Building the Fastest Go-to-Market Product for Prescribing Medications

Commure Team
 | 
May 1, 2025

Discover how Commure launched a fully certified e-prescription platform in under six months—faster than anyone thought possible.

Bringing an e-prescription product to market is a very complex task, both from a development and regulatory hurdle standpoint. For most companies, it can take years of iteration to get it right. But at Commure, we don’t follow the typical path. In under six months, our engineers, Ansh Mehta, Abhi Hotti, and Milind Sai Waghrey built an e-prescription platform from scratch—faster than anyone expected, and faster than most thought possible.

How E-Prescription Works


Building a functional e-prescription system involves more than just transmitting a medication order from a doctor to a pharmacy. It requires a secure, seamless, and regulation-compliant infrastructure that connects healthcare providers, pharmacies, and regulatory bodies. Here’s a breakdown of the core components that make electronic prescribing possible.

Before a healthcare provider can send e-prescriptions, they must be onboarded onto the system. This involves verifying their identity and credentials, which is especially important (and a federal requirement) for prescribing controlled substances. Our e-prescription system utilizes multi-factor authentication to confirm that the provider is who they claim to be.

Once onboarded, providers need intuitive, reliable, and accurate tools to search for pharmacies and medications. Our e-prescription system supports nationwide pharmacy search via brand and generic names.

When ready to submit a prescription, the provider can use our system to send new orders, issue refills, and cancel prescriptions via dedicated, standards-based API calls that ensure secure and real-time communication with pharmacies and benefit managers. The system also includes clinical decision support, which alerts providers to interactions with other drugs and allergies.

To ensure accountability and support regulatory compliance, our system logs every interaction involving controlled substances. This includes actions like searching for a medication, initiating a prescription, modifying dosage, or canceling an order. Each event is timestamped and tied to the authenticated identity of the prescriber, creating an immutable audit trail. Because log retention requirements vary by state, we follow the strictest standards across all jurisdictions, storing audit logs for the maximum required duration. This ensures we remain compliant regardless of location without having to create and monitor different retention policies based on the state.

How We Built It So Fast


Commure's timeline:

Using PatientKeeper's existing integrations, the project was completed in under 6 months.

Speed wasn’t a side effect—it was an engineered outcome. We combined strategic foresight, focused execution, and smart reuse of internal capabilities to deliver a certified, production-grade e-prescription system in record time. Here’s how:

We Reused What Worked
  • PatientKeeper Integration gave us instant connectivity to the SureScripts network, saving months of ground-up work.
  • We leveraged Infinity UI, Commure’s internal design system, for frontend components—avoiding reinventing forms, modals, error handling, and more.
  • Our ID.me integration was built as reusable infrastructure, allowing other teams across Commure to tap into the same identity proofing and MFA flow.
We Did Our Homework Early
  • We worked with a third-party compliance and certification firm (the Drummond Group) from the very beginning, obtaining the full list of certification and Electronic Prescribing for Controlled Substances (EPCS) requirements before any development began.
  • Our team stayed in constant communication with Drummond Group, removing the typical certification feedback loop delays.
We Built a Team With One Job
  • A dedicated, cross-functional team was carved out to focus exclusively on e-prescribing. This enabled:
    • Daily focus with zero context-switching.
    • Clear ownership over every system layer—from audit logs to UI polish.
    • Fast iteration cycles without external bottlenecks.
We Treated Compliance as the Foundation, Not a Feature
  • Regulatory, security, and audit logging were built into every sprint—not deferred to the end.
  • Our architecture was pre-wired for EPCS, DEA, and HIPAA-level compliance, reducing last-minute technical debt or rework.

These decisions gave us the foundation to move quickly and confidently.

With the strategic pillars in place, our engineering team moved fast to build the core infrastructure. Key technical milestones included:

  • Data import strategies: We built custom pipelines to import and normalize data across pharmacies, medications, and allergy records.
  • Identity verification integration: Integrated with ID.me to ensure secure, verified access for prescribers and to prevent abuse.
  • Audit logging: Implemented comprehensive audit trails to ensure every action is tracked and compliant with industry standards.
  • System reliability and scalability: Our architecture was designed to scale from day one, ready to support real-world prescribing workflows.

Every line of code was written with one goal in mind: launch fast without compromising trust, security, or performance.

Key Features of Commure’s E-Prescription System


1. Ordering

The ingestion pipelines form the backbone of our ordering system. Providers can search a curated medication dataset in our database to select the most appropriate medications for their patients.

We received frequent requests for the ability to prescribe multiple medications within a single order screen. In response, we developed a bulk ordering feature, enabling providers to view and order all necessary medications for a patient’s appointment at a glance.

2. Medication History

Providers requested a comprehensive medication history feature that directly integrates with the EHR for context on patient history. This allows them to review past medications and dosages, supporting more informed clinical decisions.

Note: Providers must obtain explicit patient consent before accessing prescription history.

This feature also allows doctors to view medications prescribed by other doctors, enhancing patient safety and continuity of care.

3. Pharmacy Initiated Requests

Providers need to manage requests initiated by pharmacies, such as clarifications, substitution suggestions, or refill requests. Pharmacies are able to easily communicate these via Change or Refill Requests.

Our system ingests these requests within five minutes and presents them to providers with all relevant information, enabling prompt responses and minimizing care delays.

Come Build with Commure


Come build with us. We move fast, not just to ship, but to deliver real impact where it matters most. Speed isn’t just a value here, it’s our default setting. We obsess over the details, push through roadblocks, and never stop until the customer is genuinely satisfied. If you thrive in high-speed, high-stakes environments where outcomes matter more than optics, you’ll feel right at home.

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The e-prescription engineering team: Ansh Mehta, Milind Sai Waghrey, and Abhi Hotti


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