Hospice Pharmacy Platform
MerlinRx Technologies: The Hospice Pharmacy Platform and Modern Alternative to the Hospice PBM
MerlinRx is the modern, integrated platform that puts hospice pharmacy ahead of problems instead of behind them. Claims, prescriptions, formulary, and prior authorization, designed around how your team actually works.
M. Reyes
Routine home care · Team North
Medication
Morphine Sulfate 20 mg/mL oral solution
15 mL · 14-day supply · Hometown Pharmacy
An illustration of the Merlin eRx prescribing workflow.
One system. Start to finish.
No phone calls. No duplicate entry. No source-of-truth conflicts. Every piece of hospice pharmacy in a single integrated platform.
Medication order
Morphine Sulfate 20 mg/mL oral solution
15 mL · 14-day supply · from the EHR order, nothing re-typed
Sent to Hometown Pharmacy
Invoice line · Team North
the rate the clinician saw, untouched
One record, assembled in one system. An illustration.
01
Medication Order
Orders are entered in MerlinRx, or flow straight from the order in your EHR for systems that support it. Either way they arrive cleanly and accurately, with nothing faxed and nothing re-typed.
02
Formulary & Coverage
Before the order is signed, Merlin resolves coverage, contract price, and prior authorization against your formulary. The questions are answered before they can become problems.
03
eRx / EPCS
The prescriber signs electronically, controlled substances included, and the prescription arrives at the patient's local pharmacy. No phone call. No fax line.
04
Claims
The claim adjudicates against the same formulary and the same contract price the clinician already saw. Clean claims by design, not by luck.
05
Invoice
The fill lands on your invoice at the exact contract rate. The $4.80 the clinician saw is the $4.80 you pay. Pass-through pricing, demonstrated.
Orders are entered in MerlinRx, or flow straight from the order in your EHR for systems that support it. Either way they arrive cleanly and accurately, with nothing faxed and nothing re-typed.
Before the order is signed, Merlin resolves coverage, contract price, and prior authorization against your formulary. The questions are answered before they can become problems.
The prescriber signs electronically, controlled substances included, and the prescription arrives at the patient's local pharmacy. No phone call. No fax line.
The claim adjudicates against the same formulary and the same contract price the clinician already saw. Clean claims by design, not by luck.
The fill lands on your invoice at the exact contract rate. The $4.80 the clinician saw is the $4.80 you pay. Pass-through pricing, demonstrated.
Sound Familiar?
Hospice pharmacy has been managed the same way for twenty years.
Waiting on rejections at the pharmacy. Phone calls for prior authorizations. Manually tracking refills. It's time to modernize hospice pharmacy management. See common questions.
"How much is this patient actually costing us?"
Real-time cost-per-patient-day. Automated invoicing. Full line-item transparency.
"Why do our clinicians keep calling the pharmacy before they prescribe?"
Coverage status, contract pricing, and formulary standing all surfaced at the moment the prescription is written.
"We're managing formulary in a spreadsheet and orders in our EHR. Nothing talks to anything."
Orders, prescriptions, claims, formulary, and prior authorizations in one system. No duplicate entry. No fragmented source of truth.
"Prior auth is eating our coordinators' time every day."
PA workflow built into the platform. Requests tracked, pharmacies notified, rejections handled all without leaving the system.
The MerlinRx Difference
The right information, right when it matters.
When a clinician is writing a prescription or entering a medication order MerlinRx surfaces coverage status, contract pricing, formulary standing, and prior authorization requirements without switching screens, making a phone call, or digging through a separate report.
Staff usually follow the path of least resistance. MerlinRx is designed so that doing the right thing is also the easiest thing.
Insights delivered in your workflow. Not buried in a separate report. Not requiring a phone call. Right there, right now.
Where We Fit
Not a PBM. The platform to run your own benefit.
Hospices have traditionally handed the pharmacy benefit to a PBM, and the decisions went with it. The PBM sets the rules, processes the claims, and reports back. That model is reactive by design: the answers arrive after the claim, and your team absorbs everything that happens before it.
MerlinRx is built on a different premise. Your hospice sets the plan and the formulary. Your clinicians see coverage, price, and prior authorization requirements before the order is signed. The platform carries the mechanical work, ePrescribing, claims processing, PA tracking, and a pharmacy network contracted on your behalf, while every decision about your benefit stays where it belongs: with your team.
Why hospice operators choose MerlinRx.
We built this platform because we have lived the problem. Every decision reflects what actually matters to the people running hospice pharmacy operations. Learn our story.
Pass-through pricing.
We pass pharmacy contract rates directly to you without markup. Our interests are aligned with yours, not the pharmacy's. Every dollar your patients cost is a dollar you see.
How we make money →Built by hospice people.
Our founding team has spent careers implementing hospice pharmacy systems. We know the workflows, the edge cases, and what breaks. We built around it.
One integrated platform.
Orders, prescriptions, claims, formulary, and prior authorizations in a single system. No duplicate data entry. No fragmented source of truth.
Modern from the ground up.
Not a legacy system with a new interface. MerlinRx was built with current technology and workflows designed around how people actually work today.
Real time best practices.
Get notified of best practice substitutions and workflows in real time as defined by your organization.
Boutique attention.
You work directly with the people who built the product. There is no call center. No ticket queue. No account number to look up.
Who We Serve
Built for the full spectrum of hospice.
From independent community hospices to large multi-site national operators, MerlinRx is architected to serve organizations of every size and structure.
Independent & Regional Hospices
Partner with someone focused on local connections and community without sacrificing technology or efficiency. Committed to your growth, patient's care, and community partners.
Multi-Site Operators
Large regional and national operators that require consolidated reporting, segmented cost tracking, and multi-entity management.
Health System Programs
Health-system based hospice programs that need health-system grade security, contracting, and support. Merlin runs inside Epic, with single sign-on, so your staff never leave their workflow.
Merlin inside Epic →Ready to see MerlinRx in action?
Schedule a conversation and see how MerlinRx brings your hospice pharmacy operations into focus.
Schedule a Conversation