Is Your Hospice Pharmacy PPD Really All In?
A hospice pharmacy per patient per day figure is only useful when leadership can see what the number includes, how it was calculated, and what caused it…
Hospice-specialized pharmacy benefit management
Take charge of your hospice pharmacy spend.
MaxHaven Rx is a pharmacy benefit manager built only for hospice. We give hospice leaders transparent NADAC-based pricing with no spread, a formulary designed by palliative care pharmacists and real-time PPD data, so you control pharmacy costs without compromising the comfort care your patients deserve.
- Average PPD
- <$6.00
- Average PPD
- vs. $11.00 industry average
- Of client savings
- 50–70%
- Of client savings
- driven by formulary optimization
- Of client savings
- 20–30%
- Of client savings
- from PBM admin fee optimization
Figures published by MaxHaven Rx. Ask us for the benchmarking methodology behind them.
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 incentives that have nothing to do with how hospice works. Hospices that use commercial PBM models pay for the mismatch in higher PPD, compliance exposure and a formulary that ignores 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 know the Medicare Hospice Benefit inside and out. Our pricing removes spread and hidden markups. Our data shows exactly where every pharmacy dollar goes.
Industry average$11.00
MaxHaven, hospice-built<$6.00
Hospice leaders deserve to know exactly where their pharmacy dollars go, and exactly what they save.
What MaxHaven delivers
Three pillars. One bottom line.
Every MaxHaven partnership rests on the same three commitments: pricing you can verify, a PPD you can see and care standards built for hospice.
Pricing you can count on
No spread. No markups. No surprises.
You pay the actual cost of drugs plus a clear pharmacy dispensing fee, and every dollar in savings flows to your organization. MaxHaven benchmarks medication prices to NADAC, the public National Average Drug Acquisition Cost, instead of inflated list prices.
Learn more about pricing you can count onPPD you can see
Less than $6.00 average PPD. And we will prove it.
Per-patient-per-day drug cost is the number that matters most in hospice pharmacy. MaxHaven leads with it, tracks it in real time and will benchmark your current PPD against ours before you sign anything.
Learn more about ppd you can seeCare you can trust
Hospice-specific pharmacy standards, built in.
Every formulary decision, clinical protocol and dispensing standard is filtered through criteria developed for hospice: clinical need, regulatory obligations and the experience patients and families expect at the end of life.
Learn more about care you can trust
MaxHaven-managed plans see an additional 15–22% reduction through combined purchasing leverage.
Who we serve
Built for hospice organizations of every size.
From hospice executives managing margin to non-profit and hospital-based programs answering to a mission, the contract adapts to you.
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 finance and operations teams the visibility to treat pharmacy spend like any other line item: trackable, manageable and improvable. We provide plain-language reporting built for leadership, benchmarking against industry PPD averages, and pricing that doesn’t shift without your knowledge.
Request a cost benchmarking analysis- 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
Mission-driven care requires mission-aligned costs.
For non-profit hospices 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 your organization isn’t measured purely on margin, and we structure our partnership accordingly.
How MaxHaven serves non-profits- Every dollar saved can return to patient care
- Transparent, auditable pricing your board can review
- Hospice formulary and compliance inside a larger health system
- Contracts with à la carte add-ons, so you pay only for what you need
The tools behind the numbers
Data-driven pharmacy management for a data-driven industry.
Hospices must demonstrate outcomes, control costs and stay compliant at the same time. MaxHaven’s technology and clinical capabilities help with all three without adding operational burden.
Hospice-specific formulary
Designed by palliative care pharmacists for the clinical reality of end-of-life care.
Medicare Hospice Benefit compliance
Built-in guardrails and audit support around CMS requirements.
Real-time PPD analytics and dashboards
Live per-patient-per-day visibility, benchmarked against industry standards.
e-Prescribing and EMR integration
Less double entry for clinical staff, fewer demographic errors.
Proactive utilization management
Clinical review before high-cost claims become budget problems.
Formulary optimization review
Ongoing analysis to cut cost without compromising clinical standards.
Personalized clinical guidance
Opioid conversions, in-services and a hospice clinical pharmacist on call.
Emergency kit (E-kit) management
Custom comfort kits built for your patient population.
Our story
Hospice pharmacy management built by people who know hospice.
MaxHaven was founded on a simple premise: hospices deserve a pharmacy benefit partner that understands their world. The clinical complexity of end-of-life care, the financial pressure of Medicare reimbursement and the work of managing pharmacy across a dispersed patient population.
We are not a generalist PBM that added a hospice module. MaxHaven launched in 2023 as part of PPOk, the family of pharmacy brands founded in Oklahoma in 1985 to strengthen independent pharmacy. That heritage shapes everything we do: transparency, respect for the organizations we serve and incentives that stay aligned with yours.
More about MaxHavenInsights for hospice leaders
Guides on PPD, formularies and pharmacy costs.
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What is MaxHaven Rx?
MaxHaven Rx is a hospice-specialized pharmacy benefit manager (PBM) launched in 2023 by PPOk. It manages prescription drug costs and formulary compliance for hospice organizations: for-profit, non-profit, hospital-based and home-health-based programs. It works on a transparent, no-spread-pricing model with a formulary designed by palliative care pharmacists.
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 PPD in hospice pharmacy management?
PPD stands for per-patient-per-day drug cost, the main metric used to benchmark hospice pharmacy spend. It is the average daily cost of all medications dispensed to a hospice patient. MaxHaven’s average PPD is less than $6.00, compared with an industry average of $11.00, and MaxHaven provides real-time PPD tracking for every client.
What is the Medicare Hospice Benefit, and how does MaxHaven support compliance?
The Medicare Hospice Benefit (MHB) covers medications related to a patient’s terminal diagnosis under the hospice per diem rate, so the hospice is financially responsible for those drug costs. MaxHaven’s formulary and compliance protocols are built around MHB requirements, with built-in guardrails and audit support for CMS regulations.
What types of hospice organizations does MaxHaven serve?
Hospice administrators and executive teams, hospice consortia and group purchasing organizations, non-profit hospices, for-profit hospices, hospital-based hospice programs and hospice start-ups. The contract structure adapts to size, ownership model and patient population.
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 and with no commitment.