Prescription verification infrastructure

Every public health system
that pays for prescriptions
has a verification gap.

Between the moment a prescription is written and the moment a payer reimburses it, there is no single system that verifies the prescriber was authorized, the patient was eligible, the drug was appropriate, and the claim wasn't already paid. Medisyns is that system.

$550M–$2.75B
Est. prescription fraud — Canada annually
£256M
NHS prescription fraud losses — UK annually
Zero
National real-time verification systems — globally
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The verification gap is not a reporting failure. It is an infrastructure failure.

Every figure in the public record — every fraud estimate, every loss statistic — reflects only what was caught. The number that wasn't caught is structurally unknowable, because the infrastructure to know it has never been built.

Public health systems reimburse prescriptions through disconnected networks: provincial or national registries that track who is enrolled, insurer systems that track what is covered, prescriber registries that track who is licensed, and pharmacy dispensing systems that track what was filled. None of these systems speak to each other in real time at the point of dispensing.

The result is a reimbursement process that relies on periodic audits, manual inspection, and after-the-fact anomaly detection — none of which prevent fraud. They can only discover it, long after the money has left.

Canada
$550M–$2.75B
Estimated annual public sector prescription fraud losses. The true figure is unknown — no real-time detection baseline exists.
Lexology, 2018
Ontario
6.7%
Of pharmacies inspected in 2016. At that rate, the average pharmacy goes 15 years between inspections.
Ontario Ministry of Health, 2016
UK · NHS
£256M
Annual prescription fraud losses. Point-of-dispensing eligibility verification was still being piloted as recently as 2018.
NHS Counter Fraud Authority
Europe
EMVS gap
The EU's medicines verification system authenticates drug packaging but does not perform payer-side fraud verification at dispensing. The reimbursement layer is unaddressed.
European Medicines Verification Organisation
Manitoba
Active
The College of Pharmacists of Manitoba is actively warning of forged prescriptions faxed from out-of-province numbers at scale. No cross-system dispensing verification exists.
College of Pharmacists of Manitoba

Existing systems verify pieces. No system verifies the whole.

Every jurisdiction has built parts of the answer in isolation. Medisyns is the protocol layer that connects them.

What exists today
Dispensing recordsWhat was filled — but not whether it should have been
Eligibility systemsWhether a patient is enrolled — checked in isolation, not cross-referenced
Prescriber registriesWhether a physician is licensed — not verified at point of dispensing
Cross-system real-time eventDoes not exist in any jurisdiction
Payer-side fraud flag at dispenseDoes not exist in any jurisdiction
Continuous audit trail across partiesDoes not exist in any jurisdiction
What Medisyns adds
Patient eligibility — liveConfirmed alive, enrolled, and active at the moment of dispensing
Prescriber authorization — liveVerified against licensing registries in real time, not on file
Coverage confirmation — liveFormulary and benefit tier confirmed before the drug leaves the shelf
Duplication check — liveCross-system check that the claim hasn't already been submitted elsewhere
Fraud flag — liveAnomaly detection at the point of dispensing, not six months after
Immutable audit trailEvery event logged, timestamped, and cross-referenced across all parties
The protocol model
Nothing gets replacedMedisyns sits as a neutral layer above existing systems. No rip-and-replace.
FHIR R4 nativeBuilt to the international interoperability standard. Any compliant system integrates.
Patient PII stays off-chainOnly cryptographic event hashes on the ledger. Designed for PIPEDA and GDPR.
Patent protectedProtocol architecture protected by patent applications filed in Canada and the US.
Per-transaction modelCost tied directly to verified transactions — not a flat licence fee.
A single verification event — triggered at dispensing — that checks every party in the prescription chain simultaneously.
1
Provincial registry
Patient confirmed alive, enrolled, and active
2
Insurer / payer
Coverage and formulary confirmed in real time
3
Physician
Prescribing authority verified against licensing registry
4
Prior auth
Authorization confirmed before dispensing occurs
5
Pharmacy
Dispense confirmed, cross-system duplication checked
6
Patient record
Benefit balance updated on immutable audit ledger
Per-transaction model · FHIR R4 · PIPEDA / GDPR designed · Patent pending CA & US · ITSG-33 in progress · SOC 2 Type II in progress

Not a product. Not an EHR. A protocol.

