Accounting. Advisory. Automation.

We didn't change pharmacy accounting.We changed what you get out of it.

The debits and credits are the same ones every firm does. What's new is everything around them: modern tools that streamline the legwork and run it on autopilot, so our time with you goes to strategy, not data crunching.

See how it works Start a conversation

Profit per script

Rolling 7 months

$12.61

+41% since onboarding

DIR true-up timeline

Q1 cycle

Q1 fees assessed
Reconciled to adjudication
True-up expected
Margin restated

Per store P&L

Month to date

Main Street$412,870

Net margin6.4%

Lakeside$318,450

Net margin5.1%

Northgate$275,310

Net margin7.8%

Cash runway

13 week model

$331,420

wholesaler draft Fri

Tune the site to your pharmacy.

From single local stores to 6+ location groups, across eight states.

Independent owners in eight states run their back office on Titan, from single stores to groups of six or more locations. Same engine, tuned to the size and shape of the business.

30+

pharmacy locations served

states served

locations in our largest groups

3 seats

strategy, close, and fin ops on every engagement

One ledger

scripts, deposits, wholesaler bills, and payroll

Pharmacy only

no generalist playbook

1 team

ops and advisory together

Sound familiar?

You are filling scripts. The numbers are filling a shoebox.

Every single location owner we meet says a version of these six things in the first twenty minutes.

None of that is a bookkeeping problem. It is a cash flow structure problem, and structure is what we engineer.

owner intake, first twenty minutes

01
I fill 200 scripts a day and still cannot tell you if last month made money.
02
The wholesaler draft hits Friday. The PBM check comes whenever it comes.
03
DIR fees show up months later and rewrite my margins.
04
My inventory is worth more than my checking account.
05
I am the pharmacist, the HR department, and the bookkeeper.
06
We rent this space, and every dollar of cash has three jobs.

Back-office optimization

Scripts, deposits, wholesaler bills, and payroll wired into one ledger that separates every revenue line. Connected pharmacy systems and smart tooling, run by people who know how a pharmacy makes money.

Pharmacy system and POS mapped to the chart of accounts
Wholesaler invoices matched to inventory and COGS
Third party payments reconciled to what was adjudicated
Payroll, benefits, and owner draws handled cleanly

Month-end close

Day 3 of 4

Bank feeds matchedauto
Wholesaler invoices codedauto
Third party remits reconciledauto
Exceptions for review4

Payer mix

Trailing 90 days

Commercial38%

Medicare D31%

Medicaid18%

Cash13%

See the full solution set

Strategic advisory

The part that changes the outcome, not just the record.

01Cash flow command and forecasting
02DIR fee and reimbursement strategy
03Owner pay and exit readiness
04Fractional CFO leadership

Explore advisory

What you get

Built for how your pharmacy actually makes money.

Same engine, same ledger, tuned to the way your store or your group runs.

Cash flow forecasting

The PBM timing gap is the whole game. We model when money actually lands against when the wholesaler draft actually clears, so Friday is never a surprise.

Inventory as working capital

Your largest asset sits on the shelf. We track it as capital, not a cost line, and show you what turns, what sits, and what that costs you every month.

Profit per prescription

Gross revenue hides the story. We report margin by payer and by script class so you can see which business is worth keeping.

Reporting you can read between scripts

One page, plain labels, real numbers. Built to be read in the five minutes you have, and traceable back to the source when you want the detail.

Explore the single location track

Fluency

We speak pharmacy, fluently.

The systems, buying groups, PSAOs, and PBMs we work in every day. Not logos on a wall, the software we are already inside of before your first close.

POS and pharmacy systems

PioneerRx
Rx30
ComputerRx
Liberty
BestRx
QS/1

Buying groups

AAP
IPC
EPIC Rx

PSAOs

AlignRx
Elevate Provider Network
EPIC Pharmacy Network

PBMs

CVS Caremark
Express Scripts
Optum Rx
Prime Therapeutics
MedImpact

All names and marks belong to their respective owners. Listing a system, buying group, PSAO, or PBM means we work in it. It does not imply partnership or endorsement.

The rhythm

Your year, as it actually runs.

We work on the pharmacy calendar, not the generic small business calendar.

Year-end close and filings

Books closed, 1099s and W-2s out the door, tax filing prepared, and DIR true-ups reconciled against what you were actually paid.

Spring

Quarterly tax planning

Estimates checked against real performance, mid-year strategy set, and owner compensation revisited while there is still time to adjust.

Fall

Flu season and open enrollment

Immunization volume changes your revenue mix and your staffing. Plan payroll and cash for the surge, then watch how plan changes move reimbursement.

Year-end

Inventory, equipment, and next year

Physical inventory counts, equipment and facility decisions before December 31, and a written plan for next year's cash and growth.

What good looks like

Margin you can see, line by line.

This is the level of detail your reporting should carry: every product line with its own margin, traceable back to the source when you want the detail behind the number.

Margin per compound

Cost accounted

Sterile IV$68.40

Hormone$44.10

Derm base$27.85

Autopilot for the legwork. Humans for the strategy.

A working session, not a pitch. Show us how the money moves today and we will show you which parts we would put on autopilot first, and what that frees up by next close.

Start a conversation Take the financial assessment