Milligram Health

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Where we work

Pharmacy Operators

One operating view of margin, 340B, and workflow — across every location.

Margin & Reimbursement RecoveryWorkflow AutomationDecision Systems

We help community and multi-site pharmacy operators see where margin is leaking across the network, prioritize what deserves action, and execute consistently — store by store, every day.

/ 01 The problems

What you're up against

Reimbursement and DIR pressure eroding margin you can't easily see
Data trapped across the PMS, wholesaler, and claims — never connected
Every store handling the same decision differently
Clinical opportunities like 340B, adherence, and immunizations left on the table
Manual work and workarounds capping what your teams can do
/ 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.

01Which scripts are losing money — and which claims are worth the rebill?
02Is 340B capturing everything it should, or quietly leaving profit behind?
03Which stores are underperforming, and why?
04Which clinical services actually pay for the staff time they take?
05Where should this week's purchasing dollars go?
/ 03 How we think

Pharmacy operations run on thin margins and rich, underused data. We connect what you already have — dispensing, claims, purchasing — and turn it into a prioritized operating queue: which scripts lose money, where 340B is under-captured, which stores vary and why. The right action gets routed to the right person, at the store or the central office, and the result gets measured.

/ 04 How we engage

For pharmacy operators, Phios is usually the starting point — a working product your teams can run from week one. Purpose-built Milligram engagements are reserved for multi-location, network-level, or strategic problems the product does not yet address.

Whether you run three pharmacies or fifty, the pattern is the same: the data exists, but the decisions live in reports and experienced people's heads. We start with the numbers you already have — and the decisions they point to.

/ 06 What's possible

Outcomes we build toward

Recovered reimbursement and 340B margin
A daily, prioritized view of opportunities across every location
Store-to-store variation made visible and actionable
Clinical services scaled where they actually pay
Less manual work, more time at the counter

Focus areas

Reimbursement & margin analysis340B & retail profitMulti-site performance & variationClinical service economicsPurchasing & inventoryWorkflow automation

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