Most medication errors don't happen because a drug interaction was missed. They happen because the patient's full medication list never existed in one place to check it against. We build medication management solutions that reconcile every prescription, dispense, and refill into a single source of truth, so your clinical teams catch the interaction before it reaches the patient.
HIPAA Compliant
HL7 / FHIR Compatible
SOC 2 Type II
ISO 27001
Trusted by Leading Healthcare Innovators
Certifications and Accreditations
Every layer of the system has to talk to the others in real time, or the safety checks are only as good as the slowest data feed.
We build eMAR systems that validate the right drug against the right patient at the point of administration, using barcode or RFID scanning tied directly to the active medication order.
Prescribing workflows built on NCPDP SCRIPT, with DEA-compliant identity proofing and digital signing for controlled substance orders routed through Surescripts.
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Real-time cross-referencing against RxNorm and First Databank data, surfacing interactions, duplications, and contraindications before the order is signed, not after.
A single reconciled list across every prescriber, pharmacy, and care setting a patient touches, so no one is working from half the picture at admission or discharge.
Get a technical audit of your current medication stack before you scope the build.
Request a Workflow Audit
Patients arrive with prescriptions from three providers and no shared list, leaving gaps no single system can see.
Crumpled scripts and blurry photos still get typed in by hand, and that's where dosage and drug-name errors start.
Every functional change to a controlled-substance prescribing system triggers a new DEA-mandated third-party audit.
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Once a patient leaves the visit, most systems lose visibility into whether the medication is actually being taken.
A medication management platform sits at the intersection of clinical workflow, pharmacy operations, and federal prescribing law, which means the data layer has to handle FHIR Medication resources, NCPDP SCRIPT transactions, and DEA audit logging without forcing a rebuild every time one standard moves. We design the architecture so each of these can evolve independently.
Direct connections to RxNorm, First Databank, or Medi-Span so interaction and contraindication checks run against current, licensed drug data rather than a static internal list.
Two-way interfaces with ADC hardware so what’s pulled at the cabinet matches what’s documented in the eMAR, closing the gap between physical dispensing and digital records.
Bidirectional interfaces with EHR integration endpoints and pharmacy systems, built on FHIR and HL7 v2 depending on what the receiving system actually supports.
Reminder scheduling, refill prompts, and plain-language dosage instructions delivered through the channel a patient actually checks, not just a portal they log into once.
Federal law under 21 CFR §1311.300 requires any system prescribing controlled substances electronically to be re-audited by a DEA-approved third-party certifier, like Drummond, every two years or whenever a functionality tied to controlled-substance prescribing changes. Miss that window and the system can’t legally transmit a Schedule II-V prescription until it’s recertified, which stalls clinical operations, not just IT.
Audit cycle tracking built into the release process
EPCS-relevant code changes flagged before deployment
NCPDP SCRIPT 2023011 readiness ahead of the 2028 CMS deadline
Identity proofing and digital signature controls maintained continuously
We sit with pharmacists, nurses, and prescribers to map exactly where a medication order moves today, including the manual handoffs and workarounds that never show up in the existing system documentation. This is where most of the real requirements surface, not in a feature list.
We design the data model around FHIR Medication resources and NCPDP SCRIPT transactions, then map every controlled-substance touchpoint against DEA EPCS requirements before a single line of code ships, so the audit trail isn't an afterthought.
EHR, pharmacy, ADC, and drug database connections get built and tested individually before they're wired together, because debugging a failed interaction check across four systems at once costs far more time than isolating each connection first.
eMAR, e-prescribing, and reconciliation modules are built in iterative sprints with weekly demos, so clinical stakeholders are reacting to working software, not a static spec they signed off on months earlier.
We run the system through DEA-aligned security and processing-integrity checks ahead of the formal third-party audit, catching the gaps that would otherwise surface during certification itself.
Phased rollout by unit or facility, with monitoring on interaction-alert accuracy and reconciliation completeness in the first weeks, when real patient data exposes edge cases no test environment caught.
For organizations connecting one medication workflow to one existing EHR or pharmacy system.
For health systems connecting eMAR, e-prescribing, and ADC hardware across multiple departments.
For multi-facility networks or payer-side programs needing reconciliation across every prescribing source.
Custom builds typically range from $800,000 for basic eMAR functionality to $200,000 for full enterprise systems with EPCS, e-prescribing, and multi-system integration. Get a scoped estimate for your specific workflow.
