Building better ways to operate across the pharmacy economy.
Milligram turns difficult strategic and operational decisions into working systems — so your organization can act with clarity, consistency, and speed.
The data exists. The decision still lives
in a spreadsheet.
Pharmacy organizations rarely lack information. They struggle to connect market rules, economics, operational reality, and fragmented systems into a clear next action — so the call gets made in an inbox, or in someone's head.
That missing layer is what Milligram builds.
We do not replace judgment. We make it visible, repeatable, and easier to act on.
Some decisions shape the business.
Others run it.
Decisions that shape the business
Infrequent, consequential, expensive to get wrong.
Decisions that run the business
Made daily, in volume, usually without a system behind them.
Milligram works at both levels — helping leaders understand what should change, and building the systems that make the change operational.
Three ways in
Different seats in the pharmacy economy face different decisions. Pick the door that matches yours — each one leads to real proof, not a pitch.
Run the operation better
For pharmacy operators
Clearer daily priorities, stronger economics, and consistent execution across every store — starting with the opportunities your existing systems leave behind.
Explore Phios / DECIDEMake a consequential move
For pharmacy-market leaders
A high-stakes strategic, economic, reimbursement, product, or policy decision — modeled rigorously and turned into a working answer, not a report.
See selected outcomes / BUILDBuild what is missing
For founders, operators & investors
You see an important problem the market hasn’t solved. We bring the data, platform, and product team to turn it into a working system — together.
Build with usPhios is built for pharmacy operators. Milligram selectively partners with market leaders, builders, and investors when an important decision deserves a new system.
What this
looks like in practice.
We complement what our partners already know — and help them see around the corners. A few of the outcomes we have shipped together.
Outcomes
The Phios 340B Module
- $8k average new monthly gross profit per pharmacy from missed 340B claims*
- 40+ staff hours saved per month, per pharmacy
- Improved compliance identification through real-time insights
Outcomes
Community Pharmacy Operations
- $2k+ recovered reimbursement margin per month (~3,000-patient pharmacy)
- $10k+ missed 340B profit identified monthly
- ~40 staff hours returned per month
Outcomes
Local Medical Business
- Fully customized internal clinic portal
- +30% all-in net profit after one year through analytic insights
- +200% daily high-margin appointments booked
Built by someone who's
stood at the counter.
Milligram is led by Thomas Barus, Pharm.D, RPh — a residency-trained pharmacist who also writes the software. When you work with us, the person who understands the pharmacy counter, the claim, and the codebase is in the room.
Meet Dr. Barus Built systems,
not slide decks.
Milligram builds decision systems across the pharmacy economy. Phios is the first of those systems delivered as a repeatable product — the operating layer for community and multi-site pharmacy.
Phios
Pharmacy Margin Recovery & Workflow Intelligence
Your existing systems record and transact. Phios prioritizes the work they leave behind — it connects to your pharmacy data, surfaces profit opportunities across retail and 340B, routes the next action to your team, and measures the result.
Monthly recovered margin
340B profit identified
Staff time saved / month
Have an operational challenge
worth solving?
If solving it would help your team work with more clarity and confidence, it's worth a conversation.
Start a Conversation