Solutions
Solutions for every step of the pharmacy workflow
From prior authorization to direct-to-patient fulfillment, our solutions automate the most manual parts of pharmacy operations — keeping patients on therapy and pharmacy teams focused on the work that matters.
Streamline Prior Authorization workflows with AI-powered automation
Reduce the administrative burden of prior authorization with AI-powered automation that streamlines preparation, submission and follow-up, and keeps patients on therapy.
What we solve
PA preparation and follow-up consumes clinical and administrative staff time
PA delays slow patient access to therapy
Complex payer requirements and disparate documentation systems overwhelm pharmacy teams
Features
- Automated Benefits Investigation
- AI-Assisted Submission Preparation
- Electronic Prior Authorization
- Denial Decision Support & Appeals
- Encounter Note Generation
Streamline refill workflows with AI-assisted automation and pharmacist oversight
Accelerate refill authorization for pharmacy teams operating under Collaborative Practice Agreements (CPA), with AI pre-screening, automated documentation, and full pharmacist oversight embedded directly within your existing EHR workflow.
What we solve
Pharmacy teams operating under CPAs spend significant time manually reviewing patient charts for refill eligibility
Fragmented clinical data requires pharmacy techs to manually comb through charts for each refill authorization
Limited bandwidth to handle the volume of refill-related patient inquiries
Features
- AI-Assisted Chart Review
- Encounter Note Generation
- Duplicate & Supply Checks
- Epic SMART-on-FHIR Integration
Capture more prescriptions. Accelerate therapy initiation. Maximize pharmacy revenue.
While MSOT (Multi-Step Order Transmittal) is critical for prescription capture, health systems are running it on highly manual workflows. Our MSOT automation solution transforms a labor-heavy process into a scalable, technology-driven workflow.
What we solve
Delayed time to therapy due to manual benefits investigations and PA delays slow medications through the MSOT queue
Specialty-eligible prescriptions leave the health system due to delayed routing decisions
Lower capture rates due to inability to complete manual benefits investigations and engage patients on pharmacy selection in a timely manner
Features
- Instant Activation on Order Sign
- Smart Benefits Investigations
- Dynamic Routing
- Automated Patient Communication
- Full Visibility
Support patient outreach across the pharmacy journey
AI-powered VoiceAI and SMS handles routine patient outreach. Triggered automatically by prescription events, with structured summaries and follow-up tasks routed back to your pharmacy team for oversight.
What we solve
High volume of routine patient outreach with limited staff to manage it
Inconsistent or delayed communication leads to adherence gaps and prescription abandonment
Scaling outreach volume requires additional headcount
Features
- Refill Check-ins
- Adherence Outreach
- Live Query Handling and Escalation
- Flexible Outreach Scenarios (copay, delivery, onboarding)
340B compliance and revenue optimization
Integrate TPA and EHR data to continuously monitor claims, flag compliance risks, and surface revenue recapture opportunities — while de-risking exposure from compliance audits.
What we solve
340B compliance is labor intensive, manual, and every audit adds burden to the pharmacy team
TPA and EHR data sit in separate systems, making accurate eligibility determination difficult and leaving potential 340B revenue opportunities on the table
Referral leakage causes eligible claims to be incorrectly classified as ineligible, leaving 340B revenue unclaimed
Automatically identify improperly denied MFP credits, pre-populate dispute submissions with supporting eligibility documentation, and file to the Beacon MFP platform within the dispute time limit
Features
- Patient Eligibility Determination
- Automated Compliance Audits
- Revenue Recapture Identification
- Referral & Leakage Detection
- Compliance Dashboards
- MFP Reconciliation & Dispute Resolution
Remove cost as a barrier to patient access and medication adherence
Automatically identify eligible patients for manufacturer copay coupons, quick start programs, and patient assistance foundation programs, and automate enrollment workflows prior to fulfillment.
