Built with firsthand exposure to independent pharmacy pressure.
Suavo started with a simple observation: the pharmacies that keep communities healthy are losing patients because they can’t deliver reliably. The chains figured it out. Amazon figured it out. Independent pharmacies deserve the same infrastructure — built for their scale, their workflows, and their compliance requirements.
We designed Suavo around chain-of-custody, compliance, and delivery exceptions from day one — not as features bolted on later. Every design decision starts with protecting patient data and keeping pharmacies open.
The crisis
The pharmacy closure crisis
Rite Aid begins closing hundreds of locations
Drug Topics
FTC launches investigation into PBM practices
FTC.gov
“The Powerful Middlemen Squeezing Main Street Pharmacies” report released
FTC Interim Report
2,800+ pharmacies close in a single year
NCPA
96.5% of pharmacy owners say PBM reimbursement threatens their business
NCPA January 2025 Survey
48.4 million Americans live in a pharmacy desert
Ohio State University
18,960 independent pharmacies remain. 3,179 closed since 2024.
NCPA 2025 Digest
“Without Congressional intervention, the Big Three PBMs have continued to abuse their market power, squeezing at least 326 pharmacies out of business in fewer than 10 weeks.”
18,960 independent pharmacies remain.
Principles
What we believe
“Independent pharmacies are the last mile of American healthcare.”
When a pharmacy closes, a community loses its most accessible healthcare provider.
“Delivery should be infrastructure, not overhead.”
The technology exists. The compliance framework exists. Independent pharmacies just need it packaged for their scale.
“Compliance isn’t a feature — it’s the foundation.”
Every handoff logged. Every signature captured. Every exception documented. Not because regulators require it, but because patients deserve it.
“The pharmacy that delivers keeps the patient.”
Industry benchmarks suggest 6–8% revenue recovery from reduced abandonment. Patients who age at home instead of transferring to mail-order.
Founder
Joshua Henein
Founder & CEO · MKM LLC d/b/a Suavo
Solo technical founder running the entire company with an AI operations stack. Built Suavo end-to-end: iOS apps, four web portals, 65+ backend edge functions, HIPAA compliance framework, and fleet operator legal agreements. Six AI agents replace what would traditionally require 10–15 employees costing $23,500/month — for $576–1,015/month.
Meet the team + AI agent stackLet’s talk.
Whether you’re a pharmacy owner, a fleet operator, or just curious about what we’re building — we’d love to hear from you.