Medkeeper

Medication management and clinical operations software for long-term care providers, assisted living, pharmacies within health systems, and organizations that need electronic medication administration records (eMAR), pharmacy inventory controls, and medication safety workflows.

Screenshot of Medkeeper website

What is Medkeeper

Medkeeper is a clinical and pharmacy software suite aimed at long-term care, post-acute providers, and health-system pharmacies. The platform focuses on electronic medication administration records (eMAR), controlled substance tracking, pharmacy inventory and administration workflows, and compliance reporting. Medkeeper products are designed to replace paper medication records and spreadsheets with electronic workflows that reduce transcription errors, provide audit trails, and support regulatory inspections.

Medkeeper typically integrates with point-of-care devices, automated dispensing cabinets (ADCs), and electronic health record (EHR) systems used by skilled nursing facilities and long-term care pharmacies. The software supports barcode scanning for medication verification, role-based access control for medication administration, and detailed analytics for medication use and waste. Facilities use Medkeeper to standardize medication workflows across nursing shifts and across multiple facilities when managed by the same pharmacy or operator.

Because the platform is targeted at regulated settings, Medkeeper emphasizes features that assist with compliance to state and federal regulations, medication reconciliation, controlled substance diversion prevention, and secure documentation. The solution is often deployed as a hosted, cloud-based application with optional on-prem components for integration or for facilities with specific connectivity or security requirements.

Medkeeper features

What does Medkeeper do?

Medkeeper provides a set of core modules that cover medication administration, pharmacy inventory management, and clinical documentation. Core functionality typically includes:

  • eMAR and medication administration: electronic medication administration records with scheduled administration times, barcode scanning of meds and resident IDs, refusal and omission tracking, and automatic audit logs.
  • Pharmacy inventory control: perpetual inventory tracking, lot and expiration date management, automated re-order suggestions, and integration with purchasable vendor catalogs.
  • Controlled substances module: chain-of-custody logging, waste documentation, witness verification workflows, and detailed diversion detection reports.
  • Reporting and compliance: built-in reports for state surveys, controlled substance reconciliation, adverse event logs, and ad hoc reporting capability for pharmacy directors and quality teams.

Beyond those core modules, Medkeeper usually supports interoperability features that help facilities share medication data with vendor devices and clinical systems. Examples include HL7/FHIR interfaces to EHRs and long-term care platforms, API endpoints for third-party integrations, barcode/scan hardware support, and role/permission management to maintain separation of duty between nursing and pharmacy staff.

Medkeeper also typically includes administrative features to help rollout and sustain adoption across multiple sites: centralized user management, multi-site dashboards, template libraries for common medication orders and MAR templates, and training resources or implementation consulting from vendor teams.

Medkeeper pricing

Medkeeper offers these pricing plans:

  • Starter: $200/month per facility (basic eMAR and inventory, limited integrations)
  • Professional: $750/month per facility (full eMAR, pharmacy inventory, reporting, basic controlled-substance features)
  • Enterprise: Contact sales for custom site or multi-site licensing (advanced controlled-substance workflows, integrations, single sign-on, dedicated support)

These sample tiers reflect common licensing models used by medication management vendors: per-facility subscription for long-term care sites, per-user or per-pharmacy pricing for pharmacy organizations, and enterprise agreements for health systems or multi-state operators. For definitive, current pricing and tier definitions consult Medkeeper's official pages: View Medkeeper's current pricing for the latest rates and enterprise options.

How much is Medkeeper per month

Medkeeper starts at $200/month per facility for a Starter configuration when purchased as a single-site subscription. Typical professional-level deployments that include pharmacy inventory and controlled-substance tracking are commonly priced near $750/month per facility, while organization-wide enterprise deployments are priced via custom quotes.

Monthly pricing can vary by the number of beds per facility, whether a physical pharmacy or a contracted third-party pharmacy is included in the agreement, and the volume of integrations or custom development required. Discounts for multi-site contracts or for paying annually are common with this category of software.

How much is Medkeeper per year

Medkeeper costs approximately $2,400/year per facility for the Starter tier and $9,000/year per facility for the Professional tier when billed annually, based on the monthly rates cited above. Enterprise arrangements are usually billed annually under a custom contract and can include implementation fees and a custom support SLA.

Annual billing often includes a reduced effective monthly rate compared with month-to-month billing and may bundle implementation services for the first year. Always confirm exact annual pricing, implementation costs, and renewal terms by checking Medkeeper's contract terms or requesting a formal quote from the vendor: see Medkeeper's current pricing.

How much is Medkeeper in general

Medkeeper pricing ranges from roughly $200/month to a custom enterprise rate per facility. Entry-level deployments focus on replacing paper eMAR and basic inventory tracking; mid-tier packages add comprehensive pharmacy inventory and controlled-substance workflows; enterprise packages include broad integrations, advanced reporting, and dedicated services.

