MAC Rx
Expert-Led Excellence in Long-Term Care Pharmacy

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AC Rx is where substantial savings and service excellence for long-term care facilities come together. Nursing homes and assisted living facilities unlock true efficiency with low prescription medication costs and 24/7 clinical support led by industry experts.

With three strategically located pharmacies, MACRx of Illinois, MedScript in Indiana and MACRx of Missouri, it caters to nearly 300 long-term care providers.

Founded to bring innovation and personalized care into long-term care pharmacy, MAC Rx delivers a nurse-led service model that puts client needs first. Its white glove pharmacy consulting and nursing services provide clients with hands-on support from experts who understand facility operations and patient care. Pharmacy and facility law is combined with nursing and clinical aspects. This aligns the perspectives of pharmacists, nurses and facilities within a single, integrated model to drive better outcomes.

“Our mission is to be the best at what we do,” says Miriam Cho, president and CPO. “Despite operating at scale across multiple pharmacies, we pride ourselves on moving with the agility of a speedboat.”

MAC Rx currently dispenses medications to more than 19,000 residents. Its competitive and fair pricing helps facilities save up to 28 percent on prescription costs. This has made it one of the top four largest single-location independent long-term care pharmacies in the Midwest and the nation in just five years.

Nurse-Driven Clinical Support to Elevate Pharmacy Operations

Guided by the vision of Curt Ayers, CEO, MAC Rx continues to push the boundaries of long-term care pharmacy. Its focus on service excellence traces back nearly a decade, when Cho and Ayers envisioned a new model. Their discussions centered on the simple yet groundbreaking idea of creating a service experience through a full spectrum of personalized pharmacy services. They went on to build a customer service team comprised of nurses. Though it was a significant financial commitment, it offered unmatched advantages. With firsthand experience in nursing homes, the nurses were able to connect with clients, understand their problems in real-time and deliver solutions, which quickly became the basis for success.

Beginning with a single pharmacy in Illinois in 2014, MAC Rx soon grew into a model that reshaped expectations across the long-term care pharmacy landscape.

In 2015, the team onboarded Kenyatta Haltek, Vice President of Clinical & Customer Success, who built a nurse consultant department from the ground up. With 24 years of experience across nursing homes and pharmacy operations, she leads a multi-state team of nurses and customer service professionals, who serve as the company’s boots on the ground. She brings a new level of operational insight and adds layers of oversight to procedures and in-service programs.

“Nursing has always been a part of who I am,” says Haltek. “It feels extra special because I grew up watching my mom as a nurse and always wanted to follow in her footsteps.”

Haltek also leads new clinical initiatives and program rollouts. Over the years, her leadership evolved into a regional oversight role, where she guides a team that supports operations and clinical services beyond Illinois, serving the company’s growing network of pharmacies.

Under Kenyatta’s guidance and oversight, the Illinois pharmacy is now headed by Paula Lonero, Director of Nursing and Customer Service. She supports approximately 150 nursing homes across the tri-state area. Lonero’s roots in pharmacy continue to shape the perspective as a nurse, fostering a culture of hands-on, client-focused care.

Supporting Lonero is Assistant Director of Nursing and Customer Success, Nikki Benigno RN, MSN, who oversees site-specific operations and ensures day-to-day coordination is seamless. Driven by a passion to deliver safe, efficient and high-quality care, Benigno is helping bridge the gap between pharmacy services and patient care over the last 10 years.

“What I enjoy most about my role is building meaningful connections while supporting both our nurses and facilities to provide the best care possible,” says Benigno.

Service Excellence Meets Care Quality

The commitment to service excellence didn’t stop in Illinois. MAC Rx expanded in 2021 with its second pharmacy, MedScript in Indiana, which serves over 100 facilities across Michigan, Ohio, Kentucky and Indiana. Haltek also plays a vital role here, with facilities overseen by Nicole Yanez, Director of Nursing and Customer Service, who has over 25 years of experience. Driven by a passion for serving and building relationships, she helps clients achieve success through education.

