Now serving independent pharmacies
The operating system for the independent pharmacy.
We cut your software bloat, automate the boring work, and run your marketing. One retainer. Pharmacy-native. So you can stay at the bench.
- 09:42Refill requestMrs. R · 90-dayBOOKED
- 09:38Delivery dispatchedRt. 2 · 6 stopsACTIVE
- 09:35Vaccination inquirynew patientPENDING
- 09:31MTM follow-upannual reviewBOOKED
- 09:27After-hours voicemailcallback queuedQUEUED
Sample dashboard · representative of pilot pharmacy
The reality
Independent pharmacy is being squeezed flat. The numbers are not subtle.
Six PBMs control 95% of U.S. prescriptions and decide what you get paid.
We built a 90-day supply of Lamotrigine for a patient. The total reimbursement was 35 cents. The transmission fee was 30 cents. Our total payment was 5 cents.
We are drowning. Pharmacy staff is mentally, emotionally, and physically exhausted. You are asking ONE person to do the work of FIVE.
Why nothing else works
You’ve already tried the alternatives. Here’s what each one actually delivers.
Scroll the matrix → to compare alternatives.
What we actually do
Four jobs, one team. Same retainer.
We don’t bolt on. We don’t hand you a dashboard and walk away. Each month, you get the four things below — done by humans, supported by AI, reported in one place.
Cut your software bloat.
We audit your stack in week one, find what you actually use, and cancel the rest. Most independents are paying $4–12k/mo for tools they touch 10% of.
- Dotti (PioneerRx add-on)−$1,800
- Digital Pharmacist messaging−$420
- TherapyAccess refill IVR−$300
- Generic CRM (unused)−$180
Automate the boring work.
Refill texts that schedule themselves. MTM follow-ups that auto-route. Audit prep that takes one hour instead of a Saturday. AI runs the busy work — never clinical decisions.
- T+0sRefill text receivedpatient SMS
- T+1sPMS lookup · in stockPioneerRx
- T+2sReply sent · pickup tomorrow 2pmRelayOS bot
- T+2sTech queue · auto-taggedMTM eligible
Run pharmacy-native marketing.
We know HIPAA, PioneerRx data, and what actually converts a 65-year-old patient. Refill reminders, MTM campaigns, vaccine pushes, retention loops — built in, not bolted on.
- Refill texts sent1,284+18%
- MTM follow-ups booked47+32%
- Reactivated patients62+11%
One operator, not five vendors.
You don't need a CMO, a COO, and a CIO. You need one team that handles the operating layer so you can stay at the bench. One retainer. One report. One number to call.
- Software audit + cuts
- AI workflow build
- Marketing campaigns
- Monthly reporting
- One point of contact
Real numbers · Pilot pharmacy
$2,700 cut from the stack in week one.
Our pilot pharmacy — an independent retail shop on PioneerRx — was paying for four tools they barely used. We audited the stack, replaced the AI piece with our own workflow, and cancelled the rest. Net of our retainer, they’re still cutting their tech bill.
Identity withheld at client’s request · independent retail · PioneerRx · audit completed April 2026, week one of engagement.
- Dotti (PioneerRx AI add-on)$1,800/mo$0−$1,800
- Digital Pharmacist messaging$420/mo$0−$420
- TherapyAccess IVR$300/mo$0−$300
- Generic CRM (legacy)$180/mo$0−$180
- RelayOS retainer—$4,000/mo—
The products we’re building
Software, built for pharmacy. Sold to pharmacies, not investors.
Some of what we run for clients we’ve packaged into products. We use them with our retainer pharmacies first — what works ships to others.
Who this is for
Built for the four pharmacies most likely to be squeezed.
We’ve turned down work that wasn’t a fit. Honesty is the first thing we owe you.
Retail independents
Owner behind the counter, on PioneerRx or RxSafe.
- Stack costs $4–12k/mo, half unused
- Refill workflow is text + voicemail chaos
- Marketing is 'put up a sign'
Small groups
Operators who need shared infra without hiring a CIO.
- Reporting lives in 4 spreadsheets
- Each store has a different stack
- Hiring a marketing person hasn't worked
503A compounding
Compounding pharmacies with active prescriber pipelines.
- Manual prescriber outreach
- USP <800> documentation drag
- GLP-1 / hormone pivot in progress
Long-term care (LTC)
Pharmacies serving facilities, eMAR-integrated.
- eMAR integration is fragile
- IRA margin recovery untouched
- Specialty PA is a black hole
Founder · Aaron Núñez
I started RelayOS because I watched independents get squeezed by every tool that was supposed to save them.
My family runs a pharmacy. I’ve seen what happens when a PBM cuts a reimbursement, when a vendor raises prices 40% on a Friday, when an owner spends Saturday auditing software instead of being with their kids. RelayOS is the operator I wish my family had.
We don’t do fake testimonials, won’t lock you in past 90 days, and the audit is genuinely free. Talk to me directly — I’m on every call.
How it works
Six steps. The first one is on us.
- 01Day 0
30-min audit call
We get on a call, you walk us through your stack and your day. We tell you on the spot what's worth keeping and what's leaking money. Free, no slides.
- 02Day 0–2
Decision
If it's a fit, we send a 1-page agreement with the retainer scope. If it's not, we'll tell you that and point you somewhere useful.
- 03Week 1
Onboarding
We map your PMS, your software stack, your patient list, and your goals. You meet your point of contact. Cuts start week one — we don't sit on findings.
- 04Days 1–30
First 30 days · peak velocity
Stack cuts banked. First AI workflow live (usually refill texts). First marketing campaign out. First report in your inbox. This is the month most pharmacies feel the retainer paying for itself.
- 05Months 2–6
Compounding period
Each month adds another workflow, another campaign, another margin we recover. You start to feel the operating layer doing the work for you.
- 06After day 90
Month-to-month
After the first 90 days, you're on month-to-month. Cancel any time. Most don't, because by then we're paying for ourselves.
FAQ
Real questions owners actually ask.
Don’t see yours? Bring it to the audit call. The whole point is to find out if we’re a fit.
Most agencies that work with pharmacies don’t actually know pharmacy. They run the same playbook they use for dentists and HVAC companies. We don't. We know HIPAA, we know PioneerRx data, we know what a PBM clawback looks like. We also do software work — the audit, the AI, the integrations — which most marketing agencies can’t touch.
AI never makes clinical decisions. It handles back-office work — refill texts, MTM follow-ups, audit prep, marketing copy. PHI stays inside HIPAA-compliant systems (your PMS, our BAA-covered tools). When AI talks to patients, it’s pre-approved language only.
The audit is free
Pilot pharmacy · $1,800/mo cut on the first audit
Book the call. We’ll find the leaks the same day.
30 minutes. We audit your software stack on the call and tell you, specifically, where you’re leaking dollars. Whether you hire us or not, you’ll leave with a list.
No long-term contract · Month-to-month after 90 days · No fake testimonials