Book a callpillpilot
Live in production · pharmacies across the country

The autonomous
pharmacy back office.

Two agents — intake and voice — finish the prescription data entry your team types by hand and answer the calls that pull pharmacists off the counter. Native to your PMS. Built for the audit, not the demo.

Book a callSee it work
Intakee-Rx · fax · voice — into the PMS
Voicerefills · transfers · vaccines
Auditevery keystroke replayable
voice input · 00:18en-us · 99.4 conf

“…lisinopril ten milligrams, one tablet by mouth daily, thirty-day supply, two refills…”

rx.draft · #84120K. Patel
patientK. Patel99.4
drugLisinopril 10 mg99.7
sig1 tab po qd98.9
quantity3099.6
prescriberDr. M. Reyes99.1
refills299.4
parsed 380msvalidated 62mscommitted → liberty rx 104ms
● intake.agent→ liberty rx
representative surface · phi redacted · pilot data
Works with the platforms you already use
LibertyPioneerRxBestRxEnterpriseRxQS1PrimeRxComputerRx

Two agents.
One operating layer
for the work that
runs your pharmacy.

Intake closes the loop on every prescription that lands in your queue. Voice closes the loop on every call that reaches your number. Both write directly into the PMS your team already trusts.

intake.agent

The prescription queue, finished without typing.

Reads e-scripts, faxes, and voice orders. Picks the right NDC. Enters the SIG. Validates the patient, the prescriber, the insurance. Writes straight into the PMS — and parks the edge cases on a flag the pharmacist can resolve in one click.

e-Rxfaxvoice orderDURclaim adjudicationaudit ledger
pms.queue4 of 38
TX-2041new Rx · K. Patelwriting
TX-2040transfer-in · CVS · 3 activecomplete
TX-2039insurance verify · BCBScomplete
TX-2038refill auth · Dr. Reyesqueued
voice.agent

Every inbound call, answered on the first ring.

voice + SMSrefillstransfersvaccine bookingmulti-lingualPMS-native
call · 00:42live
Hi, calling to refill my lisinopril.
Got it — Rx ending 4120, 30-day supply at the Elm Street location. Pickup tomorrow 10am works?
Yes, that's perfect.
writing to PMS✓ committed

Refills, transfers, status checks, billing questions, vaccine bookings — resolved in conversation. Speaks the patient's language. Handles thousands of calls in parallel. Escalates to the pharmacist with full context, never cold.

Platform capabilities

The other workflows come built in.

Outreach
Identifies eligible patients, places outbound voice and SMS, books vaccines, MTM, and therapy reviews — paid clinical work the team didn't have time to chase before.
Insights
Listens across every recorded call. Surfaces refill intent, adherence risk, insurance friction — paired with the recoverable revenue and the next action.
Clinical safety, by design

Hard stops stay hard.
Every override has a name on it.

Pharmacy automation without clinical guardrails is malpractice with extra steps. Every action our agents take routes through the same hard-stop / soft-stop framework a senior pharmacist would apply by reflex — documented, auditable, and reversible.

hard stop

Controlled substances missing a verified DEA. CII quantity over the schedule limit. DEA mismatch between the image and the entry. The agent stops, the pharmacist decides — no override.

controlled · DEA missingCII · quantity exceeds schedulecontrolled · age > 6 months

Clinical risk parks the prescription. Every time.

soft stop

Clinical judgment routes to a pharmacist with context.

Early refills, drug interactions, allergies, therapeutic duplications, prescriptions older than a year. The agent flags, the pharmacist resolves — and the override is recorded with reason and ID.

interaction · severity > mildallergy · documented matchrefill · < 75% of supply elapsed
audit ledger

Every keystroke is replayable. Every claim is explainable.

Every PMS write, every claim, every override is recorded with timestamp, agent decision path, pharmacist ID, and reason. Built for the state board inspection, not just the demo.

