Take Charge of Your
Hospice Pharmacy Spend.
MaxHaven gives hospice leaders the data, pricing transparency, and clinical expertise to control pharmacy costs, without sacrificing the quality of care your patients deserve. Business-grade PBM solutions built exclusively for hospice.
Average PPD,
vs. $11.00 industry average
Of client savings driven by formulary optimization
Of client savings from PBM admin fee optimization
Why Hospice Is Different
Generic PBMs Weren’t Built for Hospice. Your Costs Show It.
Standard pharmacy benefit management was designed for the commercial market: volume-based formularies, employer health plans, and retail pharmacy incentives that have nothing to do with how hospice works. When hospice organizations try to use commercial PBM solutions, they pay for that mismatch in higher PPD, compliance exposure, and a formulary that doesn’t reflect the clinical reality of end-of-life care.
MaxHaven was built from the ground up for hospice. Our formulary was designed by palliative care pharmacists who understand the Medicare Hospice Benefit inside and out. Our pricing model eliminates spread pricing and hidden markups. Our data tools give you real-time visibility into exactly where your pharmacy dollars are going, so you can make decisions based on facts, not guesswork.
Hospice leaders deserve to know exactly where their pharmacy dollars are going, and exactly what they are saving.
Relative pharmacy cost per patient-day
MaxHaven will benchmark your current PPD against ours before you sign anything.
What MaxHaven Delivers
Three Pillars. One Bottom Line.
Scroll through the three commitments every MaxHaven partnership is built on.
Pillar 01: Pricing You Can Count On
No Spread. No Markups. No Surprises.
MaxHaven removes the trash from your pharmacy contract: no spread pricing, no hidden markups, no fees buried in your plan. You pay the actual cost of drugs plus a clear pharmacy dispensing fee, and every dollar in savings flows directly to your organization. MaxHaven uses NADAC, a publicly available benchmark based on pharmacy acquisition costs, to bring greater clarity to what medications actually cost. Do you know how your current medication pricing compares?
The #1 savings driver: formulary optimization accounts for 50–70% of total client savingsPillar 02: PPD You Can See
Less than $6.00 Average PPD. And We’ll Prove It.
Per-patient-per-day drug cost is the number that matters most for hospice pharmacy management. MaxHaven’s average PPD of less than $6.00 reflects years of hospice-specific formulary development, proactive utilization management, and a clinical approach to cost containment that doesn’t compromise end-of-life care. We don’t hide this number: we lead with it. And we’ll benchmark your current PPD against ours before you sign anything.
MaxHaven-managed plans see an additional 15–22% reduction through combined purchasing leveragePillar 03: Care You Can Trust
Four Hospice-Specific Pharmacy Standards. Built In.
MaxHaven holds its pharmacy network to four core standards developed specifically for hospice care. These aren’t industry generics: they reflect the clinical requirements, regulatory obligations, and patient experience expectations that define high-quality hospice pharmacy delivery. Every formulary decision, every clinical protocol, and every dispensing standard is filtered through these criteria. Your patients receive the medications they need, the way hospice requires them to be delivered.
Learn about our clinical standardsWho We Serve
Built for Hospice Organizations of Every Size.
Hospice Administrators & Executive Leaders
Pharmacy costs that answer to finance, not the other way around.
You manage the full business of hospice: reimbursement, compliance, staffing, and margin. MaxHaven gives your finance and operations teams the visibility they need to treat pharmacy spend like any other line item: trackable, manageable, and improvable. We provide plain-language reporting built for leadership, not just clinical staff. Benchmarking against industry PPD averages. And pricing that doesn’t shift without your knowledge.
- Real-time pharmacy spend dashboards and PPD tracking
- Medicare Hospice Benefit compliance expertise and audit support
- Transparent, auditable contract terms, with no hidden revenue streams
- Formulary designed by palliative care pharmacists
- Dedicated account support from a team that understands hospice
Non-Profit & Hospital-Based Hospice Programs
Mission-driven care requires mission-aligned costs.
For non-profit hospice organizations and hospital-based hospice programs, every dollar saved on pharmacy is a dollar that can go back into patient care. MaxHaven’s transparent pricing model and formulary efficiency were built with that mission in mind. We understand that your organization isn’t measured purely on margin, and we structure our partnership accordingly.
Learn How MaxHaven Serves Non-ProfitsThe Tools Behind the Numbers
Data-Driven Pharmacy Management for a Data-Driven Industry.
