Rx telehealth brands
Async intake, provider review, and recurring prescription fulfillment.
DTC Subscription & E-commerce Platform Development
DTC Subscription Platform
We build direct-to-consumer health platforms where subscription billing, fulfillment, and telehealth-linked prescriptions work as one system — with health data handled to HIPAA standards, not bolted onto a generic store.
HIPAA-ReadyRecurring BillingRx-LinkedPHI-Safe
Trusted by global innovators
What a DTC health subscription platform actually does
A DTC health platform sells a recurring product — supplements, prescriptions, testing, or a care membership — and has to run subscriptions, fulfillment, and often a telehealth-linked prescription flow together. The hard part in health is that a generic commerce stack doesn't handle PHI, async telehealth, or Rx routing, while a clinical stack doesn't handle dunning, retention, and fulfillment. This platform sits in between.
We build the recurring-billing engine, fulfillment and inventory integration, and (where relevant) the async telehealth-to-pharmacy flow, with health data segregated and handled under HIPAA. The pattern applies well beyond femtech — any subscription health brand needs the same billing, fulfillment, and retention core.
What it is
A subscription health brand, as one platform
A DTC health subscription platform runs recurring billing, fulfillment, retention, and — where relevant — telehealth-linked prescriptions, with health data handled to HIPAA standards.
We build the commerce and clinical seams together so the brand scales without leaking revenue or PHI.
Architecture
A DTC pipeline — catalog and subscriptions, recurring billing and dunning, fulfillment, and optional telehealth-linked Rx — with segregated PHI handling.
What We Build Into Your DTC Platform
Subscriptions, fulfillment, and Rx — as one system that respects health data.
Recurring Billing Engine
Plans, trials, proration, dunning, and retries with a payment stack tuned to minimize involuntary churn.
Fulfillment & Inventory
3PL and pharmacy fulfillment integration, inventory, and shipment tracking so recurring orders actually ship on time.
Telehealth-Linked Rx
Async intake, provider review, and e-prescribing routing for platforms whose product requires a prescription.
Retention & Lifecycle
Churn prediction, win-back, and lifecycle messaging tied to subscription and fulfillment events.
PHI Segregation
Health and intake data handled under a signed BAA and kept separate from the commerce layer, so the store stays out of PHI scope.
Member Experience
Account, pause/skip/swap, and support flows that reduce cancellations and support load.
Where it fits
Who builds a DTC subscription platform
Health and wellness brands with a recurring product.
Supplement & nutrition
Recurring supplement subscriptions with personalization.
At-home testing
Subscription testing with recurring kits and results.
Femtech & wellness
Membership and product subscriptions for women's health.
Chronic care programs
Recurring care memberships with device and medication fulfillment.
D2C medical devices
Device sales plus recurring consumables and support.
Built for recurring revenue
Subscriptions, fulfillment, and Rx as one compliant system.
Recurring
Billing, dunning, and retries that reduce churn
Rx-linked
Async telehealth-to-pharmacy where needed
PHI-safe
Health data segregated under a BAA
Compliance-First Healthcare App Development Services Backed by Global Standards
15-Minute Scoping Call01
HIPAA
Health Insurance Portability and Accountability Act
Protect PHI with privacy-first architecture, encrypted storage and transmission, strict access controls, and traceable audit logs.
02
GDPR
General Data Protection Regulation
Implement lawful consent flows, data minimization, retention controls, and secure processing for sensitive health data.
03
FHIR
Fast Healthcare Interoperability Resources
Enable standardized health data exchange across apps, care teams, and systems through robust FHIR-ready APIs.
04
HL7
Health Level Seven International
Support enterprise-grade interoperability with HL7-based integrations for records, events, and clinical messaging workflows.
05
HITRUST
Health Information Trust Alliance
Align security programs to healthcare-specific control and risk management practices trusted by providers and ecosystem partners.
06
HITECH
Health Information Technology for Economic and Clinical Health Act
Design with breach notification readiness, digital record safeguards, and operational controls that support regulated care programs.
07
SaMD
FDA Software as a Medical Device
Plan software quality, traceability, and documentation pathways for products that may require SaMD review and submission.
08
MDR (EU)
Medical Device Regulation (European Union)
Prepare EU market-ready processes for risk classification, evidence tracking, and lifecycle governance under MDR expectations.
09
SAMHSA
Substance Abuse and Mental Health Services Administration
Apply confidentiality controls and consent-aware sharing models for behavioral and mental health data experiences.
Standards and compliance
Standards baked into the platform
HIPAAPCISOC 2RxBAAGDPR
Our Process
How we ship a DTC platform
We connect billing, fulfillment, and Rx into one flow — where most DTC health builds break.
1.
Discovery & Commerce Model
We define the product, subscription model, and whether a telehealth/Rx flow is in scope, then design the data boundaries.
Model-shaped
2.
Billing & Fulfillment
We build the recurring-billing engine and fulfillment integration with dunning and shipment tracking.
Revenue-solid
3.
Rx & PHI Handling
We add async telehealth-to-pharmacy routing where needed, with PHI segregated under a BAA.
Compliant
4.
Launch & Optimize
We launch, then optimize retention and dunning against real churn and payment-failure data.
Retention-tuned
Why Partner With Us
15-Minute Scoping CallWhy teams build DTC platforms with Agnotic
We build commerce that understands health data — the combination most vendors get half right.
Subscription Depth
Real billing, dunning, and retention engineering, not a plugin that leaks revenue.
Health-Data Discipline
PHI segregation and BAA-covered handling so the platform stays compliant.
Rx & Fulfillment
Async telehealth-to-pharmacy and 3PL integration when the product needs it.
Retention Focus
Lifecycle and churn tooling because DTC health lives or dies on retention.
Frequently Asked Questions
It depends on whether a telehealth/Rx flow is in scope and how deep the fulfillment and retention tooling needs to be. We scope in phases and give a fixed estimate, starting with billing and fulfillment.
Ready to build your DTC health platform?
Tell us your product and subscription model. We'll return a plan that ties billing, fulfillment, and Rx into one compliant system.
contact@agnotic.com
Partnerships
contact@agnotic.com