# Lithos
Lithos is an AI-native medical practice for digital health teams. Licensed providers (MDs, DOs, NPs, PAs and RDs), prescribing, pharmacy routing and compliance in all 50 states, available to your product over a REST API and to AI agents over MCP (preview). You keep the brand, the patients and the revenue.
## Ways to work with Lithos
- Launch a new program: providers, prescribing, pharmacy and compliance already running
- Switch from another provider: parallel-run in the sandbox, prescriptions re-established before each refill, cut over state by state (/migrate)
- Add services à la carte to what you already run: benefits checks and prior authorization, care agents, prescribing, pharmacy routing or a new program
- Let an AI agent request care over MCP (preview), with patient consent and provider review
## What your product or agent can do
- Register patients: demographics, address and the telehealth consent timestamp your app captured
- Open care plans and submit encounters against them, with the
intake_form validated at the API
- Book live video visits where the patient's state requires one: open times, holds, booking, reschedules and the join link
- Read encounter status and the provider's decision; read prescriptions and orders
- Relay patient questions to the care team, and register insurance
- Receive signed webhooks for every state change
## Example: refill a patient's medication
POST /v1/oauth2/token # client credentials → short-lived Bearer token
POST /v1/patients # create or match the patient (external_id = your user id)
POST /v1/encounters # same care plan · requested_treatments: refill · intake_form: the check-in
# AI prepares the chart; a licensed provider in the patient's state reviews and decides
← webhook encounter.completed # GET /v1/encounters/{id} → orders[].prescriptions[]
← webhook order.processing # routed to your pharmacy or ours
← webhook order.placed # the pharmacy accepted it; tracking once it ships
← webhook order.completed
## Pricing
- Free to start: no setup fee, no monthly platform fee
- Pay per completed visit: $45 async and $70 sync on pay as you go, falling to $25 and $40 as volume grows or with a volume commitment
- Pharmacy pricing passes through at cost; patients pay you through your own merchant account
## Coverage and compliance
- All 50 states: provider licensure, modality rules, prescribing rules, consent and board filings
- MDs, DOs, NPs, PAs and RDs, under one medical director and written protocols
- HIPAA; BAA at onboarding; SOC 2 Type II in progress; HMAC-signed webhooks
- Programs: GLP-1 weight care · Hormone therapy · Peptide protocols · Dermatology & skin · Hair restoration · Sexual health · Longevity & prevention · Sleep care · Men's health · Women's health · Menopause care · Cardiometabolic care
## Getting started
- Sandbox: free. Request access at /sandbox and the link arrives by email. Build and test the full flow with simulated provider decisions
- Launch: weeks, not a year. Fastest path is as little as three weeks: week 1 sandbox access, BAA and MSA, modality and product shape; week 2 clinical protocols and compliance review; week 3 vendor agreements if needed, technical review and launch. Custom protocols take longer
- After launch: shared Slack channel with clinical and engineering, quarterly clinical reviews, protocols kept current, licensure and board filings maintained
- Book a call: lithoshealth.com/book
- API reference: docs.lithoshealth.com · For LLMs: /llms.txt · /llms-full.txt
## Latest guides