PrescriptSure · Pitch Deck
Seed · 2026
Seed Round · 2026
Prescription Coverage Verification,
Built Around the Clinical Workflow
Empowering clinics and providers to verify coverage in 60 seconds—before the prescription becomes a problem.
Presented By
Shady Kassoumeh — Founder & CEO
The Problem
Millions of Americans struggle with coverage certainty.
When the prescription decision is made, clinics still do not know:
- 01Is the drug covered?
- 02Is prior authorization required?
- 03Will step therapy block access?
- 04What criteria must be met for approval?
- 05Is there a covered alternative?
So the prescription is written first.
The barriers appear later.
And the fallout comes back to the clinic.
Why it matters
For physicians & staff
For patients
What surveyed clinicians told us
- “Sometimes, we prescribe blindly and hope it doesn't get rejected.” — Dr. Tariq Vora
- “We spend too much time redoing work that should have been right the first time.” — Dr. Mohammad Alfarawati
- “I never have access to the coverage criteria when I'm actually prescribing.” — Dr. Meriem Borcheni
Sources: AMA, AJMC, Surescripts, NIH/PMC, and PrescriptSure physician survey (n=60).
Workflow Today
Today's prescribing workflow is broken.
Clinicians prescribe first. Access barriers appear later. The cleanup comes back to the clinic.
Physician selects medication
- •No real-time view of coverage, PA, step therapy, or criteria
Script goes to pharmacy / eRx flow
- •Medication is prescribed before access is confirmed
Pharmacy / payer rejects or flags issue
- •Not covered
- •Prior auth required
- •Step therapy required
- •Criteria unmet
Staff begins manual follow-up
- •Calls pharmacy
- •Checks payer portal
- •Reviews formulary
- •Searches alternatives
Physician or staff rewrites / resubmits
- •Change medication
- •Start PA
- •Gather documentation
- •Re-prescribe alternative
Delay, abandonment, or treatment disruption
- •Care delayed
- •Patient confused
- •Prescription abandoned
- •Clinical risk increases
What starts as one prescription becomes delay, rework, disrupted care, and patient drop-off.
Our Solution
Prescription coverage verification in 60 seconds
See instantly whether the drug is covered
Identify prior auth and step therapy before the script is sent
Access the clinical criteria needed for approval
Find covered options before the prescription is rejected
What Changes
Real-time coverage clarity at the point of prescribing
Immediate visibility into PA, step therapy, and criteria
Covered alternatives before delays, rewrites, and abandonment
Outcomes
Product Demo
See PrescriptSure in action
Traction
We are not only modeling the problem. We are measuring the operational impact.
Clinical workflow impact
1 min
Lookup time
from 20 minutes
15 min
Avg. time saved
per coverage verification
95%+
Reduction
in verification workflow time
120
Workflows measured
real-world coverage & PA
50+ hrs
Staff hours saved
monthly per clinic
$25–40K
Annual savings
admin labor per clinic
Customer validation
100+
Prospect conversations
10
Signed clinics
13
Active users
Distribution & enterprise readiness
athenahealth
First channel partner180K+
Providers
10K+
Clinics, facilities & orgs
- 01Approved for direct API integration
- 02NDA, contracts, and developer access completed
- 03Integration pathway underway
Early investor validation
3
Private investors committed
$125K
Total commitments
Why Now
Prescription access intelligence
is becoming inevitable.
“The market is being
forced open—now.”
CMS is forcing modernization
Standardized electronic prior auth becomes the baseline, not a differentiator.
Specialty drugs are increasing friction
Higher cost and complexity make “prescribe first, sort it later” untenable.
The burden is already severe
~13 staff hours per physician per week. 93% say PA delays patient care.
The infrastructure now exists
Real-time prescription intelligence is finally usable inside clinical workflows.
Pricing pressure is rising
More scrutiny on access, affordability, and visibility across the chain.
Five forces. One conclusion: the prescribing workflow has to change—and the window to define how is open right now.
Sources: CMS · FTC · NAM · AMA · AJMC · Surescripts · NIH/PMC
Market Opportunity
A focused wedge into a large and expanding prescription access market.
Wedge
$2B
Entry Market
Coverage verification for ambulatory and SMB clinics
Urgent, frequent, high-cost workflow pain that can drive near-term adoption.
Basis · Clinic footprint × annual software spend
Expansion Market
AI-powered prescribing, prior authorization, and medication access workflows
Embedded in clinical software, where integration expands distribution, increases stickiness, and deepens monetization.
Basis · AI-powered workflow expansion × higher-value software layer
Long-Term Platform Opportunity
Prescription access intelligence via software, APIs, and embedded infrastructure
Delivered across providers, platforms, payers, and partners.
Basis · Software + APIs + partner distribution
Why this matters
Start with one painful daily workflow, expand into adjacent prescribing and medication access decisions, and grow into the intelligence layer behind prescription access.
Methodology
Based on ambulatory workflow software spend, medication access burden, EHR integration expansion, and API / embedded platform potential.
Sources: AAMC, AMA, athenahealth, eClinicalWorks, ambulatory EHR market research
Business Model
Start with recurring software revenue, then expand into higher-leverage AI and platform monetization.
Three revenue layers
Leverage →
Core Revenue
SaaS Subscriptions
- Clinic and ambulatory group subscriptions
- Expansion through seats, modules, and workflow depth
Expansion Revenue
Platform Licensing
- Annual licensing for EHRs, health IT platforms, and workflow partners
- Higher ACV, broader distribution, deeper stickiness
Platform Revenue
AI + API Monetization
- Prescription access intelligence delivered through APIs, embedded AI decision support, and workflow infrastructure
- More valuable as usage, integrations, and workflow data scale
Why it scales
Start with direct software revenue, expand through embedded distribution, and grow into the intelligence layer behind prescription access.