The distinction matters. A product replaces something. A protocol connects everything that already exists. Medisyns does not ask health systems to abandon their infrastructure. It gives that infrastructure a verification layer it has never had.

Like TCP/IP standardized how computers communicate, Medisyns standardizes how prescription verification events are communicated across parties. The protocol is governed by Medisyns Inc. Any compliant system — provincial, national, insurer, pharmacy — can integrate without vendor lock-in.

The commercial model reflects this. Medisyns charges per verified transaction, not a flat licence. The cost is tied directly to the fraud it prevents — making the ROI case self-evident at any scale of adoption.

Governance

Governed by Medisyns Inc.

An Ontario-incorporated company. Protocol standards are maintained by Medisyns with a commitment to open interoperability. No proprietary lock-in for adopting jurisdictions.

IP position

Patent pending — Canada & United States

The protocol architecture and verification logic are protected by patent applications filed in both jurisdictions. Medisyns is not a repackaged EHR — it is a novel infrastructure layer.

Compliance posture

Built for regulated procurement

Designed to meet PIPEDA, GDPR, ITSG-33, FHIR R4, and SOC 2 Type II requirements. Compliance is architectural — not retrofitted. ITSG-33 and SOC 2 Type II certifications in progress.

Commercial model

Per-transaction · No flat licence

Cost is tied directly to verified transactions. The ROI case is self-funding: the fee is a fraction of the fraud each transaction prevents. Pilot caps available for initial deployments.

The verification gap exists in every jurisdiction that reimburses prescriptions.

Medisyns enters through jurisdictions with the most acute fraud exposure and the most developed existing infrastructure. Each adoption builds the evidence base and the interoperability standard that the next jurisdiction requires.

🇨🇦
Canada
Active — provincial engagement underway
$550M–$2.75B
Est. annual fraud losses
5
Provinces in analysis

Canada's provincial drug plan structure creates a direct entry point for Medisyns. Each province operates its own drug plan, insurer network, and pharmacy infrastructure — with no unified real-time verification layer across any of them.

Saskatchewan Health Authority — active engagement, materials escalated to senior decision-makers
Ontario — coordination of benefits gap across 8M+ dual-insured patients, in active pipeline
British Columbia — PharmaNet integration identified as national standard anchor
Alberta and Manitoba — research complete, next phase engagement pending
View Canada in full →
🇬🇧
United Kingdom
Coming — research stage
£256M
NHS prescription fraud annually
1 payer
Single NHS structure

The NHS is structurally analogous to a Canadian provincial health system — a single public payer reimbursing prescriptions across a national formulary. The Counter Fraud Authority has documented £256M in annual prescription fraud losses with no real-time point-of-dispensing verification in place.

NHS Counter Fraud Authority taxonomy identifies prescription fraud as a primary loss category
Point-of-dispensing eligibility verification piloted as recently as 2018 — still incomplete nationally
Single-payer structure means one integration covers the entire national system
Engagement coming soon
🇪🇺
Europe
Coming — research stage
EMVS
Supply chain only — no payer layer
27
Member states with the gap

The EU's European Medicines Verification System (EMVS) authenticates drug packaging at the point of dispensing — but does not perform payer-side reimbursement fraud verification. The reimbursement layer is entirely unaddressed across all 27 member states.

EMVS is a supply chain authenticity tool — not a competitor to Medisyns but a potential integration point
NHS (UK), France Assurance Maladie, and Nordic systems identified as primary entry points
GDPR-compliant architecture designed from day one — no retrofit required for EU deployment
Engagement coming soon

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Patent pending CA & US · Confidential · We do not share your information