Clinical engagement and intelligence, delivered automatically.
Assessments, communication, education, and care plans adapt to each patient and trigger at every clinical event.
Six systemic failures.
One platform built to solve them.
Specialty pharmacies are the clinical partner for patients with complex diseases and the therapies that treat them — and the demands on every clinical team keep growing.
Patient Engagement
High-touch therapies need steady contact in both directions. Onboarding, adherence check-ins, symptom monitoring, and education at every stage — and patients with a question, a side effect, or a change in how they feel who need to reach the pharmacy just as quickly. Patients live in their phones. Getting the right message to the right person at the right moment, either way, is a daily coordination problem.
Accreditation Standards
Accrediting organizations hold specialty pharmacy to a high clinical care bar — care plans, assessments, patient education, SDOH screening, and documentation for every specialty patient. The standards raise the quality of care. Meeting them, consistently, takes meaningful pharmacist time per patient.
Prescriber Engagement
Prescribers work inside the EHR. Pharmacy teams work over the phone. Prior authorizations, therapy adjustments, and clinical handoffs all move through two systems that weren’t designed to talk to each other.
Manufacturer Demands
Every LDD contract comes with adverse event, persistence, and outcomes reporting. Each partner has its own format and its own timeline. The data is already moving through the pharmacy. Shaping it for each report is a second job.
Access to Clinical Data
A patient’s clinical story lives across labs, EHRs, HIEs, prior authorizations, pharmacy records, and intake forms. Pulling it into one clear picture, for every patient, every refill, is hours of manual work before anyone has touched clinical care.
Medication Monitoring
Specialty therapies require ongoing safety and efficacy monitoring. Side effects, lab values, and adherence all change between refills. That clinical picture lives across EHRs, patient calls, and intake forms. Without a system pulling it together, pharmacists are flying blind between dispense cycles.
Industry Average Calls go unanswered
With Medesto One connection point for every patient journey
Industry Average 45 minutes per patient onboarding
With Medesto Onboard patients in minutes, not hours
Industry Average 50% therapy abandonment
With Medesto From first fill to every refill after
Automated. Structured. Tailored.
Automated
Every clinical event triggers the right action. A dispense fires the onboarding sequence. An assessment response maps to a care plan. A safety flag routes to the pharmacist. Your staff documents once, and the platform runs the rest.
Structured
One consistent framework. Every patient uses the same structure, the same scoring, and the same element codes. The result is comparable data that holds up with prescribers, regulators, payers, and manufacturers.
Tailored
The content is tailored to the holistic profile of the patient: the disease, the therapy, and the severity. A patient on an autoinjector gets sharps training. Refrigerated biologics come with storage guidance. A patient with severe RA receives different care plan goals than a patient who reports mild symptoms. Individualized patient care plans can now be the standard.
Six stubborn
problems. Resolved.
Specialty pharmacy has been solving the same set of problems for a decade. Medesto answers each one with a product built for it. Select a problem to see the work.
Meet them in the thread.
Event-driven communication, when the patient needs it, in a secure HIPAA-compliant format they already know how to use.
Draft once, approve in minutes.
Automatic care plan development, tailored to the patient, approved by the pharmacist.
Inside the EHR. Not around it.
Direct, secure EHR communication. Meet prescribers where they already work.
Reporting. Built in.
Automatic data capture that meets LDD requirements as a byproduct of patient engagement and clinical monitoring. Integrated into the workflow.
One patient. One screen.
Comprehensive medical records and clinical data, collected across sources and accessible on one screen, to support clinical care and prior authorizations.
Clinical surveillance.
Once medication is in the patient's hands, therapy has started. Best-in-class clinical assessments gather patient reported outcomes alongside lab and health record monitoring. Patient progress and concerns surface automatically, before they become a clinical problem.
Two products. One clinical engine.
Bridge drives pharmacy operations. Pulse is how patients experience it. All powered by clinically curated, disease-specific assessments built by our clinical team.
Expedite care and solve admin burdens with automated outreach and auto-generated care plans. Outcomes scoring, intelligent triage, prescriber connectivity.
Explore Bridge- Unified patient record built on Pharmacy and EMR data
- Longitudinal outcomes scoring surfaces at-risk patients automatically
- Care plans auto-generate from assessment data, accreditation-ready
- Integration with EHR communication channels enables direct messaging into prescriber EHR
Tailored engagement through every step of their therapy. Personal, intuitive, and in their hands. Patients only hear from Pulse when they need to know something. Everything is automatic and event-driven.
Explore Pulse- Profile auto-populated from EMR data, including allergies, past-medical history, and medications
- Drug-specific education and training in text, image, and video
- Real-time order updates including coverage status, copays, and delivery tracking
- Direct communication to pharmacy team via messaging and video call, including LLM access for content-rich responses
Built for:
Pharma
Four principles. Every decision.
Patient First, Always
Every feature, every integration, every decision traces back to a single question: does this get the patient their therapy faster and more safely?
Interoperability by Default
We build to open standards (FHIR R4, HL7, CDS Hooks) because the ecosystem only improves when every participant can participate.
Outcomes Over Activity
We measure success by clinical outcomes, not platform engagement. If we're not demonstrably improving patient adherence, therapy initiation time, or prior auth approval rates, we're not done.
Security as a Foundation
HIPAA compliance, SOC 2-aligned controls, and AES-256 encryption aren't features; they're the floor. Healthcare data demands nothing less.
Common questions
What makes Medesto different from generic pharmacy software?
Our core differentiator is clinically curated assessments developed by our clinical team. Disease-specific, standardized scoring, structured data, and built-in clinical logic. Competitors have generic configurable forms. We have a clinical engine that structures the thinking.
How does the EMR data integration work?
Medesto connects to longitudinal EMR records covering 98% of US patients. Embedded AI makes unstructured data searchable. Patient profiles auto-populate from this data. Pharmacists see a unified longitudinal record instead of reviewing charts across multiple disconnected systems.
What's the ROI for specialty pharmacies?
Medesto recovers 2.0 to 3.5 care coordinator FTEs and 1.5 to 2.5 pharmacist FTEs annually, representing $325K to $575K in labor capacity recovered. This capacity is redeployable to growing patient volume, expanding clinical programs, or reducing overtime and burnout.
What does Medesto provide pharma manufacturers?
Structured real-world data captured as a natural byproduct of care, not through separate research protocols. Intelligence beyond PDC that explains why patients discontinue. Evidence that matures over time for benchmark comparisons and matched cohort studies.
How long does implementation take?
The platform is designed for rapid deployment. Pulse auto-populates patient profiles from EMR data, eliminating manual setup. Bridge integrates with existing pharmacy workflows. Most organizations are operational within weeks, not months.
See Medesto at NASP 2026.
NASP inSPire is where specialty pharmacy leaders convene to shape what's next. Join us at the Gaylord National to see Bridge and Pulse in action — and find out why leading specialty pharmacies are making Medesto their clinical engine.
The space between is where we work.
See what changes when your clinical engine structures the thinking.
Request a Demo