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THE ADHERENCE AND CLINICAL PERFORMANCE PLATFORM

Catch adherence gaps before they hit your metrics.

Manage adherence, deliver care, engage patients, and track performance and revenue in one platform. Product preview shown with illustrative sample data.

PillCoach product dashboard concept illustration
INTEGRATED WITH

PioneerRx | Liberty | PrimeRx | DRX

TWO AUDIENCES. ONE PLATFORM.

One system. Both sides of the equation.

Pharmacies and health plans share one goal: better adherence outcomes. PillCoach gives both sides a single system to help drive it.

Pharmacies

Run your entire adherence operation from one screen. PDC tracking, MTM workflows, clinical monitoring, vaccine tasks, patient communications, and financial tracking. Integrated with leading pharmacy management systems.

Explore Pharmacy Solutions →

Health Plans & PBMs

Monitor near real-time adherence performance across your pharmacy network. PillCoach provides the visibility, reporting, and intervention infrastructure designed to help improve the adherence measures that factor into Star Ratings. See every pharmacy. Act before gaps widen.

Explore Payer Solutions →
Pharmacist providing personalized medication consultation to improve patient outcomes
THE COMPLETE SYSTEM

Your team runs adherence, MTM, and comms across separate systems. That's the gap.

PDC
ADHERENCE OPTIMIZATION
CMS
ADHERENCE WORKFLOWS
NETWORK
PREFERRED NETWORK POSITIONING
MTM
WORKFLOW MANAGEMENT
THE PROBLEM

Adherence gaps don't announce themselves. They accumulate.

Most pharmacies find out about PDC shortfalls after the measurement period closes. Health plans lose visibility into network performance until Star Ratings are published. By then, the window to intervene has passed. PillCoach gives both sides the tools to catch gaps early and close them in near real time.

80%

PDC a patient must reach to count as adherent on Star Ratings adherence measures (Source: CMS)

$290B

in avoidable U.S. medical spending from medication nonadherence every year (Source: NEHI, 2009)

25%

of U.S. hospitalizations are attributed to medication non-adherence (Source: WHO)

$13.4B

in 2026 Medicare Advantage quality bonus payments, where adherence is a key rating driver (Source: KFF, 2026)

Adherence gaps don't announce themselves. They accumulate.

Most pharmacies find out about PDC shortfalls after the measurement period closes. Health plans lose visibility into network performance until Star Ratings are published. By then, the window to intervene has passed. PillCoach gives both sides the tools to catch gaps early and close them in near real time.

ONE LOGIN. SIX WORKFLOWS.

Six workflows. Zero tab switching.

Everything a pharmacy team touches daily, built into a single platform.

MTM

MTM Management

CMRs, medication reconciliations, and medication guides managed and delivered from one workflow. No separate portals.

CLINICAL

Clinical Monitoring

Track blood pressure, blood glucose, pulse ox, weight, A1C, and cholesterol labs. Document clinical encounters in the same system.

VACCINES

Vaccines and Registry

Flu, RSV, shingles, and tetanus tasks built from age and dose history. Pull registry history and forecasts, submit administered doses, and close tasks automatically when the dose is filled.

FINANCIAL

Financial Performance

Track prescription reimbursements at the patient level or across your organization. Give admins full visibility into financial and user performance.

EVERY MEASURE. EVERY DAY.

Your PDC is moving right now. Can your team see it?

Most pharmacies see PDC gaps after the measurement window closes. PillCoach surfaces them daily by patient, by measure, and by urgency, so your team acts while the numbers can still move.

All major PDC measures plus HIV and SUPD

Track diabetes, hypertension, cholesterol, HIV, and SUPD from one dashboard. See where each patient stands before gaps become missed opportunities.

Gap detection for at-risk patients

See which patients are falling below the 80% PDC threshold before the window to intervene closes.

Daily worklists

Your team starts each day knowing exactly which patients need attention and where to focus for the greatest impact on PDC performance.

CMRs. TMRs. MedRecs. ONE QUEUE.

Stop portal-hopping. Start closing encounters.

Your MTM completions shouldn’t depend on how many portals your team can juggle. One queue handles CMRs, targeted reviews, and medication reconciliations with documentation built in.

Every MTM service type in one workflow

CMRs, medication reconciliations, and targeted reviews handled from a single interface. No toggling between portals or duplicating documentation.

Reviews built into daily operations

Targeted medication reviews happen as part of your team's daily queue, not as a separate task in a separate system.

Complete documentation trail

Every encounter timestamped and stored. Audit-ready for plan submissions and internal review without manual assembly.

TEXT. FAX. TELEHEALTH. ONE SEND.

Reach every patient. One click.

Text, call, telehealth, and appointments reach patients directly. Fax handles prescriber refill requests. Everything launches from the patient record. No external tools, no undocumented outreach.

