Unified Health System

One interoperable system for prescribing, dispensing, and payment.

Telesphoros connects e-prescribing, pharmacy management, PBM workflows, and health plan billing into one resilient platform — helping healthcare teams move faster, reduce friction, and lower infrastructure costs by up to 72%.

Faster medication access Simpler workflows Lower operating costs
HIPAA-ready ·DEA EPCS ·NCPDP SCRIPT ·FHIR R4

Pharmacy Queue

Ana Morales · Lisinopril
Luis Vega · Atorvastatin
Sofía Díaz · Amoxicillin

Billing Status

Claim Submitted → Adjudicated

Prescription Routing

Carlos Rivera · Metformin 500mg · 90-day
Routed to Walgreens PR
287ms
Cost Advantage
Up to 72% lower transaction cost · $0.24/Rx vs $0.85 legacy
Integrates with your existing stack
EpicCernerAllscriptsDrFirstRxNTNCPDPHL7 v2.xFHIR R4DEA CSOSSurescripts-compatible EpicCernerAllscriptsDrFirstRxNTNCPDPHL7 v2.xFHIR R4DEA CSOSSurescripts-compatible
The Problem

Healthcare workflows still break at every handoff.

Prescribing, dispensing, operations, PBM rules, and payer billing live in separate systems. That fragmentation creates delays, redundant work, revenue leakage, and compounding costs.

01

Fragmented systems

EHRs, pharmacies, PBMs, and health plans operate across disconnected tools. Every handoff is a break.

02

Slower medication access

Eligibility checks, prior auths, and formulary lookups add 3–7 days to what should take seconds.

03

Administrative burden

Teams reconcile workflows manually, chase exceptions, and manage redundant processes across vendors.

04

Higher infrastructure costs

Legacy systems stack fees and contracts. $0.85+ per Rx, multiplied by every transaction — plus the cost of 4–6 separate integrations.

$0.85/Rx legacy $0.24/Rx Telesphoros
EHR E-Rx Pharmacy PBM Health Plan Telesphoros One platform for every handoff — prescribe, dispense, adjudicate, bill.
The Platform

One platform. Every layer of the medication journey.

Available Now

HIPAA-aligned prescription routing in under 300ms.

Real-time DEA EPCS validation, formulary checks, audit trail, and NCPDP SCRIPT messaging — compatible with any FHIR R4 or HL7 v2.x EHR.

Replaces $0.85/Rx legacy fees → $0.24/Rx · 72% lower cost
<300ms routingSchedule II–VNCPDP SCRIPT 2017071
Prescriber
Telesphoros
Pharmacy
Coming Soon

Full pharmacy operations, connected to the prescription record.

Inventory, dispensing queues, patient medication history, and real-time insurance adjudication — unified with e-prescribing in one interface.

Eliminates standalone PMS licensing fees
Multi-locationReal-time inventoryDispensing queues
Carlos Rivera · MetforminReady
Ana Morales · LisinoprilFilling
Luis Vega · AtorvastatinPicked up
Roadmap

Prior auth and formulary logic without a middleman.

Connect to formulary databases, automate prior authorization workflows, and process claims — without a separate PBM middleware contract.

No separate PBM integration layer required
Automated prior authReal-time formularyClaims API
Metformin 500mgTier 2
Copay$15
Prior AuthNot required
Roadmap

End-to-end billing integrated with the clinical record.

835/837 EDI support, real-time eligibility, and automated remittance — eliminating reconciliation errors between clinical and financial systems.

Eliminates billing reconciliation overhead
835/837 EDIReal-time eligibilityAutomated remittance
Submitted
Adjudicated
Paid
How It Works

One platform that removes the handoff problem.

01

Connect

Connect existing prescribing, pharmacy, and billing workflows through standards-based interoperability — no rip-and-replace required.

02

Coordinate

Unify routing, operational queues, payer logic, and financial workflows in one system. One contract, one compliance surface.

03

Complete

Move prescriptions faster, reduce operational burden, and gain visibility from order to payment — at up to 72% lower infrastructure cost.

ROI Estimator

See what fragmented infrastructure is actually costing you.

Drag the slider to your monthly prescription volume and see your projected savings with Telesphoros.

Monthly Rx volume: 10,000
Legacy Stack
$8,500
$0.85/Rx
Annually: $102,000
Multiple vendor contracts · Per-transaction fees · Manual reconciliation
Telesphoros
$2,400
$0.24/Rx
Annually: $28,800
One contract · Predictable subscription · Automated workflows
You save
$6,100/month
That’s $73,200/year.
72% cheaper
Legacy
$0.85/Rx
Telesphoros
$0.24/Rx
Growth plan recommended
Up to 72% lower transaction cost One contract instead of multiple vendors Predictable pricing with less overhead
Features

Built for resilience. Built to cost less.

01

Up to 72% cheaper than legacy networks

No per-transaction markup. No exclusivity contracts. Replace $0.85/Rx legacy fees with $0.24/Rx flat-rate pricing — predictable, scalable, and affordable.

Save $0.61/Rx
02

Cross-institution interoperability

Prescriptions, dispensing records, and billing follow the patient — not the institution. Share records securely across clinics, pharmacies, and payers.

FHIR R4
03

Immutable audit trail

Every prescription event is cryptographically sealed and available for HIPAA audits, malpractice defense, or regulatory review — on demand.

HIPAA-ready
04

Real-time DEA EPCS

Schedule II–V controlled substance routing with two-factor prescriber authentication — built in, not bolted on.

Schedule II–V
05

One contract replaces four

E-prescribing, pharmacy management, PBM, and billing in a single subscription. Eliminate vendor sprawl, redundant BAAs, and integration maintenance.