A clear view of what each standard governs and how Citrusbug's builds cover it from day one.
| Standard | Scope | Who Needs It | Citrusbug Coverage |
|---|---|---|---|
|
NCPDP SCRIPT 2023011 |
E-prescribing and medication history transactions |
Any system handling Part D e-prescribing |
Built in, ahead of 2028 mandate |
|
HL7 FHIR R4 |
Medication, MedicationRequest, MedicationStatement resources |
EHR-integrated systems |
Native data model |
|
DEA EPCS (21 CFR §1311.300) |
Controlled substance e-prescribing |
Hospitals, LTC, retail pharmacy |
Audit-cycle tracking built into release process |
|
HIPAA |
PHI handling and access controls |
All healthcare systems |
SOC 2 Type II infrastructure |
|
ONC USCDI v3 |
Medication route and refill data interoperability |
Systems exchanging data with certified EHRs |
Mapped at the data layer |
Medication safety systems fail when the people building them don't understand why a nurse scans a barcode twice or why a pharmacist double-checks a reconciliation list that the software already approved. Our healthcare engineering team has spent years inside pharmacy management and remote patient monitoring builds, which means the workflow decisions get made with the clinical stakes in view, not just the technical ones.
Their agile way of working, competence, and friendliness are impressive.December 7, 2024
Citrusbug Technolabs handles a data extraction project for an education company. They're also responsible for managing an AI generation project for the client.
Citrusbug Technolabs has laid out and followed a clear project outline and consistently met deadlines. The team communicates well and demonstrates a strong understanding of the client's vision and goals. Their agile approach, high level of competence, and personable approach stand out.
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Their communication and ability to capture exactly what I was asking for were impressive.November 14, 2024
Citrusbug Technolabs built an automated system for a veteran medical company. The system needed to collect and store user data, generate customized letters based on surveys, and use AI to summarize reviews.
Citrusbug Technolabs delivered a functional automated system that successfully organized the client's records and auto-generated statements. The team was quick to respond, addressed all roadblocks, and communicated effectively. Overall, their ability to understand the client's needs stood out.
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They were very calm and talented, and they did bring some of their own ideas.January 28, 2025
Citrusbug Technolabs has developed an MVP for a freight and capacity marketplace. The team has created three different interfaces for three market segments.
Citrusbug Technolabs has successfully developed an effective MVP. The team has delivered the project on time and almost within budget. Moreover, their responses have been timely. Overall, the team has been calm, talented, and innovative. This has led to the client's satisfaction.
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What stood out most about them was their personalized approach and sense of ownership in every aspect of the project."February 27, 2024
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Citrusbug Technolabs' support successfully boosted the client's user engagement by 8x, resulting in an 85% retention rate. The reliable team demonstrated a dedication to delivering on time and promptly responding to concerns and adjustments. Their personalized, client-centric approach stood out.
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They didn't like the phrase "impossible to do", which made them very solution-oriented.February 19, 2024
A healthcare company hired Citrusbug Technolabs to design and develop a user-friendly application. The team provided tailored assistance to meet the client's requirements.
Citrusbug Technolabs successfully delivered an application that was ready for market. The team was highly professional and well-organized; they stayed focused throughout the engagement and were receptive to changes. Overall, they stood out for their trustworthiness and commitment to excellence.
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They're 100% on time and transparent throughout each stage of the project.February 24, 2024
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The project is ongoing, but the client has been satisfied with Citrusbug Technolabs' services. The team is very professional — they always respect timelines and provide regular updates to ensure everyone's on the same page. Also, their transparent approach makes them a trustworthy partner.
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"I do believe they are exceptional at where they stand."
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We build to DEA-aligned security and audit standards and prepare the system for third-party certification, but the formal audit is conducted by a DEA-approved certifier like Drummond.
Yes, through FHIR and HL7 v2 interfaces built to each vendor's certified API surface, depending on which modules your organization has licensed.
Under DEA rules, that change can trigger a new third-party recertification audit. We flag EPCS-relevant changes during code review so this doesn't surprise you at deployment.
Yes, CMS requires it for Part D e-prescribing by January 1, 2028. We build new systems on this version directly to avoid a forced migration later.
Both. Most engagements include reminder and refill tooling for patients alongside the clinical eMAR and prescribing modules, since adherence data feeds back into clinical decisions.
Maintenance, monitoring of interaction-alert accuracy, and updates aligned with new NCPDP, FHIR, or DEA requirements as they're finalized.