PMS write · before/after diffoverride · pharmacist + reasonPHI redaction · per policy
From the counter
“
The phone stopped ringing first. Then the queue cleared. Then we had time to do the clinical work we trained for.
Owner · multi-store pharmacy
“
What sold me was the audit log. I can show the state board exactly what happened on every script.
Pharmacist in charge · suburban single-store

Live in your store in
two weeks.

We build the integration to your PMS, train the agents on your store's language and policies, and stay on the line through the first hundred scripts. Your team keeps doing what they were doing — until they don't have to.

Step 01

Discovery call

30 minutes. Tell us your PMS, your script volume, the workflows that hurt the most. We tell you what we'd automate first.

Day 0
Step 02

Pilot scoped

We map your queue and call patterns, scope the pilot to one or two workflows, and price it for your store size. Custom, not tiered.

Day 1 – 3
Step 03

Integration + training

We connect to your PMS, your phone system, your eRx feed. Train the agents on your store's language, formulary, and override policies.

Week 1 – 2
Step 04

Go live

Agents start in shadow mode. We watch the first hundred fills with you, tune the edges, then hand the keys over. White-glove from day one.

Week 2+

Built for the audit,
not the demo.

Every agent is HIPAA-compliant from day one. PHI is treated the way pharmacists do — carefully, minimally, only where it has to exist. Security documentation is available on request.

HIPAA-compliant by default

BAA on every deployment. Audit logging on every PMS write. Encryption at rest and in transit. The compliance posture is the floor, not a feature.

De-identification at the edge

PHI is tokenized inside the pharmacy network. Voice transcripts are scrubbed before model inference. PHI never reaches the model layer.

Role-based permissioning

Owners decide what every tech, pharmacist, and partner can see. No god-mode. No data exposure by default. Reviewable from a single pane.

PHI minimization, by design

Agents see only the fields a task requires — no broader patient profile, no historical records they don't need. Less data on the wire, fewer surfaces to audit.

Questions worth
asking out loud.

The ones operators ask us on the first call. If you have one we haven't answered, write us — we'll answer it directly.

What happens when the agent is wrong?
+
The agent only commits actions inside its confidence envelope. Anything ambiguous — a drug not on the formulary, a SIG it can't parse, a patient match it isn't sure about — goes to the pharmacist queue with the source eRx, the proposed write, and the reason for the flag. The pharmacist resolves in one click. Every agent decision is logged and replayable.
Do we have to switch PMS, phone system, or vendors?
+
No. PillPilot sits on top of the PMS you already use — Liberty, PioneerRx, BestRx, EnterpriseRx, QS1, PrimeRx, ComputerRx — and on top of your existing phone number and eRx feed. Nothing about your team's workflow changes on day one. The only difference is fewer fills in the queue and fewer calls in the IVR.
How do controlled substances work?
+
Controlled substances are a hard stop, every time. The agent verifies the prescriber DEA, checks quantity against schedule, validates the age of the prescription, and reconciles the DEA on the image with the DEA in the entry. If anything is off, the script parks for the pharmacist. The agent never auto-completes a CII, even when every gate passes — that's a human decision by policy.
What does it cost?
+
Pricing is custom per pharmacy. We scope the pilot to your script volume, the workflows you want automated first, and the PMS you run. On a discovery call we'll size the pilot, walk you through the numbers, and put a contract in front of you within a week if the fit is right.
How long until we're live?
+
Two weeks for most stores. Discovery call on day zero. Integration and training in week one. Shadow mode for the first hundred fills, then we hand the keys over. White-glove from day one — we stay on the line until your owner says we don't have to.
Who built this, and where did they come from?
+
Built and advised by people from RedSail (PioneerRx), PillPack and Amazon Pharmacy, Walgreens, Pfizer, and Photon Health. We've shipped pharmacy software at every scale — from one store to a thousand. Backed by Betaworks Agent Systems Camp.
voice.inintakepms.writeoutreachinsight.out

Let your pharmacists
be pharmacists.

PillPilot installs in two weeks, runs in the background of the systems your pharmacy already uses, and starts paying for itself within the first quarter. Book a 20-minute call.

Book a callTalk to the team →