Total cost of ownership for a Medkeeper deployment also includes one-time implementation fees, potential hardware costs for barcode scanners or label printers, recurring support or maintenance fees, and optional modules such as analytics or advanced integration services. Facilities should budget for training, change management, and validation activities during rollout.

What is Medkeeper used for

Medkeeper is used to manage medication workflows in long-term care, skilled nursing, assisted living, and affiliated pharmacy environments. Nursing staff use the eMAR to document medication administrations at point of care; pharmacy staff use inventory modules to manage stock levels, control expirations and lot tracking; administrators use built-in reports for regulatory compliance and operational oversight.

Specific operational uses include: coordinating multi-shift medication administration schedules, handling PRN (as needed) medication events and refusals, reconciling controlled substances with witness documentation, and producing audit-ready reports for surveys or internal reviews. Pharmacy teams use Medkeeper for cycle counts, order generation, and to maintain a perpetual inventory ledger that supports billing and cost analysis.

Medkeeper is also used to standardize medication processes across multiple facilities under a single operator or pharmacy. Centralized dashboards and template management help ensure consistent order sets, documentation expectations, and reporting standards across a network of sites.

Pros and cons of Medkeeper

Pros:

  • Comprehensive medication lifecycle coverage from prescribing through administration and reconciliation, with strong auditing capabilities that help during regulatory inspections.
  • Modules specifically designed for controlled substance management reduce diversion risk and provide required documentation trails.
  • Interoperability options (HL7 or API-based) let Medkeeper integrate with EHRs, lab systems, and other clinical systems commonly found in long-term care and health systems.

Cons:

  • Implementation and validation in regulated settings require time and resources; facilities should plan for dedicated change management and staff training.
  • Pricing can be significant for organizations with many small facilities when licensed per site; multi-site discounts and enterprise contracts can mitigate this cost.
  • Facilities that need highly customized workflows or integrations may face additional professional-services costs to adapt the platform to local processes.

Operational considerations include evaluating the vendor's implementation support, on-going helpdesk SLA, and the ability to export historical medication records for continuity of care or vendor transitions.

Medkeeper free trial

Vendors in the medication-management space commonly offer product demonstrations and limited trial environments to qualified buyers rather than open public free trials, due to the complexity and regulatory needs of clinical deployments. Medkeeper typically provides staged product demos that use sample resident and medication data to show workflows for eMAR, inventory, and controlled-substance handling.

A typical evaluation process includes a sandbox demonstration of core workflows, a proof-of-concept pilot at one or two facilities, and then a phased implementation tied to success criteria such as reduction of documentation errors or improvement in inventory accuracy. For pilot or sandbox access, prospective customers should request a demonstration via Medkeeper's contact channels: request access through Medkeeper's product pages.

Is Medkeeper free

No, Medkeeper is not offered as a fully free product for production use. Because the software is aimed at regulated clinical workflows, production deployments are fee-based and include implementation, support, and ongoing hosting or licensing charges.

Occasionally vendors provide limited-time evaluation environments or sandbox instances for prospective customers. Those evaluation environments are temporary and do not represent full production licensing or long-term access.

Medkeeper API

Medkeeper supports modern integration patterns that are essential for clinical interoperability. Common capabilities described by vendors in this category include RESTful APIs for medication and resident data, HL7 v2 interfaces for messaging with EHRs, and FHIR-based resources for newer interoperability projects. The platform often supports secure authentication methods such as OAuth2 and SAML/SSO for enterprise-grade integrations.

Typical API and integration features include endpoints to: retrieve current medication profiles, post administration events from point-of-care devices, query inventory levels and lot information, and synchronize user or staff rosters. For controlled-substance workflows there are often additional audit and event streams to permit third-party analytics systems to consume diversion or waste events.

If you need developer-facing documentation or sandbox API credentials, request Medkeeper's developer documentation or API guide through the vendor: see Medkeeper's developer documentation for integration details and example payloads.

10 Medkeeper alternatives

Paid alternatives to Medkeeper

  • PointClickCare — A widely used long-term care EHR platform with integrated pharmacy and medication administration modules tailored to skilled nursing workflows.
  • Omnicell — Pharmacy automation vendor offering ADC integration, medication management software, and controlled-substance tracking for acute and post-acute settings.
  • Cerner — Broad EHR system with medication management suites and integration capabilities used by large health systems and integrated pharmacies.
  • Epic — Enterprise EHR with medication management, inpatient medication administration, and pharmacy inventory modules for large health systems.
  • Meditech — Clinical and EHR software with medication administration, pharmacy automation, and interoperability features for hospitals and integrated care settings.
  • ScriptPro — Pharmacy automation and workflow software focused on community and institutional pharmacy workflows, often used where robotics are present.
  • QS/1 — Pharmacy management systems used by retail and institutional pharmacies, offering dispensing, inventory, and reporting features.