Hospice organizations are under increasing pressure to demonstrate outcomes, control costs, and maintain compliance, all at the same time. MaxHaven’s integrated technology and clinical capabilities give you the tools to do all three without adding operational burden.
Hospice-Specific Formulary
Designed by palliative care pharmacists to reflect the real clinical requirements of end-of-life care.
Medicare Hospice Benefit Compliance
Built-in guardrails and audit support to keep your organization in compliance with CMS requirements.
Real-Time PPD Analytics
Live visibility into per-patient-per-day drug costs, benchmarked against industry standards.
e-Prescribing Integration
Streamlined electronic prescribing that reduces friction for your clinical staff.
EMR Integration
Compatible with major hospice EMR platforms for seamless data flow.
Proactive Utilization Management
Clinical review before high-cost claims compound into budget problems.
Formulary Optimization Review
Ongoing analysis to identify cost-reduction opportunities without compromising clinical standards.
Transparent Reporting
Finance-ready dashboards and plain-language reporting designed for leadership, not just pharmacists.
Hospice PBM, Explained
Frequently Asked Questions
MaxHaven Rx is a hospice-specialized pharmacy benefit manager (PBM) that manages prescription drug costs and formulary compliance for hospice organizations, for-profit hospice programs and home-health based hospice programs, non-profit hospice programs, and hospital-based hospice care teams. MaxHaven operates on a transparent, no-spread-pricing model, meaning hospice organizations pay the actual cost of drugs plus a clear pharmacy dispensing fee, with no hidden markups. MaxHaven’s formulary was designed by palliative care pharmacists specifically for the clinical and regulatory requirements of end-of-life care.
MaxHaven reduces hospice pharmacy costs through three primary mechanisms. First, we show hospice organizations what their medications actually cost by benchmarking prices to NADAC (National Average Drug Acquisition Cost), the real-world price pharmacies pay, instead of AWP (Average Wholesale Price), the inflated list-price standard most PBMs use. Second, MaxHaven eliminates spread pricing and hidden markups, so organizations pay the actual drug cost plus a clear pharmacy dispensing fee. Third, MaxHaven’s hospice-specific formulary, developed by palliative care pharmacists, is optimized to reduce PPD without compromising patient care: formulary optimization is the single biggest driver, accounting for 50–70% of total client savings.
PPD stands for per-patient-per-day drug cost, the primary metric used to benchmark hospice pharmacy spend. PPD measures the average daily cost of all medications dispensed to a hospice patient. MaxHaven’s average PPD is less than $6.00, a figure reflecting years of hospice-specific formulary development, proactive utilization management, and transparent pricing. MaxHaven provides real-time PPD tracking for all client organizations and will benchmark a prospective client’s current PPD before any agreement is signed.
The Medicare Hospice Benefit (MHB) is a federal benefit that covers all medications related to a patient’s terminal diagnosis under the hospice per diem rate. Hospice organizations are financially responsible for all MHB-covered drug costs, making formulary management and cost control critical. MaxHaven’s formulary and compliance protocols are built around MHB requirements, with built-in guardrails and audit support to help organizations maintain compliance with CMS regulations.
MaxHaven serves hospice administrators and executive leadership teams, hospice consortia and group purchasing organizations, non-profit hospice organizations, hospital-based hospice programs, and hospice startups. MaxHaven’s flexible contract structure is designed to adapt to the varying needs of hospice organizations across size, ownership model, and patient population.
Our Story
Hospice Pharmacy Management Built by People Who Know Hospice.
MaxHaven was founded on a straightforward premise: hospice organizations deserve a pharmacy benefit partner that understands their world: the clinical complexity of end-of-life care, the financial pressures of Medicare reimbursement, and the operational demands of managing pharmacy costs across a dispersed patient population.
We are not a generalist PBM that added a hospice module. MaxHaven was built from the ground up for hospice, with a formulary designed by palliative care pharmacists, compliance protocols built around the Medicare Hospice Benefit, and pricing that treats your organization as a business partner, not a revenue source.
MaxHaven is part of the PPOK family of pharmacy brands, founded in 1985 in Oklahoma to strengthen independent pharmacy across the country. That heritage informs everything we do: a commitment to transparency, a respect for the organizations we serve, and a belief that pharmacy benefit management works better when incentives are aligned.
Your patients are at the center of everything your organization does. MaxHaven keeps your pharmacy costs from getting in the way.
Ready to See What Your Hospice Pharmacy Costs Could Look Like?
MaxHaven will benchmark your current per-patient-per-day drug costs against industry standards, at no cost, no commitment. See where you stand, and see what’s possible.