For independent pharmacies · NY · NJ · PA

When the auditor walks in, the answer is already on file.

Pharma OS is the operating system for independent pharmacy, built by a pharmacist who owns pharmacies. It keeps your store profitable and ready for PBM audits, DEA inspections and Board of Pharmacy visits, from the same records you already keep every day.

$299 per store per month. No setup fee. Your NPI fills in most of the sign-up.

Audit requestAll on file
✓
"Show invoices for every atorvastatin 40 mg you billed in Q2."Purchases vs billing by NDC, with gaps flagged before the PBM finds them.
✓
"Your C-II receiving records and last count, please."CSOS / Form 222 receiving done weekly, monthly counts signed by the pharmacist.
✓
"Where is your Notice of Privacy Practices, in Spanish?"Printed from Forms & policies, with the version and edit history.
✓
"Proof of staff FWA and HIPAA training?"Certificates for every employee, dated and ready to print.
● In daily use at New York City pharmacies
Microsoft Azure
HIPAA · BAA with every pharmacy
Two-step login
English & Spanish
Audit-ready by design

Six kinds of audits. One place to answer them.

Independent pharmacies lose money in audits because the proof is scattered across wholesaler portals, binders, drawers and someone's memory. Pharma OS keeps it in one place, every day, so an audit becomes a printout instead of a scramble.

Audit
What they ask for
Where it lives in Pharma OS

PBM audits

Desk and on-site invoice audits, recoupments
They ask
  • Invoices that support every quantity billed
  • Proof of purchase from licensed suppliers
  • Unit-of-measure and package-size matches
You show
  • Monthly purchases vs billing by NDC: billed but not bought is flagged
  • Every wholesaler invoice uploaded, searchable by item and date
  • Vendor book with every supplier, paid or not paid

DEA inspections

Schedule II to V records
They ask
  • C-II receiving records: quantity and date received
  • Inventory counts and the biennial inventory
  • Purchases and dispensing that reconcile
You show
  • A weekly must-do for CSOS / Form 222 receiving, with email reminders until it's done
  • Monthly count sheets signed by the pharmacist, scanned back in
  • Running balance for every controlled NDC, with differences noted

Board of Pharmacy

New York, New Jersey, Pennsylvania inspections
They ask
  • Required notices, policies and logs
  • Licenses and registrations, current
  • Temperature, counseling and error logs
You show
  • 34 inspector-ready forms and policies in English and Spanish, filled in with your store
  • Every edit saved as a numbered version, printable as an inspection binder
  • Licenses, registrations and IDs with expiration alerts

Medicare & Medicaid

FWA compliance, DMEPOS standards, exclusion checks
They ask
  • Fraud, waste and abuse training for every employee
  • Exclusion screening records
  • Written compliance policies, signed
You show
  • Compliance programs with policies staff sign in the system
  • Training, quizzes and certificates per employee, including group sessions
  • Exclusion screening on file with the date it was checked

HIPAA & privacy

OCR complaints and patient requests
They ask
  • Notice of Privacy Practices and acknowledgments
  • A named privacy officer and staff training
  • Who looked at patient records, and when
You show
  • NPP, acknowledgment and records-request forms ready to print
  • HIPAA program with privacy officer, policies and training records
  • Access to records in Pharma OS is logged

Labor, OSHA & recalls

Employment, workplace safety, product safety
They ask
  • New York's annual sexual harassment training
  • I-9s, licenses and certificates for staff
  • What you did about a drug recall
You show
  • Harassment and OSHA training with certificates
  • Staff records with license and certificate expiry alerts, I-9 tracking
  • FDA recalls matched to what you bought and dispensed, with who checked the shelf
Controlled substances

Your C-II to C-V records, reconciled every month.

The highest-risk part of an inspection gets the most attention. Pharma OS reads your wholesaler purchases and your dispensing report and tells you where they don't agree, before anyone else does.

Inventory & counts

Bought, billed, on hand.