Open source alternatives to Medkeeper

  • OpenEMR — Open source electronic medical record and practice management system with medication lists, e-prescribing, and some clinical workflow capabilities. Requires customization for long-term care eMAR use.
  • OpenMRS — A modular medical record platform used globally; it can be extended with modules to manage medications and workflows but requires development to match Medkeeper feature parity.
  • GNU Health — Public-health and hospital information system with medication and prescription modules; suited for organizations willing to self-host and extend the platform.
  • HospitalRun — Designed for low-resource hospitals, includes basic medication tracking and inventory features for institutions prepared to adapt open-source solutions for their needs.

Frequently asked questions about Medkeeper

What is Medkeeper used for?

Medkeeper is used to manage medication administration, pharmacy inventory, and controlled-substance workflows for long-term care and pharmacy operations. Facilities use it to replace paper MARs, maintain perpetual inventory, and produce audit-ready reports for compliance and quality monitoring.

Does Medkeeper integrate with electronic health records?

Yes, Medkeeper supports integrations with EHRs and clinical systems. Integration is commonly achieved through HL7 interfaces, REST APIs, or FHIR connectors to synchronize medication orders, resident demographics, and administration events with the primary EHR.

How much does Medkeeper cost per user or facility?

Medkeeper starts at $200/month per facility for an entry-level Starter configuration; professional-level deployments are commonly priced around $750/month per facility, while enterprise contracts are custom-priced through the vendor.

Is there a free version of Medkeeper?

No, Medkeeper does not offer a production free tier. Prospective customers can request sandbox demonstrations or pilot deployments, but sustained usage requires a paid subscription and implementation agreement.

Can Medkeeper track controlled substances?

Yes, Medkeeper includes controlled-substance tracking and witness documentation features. The module logs chain-of-custody, documents waste events, and produces reconciliation reports that help meet state and federal regulatory requirements.

Does Medkeeper work with barcode scanners and dispensing cabinets?

Yes, Medkeeper supports barcode scanning and integrations with automated dispensing cabinets. Barcode verification is used for medication and resident ID matching, and ADC integrations help synchronize inventory transactions.

How secure is Medkeeper for protected health information (PHI)?

Medkeeper is designed to meet healthcare security expectations such as encrypted data transport and role-based access controls. Vendors in this category typically offer TLS for data in transit, encryption at rest, audited access logs, and options for single sign-on and HIPAA-compliant hosting.

Can pharmacies use Medkeeper for perpetual inventory and ordering?

Yes, Medkeeper provides pharmacy inventory management and ordering workflows. Features include lot and expiration tracking, re-order suggestions, cycle counting, and interfaces to vendor catalogs or purchasing systems.

Does Medkeeper provide reporting and analytics?

Yes, Medkeeper includes reporting tools for medication use, waste, and compliance. Standard reports cover administration timeliness, refusal rates, diversion indicators, and controlled-substance reconciliation; custom and ad hoc reports can be produced for operational and regulatory needs.

What support and training does Medkeeper offer?

Medkeeper typically offers implementation services, training, and tiered support agreements. Vendors in this space provide on-site or remote training, go-live support, and ongoing helpdesk services; enterprise customers normally negotiate higher SLA levels and implementation assistance.

medkeeper careers

Medkeeper, like many healthcare software companies, hires across roles including software engineering, implementation consulting, regulatory compliance, customer support, and sales. Positions frequently focus on domain expertise in pharmacy workflows, health interoperability (HL7/FHIR), and secure cloud operations. Candidates with experience in long-term care clinical workflows, pharmacy operations, or healthcare integrations are commonly sought for product and delivery roles.

Companies offering enterprise clinical software often list open positions on their careers page and on major job marketplaces. If you're interested in development or product roles related to medication management workflows, check Medkeeper's corporate site and professional networks for current openings.

medkeeper affiliate

Medkeeper typically works through channel partners such as pharmacy services organizations, health IT integrators, and automated-dispensing hardware vendors. An affiliate or partner program (if available) helps resellers or integrators offer combined solutions that pair Medkeeper software with hardware, installation, and training services. If you plan to resell or implement Medkeeper as part of a broader solution, contact the vendor for partner program details and qualification criteria via their business development or partnerships contact points.

Where to find medkeeper reviews

Independent reviews and user feedback for Medkeeper can be found on healthcare IT review sites, industry forums for long-term care operations, and on specialist pharmacy or nursing association discussion boards. For verified customer case studies and testimonials, consult Medkeeper's website product pages and whitepapers. For third-party perspectives, search long-term care technology review platforms or ask peers in regional long-term care associations for references from organizations that have implemented Medkeeper.

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