She is supported by Lauren Dupree, assistant director of customer service, who services central Indianapolis facilities. She ensures customers receive the highest level of service and professionalism. Her background in pharmacy and degree in communications enable her to effectively facilitate lasting relationships with clients.

MAC Rx marked a milestone in 2023, opening its third pharmacy in Missouri. Located just outside St. Louis, it serves about 65 facilities under the guidance of a dedicated team of three nurses who also serve as customer service representatives.

“I blend nursing expertise with customer service to deliver trusted support to long-term care facilities. What I enjoy most about my job is the autonomy,” says Stacy Pratt, customer service nurse consultant with MACRx of Missouri.

Leadership that Drives Results

Under the guidance of this experienced leadership team, MedScript has built a reputation for client-focused service. Customer satisfaction remains the strongest measure of success for MAC Rx, consistently garnering five-star ratings. The team always embodies a patient-first, family-type atmosphere to enhance emotional comfort for clients and patients.

“We’ve partnered with MedScript for several years and continue to be impressed by their consistent service and fair pricing. Their team is responsive, reliable, and genuinely committed to supporting our needs so we can focus on what’s most important: caring for our residents,” says a happy client.

Expert Guidance Guaranteed

MAC Rx’s clinically trained, registered nurses provide clients with personalized, hands-on guidance and real-time problem-solving capabilities. Whether clarifying policies and procedures or providing refreshers on medication passes, they bring clinical expertise directly to the floor. Nurses are equipped to deliver more than 25 complimentary, customized in-service training sessions.

To further support this high-touch, clinical approach, MAC Rx has developed a proprietary customer relations management tool, a fully electronic platform, designed to capture the full scope of customer satisfaction during service visits. Implemented in all three pharmacy locations, the system continues to evolve with regular enhancements shaped by market trends and new program initiatives.

Leveraging the platform, MAC Rx structures each client’s onboarding process 45 to 60 days before service delivery. The process is initiated with bi-monthly or weekly on-site visits, where nurses and operations teams use a detailed 100-point checklist integrated into the electronic system to capture the facilities’ needs.

After onboarding, clients receive an immediate report outlining the team’s findings and actions. Insights gathered during the visits inform internal operations meetings, where pharmacy and nursing teams collaborate to address issues and refine services. Any unresolved issues are closely tracked. With over 98 percent closure rate within 24 hours, the company has set a high standard for responsiveness.

Nurses remain accessible 24/7 by phone, text and email, providing clients with immediate problem resolution and expediting complex troubleshooting for acutely ill patients. Every nurse manages a dedicated group of clients, with trusted face-to-face relationships built on familiarity and consistent support.

The team also delivers quarterly educational webinars that provide continuing education credits for nurses, focusing on clinically relevant long-term care.

“Our deep investment in nursing expertise is never an overhead. We consider it non-negotiable,” says Cho. “Nurses bring irreplaceable value to operational guidance and client satisfaction, making them central to our mission of delivering ‘quality in, quality out.’”

Customer Satisfaction as the True Benchmark

MAC Rx plans new clinical or procedural initiatives for clients by drawing on the combined expertise of pharmacists and nurses across three pharmacy locations. This cross-functional partnership has led to best practices that can multiply each program’s success and impact.

A powerful example shows how MAC Rx’s planning, people and resources translated into better outcomes. A client group initially planned a five-month transition timeline, which was subsequently shortened to three months and ultimately completed in just two months. Twenty-three facilities successfully transitioned to MAC Rx’s pharmacy services. During a quarterly business review, every facility reported that the transition had exceeded expectations.

A relentless focus on client success has become the engine of its operational excellence, propelling growth across three locations. Over the past year, each pharmacy has added new facilities almost monthly.

In October, 2025, MAC Rx launched five new facilities from its Illinois operation, three from Missouri and three from Indiana—all of which went live on the same day. Customer service teams were at each location to ensure a smooth launch, demonstrating the organization’s hands-on approach to service.

Establishing a strong reputation as the go-to value-driven partner, MAC Rx enables pharmacies to focus on their core priority, delivering safe, high-quality care to patients and residents.