Every controlled NDC is identified by its DEA schedule from your wholesaler file and the FDA NDC Directory.

  • Flags NDCs that were bought but not billed, or billed but not bought
  • On-hand vs dispensing report for every schedule
  • Printable monthly count sheet with a verified on-hand column and pharmacist signature
  • Scan the signed sheet back in: differences are noted and the count starts next month
expected on hand = last count + received − dispensed
Weekly must-do

MUST DOReceive this week's C-II orders.

DEA requires the quantity and date received on every Schedule II order (21 CFR 1305.22(g)). It's the step most often skipped, and one of the first records an inspector asks for.

  • Added to every store's task list automatically, due every Friday
  • Owner and managers get an email every morning once it's overdue, until it's done
  • Each week's completion is kept with who did it and when
  • Only an owner can turn it off, and the history stays
Everything else the store runs on

Audit-ready is a side effect of running the store well.

The records auditors want come from the work your team already does. Pharma OS makes that work faster, so the record keeps itself.

Inventory & invoices

Cost vs billing by NDC

Upload invoices daily: shorts, backorders and price changes. Monthly margin by drug, min/max and seasonal demand.

Store tasks

Daily task list

C-II entries, scanning, backups, cleaning, will-call returns, expired stock: who did it, done or not, every date on record.

Closing

End-of-day reports

Pharmacy system and register reports at close. See which days are missing; totals flow into profit and loss.

Owners

Profit & loss

Sales, cost of goods, payroll and every expense by month, quarter and year, for one store or all of them.

Clinical

Medication reviews

AI-assisted comprehensive medication reviews with risk scoring and interactions, signed off by the pharmacist.

Compliance

Programs & training

HIPAA, FWA, OSHA, controlled substances, DSCSA and harassment programs: policies to sign, training and certificates.

HR

Staff records

Pay history, days off, licenses and certificates with expiry alerts, and an employee handbook filled in with your names.

Marketing

Social media & website

A month of Facebook and Instagram posts in English and Spanish, checked against pharmacy advertising rules, plus a store website.

Ask

Ask your records

"When did we last order atorvastatin 40?" "What's unpaid to Kinray?" Answers from every module, limited to what each login is allowed to see.

Security & architecture

Built for health data from the first line.

The system that holds your audit trail has to survive one itself.

HostingMicrosoft Azure, United States. Encrypted database and document storage.
HIPAABusiness Associate Agreement with every pharmacy. Patient data stays in the pharmacy's own space.
Sign-inTwo-step login with an authenticator app and recovery codes. Repeated failed logins are locked out.
AccessOwner, partner, manager and staff roles. Managers see only their stores; the owner decides who sees financials.
Audit trailAccess and changes are logged. Policies keep every version with who edited it and when.
MonitoringChecked from across the US around the clock, with alerts by text and email if anything goes down.
AIClaude by Anthropic for drafting and analysis. A pharmacist reviews every clinical output.
Your dataBelongs to your pharmacy. It isn't sold or used to advertise to your patients.
CJ
Built by a pharmacy owner

Pharma OS was built inside working pharmacies in New York City, by a pharmacist-in-charge with twenty years in retail pharmacy and stores of his own to run.

Every module started as a problem in those stores: an invoice that didn't match a claim, a C-II order received in the system but not in CSOS, a policy the inspector asked for in Spanish. It's used there every day before it's offered to anyone else.

Chintan Joshi, RPh · Founder
Pricing

One price per store. Every module.

No setup fee, no per-module upsell. Enroll with your NPI and we fill your store details into every module. New pharmacies are onboarded starting December 2026.

$299 per store / month
  • 30-day free trial
  • Every module, including controlled substances and Forms & policies
  • Logins for owners, partners, managers and staff
  • Multi-store view for owners
  • Help in the app, with a person when you need one
Enroll your pharmacy →
Next audit letter

Be the pharmacy that answers it the same day.