AI teammates for everything around the prescription.
Routina runs refill coordination, prior authorization, eligibility, adherence outreach, and prescription delivery for specialty and retail pharmacies — on top of PrimeRx, RedSail, and the PBM systems you already use. HIPAA-native, BAA-ready, bilingual EN/ES.
PAINS → SOLUTIONS
What keeps pharmacies up at night, and what Routina does about it.
Each problem is small on its own. Together they take most of the pharmacist's day — and they get worse every time someone leaves.
PAIN
High staff turnover
Technicians leave, and the know-how leaves with them. Every new hire restarts training, and the pharmacist covers the gap.
SOLUTION
Knowledge that stays when people leave
Refill, prior auth, eligibility, and delivery workflows live in Routina, not in someone's head. Agents keep doing the routine work through every resignation, and new hires learn on a process that's already running.
PAIN
Doing more with the same team
Script volume grows faster than headcount. Pharmacists spend hours on routine refills and phone calls instead of clinical work.
SOLUTION
Operate more efficiently
Agents scan, fill, verify, and route the routine queue. On 1,200 scripts a day, pharmacist time on routine refills drops from ~6 hours to ~1 hour of clinical oversight.
PAIN
When a key person is out, the queue stops
A call-out, a vacation, a store closed by a storm or a power outage — and refills, prior auths, and deliveries stall until someone catches up.
SOLUTION
Business continuity
Agents work around the clock, across every location, with the full history of every case. If a person or a store is out, the work is picked up by the team and the agents — and nothing depends on who was on shift.
PAIN
No delivery operation of your own
Patients expect home delivery, but running drivers, routes, and proof of delivery isn't a pharmacy's core business.
SOLUTION
Access to the Last-Mile Management Module
Driver network, routing, delivery windows, proof of delivery with signature, and courier pay — the same logistics platform Flexio runs for the island's largest specialty pharmacies.
PAIN
Refills that need a call to the prescriber
Expired or zero-refill scripts mean phone calls, faxes, and follow-ups before anything can be filled.
SOLUTION
Renewal requests handled by agents
Refill Coordinator spots scripts that need renewal ahead of time, sends the request to the prescriber, and follows up until it's back.
PAIN
Prior auths stuck waiting on clinical notes
PA requests sit for days because the clinical history is incomplete or nobody is tracking them.
SOLUTION
Prior auth filed and tracked
Prior Auth Assistant pulls clinical history, drafts the submission, files it with the PBM, and tracks status until it clears.
PAIN
Coverage changed since the last fill
Claims reject at the counter, and the patient finds out when they're already waiting.
SOLUTION
Coverage verified before the fill
Eligibility Verification re-checks coverage ahead of each fill and flags only the cases that need a human.
PAIN
Missed pickups and reschedules
Filled prescriptions sit on the shelf, and patients call to move a delivery.
SOLUTION
Reminders and rescheduling by text
Patient Outreach sends ready-for-pickup reminders and lets patients move a delivery window by SMS or WhatsApp, in English or Spanish.
THREE OPERATIONS, ONE PLATFORM
Where Routina runs in pharmacy.
Three operational shapes we see most. They share a platform but not a workflow. Each has its own agents, integrations, and rhythm.
Specialty Pharmacy
High-cost therapies with heavy prior auth, benefits investigation, and patient onboarding. Refill coordination, adherence outreach, and RPM for patients on complex regimens.
Prior Auth Assistant pulls clinical history, drafts the PA submission, files it with the PBM, and tracks status until it clears.
Retail & Community Pharmacy
Single stores and multi-location networks with high script volume. Refill orchestration, ready-for-pickup reminders, coverage questions, and patient communication by SMS and WhatsApp.
Refill Coordinator monitors 1,200 active scripts daily, auto-fills the 89% that don't need prior auth, routes the rest to a pharmacist.
Prescription Delivery
Home delivery of prescriptions, including cold-chain specialty drugs. Driver routing, delivery windows, proof of delivery, and courier pay — run by the Last-Mile Management Module.
Each filled script is scheduled for pickup or delivery, and the patient is notified in their preferred language (EN/ES).
ORIGIN
We delivered for pharmacies before we built for them.
Routina started inside Flexio — a healthcare logistics operation in Puerto Rico delivering for the largest specialty pharmacies on the island. Every agent was first run against real scripts, real PHI, and real delivery SLAs before it was offered to anyone else.
That's why the platform covers the whole chain — from the refill queue to the patient's door — instead of stopping at the counter.
IN PRACTICE
Two pharmacy workflows, start to finish.
What each step is, which agent owns it, what integration it touches, and what the pharmacy team sees.
COMPLIANCE
Healthcare-grade by default.
Not features we added. Conditions we built in.
HIPAA-Compliant Infrastructure
Encryption at rest and in transit. PHI logging, access controls, and audit trails — all on by default, not toggles you turn on later. BAA available for any tier.
Pharmacists Stay in Charge
Agents prepare, verify, and route. Clinical judgment and final verification stay with your licensed pharmacists.
Role-Based Access
Every agent action is scoped by user permission. The pharmacy tech sees what they need, the pharmacist sees what they need, the driver sees only the delivery.
Audit Trails by Default
Every agent action is logged with who, what, when, and why — from refill to signed delivery. Audit-ready exports in seconds, not days.
INTEGRATIONS
The systems Routina already speaks.
Routina connects to your existing pharmacy stack. No migration, no rip-and-replace.
PrimeRx
Pharmacy management for specialty and retail pharmacy.
RedSail / PioneerRx
Pharmacy workflow, inventory, dispensing.
PBM Claims
Prior authorization, formulary, claim status.
EHR Systems
Prescriber clinical history for prior auth.
RPM Device Bridge
Remote patient monitoring data ingestion.
Twilio
SMS and voice for patient communication.
WhatsApp Business
Patient and caregiver outreach in EN/ES.
Fax
Prescriber requests and clinical notes on arrival.
Driver Mobile
Routes, delivery windows, and proof of delivery.
Don't see your system? We add new integrations in days, not quarters.
IN PRODUCTION
A pharmacy running Routina, anonymized for HIPAA.
Multi-Location Specialty Pharmacy
12 locations across Puerto Rico. ~3,500 active patients. Routina runs refill coordination, prior auth, and adherence outreach. Pharmacy team focuses on clinical consultations; Routina handles the rest.
GET STARTED
Ready to see what Routina does inside a pharmacy?
Book a 30-minute working session. We'll map your pharmacy system and PBM flow, identify the first two teammates to deploy, and answer the BAA questions before you have to ask them.