What we solve
Prescription drug cost is a significant patient barrier to therapy; timely access to financial assistance ensures adherence
Highly manual process for identifying eligibility across free drug, foundation, and manufacturer programs
Application preparation is documentation-heavy, diverting staff from higher-value work
No centralized visibility into enrollment status across programs and patients
Features
- Eligibility Screening
- Automated Application Preparation
- Enrollment Workflow Automation
- Prescription Abandonment Prevention
Empower patients with full transparency on their prescription journey
A white-labeled digital pharmacy experience, embedded directly into your existing patient portal, including MyChart. Patients manage everything in one place: prescriptions, refill requests, copay payments, PA status and financial assistance.
What we solve
Patients struggle to manage prescriptions across multiple patient portals and pharmacies. Limited transparency into expected cost, PA requirements, and order/delivery status increases calls to pharmacy.
Health system pharmacies are burdened by inbound calls. Retail and online pharmacies compete for fills with consumer-friendly digital experiences.
Features
- Prescription Management
- Patient Enrollment & Onboarding
- Checkout & Payment
- Auto-Refill & Refill Visibility
- Continuity of Care
Developed by you. Delivered to them.
Remove the middle blockers and streamline access to your products for qualifying patients, without having to spend years building a solution. Maintain oversight of your product's journey, ensuring quality and consistency at every touchpoint.
What we solve
Building DTP capabilities from scratch takes years and significant resource investment
Managing consults, prescriptions, fulfillment, and patient support across fragmented vendors creates operational complexity and gaps in the patient journey
Lack of control over brand experience when relying on third-party providers
Features
- Seamless Patient Onboarding
- Fully Managed Care Workflow
- Robust Medication Adherence
- Customized Support
Bundle OTC products alongside every prescription
Our platform supports dispensing and shipping OTC products, medical devices, and health supplements alongside prescriptions — all within the same branded checkout experience. Patients get everything they need in a single order, without switching platforms or portals.
Why it matters
Patients are forced to shop across multiple pharmacies and retailers to complete their care needs
Health system pharmacies miss revenue from OTC, medical device, and supplement sales that flow to retail competitors
Disconnected fulfillment for prescription and non-prescription items fragments the patient experience
What's supported
- OTC products, medical devices, and supplements shipped to all 50 states
- Single checkout for Rx and OTC in one order
- Subscription and auto-replenishment options available
- Fully white-labeled with your branding
The API for Healthcare
Access telehealth and pharmacy services for your customers via easy to use APIs — no need to build telehealth or run pharmacies yourself.
FoundationHealth.config({
clientId: 'CLIENT_ID',
clientSecret: 'CLIENT_SECRET',
});
const fh = FoundationHealth.with('ACCESS_TOKEN');
const order = await fh.orders.create({
patientId: 'pat_abc123',
prescriptionId: 'rx_def456',
items: [{ sku: 'med_001', quantity: 1 }],
shippingInformation: {
address: {
line1: '123 Main St',
city: 'Austin',
state: 'TX',
zip: '78701',
},
requestedService: 'standard',
},
});
const consultation = await fh.consultation.submitResponse({
consultationId: 'cons_xyz789',
patientId: 'pat_abc123',
answers: [{ questionId: 'qst_history', answer: 'None.' }],
});FoundationHealth.config({
clientId: 'CLIENT_ID',
clientSecret: 'CLIENT_SECRET',
});
const fh = FoundationHealth.with('ACCESS_TOKEN');
const order = await fh.orders.create({
patientId: 'pat_abc123',
prescriptionId: 'rx_def456',
items: [{ sku: 'med_001', quantity: 1 }],
shippingInformation: {
address: {
line1: '123 Main St',
city: 'Austin',
state: 'TX',
zip: '78701',
},
requestedService: 'standard',
},
});
const consultation = await fh.consultation.submitResponse({
consultationId: 'cons_xyz789',
patientId: 'pat_abc123',
answers: [{ questionId: 'qst_history', answer: 'None.' }],
});
Our APIs give you access to pharmacy and telehealth services, without the need to build your own.
