Foundation Health
MSOT Automation Opportunity

How much specialty revenue is leaving your pharmacy?

Every specialty script that leaves your system is revenue someone else keeps. Move two sliders to see what closing that gap could be worth.

Average MSOT eligible orders per month

3,000

Your current capture rate

35%

Today, you're capturing an estimated $26.46M per year

With Foundation Health's MSOT Automation: $31.75M per year

Your additional revenue in year one

+$5,292,000

and growing, as your capture rate climbs year over year

An estimate, not a guarantee. Book a 20-minute call and we'll walk through how MSOT Automation drives revenue growth for you, and build a specific estimate based on your current MSOT utilization and goals.

What we do

What MSOT capture actually means

MSOT (Multi-Step Order Transmittal) is the queue inside Epic that intercepts a prescription after a provider writes it and before it reaches a pharmacy. That gap is your one chance to keep the fill inside your own network.

Turning MSOT on isn't the same as capturing its value. Most teams still work that queue by hand. Scripts can sit for days, delaying time to therapy. While they wait, the patient's default pharmacy fills the order and keeps the margin. Foundation Health automates the queue end to end, increasing capture rates and accelerating time to therapy.

How it works

Seamlessly capture and route specialty prescriptions without disrupting provider workflows

01

Instant Activation

Initiates specialty prescriptions intake the moment a provider signs the order in the EHR.

02

Smart Benefits Investigations

PAIGE AI verifies eligibility & benefits automatically, replacing the manual 15–20 minute investigation.

03

Real-time test claims

We run test claims at preferred specialty pharmacies in your network to see real copays and calculate margins.

04

Automated Patient Communication

Engage patients via automated SMS or VoiceAI, to support routing consent and exception handling when needed.

05

Release the script

The consent is captured in the EHR for the pharmacy staff to route the prescription to the chosen pharmacy, and the queue entry closes.

Configurable human-in-the-loop. Run it fully automated, or hold any step for pharmacist review.

It also works in reverse: scripts where you lose money can be routed out of your network instead.

Get precise

Want your real numbers?

This is a quick, directional estimate. On a short call we'll walk through your actual volume, capture, and margin data together.

Are you a 340B-covered entity? Your real number is likely stronger than this estimate shows. Ask our team to model that separately.

Not an Epic user? We also support Cerner (Oracle Health). Foundation Health's MSOT Automation runs across Cerner workflows too.

Sources & assumptions

Average Specialty Rx Revenue per Order: approximately $2,100. Stubbings J, Pedersen CA, Low K, Chen D. ASHP National Survey of Health-System Specialty Pharmacy Practice—2020. Am J Health Syst Pharm. 2021 Sep 22;78(19):1765-1791. PMID: 34345889. doi: 10.1093/ajhp/zxab277.

Illustrative estimate based on your inputs and Foundation Health benchmark assumptions. Does not include refills of newly captured scripts. Actual results vary by payer mix, formulary, staffing, 340B eligibility and implementation factors. Foundation Health makes no guarantee of specific financial outcomes.