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Counter · free for qualifying pharmacies

Every refill, ranked by what it’s worth.

Counter’s AI reads your claims and acquisition cost, predicts who’s due in the next ten days, and puts the refills that matter most at the top of the list. Then it reaches the patient, within the rules. Private to your pharmacy, always.

Refill queueTuesday, September 8 · next 10 days
Queue value$332
Confirmed today$84.28
AllNot contactedPA approvedDue ≤ 3 daysText next 5 uncontacted
#PatientMedicationDueAuthorizationSignalsMargin
1
Gideon CousteauTexted, awaiting reply
Dulaglutide 1.5 mg2 mL / 28d
Today2 refills left
Top margin
$139.58
2
Zephyrine ZielinskiReplied YES
Sitagliptin 100 mg30 tabs / 30d
Sep 112 refills left
High marginMissed refill
$84.28
3
Emeric Wojcik53 · Part D
Apixaban 5 mg60 tabs / 30d
Tomorrow2 refills left
Missed refill
$75.65
4
Priya Raman61 · Commercial
Semaglutide 1 mg3 mL / 28d
Sep 12PA approved
PA approved
$41.10
5
Gaspard Gallegos75 · Medicaid
Gabapentin 300 mg90 caps / 30d
Sep 142 refills left
Low margin
$15.31
6
Nerissa Jorgensen69 · Medicaid
Lisinopril 10 mg90 tabs / 90d
Sep 174 refills left
Low margin
$11.73
7
Leocadia Dimitriou42 · Part D
Metoprolol succinate 50 mg30 tabs / 30d
Sep 131 refill left
Last refill
$3.12

Counter’s demo pharmacy. Patients and amounts are fabricated.

01 · The ranking

One score. Four reasons. Your weights.

Every upcoming refill gets a priority score from its expected margin, how soon it’s due, whether the patient has missed refills before, and whether a prior authorization just came through. Turn any of them up or down per store.

Ranking rules · Main StWeights
Margin1.0
Urgency0.6
Adherence risk0.8
Prior auth approved1.2

Refills that would fill below cost skip the queue and go to Needs a decision.

02 · Margin you can trust

Measured, not guessed. And it tells you which is which.

See margin by payer class and by store, what outreach recovered, and which fills lost money. Every figure carries a confidence tier, so you know when to trust it and what data would make it better.

Margin recovered$4,840285 outreach-attributed fills
Gross margin per Rx$15.52Trailing 30 days · all stores
Below-cost fills−$7622 fills · 64% discount card
Contact to fill44%Text 45 · Call 48 · Email 33
How much of the margin is measured, not estimated
45%Claim and invoice
38%Claim and NADAC
17%Estimate only
Demo data.
03 · Outreach

Text, email or a call. Always inside the lines.

Reach each patient on the channel they consented to, one at a time or five at once. Counter checks every rule on the server before anything goes out, and records the consent it relied on.

  • Consent checked per channel
  • One a day, three a week
  • Quiet hours in store time
  • STOP honored instantly
  • No drug names by default
  • Lapsed 90+ days goes to renewal
TextConsent on file · 2:04 PM
Your Pharmacy: una receta está lista para resurtir. Responda SÍ para surtirla. Responda STOP para cancelar.Sí
Replied SÍ · fill queued
EmailConsent on file · 9:02 AM
From Your PharmacyYour prescription is ready to refill

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
Opened 9:12 AM · Refill requested
VoiceAutomated call · 0:38

“This is Your Pharmacy with a refill reminder. Press 1 to refill, or 2 to talk to the pharmacy.”

Answered · Pressed 1 · fill queued
04 · Beyond the prescription

Every pickup, a little more helpful.

For each refill, Counter suggests what else the patient is likely to need and the pharmacy is glad to sell: OTC items that go with the medication, vaccines they’re due for, front-store products and better cash prices. Ranked by relevance and by what each one earns you.

  • 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.
Add to this fillZephyrine Z. · Sitagliptin 100 mg · Pickup Sep 11
Added value+$45.40
  • 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.

05 · Connections

Keep the system you have.

PioneerRx
Liberty
BestRx
QS/1
PrimeRx
Any other systemwith a flat-file export

PioneerRx streams Rx events to Counter as you fill. Other systems connect through a scheduled data export, set up with you.

NADAC

The weekly national acquisition cost file fills in where there’s no invoice.

Counter is free. Missed refills aren’t.