Fax and document delivery

Send faxes and documents from within PillCoach. Each one is attached to the patient record, with no manual filing.

Text messaging and calling

Send texts and initiate calls from within the platform. Reach patients on the channel they respond to most.

Telehealth and appointments

Launch telehealth sessions and manage appointment scheduling alongside adherence and clinical workflows. One calendar. One queue.

VITALS THAT DRIVE REIMBURSEMENT

Blood pressure, A1C, and weight next to every PDC score.

Clinical documentation that lives next to adherence data instead of a separate system. Blood pressure, glucose, A1C, pulse ox, weight, and cholesterol, all in one patient record.

Blood Pressure

Track systolic and diastolic readings alongside medication adherence data.

Blood Glucose

Monitor glucose levels for patients on diabetes medications in near real time.

A1C

Log A1C lab results to track long-term glycemic control over time.

Pulse Ox

Record pulse oximetry readings for respiratory and cardiovascular patients.

Weight

Document weight changes over time to support chronic condition management.

Cholesterol

Capture lipid panel results to inform cholesterol medication management.

FOLLOW THE REVENUE

See where the revenue is. See where it isn't.

Admins see prescription reimbursements, user productivity, and organizational performance without pulling data from another system. The financial picture, where the clinical work happens.

Prescription reimbursement tracking

See reimbursement data at the individual patient level or aggregated across your organization. Near real-time visibility into the metrics that drive preferred network status.

User productivity visibility

Admins see individual user performance: who's completing tasks, where bottlenecks form, and how capacity is distributed across the team.

Organization-level dashboards

Roll up performance data across locations and users. One view for leadership, detailed views for operational teams.

No rip and replace. Plug into your PMS.

Direct integrations with the PMS platforms that power independent pharmacy. No rip and replace. No double entry.

PioneerRx

Liberty

PrimeRx

DRX

More integrations in development

PHARMACIES

Replace the patchwork. Run the whole operation.

Spreadsheets, separate portals, manual tracking. PillCoach consolidates all of it. Adherence, MTM, clinical monitoring, communications, and vaccines managed in a single daily workflow.

1

Worklist-driven operations

Your team starts each day with a prioritized queue built from PDC gaps and clinical urgency.

2

Integrated patient outreach

Text, call, or telehealth from the patient record. Fax prescribers for refills. Every interaction is documented.

3

Operational and financial dashboards

User productivity, prescription reimbursements, and org-level performance in one view.

4

Direct PMS connectivity

Live integrations with PioneerRx, Liberty, PrimeRx, and DRX. No rip and replace.

Replace the patchwork. Run the whole operation.

Spreadsheets, separate portals, manual tracking. PillCoach consolidates all of it. Adherence, MTM, clinical monitoring, communications, and vaccines managed in a single daily workflow.

HEALTH PLANS AND PBMS

Pharmacy-level adherence visibility for your network.

PillCoach is designed to give health plans the analytics infrastructure to monitor PDC performance across pharmacy networks, support scalable MTM programs, and access clinical monitoring data, all built around the adherence measures that factor into Star Ratings.

1

Pharmacy-level PDC analytics

See adherence performance by pharmacy, by measure, and by patient across your entire network.

2

MTM program oversight

Track CMR and TMR completion rates, identify bottlenecks, and monitor compliance at scale.

3

Point-of-care clinical data

Access blood pressure, glucose, A1C, and other vitals captured during pharmacy encounters.

4

Quality measure reporting

Data structured around the adherence measures that factor into Star Ratings and preferred networks.

Pharmacy-level adherence visibility for your network.

PillCoach is designed to give health plans the analytics infrastructure to monitor PDC performance across pharmacy networks, support scalable MTM programs, and access clinical monitoring data, all built around the adherence measures that factor into Star Ratings.

LIVE IN TWO WEEKS

Typically live in two weeks. Not two quarters.

From PMS integration to daily workflows, here's what the first week looks like.

1. Connect

PillCoach integrates with your pharmacy management system. Your patient data populates the platform.

2. Configure

Define which workflows your team sees first. Set priorities by measure or urgency.

3. Perform

Your team works from one daily queue. Every patient interaction, clinical encounter, and follow-up in one place.

4. Measure

Track PDC performance, MTM completions, clinical outcomes, and financial impact across your organization.

BUILT TO MOVE THE NUMBERS

The platform is the tool. These are the workflows that help move the numbers.

The platform is the tool. These are the results.

Fewer systems, faster workflows

Your team stops switching between portals, spreadsheets, and phone systems. Everything consolidates.

Interventions that happen on time

Near real-time PDC visibility means your team acts when it matters, not after the measurement period closes.

Performance you can actually measure

Admin-level visibility into user productivity, prescription reimbursements, and clinical outcomes across your organization.

Your adherence metrics are already moving. The question is where.

See a live patient workflow in 30 minutes. Walk through your adherence data inside PillCoach.

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