitals cannot manage without dedicated infrastructure.

Multiple SclerosisEpilepsyParkinson'sMigraineALSAlzheimer's
02 —
Oncology

Oral oncology agents and supportive care medications require specialty dispensing, clinical monitoring, and oncology-trained pharmacy staff — now available inside your CAH.

Oral ChemotherapyTargeted TherapyHormonal TherapyImmunotherapySupportive Care
03 —
Rheumatology

Biologics and DMARDs for autoimmune conditions represent significant 340B opportunity and enormous patient access challenges in rural markets.

Rheumatoid ArthritisPsoriatic ArthritisLupusAnkylosing SpondylitisCrohn's / IBD
The Model

Hospital-owned, Varick-operated.

One customer type. One regulatory framework. Three verticals.

Dimension ★ RECOMMENDEDVarickRX Build Your Own Contract Pharmacy Vendor-Owned
License Ownership Covered Entity Covered Entity Third-Party Vendor
Drug Purchasing Covered Entity Covered Entity Third-Party Vendor
Time to Launch 8–16 weeks 18–24 months 3–4 months 12–18 months
Upfront Investment $0 infrastructure $500K–$3M+ $0 Varies
340B Savings Maximized Full (if managed) 12–65% extracted 5–35% extracted
Specialty Expertise Embedded Must recruit & build Limited Varies
Telehealth Access Included Separate cost
Compliance Mgmt Full scope Must staff internally Partial Partial
340B Capture Estimator

What could your hospital capture?

Select one of the five highest-margin specialty drugs, enter your patient count, and see your estimated annual 340B capture — the spread between Medicare reimbursement and your 340B acquisition cost.

Oncology
Keytruda
pembrolizumab
17
doses/yr
$4,592
spread/dose
NSCLC, melanoma, solid tumors
indication
How many patients are on this drug?
patients
Estimated annual 340B capture
$780,640
10 patients · $78,064 per patient/yr · $65,053/mo
Book a free assessment →

Estimates based on CMS ASP+6% reimbursement less 340B ceiling price per dose. Actual capture varies by payer mix, adherence, and site volume. Not a financial guarantee.

FAQ

Your questions, answered.

Everything CAH administrators and 340B compliance officers need to know.

Talk to our team →
The covered entity retains the pharmacy license and purchases all drugs directly — preserving full 340B eligibility and HRSA compliance. VarickRX provides everything else: the staff, technology, formulary management, payer access, and ongoing operations. You own the pharmacy. We run it.
Most Critical Access Hospital partners achieve full operational go-live within 8 to 16 weeks. This includes site assessment, licensing coordination, formulary configuration, PBM credentialing, staff placement, and first dispense.
VarickRX operates within your existing footprint — typically 200–400 square feet. All pharmacy staff are sourced, employed, and managed by VarickRX. Your team stays focused on care delivery.
Deliberate focus is what separates VarickRX from general operators. Neurology, oncology, and rheumatology represent the highest 340B savings potential, the most significant rural access gaps, and the most complex specialty pharmacy requirements. Deep expertise in three verticals produces genuinely superior outcomes.
340B compliance is the backbone of every process we build. We manage all pharmacy-related compliance requirements including Board of Pharmacy, DEA, and PBM audits, as well as supporting any HRSA 340B audit requiring pharmacy documentation.
VarickRX has established relationships with specialty prescribers in neurology, oncology, and rheumatology who provide telehealth consultations at our partner hospitals — enabling your CAH to initiate and manage specialty therapy for patients who would otherwise travel hours to access a specialist.
Get Started

Let us bring specialty pharmacy
to your community.

Schedule a free operational assessment — including projected 340B savings and a realistic launch timeline for your hospital.