Healthcare infrastructure

Prescription revenue belongs
to the system that earned it.

Every prescription written by a health system physician is a revenue event. Most of that revenue never reaches the health system.

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$494.9B total US prescription spending
88% fills at retail by default
$81.4B in 340B hospital purchases
900+ integrated delivery networks
23% YoY growth in 340B
Every prescription a routing decision
$436B routing away by default
77% of US physicians now employed
$494.9B total US prescription spending
88% fills at retail by default
$81.4B in 340B hospital purchases
900+ integrated delivery networks
23% YoY growth in 340B
Every prescription a routing decision
$436B routing away by default
77% of US physicians now employed
The opportunity

A structural problem with a software solution.

Health systems employ the physicians who write every prescription. By default — no prompt, no comparison, no alternative — 88% of those prescriptions route to retail pharmacy chains. RxClad changes the default at the prescribing moment.

Understand the problem →
$494.9B
Total annual US prescription spending · CMS 2025
88%
Scripts routing to retail chains by default
$81.4B
340B hospital drug purchases · up 23% YoY
900+
Integrated delivery networks in the US
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Everything you need to understand RxClad.

01
The problem
Health systems bear every cost. Retail chains capture every dollar. The default is structural.
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02
How it works
At the prescribing moment. Automatically. Inside the clinical workflow. Zero disruption.
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03
Why now
Four forces making this inevitable — market, segment, employment, and regulation.
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RxClad, Inc. · hello@rxclad.com · 2026