Your AI-native
medical practice
Add licensed providers, prescribing and pharmacy to your product in all 50 states, over our API or MCP. You keep the brand, the patients and the revenue.
- Pay only for completed visits
- Integrate in days
- HIPAA + BAA
Skip the year it takes to build a medical practice
Most teams spend a year and $200K+ on a medical director, 50-state licensing, protocols, pharmacy and compliance before they’re fully operational. On Lithos, it’s ready on day one, under your brand.
Start free. Pay only for completed visits.
No setup fee, no platform fee, no minimums. Your rate drops as you grow.
Pay as you go
- $45 per async visit
- $70 per sync visit
- Rates fall as your volume grows
- Prepaid credits or a refundable $500 deposit
Committed volume
- The rate for your committed volume
- Billed as a monthly minimum, credited against usage
- Raise it any month
A fully functional medical practice, behind one API
AI-native from the ground up, with our licensed providers, prescribing and pharmacy running under your brand. Use all of it, or just the pieces you need.
Licensed providers in all 50 states, for async and sync visits
A medical director and licensed MDs, DOs, NPs, PAs and RDs who know your program. AI prepares the chart; a licensed provider reviews and decides.
- Async, text-based visits
- Sync, video-based visits
Prescribing and pharmacy
Compounded and branded medications, routed to some of the largest US pharmacies or your own, at cost.
50-state compliance
Licensure, modality rules, consent and board filings, kept current in every state.
Benefits checks + prior auth
Get patients onto branded drugs like Wegovy, appeals included.
Care agents
Check-ins, side-effect questions and refills, escalated to a provider when needed.
POST /v1/encounters ← encounter.approved ← order.processing ← order.completed
API, MCP and dashboard
REST and MCP (preview), signed webhooks, and an ops dashboard for your team.
Build it in the sandbox before you talk to anyone
Get free sandbox keys, hand our docs to your coding agent, and run the full flow before you sign anything.
Create the patient
Register the patient and open a care plan for your program.
Register them and open a care plan.
Create an encounter
Video or async, as you prefer, within each state’s rules. For video, show open times from licensed providers and book one in the same call.
Video or async; book a time in one call.
Get the treatment plan
A licensed Lithos provider sees the patient, and the plan and prescription come back to your app.
A licensed Lithos provider decides.
Notes on building in digital health
How to build a telehealth platform, Part 3: e-prescribing and pharmacy routing
What happens after the clinician signs — the SCRIPT transaction, EPCS, choosing 503A vs 503B, state licensure routing, cold chain, and the status events your product needs.
Build vs Buy · Oct 2026How to build a telehealth platform, Part 2: designing intake
Intake is the product surface that decides how fast a clinician can decide. How to structure it, when to branch, what to validate at the API boundary, and what to leave to the visit.
Build vs Buy · Sep 2026How to build a telehealth platform, Part 1: the complete architecture
The seven layers every telehealth platform has — from storefront to pharmacy — what each one does, what it costs to build, and where the compliance actually lives.
Questions teams ask first
Can’t find yours? We’re happy to walk through your program.
What is the Lithos Cloud Practice?
A licensed medical practice your product plugs into over API or MCP. Our providers see, prescribe for and follow up with your patients in all 50 states, under your brand. You build the product; we run the practice.
Can we try Lithos before talking to sales?
Yes. The sandbox is free. Build and test the full flow with our API docs and simulated provider decisions, then book a call when you're ready to go live.
We already use another provider. How does switching work?
You run your intake, visit and fulfillment flows in parallel in the sandbox while your current setup keeps serving patients. Records come across, our providers re-establish prescriptions before each patient's next refill, and you cut over state by state. Read the migration playbook.
Is Lithos the medical practice of record?
Yes. Lithos is the practice of record: licensed providers review and treat under our protocols, and we handle state compliance and carry the malpractice insurance for that care. Your team builds and runs the product, the patient experience and the relationship, and decides how care fits into it.
How do you handle compliance across states?
Licensure, async and live-visit rules, prescribing rules, consent and board filings are kept current in all 50 states. Every encounter goes to a provider licensed in the patient's state, and consent, decisions and prescriptions are logged and exportable. HIPAA with a BAA at onboarding; SOC 2 Type II in progress. Security and compliance.
Who are the providers?
MDs, DOs, NPs, PAs and RDs with multi-state licensure, each working within their scope of practice, under one medical director.
Whose company and merchant account is it?
Yours. Patients pay you through your own merchant account, under your brand, and you set your prices. Lithos is your clinical partner, not a brand competing for your patients.
Compounded or branded medications?
Both. Compounded through your preferred pharmacy or our partners; branded with benefits checks and prior authorization.
What does it cost?
It's free to start. You pay per completed visit: $45 per async and $70 per sync visit on pay as you go, falling to $25 and $40 as you grow or with a volume commitment. No setup fee and no monthly platform fee. Medication passes through at pharmacy cost, with a small flat fee on mail-order pharmacy orders.
Can we add Lithos to what we already run?
Yes. Keep the providers, pharmacy or tools that are working and add only what you need: benefits checks and prior authorization, care agents, prescribing, pharmacy routing or a new program. Each service works on its own.
How long until we're live?
Integration takes days: the sandbox is free from day one, and most teams wire up the API in a day or two. Going live takes weeks, not a year. On our existing protocols, teams launch in as little as three weeks: BAA, MSA and product shape in week one, protocols and compliance review in week two, technical review and first patients in week three. Custom protocols, pharmacy setup and complex products take longer. We'll give you a firm date on your first call.
Put a medical practice behind your product
Book a call and we'll scope your program together, or get free sandbox access and start building.