Go-to-Market: Land and Scale
SMB clinics as the entry point. EHR distribution as the growth engine.
SMB clinics
Direct sales to MAs and office staff
Clinic staff
Embed tool into daily workflow
AAMA network
70,000 MAs as a targeted outreach channel
Mid-tier EHRs
Embedded in EHR workflows
Direct clinic motion
Distribution reach →
Channel and partner motion
What this unlocks
Fast feedback loops and early PMF
Direct workflow adoption
Network leverage via AAMA channel
Non-linear growth via EHR distribution
Competitive Landscape
PrescriptSure is the missing prescription access layer at the point of care.
Existing tools solve pieces of the problem. PrescriptSure helps clinicians make the right, accessible prescription decision before the script is sent.
Compared to alternatives
Built to process authorizations after a barrier appears
Not built to guide prescribing before delay and rework begin
Show partial cost or coverage data
Do not surface the full access path: requirements, criteria, and covered alternatives
Support clinical decision-making
Do not provide payer-specific access intelligence at the point of prescribing
Brings coverage, requirements, criteria, and covered alternatives into the prescribing workflow — before the prescription becomes downstream rework.
Why We Win
Earlier in the workflow
More valuable with use
Harder to replace once embedded
Technology, Defensibility & Security
A proprietary normalization engine that turns fragmented payer, coverage, and criteria data into workflow-ready prescription intelligence.
coverage & criteria data
structure · match · rank
prescription intelligence
- Normalized data layer
- Workflow intelligence at the prescribing moment
- More valuable as usage and complexity grow
- Harder to replace once embedded
- HIPAA-aligned architecture
- Secure AWS infrastructure
- FHIR-compatible interoperability
- Built for protected healthcare workflows
Why it matters.The value isn’t just in showing data—it’s in making messy coverage and criteria data usable, reliable, and actionable in real time.
Engine · Moat · Trust
The Team
Founding team and advisor.
Shady Kassoumeh
Founder & CEO
Product leader with experience building SaaS products from concept through validation, development, and launch. Leads PrescriptSure's product vision, fundraising, market validation, and go-to-market execution.
Mohammad El-Zaghah
Co-founder & CTO
Veteran architect with deep expertise in AWS, secure infrastructure, and scalable system design. Leads PrescriptSure's technical architecture and platform strategy, building a secure, reliable, healthcare-grade product designed to scale.
Leen Habbal
Co-founder & Head of Product & Research
Product and UX research leader with a Master's in UX Research and Design. Brings deep experience in usability testing, participatory design, workflow optimization, and building high-friction products that users can actually adopt.
Dr. Samer Nachawati, DO
Advisor, Clinical SME
Brings frontline prescribing and prior authorization insight from real outpatient practice, helping ensure PrescriptSure is grounded in real clinical and workflow pain.
Larry Warnock
Advisor, Venture & GTM
Brings venture and go-to-market experience, helping shape PrescriptSure's investor strategy, commercial positioning, and growth trajectory.
Why This Team Can Win
- 01
Built across product, cloud, UX, and clinical workflow
PrescriptSure combines product leadership, healthcare-grade technical architecture, deep UX research, and frontline clinical insight.
- 02
Grounded in real prescribing workflow pain
This team is building around actual access friction seen inside outpatient practice, not theoretical workflow problems.
- 03
Designed for adoption inside healthcare workflows
The team understands that success in healthcare depends on trust, workflow fit, and operational value, not just features.
- 04
Positioned to execute from build to scale
PrescriptSure has leadership across product, engineering, research, clinical insight, and GTM needed to validate, launch, and expand through both direct sales and integration channels.
The Ask
Raising $750,000 to prove product-market fit — reaching 100 active clinics and launching our first EHR integration.
Total Raise
$750K
SAFE · $5M cap · 20% discount
Raise
$750K
Structure
SAFE
Cap
$5M
Discount
20%
Runway
12mo
Use of Funds
12-Month Allocation
Go-to-Market & Sales
Sales execution · Clinic acquisition · Onboarding · Channel development
$400K
53.3%
Product, Data & Infrastructure
Core product development · EHR integration · Data & infrastructure · Security
$300K
40%
Legal & G&A
Fundraising · Contracts · Vendor / legal support · Core admin
$50K
6.7%
What This Funds
- 0175–100 active clinics with measurable workflow adoption
- 02$150,000–$200,000 ARR with clear path to $500K
- 03Two live EHR integrations, and one in progress
- 04Validated CAC and retention metrics in SMB segment
- 05Validated template to repeatable EHR partnerships
PrescriptSure is building the prescription access layer for modern prescribing — the de facto solution across SMB clinics and mid-tier EHRs.
Why This Matters
01
Urgent pain
Frequent, expensive, and unresolved at the point of care
02
Immediate value
Workflow impact lands from day one
03
Real traction
Measured outcomes across pharmacy and clinic workflows
04
Channel wedge
athenahealth opens a credible distribution path
05
Clear expansion
Wedge into SMB clinics, scale through EHRs
The Ask
$750,000
To reach 100 active clinics, launch the athenahealth integration, and prove a repeatable EHR channel model.
Thank you.
Shady Kassoumeh
Founder & CEO
sk@prescriptsure.com
www.prescriptsure.com