The prescription leaves the building. So does the revenue.
Health systems bear every cost of generating a prescription. Most of the resulting revenue goes somewhere else.
Where $751B goes today
Retail & other channels
Health system
85–95%
5–15%
An estimated 85–95% of that revenue routes away from the health systems whose own physicians generated it, annuallyDCI 2025 · directional estimate
Failure — cost
Health systems bear every cost
The physician salary. The clinical infrastructure. The liability. The relationship. Every prescription is written at the health system's expense — with no guarantee the resulting revenue returns to it.
Failure — capture
Retail chains capture every dollar
By default — no prompt, no comparison, no alternative — the prescription routes to a retail pharmacy chain. The dispensing margin, the 340B spread, and the patient relationship leave the health system that generated them.
Failure — structure
The default is structural
This is not a process problem. It is an infrastructure problem. The system default routes prescriptions away from the health system before any human decision is made. No physician chooses this. It simply happens.
The fix
RxClad changes the default
At the prescribing moment. Patient-directed, inside the clinical workflow. Zero disruption for physicians. The revenue that was leaving now stays in the health system that earned it.