Migrations

Switch platforms without missing a refill

Running hundreds or thousands of patients a month on another platform, or on a stack of vendors? Migrations are a first-class path onto Lithos: parallel-run first, move records, then cut over state by state.

Cutover planCurrent platform → Lithos · state by state
wave 1
  • TXTexasparallel
  • FLFloridaparallel
  • CACaliforniaparallel
  • NYNew Yorkparallel
  • OHOhioparallel
parallel-run in the sandbox · nothing moves yetExample data
The playbook

Three phases, no big bang

Weeks 0–1

Parallel-run in the sandbox

We mirror your intake, visit and fulfillment flows in the sandbox while your current stack keeps serving patients. Nothing moves until you’ve seen your own flows work end to end, including the unhappy paths.

Week 2

Records come across

Charts and care plans transfer into Lithos. Our licensed providers review incoming patients and re-establish prescriptions as part of onboarding, so refills continue without a gap.

Weeks 3–4

Cut over, state by state

Turn states on at your pace: start with one market, watch it run, then roll the rest. Your patients keep using your app the whole time.

What moves

What changes, and what doesn’t

ItemHow it movesWhat patients see
Charts and historyTransferred as data ahead of each wave, checked against a sample export before dates are setNothing
PrescriptionsRe-established by a licensed provider after chart review, not portedTheir next refill arrives on time
Patient experienceDoesn’t move: your brand, your funnel, your appNothing
PharmacyRouted to your pharmacy partners or ours, state by stateShipping updates as before
How we know it’s working

Three numbers, watched through every wave

01

Refill completion

Tracked against your pre-migration baseline. A patient whose refill lands on time never knew anything changed.

02

Visit turnaround

Tracked per state through every wave, so a slow market shows up before patients feel it.

03

Support volume

Tickets per state, before and after. Rollback stays open until each state clears a full refill cycle.

Coming from a specific platform?

Playbooks by platform

What exports look like, what maps cleanly, and what to line up before you start.

FAQ

Migration questions

Can’t find yours? We’re happy to walk through your program.

Will our patients notice anything?

That’s the design goal. Patients stay in your app and your brand throughout; what changes is the infrastructure behind it. Cutting over state by state contains any issue to one market.

Do prescriptions transfer automatically?

No. Prescriptions aren’t ported as data. As each patient moves, a licensed provider reviews their chart and re-establishes the prescription, timed so refills aren’t interrupted.

How long does a migration take?

Weeks, not a year. Most teams cut over their first state soon after kickoff, then roll the rest at their own pace. Your refill calendar sets the tempo, and we commit to dates on the first call.

What happens to our data if we ever leave?

It’s yours in both directions. You own all patient and operational data on Lithos and can export it through the API at any time.

For the full risk register (refill gaps, prior-auth continuity, patient communications), read our switching guide.

Switching

Plan your migration

Book a call and we’ll map your states, waves and dates with you. You can start parallel-running in the sandbox right away. On the call:

  • Your patient map and refill calendar
  • Data export and record transfer
  • A cutover plan with dates
Book a call Get sandbox access

Free to startNo setup or platform fees