Tomorrow’s refills, ranked by what they’re worth.
Counter shows what every upcoming refill will earn your pharmacy, then reminds the patient by text, email or voice before it lapses.
Works with PioneerRx, Liberty, BestRx, QS/1, PrimeRx and more.
- 1Gideon C.Replied YESDulaglutide 1.5 mg · Due today$139.58Top margin
- 2Zephyrine Z.Sitagliptin 100 mg · Due Sep 11$84.28High marginMissed refill
- 3Emeric W.Apixaban 5 mg · Due tomorrow$75.65Missed refill
- 4Gaspard G.Gabapentin 300 mg · Due Sep 14$15.31Low margin
Independent pharmacies fill the prescriptions. Somebody else writes the math.
Fills that lose money
Reimbursement can land below what the drug cost to buy. Most pharmacies find out after the fill, on a remittance, weeks later.
Refills that never happen
A missed refill is a lost fill for you and a patient off therapy. Reminders go out as a blanket blast, not a priority list.
Margin nobody can see
Claims, invoices and acquisition cost live in different systems. Without them in one place, every margin number is a guess.
Counter ranks every upcoming refill by what it’s worth to you.
Its AI reads your claims and acquisition cost, predicts who is due, and puts the refills that matter most at the top. Then it sends the reminder, within the rules.
Explore Counter- Ingredient cost paid506-F6
- 1,062.94
- Dispensing fee paid507-F7
- 1.00
- Patient pay505-F5
- 0.00
- Acquisition cost · NADAC
- −924.30
- GER true-up · n/a Part D
- 0.00
- Switch fee
- −0.06
Ranked, not listed
Margin, urgency, adherence risk and prior-auth events add up to one score. You set the weights.
Measured, not guessed
Every margin is labeled: from claim and invoice, from claim and NADAC, or an estimate until the claim lands.
Compliant by default
Consent per channel, one message a day, three a week, quiet hours in store time, and STOP honored instantly.
More than the refill
Suggests OTC items, vaccines, front-store products and better cash prices for every pickup.
Every channel. More than the refill.
Counter reaches each patient the way they said yes to, by text, email or an automated call, and turns every pickup into a chance to help with more than the prescription.
Hi Gideon, one of your prescriptions is due for refill. Tap below and we’ll have it ready, or call us at 555-0177.
Refill now“This is Your Pharmacy with a refill reminder. Press 1 to refill, or 2 to talk to the pharmacy.”
Suggestions that fit the patient, and pay for the pharmacy.
Tied to the prescription
OTC items that go with the medication a patient is already on, like test strips with a diabetes drug.
Vaccines and services
Shots and clinical services the patient is eligible for and hasn’t had this season.
The front store
Wellness items patients on the same therapy tend to buy at your store.
The better price
A cash or 90-day option when it costs the patient less and still earns you more.
- Glucose test strips + lancetsOTCGoes with this Rx+$11.40margin
- Flu shotVaccineDue this season+$18.00admin fee
- Diabetic crew socksFront storeBought by similar patients+$6.20margin
- 90-day supply, cashCash priceSaves patient $22+$9.80margin
Shown to your team at pickup. Added to reminders only for patients who opted into offers.
From sign-up to a ranked queue.
Sign up
Tell us about your pharmacy: NPI, NCPDP ID, and which pharmacy system you run.
5 minutesVerify
We confirm your pharmacy qualifies and sign a BAA, so patient data is covered from day one.
2–3 business daysConnect
Counter connects to PioneerRx, Liberty, BestRx, QS/1 and PrimeRx, or reads a nightly flat-file export from any other system.
3–5 business daysGo live
Your ranked queue fills in as soon as the first feed lands. Send reminders from day one.
Why is Counter free?
Our health plan partners fund it, because patients who refill on time cost less to care for. You get the whole platform and pay nothing.
- Setup and onboarding
- $0
- Monthly subscription
- $0
- Per store, per user
- $0
- Messages to patients
- $0
- Your cost
- $0
Funded by our health plan partners. No contract lock-in: leave anytime and take your data with you.
Built for patient data from the first line.
Counter handles prescriptions and patient contact details, so the rules are enforced in the software, not left to a checklist. Every message records the consent it relied on, and the AI behind your queue is private to your pharmacy.
SOC 2
Our security controls are independently audited.
HIPAA compliant
We sign a BAA with every pharmacy before any patient data moves.
Private AI
The models that rank your queue work for your pharmacy only.- Each pharmacy’s data is isolated and never pooled with other pharmacies’ data.
- Your patients’ data is never used to train models for anyone else.
- Patient data reaches an outside AI provider only under a BAA, and only when it’s configured for your account.
Encryption
Patient and prescription data is encrypted in transit and at rest.
TCPA
Quiet hours, frequency caps and STOP handling are enforced on the server before any send.
Consent records
Each message stores a snapshot of the patient’s consent at the moment it was sent.
Minimum necessary
Reminders leave out drug names unless the patient asked for detailed messages.
Works with your pharmacy system.
Yes, for qualifying independent pharmacies: no setup fee, no subscription, and patient messages are included. Our health plan partners fund it.