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.
- Free to start
- No setup or platform fees
- HIPAA + BAA
Skip the year it takes to build a medical practice
A medical director, providers licensed in every state, protocols, pharmacy and compliance: usually a year and $200K+ before your first prescription. It’s all running here already.
Launch, switch, or add just what you need
Launch something new
- Licensed providers in all 50 states
- Prescribing and pharmacy, ready to use
- Live in weeks, not a year
Migrate from another provider
- Parallel run in the sandbox
- Prescriptions re-established before refills
- Cut over state by state
Add services to your existing offer
- Benefits checks and prior authorization
- Care agents for check-ins and refills
- Prescribing and pharmacy routing
Software and a clinical team, behind one API
A complete clinical layer for your product. 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.
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
Committed volume
- Down to $25 per async visit
- Down to $40 per sync visit
- Monthly commitment
Built to protect your program
Licensure, prescribing rules, consent and board filings, kept current in all 50 states from day one. Adding a state is a settings change, not a project.
- Provider licensed in the patient's state
- Async or sync, per state rules
- State prescribing rules
- Informed consent on file
- Board filings current
- Medical director oversight
Know what’s allowed
Modality, prescribing and consent rules for each state and each medication, before you launch.
Get set up right
Providers licensed where your patients live, pharmacies that can ship there, protocols signed off.
Treat correctly
A licensed provider reviews every encounter, and anything unusual is escalated, not auto-approved.
Keep the record
Consent, decisions and prescriptions logged on every encounter, exportable whenever you need them.
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.
Get sandbox keys and docs
Free. One file with every endpoint, webhook and field.
Hand them to your coding agent
Claude Code reads the docs and writes the integration with you.
Test the full flow
Simulated provider decisions, prescriptions and pharmacy orders.
Go live
Pick protocols, pharmacy and states with our clinical team. We commit to a launch date on the first call.
From first call to first patient in as little as three weeks
Every team moves at its own pace. This is what the fastest launches look like, and what you get once you’re live.
Get started
- Sandbox access
- Sign the BAA and MSA
- Decide modality and product shape
Clinical and compliance
- Finalize clinical protocols
- Compliance review of your program
Launch
- Vendor agreements, if needed
- Technical review
- First patients
Ongoing
- Shared Slack channel with our clinical and engineering teams
- Quarterly clinical reviews
- Protocols kept current as rules change
- Licensure and board filings maintained
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.
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.
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?
Weeks, not a year. On our existing protocols, teams can launch in as little as three weeks; 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.