Community pharmacy operators had the data — dispensing, claims, purchasing, 340B — but the decisions still lived in reports and experienced people's heads. We built the system that connects that data and converts it into a prioritized daily queue of actions with expected economic impact, assigned ownership, and outcome tracking. It became Phios, the first Milligram decision system delivered as a repeatable product.
- Timeline
- Live and ongoing
- Scope
- Community pharmacy operations — retail reimbursement, 340B, purchasing, and workflow
- Decision Type
- Operational
- Technology
- Phios operating queuePHRET pharmacy data platformPMS, wholesaler & claims integrations
What problem existed
Pharmacy operations were losing margin they couldn't see — across retail reimbursement, 340B capture, and purchasing — because the data to find it sat in systems nobody had time to connect, and the knowledge of what to do about it lived with a few experienced people.
Why it was difficult
The pharmacies had software and reports in abundance. What they lacked was prioritization — of everything the data could surface, what deserves action today, who should act, and how would anyone know it worked? Every location handled the same situations differently, and high-value opportunities expired quietly while staff worked whatever was in front of them.
What had to be decided
Which reimbursement, purchasing, 340B, and workflow opportunities deserve action each day — and who should act on each one? The system had to answer that question continuously, not in a monthly report.
What we made possible
We connected the fragmented data — dispensing, claims, purchasing, 340B — and converted it into a prioritized operating queue with clear opportunity logic, expected economic impact, assigned ownership, and action tracking through to the measured result. The queue lives where the team already works; nothing new to interpret.
What we built
Built as Phios on the PHRET pharmacy data platform, with models tuned to pharmacy economics. Each opportunity carries its reasoning and dollar impact; actions are routed, tracked to completion, and measured — so the system learns which interventions actually pay.
The business result
In live deployments, the system surfaces and recovers material margin monthly: $2,000+ in recovered reimbursement margin per month for a ~3,000-patient pharmacy, $10,000+ in missed 340B profit identified monthly, and roughly 40 staff hours returned each month. Representative results — outcomes vary by pharmacy profile, payer mix, staffing, and available data.
What remained after the engagement
The system runs daily and keeps improving — every opportunity worked teaches it which actions pay. It became Phios, the repeatable product now available to community and multi-site pharmacy operators.
From the Partner
"The tool is easy to navigate and gives me the information I need to quickly realize profit."
— Pharmacy owner & operator
What we achieved
The gap in pharmacy operations was never information — it was prioritization, ownership, and follow-through. A decision embedded in the daily workflow, with a name attached and a result measured, behaves completely differently from the same decision sitting in a report.
Results shown are representative of live deployments and vary by pharmacy profile, payer mix, staffing, and available data. Client identities are confidential.
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