Milligram Health

Initializing systems

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Where we work

Health Systems

Operational clarity for the pharmacy enterprise.

Margin & Reimbursement RecoveryData PlatformsDecision Systems

We work with health systems to connect scattered pharmacy data and build decision systems around 340B, specialty, and formulary economics.

/ 01 The problems

What you're up against

Pharmacy spend and 340B compliance spread across disconnected systems
Specialty and infusion economics that are hard to see and manage
Decisions made in spreadsheets, not systems
Clinical and financial goals pulling against each other
/ 02 The decisions

Decisions we help you make

These problems become decisions made daily, in volume, usually without a system behind them. These are the ones we build for.

01Is this claim 340B-eligible — and will the answer hold up in an audit?
02Where is specialty and infusion margin actually made and lost?
03What does a formulary change cost across the entire system?
04When a drug goes short, what do you switch to — and at what cost?
/ 03 How we think

Health systems carry enormous pharmacy complexity — 340B, specialty, formulary, contracting — and the intelligence to manage it is usually scattered. We work with your pharmacy and finance leaders to connect the data and build decision systems around the questions that matter most: where margin and compliance risk actually live, and what to do about them.

/ 04 How we engage

We typically begin with a bounded diagnostic on a high-value question — 340B capture, specialty margin, or formulary impact — prove it, and then scale it into production. We work HIPAA-compliant and BAA-ready, alongside your existing systems and TPA rather than replacing them.

The hardest part of health-system pharmacy isn't any single decision — it's that the data behind them lives in a dozen places. We start by bringing it together, around the decisions that matter.

/ 06 What's possible

Outcomes we build toward

A connected view of pharmacy economics and 340B
Defensible, auditable decisions
Specialty and infusion margin managed proactively
Clinical and financial goals aligned in one system

Focus areas

340B program intelligenceSpecialty & infusion economicsFormulary & P&T supportContracting & reimbursementQuality & STARSPopulation health analytics

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