Lithos Cloud Practice

The medical practice your product runs on

Everything a licensed medical practice needs, ready to plug into your website, app or AI agent: providers in all 50 states, prescribing, pharmacy and compliance, behind one API. You build the care experience. We work as an extension of your team, and a partner in growing it.

50 statesLicensed providers wherever your patients live
WeeksTo your first patients, not a year
$0Setup or platform fees. Pay per completed visit
100%Your brand, your patients, your revenue
Why it matters

Care is becoming part of the product. The practice shouldn't be the hard part.

The brands growing fastest in care spend their time on the experience, not on medical directors, state licenses and pharmacy contracts. Until now that meant a year of building it yourself, or giving up your experience to a template storefront.

LITHOS CLOUD PRACTICEBuild it yourselfStorefront platforms
Time to first patientsWeeks~12 monthsWeeks
Upfront cost$0, no setup or platform fee$200K+ to be fully operational$2,500–5,000 setup, plus monthly fees
The patient experienceYours, on any website, app or AI agentYours, built from scratchThe platform's templates and checkout
Who bills the patientYou, through your own merchant accountYouThe platform
MedicationPharmacy cost, no markupYou negotiate with pharmaciesResold with a margin
Providers and 50-state complianceIncludedYou hire, license and fileIncluded
AI agentsRequest care over MCPYou build itVaries

Build cost: our estimate of getting fully operational in-house. Storefront figures: typical published pricing and proposals we reviewed in 2025 and 2026; they vary by vendor and program.

Who does what

You own the experience. The practice comes included.

Use all of it, or just the pieces you need. Each service works on its own.

Yours

Everything your patients see

  • Your brand on every screenPatients see your name, not ours.
  • Your product, built your wayWebsite, app or AI agent: any flow, any stack.
  • Your checkout and pricesPatients pay you through your own merchant account.
  • Your patients and dataThe relationship is yours. Export everything, any time.
Included

Everything a practice runs on

A clinical teamA medical director and licensed MDs, DOs, NPs, PAs and RDs.
PrescribingCompounded and branded medications, written by the reviewing prescriber.
PharmacySome of the largest pharmacies in the US, or your own, at cost.
50-state complianceLicensure, modality rules, consent and board filings, kept current.
Benefits checks + prior authGet patients onto branded drugs like Wegovy, appeals included.
Care agentsCheck-ins, side-effect questions and refills, escalated to a provider.
An extension of your team

Your clinical partner, not just a vendor

Lithos fits around the team you have. Bring your own clinical leadership or lean on ours, and grow with a partner whose job is to help your program succeed.

Your clinical team

Work with your medical director

Already have clinical leadership? Our providers work alongside your medical director and clinical team, on your protocols or ours.

Ours

Or lean on our clinical leadership

No medical director yet? Ours guides protocols, program design and clinical quality, so you can launch without hiring one first.

Together

A partner as you grow

A shared Slack channel, quarterly clinical reviews and help launching new programs, from your first patients to your next market.

How a visit works

One request in. Care comes back under your brand.

  1. 01
    Your product requests a visitIntake, consent and the treatment the patient asked for, sent over our API or MCP.
  2. 02
    AI prepares the chartIntake is checked and summarized before a provider opens the encounter.
  3. 03
    A licensed provider decidesA provider licensed in the patient’s state reviews, by message or live video as state rules require.
  4. 04
    Care comes back to your productThe treatment plan, prescription and pharmacy order arrive as events, ready to show in your brand.
Jordan M.Weight care · TX
new_patient
  1. Intake submittedYourbrand app
  2. Chart preparedLithos
  3. Provider reviewLicensed in TX
  4. Prescription writtenGLP-1 prescription
  5. Pharmacy fillingYour pharmacy or ours
waiting for the next patient…Example data
Launch

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.

Week 1

Get started

  • Sandbox access
  • Sign the BAA and MSA
  • Decide modality and product shape
Week 2

Clinical and compliance

  • Finalize clinical protocols
  • Compliance review of your program
Week 3

Launch

Live
  • Vendor agreements, if needed
  • Technical review
  • First patients
After launch

Ongoing

  • Shared Slack channel with our clinical and engineering teams
  • Quarterly clinical reviews
  • Protocols kept current as rules change
  • Licensure and board filings maintained
Ops dashboard

Know where every patient is, and who acts next

Follow any patient from intake to refill, and see what's waiting on your team versus ours.

Jordan M.GLP-1 weight care · Texas · initial
pending_review
  1. IntakeYour app
  2. AI chartLithos
  3. ReviewTX-licensed provider
  4. PrescriptionProvider
  5. PharmacyYour pharmacy
  6. Check-inCare agent
Waiting on your team2
Riley K.Photo ID needed before review
Request
Sam T.Shipping address to confirm
Request
With Lithos
In provider review12
Orders at the pharmacy31
Refills due this week18
For your engineers

Build on it the way you build everything else

Integrate in days. The sandbox is free from day one.

One API

Patients, encounters, prescriptions and orders over REST.

API reference

Signed webhooks

Every encounter, order and prior auth status change, as an event.

Webhook docs

Free sandbox

Simulated provider decisions, prescriptions and pharmacy orders.

Get sandbox access
However you're starting

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
How launching works

Migrate from another provider

  • Parallel run in the sandbox
  • Prescriptions re-established before refills
  • Cut over state by state
Plan your migration

Add services to your existing offer

  • Benefits checks and prior authorization
  • Care agents for check-ins and refills
  • Prescribing and pharmacy routing
See what you can add
More

Go deeper

FAQ

Common questions

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

What is a cloud practice?

A licensed medical practice you use the way you use cloud infrastructure. Instead of hiring a medical director, licensing providers state by state and signing pharmacy contracts, your product calls Lithos over an API or MCP, and licensed providers, prescribing, pharmacy and compliance are there when a patient needs care.

Is Lithos the medical practice of record?

Yes. 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.

Whose patients are they?

Yours. Patients sign up in your product, pay you through your own merchant account, and see your brand on every screen. You can export clinical and operational data any time.

How is this different from a white-label storefront?

A storefront gives you its templates and its checkout, and usually resells the medication. The Cloud Practice gives you the clinical layer only, so you can build any experience on top, bill patients yourself and pay pharmacy cost for medication.

Can we work with our own medical director or clinical team?

Yes. Lithos works as an extension of your team. If you have a medical director or clinicians, we work alongside them on your protocols or ours. If you don’t, our medical director and clinical team provide the clinical guidance and leadership.

Can we use just part of it?

Yes. Keep the providers, pharmacy or tools that are working and add only what you need: prescribing, pharmacy routing, benefits checks and prior authorization, care agents or a new program.

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.

Lithos Cloud Practice

Grow your care program with a clinical partner

Book a call and we'll scope your program together, or get free sandbox access and start building.

Book a call Get sandbox access

Free to startNo setup or platform fees