For healthcare & hospitals
Controlled substances, delivered on the record.
DEA chain of custody, HL7 FHIR + Epic integration, and CSOS-ready documentation — without rebuilding your formulary workflow.
HL7 FHIR R4
native
Epic + Cerner
certified adapters
CSOS
ready
Controlled-substance chain of custody
Five signatures. Zero paper. One immutable record.
DEA 222 forms, faxed manifests, and nurse-signed logs replaced with a digital chain of custody that satisfies CSOS documentation, HIPAA auditability, and hospital-pharmacy EHR integration in the same flow.
01
Hospital pharmacist authorizes
Pharmacist · DEA registrant
Rx marked READY in PMS. CSOS digital signature captured with hospital DEA number.
02
Signed driver receives
Driver · HIPAA-trained · BAA
Photo + GPS stamp at pickup. Signed digital manifest. Temperature-monitored for cold-chain Rx.
03
HL7 FHIR updates EHR
System · Epic/Cerner
MedicationDispense resource pushed to EHR. Nurse sees delivery in-context during discharge.
04
Patient identity verified
Patient · Stripe Identity
Photo + DOB match at delivery. Controlled-substance ID scan. Two-factor for Schedule II.
05
Immutable audit log written
Platform · 7-year retention
Every handoff · every signature · every GPS stamp · every DEA number — append-only, trigger-enforced.
The daily reality
Three things controlled-substance delivery breaks.
Controlled-substance delivery is still paper.
DEA 222 forms, faxed manifests, nurse-signed logs. One lost form is a compliance event.
Hospital discharge scripts never reach the patient.
Up to 40% of discharge prescriptions go unfilled in the first week. Readmission risk spikes.(JAMA)
Your Epic build team is booked for 18 months.
Suavo drops in as a FHIR-compliant adapter. No net-new Epic work.
Old way vs Suavo
DEA, Epic, and audit \u2014 replaced, not layered on.
| Capability | Old way | Suavo |
|---|---|---|
| DEA chain of custody | Paper 222, faxed manifest | Digital CSOS-equivalent, fully signed |
| Controlled schedule routing | Manual driver re-routing | Schedule-II-aware dispatch, two-person signing |
| EHR integration | Nightly CSV dumps | HL7 FHIR R4 real-time |
| Identity verification | Driver eyeballs the license | Stripe Identity + biometric match |
| Discharge follow-through | “Fill it at your home pharmacy” | Delivered before discharge is complete |
| Audit | Clinical audit scramble | Immutable event log per Rx, 7-year retention |
Integrations
Drops into the stack you already run.
EHR
- Epic
- Cerner
- Meditech
- Athenahealth
Pharmacy
- PioneerRx
- QS/1 Enterprise
- McKesson Pharmaserv
- Willow
Compliance
- CSOS
- DEA ARCOS
- HL7 FHIR R4
- NCPDP SCRIPT
BAA on every partner.
Compliance
Every controlled substance, on the record.
DEA Schedule II–V chain of custody
Two-person digital signing, CSOS-equivalent documentation, ARCOS-ready export.
HIPAA + BAA
Signed BAA with every hospital system. PHI encrypted at rest (AES-256) and in transit (TLS 1.3).
Nurse-to-driver handoff
Biometric identity check on both sides. No PHI leaves the perimeter.
State pharmacy board reporting
Auto-generated monthly reports in the format each board expects.
Customer proof
Be the first named here.
Healthcare & hospital pilots launching Q3 2026. Named health-system partners will appear here first.
Pricing
Enterprise pricing.
Priced per bed, per facility, or per delivery — depending on the volume and schedule mix. We quote after a 30-minute scoping call.
Ready when you are
Bring it to your health system.
30-minute scoping call with our clinical + integration team.