A multi-pharmacy owner who works directly with hospital 340B programs brought the problem to Launchpad — contract-pharmacy 340B capture was leaving money and compliance risk on the table, even with a leading TPA in place. Together we built the Phios 340B module, which identifies missed qualifying claims and surfaces compliance issues in real time, from the pharmacy counter. The program now serves a growing roster of partners, adding 2–3 new 340B clinic and hospital relationships every few months.
- Timeline
- Live and growing — 2–3 new clinic and hospital partners every few months
- Scope
- Multi-pharmacy network serving hospital 340B programs
- Decision Type
- Product
- Technology
- Phios 340B modulePHRET pharmacy data platformReal-time claims qualification analysis
What problem existed
Hospital 340B programs run through contract pharmacies — but the TPA software sitting between them misses qualifying claims, and compliance questions surface after the fact instead of in the moment. Hospitals lose program value; pharmacies carry the operational burden; neither side can see the gap.
Why it was difficult
The partner — an owner operating multiple pharmacies and working directly with hospital 340B programs — lived that gap daily. Through Launchpad, he brought firsthand insight, hospital relationships, and operating experience; Milligram brought the PHRET data platform, engineering, and pharmacy economics. A true co-build, structured before development began.
What had to be decided
Which 340B claims are being missed — and can every qualification decision hold up, in real time, when the audit comes?
What we made possible
We built a 340B module on Phios that analyzes dispensing and claims data alongside the TPA's output, flags qualifying claims the TPA missed, and surfaces compliance issues as they happen rather than at audit time. The pharmacy works the queue; the hospital gets program visibility it never had from the counter side.
What we built
Built on the PHRET pharmacy data platform with real-time claims qualification logic tuned to 340B program rules. Runs alongside the incumbent TPA rather than replacing it — which is exactly what makes the missed claims visible.
The business result
Per pharmacy, the module averages $8,000 in new monthly gross profit from missed claims identified, saves 40+ staff hours per month, and improves compliance identification through real-time insights — measured against the leading industry TPA software. The program continues to grow, adding 2–3 new 340B clinic and hospital partners every few months.
What remained after the engagement
The module is now part of Phios, available to pharmacy operators and the hospital programs they serve. The founding partner holds an ongoing revenue share in the module — and a working product his own business scales on — while the partnership keeps compounding as new hospital relationships come online. It is Launchpad's first product proof: an operator's insight, made repeatable.
What we achieved
The gap between a hospital's 340B program and its contract pharmacies isn't a lack of software — a TPA was already in place. It was that nobody was checking the TPA's work from the counter side, in real time. The best product ideas come from operators who live the gap daily.
*Compared with leading industry TPA software. Representative results from live operations; outcomes vary by program structure, hospital mix, and data access. Client identities are confidential.
The 340B module is part of Phios — priced per store, per month, by module, with operator references available on request. The full product lives at phiosrx.com.
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