MaxHaven Rx
(405) 697-2332Free PPD analysis

Hospice PBM services

Everything a hospice needs from a pharmacy benefit partner. Nothing it doesn’t.

MaxHaven Rx provides hospice pharmacy benefit management: transparent NADAC-based drug pricing with no spread, a hospice formulary designed by palliative care pharmacists, real-time PPD analytics, Medicare Hospice Benefit compliance support, clinical guidance and a high-performing independent pharmacy network, on a contract you build à la carte.

A stethoscope resting on a clinic desk while two clinicians talk in the background

On this page

01

Pricing and contracts

Transparent, NADAC-based pricing

Actual drug cost plus a clear dispensing fee. No spread pricing, no hidden markups.

MaxHaven eliminates spread pricing and hidden markups. Hospices pay the actual cost of drugs plus a clear pharmacy dispensing fee, benchmarked to NADAC (National Average Drug Acquisition Cost), the real-world price pharmacies pay, rather than AWP (Average Wholesale Price). The pricing model can be independently verified by a third party.

  • No spread pricing or fees buried in your plan
  • NADAC benchmark instead of AWP list prices
  • Pricing that does not shift without your knowledge
  • Transparent, auditable contract terms

Customized contracts

A base contract with à la carte add-ons. Pay only for what you need.

Contracts are built around a base agreement with add-ons available à la carte, so you pay only for the technology you need. The structure adapts to hospices of every size and ownership model, from non-profits and for-profits to hospital-based programs and start-ups.

High-performing pharmacy network

Top-performing independent pharmacies that meet stringent criteria.

MaxHaven has assembled a network of top-performing independent pharmacies, each meeting stringent criteria, so patients and families get consistent pricing and service standards wherever they are. MaxHaven-managed plans see an additional 15–22% reduction through combined purchasing leverage.

What transparency looks like

Average PPD vs. $11.00 industry average
<$6.00
Of client savings driven by formulary optimization
50–70%
Of client savings from PBM admin fee optimization
20–30%
Benchmark your PPD for free

02

Formulary and clinical

Hospice-specific formulary

Designed by palliative care pharmacists for the clinical reality of end-of-life care.

The MaxHaven formulary was designed by palliative care pharmacists who understand the Medicare Hospice Benefit, and curated by a clinical pharmacist with over a decade of specialization in managing hospice specialty pharmacies. It supports precise, patient-specific recommendations instead of a generic commercial list.

Formulary optimization review

Ongoing analysis to cut cost without compromising clinical standards.

Formulary optimization is the single biggest savings driver, accounting for 50–70% of total client savings. MaxHaven reviews utilization on an ongoing basis to find cost-reduction opportunities that keep clinical standards intact.

Proactive utilization management

Clinical review before high-cost claims become budget problems.

Clinical review happens before high-cost claims compound into budget problems, so cost containment never comes at the expense of comfort care.

Personalized clinical guidance

Opioid conversions, in-services and a hospice clinical pharmacist on call.

Work with a hospice clinical pharmacist for customized opioid conversions, a range of educational in-services covering hospice disease states, and practical guidance from a pharmacist with specialized hospice experience.

Emergency kit (E-kit) management

Custom comfort kits built for your patient population.

Customizable E-kit creation lets each hospice choose the right combination of medications for its own patient population.

03

Data, technology and compliance

Real-time PPD analytics and dashboards

Live per-patient-per-day visibility, benchmarked against industry standards.

A real-time dashboard lets you monitor pharmacy claims, compare medication pricing and ordering trends, and track PPD against industry benchmarks. Reporting is finance-ready and written in plain language for leadership, not just pharmacists.

  • Real-time pharmacy spend and PPD tracking
  • Medication pricing and ordering trends
  • Benchmarking against industry PPD averages
  • Plain-language reports for executives and boards

Medicare Hospice Benefit compliance

Built-in guardrails and audit support around CMS requirements.

Formulary and compliance protocols are built around Medicare Hospice Benefit requirements, with built-in guardrails and audit support to help your organization stay compliant with CMS regulations.

e-Prescribing and EMR integration

Less double entry for clinical staff, fewer demographic errors.

Electronic prescribing and integration with major hospice EMR platforms reduce administrative burden, give staff more time with patients and lower the risk of errors in patient demographic entries.

Prior authorization and eligibility management

Training that gets patients their medications sooner.

MaxHaven trains hospice staff to manage prior authorizations and eligibility, so patients get quicker access to the medications they need.

Questions about our services

How MaxHaven pricing and formulary work

Want something more specific? Read the full hospice PBM FAQ or ask our team.

How does MaxHaven reduce hospice pharmacy costs?

Three ways. First, it benchmarks drug prices to NADAC, what pharmacies actually pay, instead of inflated AWP list prices. Second, it eliminates spread pricing and hidden markups, so you pay the actual drug cost plus a clear dispensing fee. Third, its hospice-specific formulary is optimized to reduce PPD without compromising care; formulary optimization drives 50–70% of total client savings.

What is NADAC and why does it matter for hospice?

NADAC (National Average Drug Acquisition Cost) is a public pricing benchmark published by CMS that reflects what retail pharmacies actually pay to acquire drugs. Pricing tied to NADAC is easier to verify than pricing tied to AWP (Average Wholesale Price), a list price that usually sits well above acquisition cost.

What is spread pricing, and does MaxHaven use it?

Spread pricing is when a PBM charges a plan more for a drug than it pays the pharmacy and keeps the difference. MaxHaven does not use spread pricing. You pay the actual cost of the drug plus a clear pharmacy dispensing fee.

Who designed the MaxHaven formulary?

Palliative care pharmacists who understand the Medicare Hospice Benefit. It was curated by a clinical pharmacist with more than a decade of specialization in managing hospice specialty pharmacies.

How are MaxHaven contracts structured?

A base contract with add-ons available à la carte, so you pay only for the technology you need. The structure works for non-profits, for-profits, hospital-based programs, established hospices and start-ups.

Find out what a hospice-built PBM would save you.

MaxHaven will benchmark your current per-patient-per-day drug costs against industry standards, at no cost and with no commitment.

Request a free PPD analysis Call (405) 697-2332