Healthcare · sub-niche
Telehealth prescription routing.
ePrescribe APIs that handle the controlled-substance + state-by-state mess.
One-quarter buildSteady — one deal per month
Why now
Telehealth is permanent. Every new telehealth app needs eRx. Most rebuild it from scratch poorly.
What the signal looks like
Repos with Surescripts adapters, DEA EPCS compliance flows, and state-specific routing logic.
Public examples
We name publicprojects + categories only — never founders we track inside the paid product. The buyer’s edge stays inside the product.
- DoseSpot-style eRx APIs
- Photon Health shape
- Open-source eRx integrations
What this displaces
A solo founder spending six months on Surescripts integration.
Our build-vs-invest call
Infra wedge for the telehealth long tail. Sell to 100-1000 telehealth apps. Pricing per script. The moat is compliance + reliability — both hard to fake.
Common questions about this niche
- Who's the buyer?
- Telehealth platforms and direct-to-consumer health brands.
- Margin?
- Per-script fee, 30-60% gross margin.
- What kills this?
- Surescripts shipping a public API. Unlikely for years.
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