Single contract
06

Enterprise resilience

Multi-availability-zone deployment with automated failover and resilient distributed storage. Healthcare can’t afford downtime.

99.9% uptime
Solutions

Built for the teams moving care forward.

Pharmacies

Improve dispensing workflows, reduce friction, and simplify operational coordination — from queue to compliance.

Learn more →

Prescribers & Clinics

Prescribe faster, reduce administrative burden, and improve medication access for patients.

Learn more →

Health Systems

Connect fragmented workflows across locations, teams, and systems with one interoperable foundation.

Learn more →

PBMs & Health Plans

Create better coordination between medication workflows, benefit rules, and billing operations — without a separate integration layer.

Learn more →

Designed for resilience, clarity, and scale.

0%
Cost reduction vs. legacy networks
0ms
Average Rx routing target
0
Legacy workflows unified in one system
0
Pending patent claims
HIPAA-readyDEA EPCSNCPDP SCRIPTFHIR R4SOC 2 in progress
Interoperability

Designed to work with the systems healthcare already uses.

Standards-based integration means organizations can adopt Telesphoros without rip-and-replace disruption.

Request
POST /api/v1/prescriptions HTTP/1.1
Host: api.telesphoros.app
Authorization: Bearer sk_live_••••••••
Content-Type: application/fhir+json

{
  "resourceType": "MedicationRequest",
  "status": "active",
  "intent": "order",
  "medicationCodeableConcept": { "text": "Metformin 500mg" },
  "subject": { "reference": "Patient/cr-78291" },
  "requester": { "reference": "Practitioner/dr-44102" },
  "dispenseRequest": {
    "quantity": { "value": 90, "unit": "tablet" },
    "performer": { "reference": "Pharmacy/walgreens-pr-001" }
  }
}
Response
HTTP/1.1 201 Created

{
  "id": "rx-9f3a21bc",
  "status": "routed",
  "routedTo": "Walgreens PR — Hato Rey",
  "latencyMs": 287,
  "hipaaSealed": true,
  "auditHash": "0x4f2a8c...c9e1",
  "timestamp": "2026-05-30T07:53:00Z"
}
Request
GET /api/v1/prescriptions/rx-9f3a21bc
Authorization: Bearer sk_live_••••••••
Response
HTTP/1.1 200 OK

{
  "id": "rx-9f3a21bc",
  "status": "dispensed",
  "dispensedAt": "2026-05-30T15:08:00Z",
  "auditTrail": [
    "routed", "received", "dispensed"
  ]
}
Request
GET /api/v1/audit?patient=cr-78291&from=2026-05-01
Authorization: Bearer sk_live_••••••••
Response
HTTP/1.1 200 OK

{
  "total": 14,
  "immutable": true,
  "entries": [
    { "event": "routed", "hash": "0x4f2a..." },
    { "event": "dispensed", "hash": "0x91be..." }
  ]
}
FHIR R4HL7 v2.xNCPDP SCRIPTREST APIDEA CSOS
Compliance

Compliance is built into the workflow, not added after.

A Business Associate Agreement is executed upon account activation. CZI operates as your Business Associate under 45 CFR §164.308, ensuring every workflow layer is covered.View Documentation →
All protected health information is encrypted using AES-256-GCM. Keys are managed per-account via AWS KMS — no cross-tenant access is architecturally possible.View Documentation →
Controlled substance prescriptions for Schedule II–V require two-factor prescriber authentication, in compliance with 21 CFR Part 1311 EPCS standards.View Documentation →
Every prescription event — routed, dispensed, updated, or reversed — generates a tamper-evident log entry. Audit logs are exportable on demand for HIPAA audits or malpractice defense.View Documentation →
Telesphoros routing logic is validated against Puerto Rico Board of Pharmacy regulations and the Puerto Rico Controlled Substances Act, alongside US DEA and HIPAA federal standards.View Documentation →
All prescription messages conform to the NCPDP SCRIPT 2017071 standard, ensuring interoperability with major pharmacy management and dispensing systems.View Documentation →
Encryption keys are isolated per customer account with AWS KMS. CZI personnel cannot access PHI without explicit customer authorization and a corresponding audit trail entry.View Documentation →
Pricing

Predictable pricing for a more connected healthcare stack.

Built to be more affordable than layered legacy infrastructure. No per-transaction markups. No exclusivity contracts.

At 10,000 Rx/month, Telesphoros costs $2,400/year. The same volume on a legacy network: $102,000/year.

Starter
$299/mo
~$0.06/Rx equivalent at 5,000 Rx/mo
  • Up to 3 pharmacy locations
  • 5,000 Rx/month included
  • REST API access
  • HIPAA BAA included
  • Email support
Start Free Trial
Growth
$799/mo
~$0.03/Rx at 25,000 Rx/mo
Saves ~$17,000/mo vs. legacy at this volume
  • Up to 15 locations
  • 25,000 Rx/month included
  • FHIR R4 + HL7 v2.x
  • DEA EPCS (Schedule II–V)
  • Audit Trail Dashboard
  • Priority support
Start Free Trial
Enterprise
Custom
Volume pricing — scales with savings
Contact us for your ROI estimate
  • Unlimited locations
  • PMS + PBM modules
  • Custom SLA
  • White-label available
  • Dedicated onboarding
Contact Sales

At 10,000 Rx/month, Telesphoros costs $2,400/year vs. $102,000 on a legacy network.

Stop managing disconnected healthcare workflows.

Start with e-prescribing and pharmacy operations — then scale into PBM and health plan billing on one interoperable foundation.

Most customers save over $50,000 in their first year.

Request Early Access

hello@telesphoros.app · San Juan, Puerto Rico