Your Telehealth Stack Is Costing You Orders.
We Fix It.

Chasing pharmacy tracking numbers manually. Pharmacy partners that don't sync. HIPAA anxiety every time a new engineer touches the codebase. It's time to build a telehealth operation that actually works at scale.

HIPAA-Ready by default
Live in 2–4 weeks
5+ Years in Healthcare
Scalater commercial specialist
4.8/5
Client Satisfaction on Clutch
Clutch Certified
Certified Shopify Experts
126+Integrations Delivered
50+Telehealth Projects
$12M+Client Revenue / Year

What Our Clients Say

Our client satisfaction score comes from real project reviews on Clutch, the leading B2B ratings platform.

Top Brands Partner with Scalater

Do any of these challenges sound familiar? You're not alone.

These are the exact friction points that hold telehealth and healthcare e-commerce brands back from scaling.

Let's Fix This Together

Spreadsheets Running Your Pharmacy Ops

Orders come in from Shopify, someone manually exports them, copies into a portal, calls the pharmacy, then chases tracking. Every single day.

HIPAA Anxiety at Every Deployment

A new engineer joins the team. You're not sure if PHI is properly scoped. The logs are a mess. Compliance is held together with hope and prayers.

EHR and Shopify Living in Separate Worlds

Patient records in one system, orders in another. Your team manually reconciles both. Errors happen. Patients notice. Chargebacks follow.

Vendor Lock-In Blocking Your Growth

You're paying SaaS fees for a platform that doesn't fit your workflow. Customization is expensive. Migrating feels impossible. You're stuck.

ePrescribing Still Half-Manual

DoseSpot is sending approvals, but someone has to watch the queue and manually trigger fulfillment. Delays pile up. Patients abandon.

Developers Who Don't Speak Healthcare

Generic devs don't understand HIPAA, FHIR, or why a webhook retry strategy matters in a clinical context. You've learned this the hard way.

Two Ways We Solve Your Challenges

Whether you need to connect your existing Shopify store to healthcare systems or build a telehealth platform from scratch, we've done both, hundreds of times.

Connect Your Shopify Store to the Healthcare Ecosystem

Sell OTC supplements, prescriptions, or DME through Shopify? We build the HIPAA-ready middleware that connects your store to pharmacy partners, EHRs, and ePrescribing platforms, fully automated.

OTC & supplement fulfillment (Lifefile, SmartScript, VortexRx)
ePrescribing integration (DoseSpot, DrFirst)
EHR sync (MDI, Beluga Health, OLA Digital Health)
HIPAA-ready middleware, BAA included
Real-time order routing & inventory sync
Modular: start with one flow, expand as you grow
Connect My Shopify Store

Build Your Telehealth Platform From the Ground Up

Whether you're launching a new telehealth product or replacing a legacy system, we engineer full-cycle HIPAA-ready platforms tailored to your clinical workflows, not generic templates.

Telehealth platforms with video, scheduling & EHR sync
Patient portals, web & mobile
Clinical workflow tools & provider dashboards
FHIR / HL7 interoperability & health data APIs
AI-ready architecture for clinical intelligence
Full data ownership, no vendor lock-in
Plan My Custom Platform

Custom-Built Integration Architecture

Our team builds secure code from the ground up, combining deep healthcare development expertise with agile delivery.

LifefileAPI + Webhook
Order intake
Fulfillment status
Tracking sync
Real-time updates
SmartScriptAPI
Prescription fulfillment
Shipping notifications
Inventory sync
Rx status
VortexRxAPI + Custom
Specialty pharmacy
Cold chain handling
Custom workflows
Automated routing

Our Technical Capabilities

Explore the technical areas where we operate, and understand exactly what you get when you build with us.

Security Built In From Day One

Not bolted on at the end, compliance is embedded into every layer of the stack.

We engineer systems that meet HIPAA technical safeguard requirements from the ground up. Encryption at rest (AES-256) and in transit (TLS 1.3), role-based access controls, audit logging, PHI minimization, and BAA-backed infrastructure. Every deploy is an auditable event.

AES-256 encryption at rest + TLS 1.3 in transit
Role-based access control (RBAC) + MFA
Full audit logging on every PHI access
BAA support included
PHI minimization & data retention policies
Incident response planning
Technologies
AWS (HIPAA-eligible)AES-256TLS 1.3SOC 2-aligned

Results from Our Clients

Real outcomes from real telehealth and wellness brands.

Under NDA, we cannot disclose client names, but several of our clients are currently billing $500K+ annually.

Pharmacy
Started from scratch with us
$500K+
Annual Revenue — Client billing today

This client came to us with a legacy pharmacy management system built on outdated infrastructure. They were losing orders daily due to sync failures between their Shopify store and their fulfillment partner. We built a HIPAA-ready middleware layer that automated the full OTC order flow.

0Manual Steps in Fulfillment
99.9%Order Accuracy Rate
4XNet Revenue Growth

After Launch, You're Not Alone

Shipping the project is just the beginning. Our Support Retainer gives you a dedicated team that already knows your codebase, the same engineers who built it. They make architectural decisions faster, ship optimizations proactively, and keep you aligned with industry changes. No onboarding friction. No knowledge loss.

The Same Team That Built It

No ramp-up time. No onboarding docs. The engineers who know your codebase inside out are the ones maintaining it.

Proactive Industry Alignment

When DoseSpot releases a new API, when HIPAA updates its technical safeguards, when Shopify changes a webhook, we ship the fix.

Bug Fixes & API Updates

Webhook failures, broken integrations, pharmacy partner changes. We monitor, respond, and patch before patients notice.

Monthly Reports & Roadmap Reviews

Every month you get a technical health report plus a roadmap session to align engineering priorities with your business goals.

Emergency Response SLA

Production down? Critical data issue? We prioritize emergency incidents regardless of your monthly hours balance.

Full Team at 160 hrs / month

At the 160-hour tier, you get engineers, PM, and QA included. A full dedicated squad without the overhead of hiring.

How many hours you need per month?

40 hours

Budget (one time payment)

$2,800

cost per hour $70

Save 10% selecting more than one month commitment

Explore Your Retainer Plan

Starting at $2,800/month · 40 hrs minimum · Cancel anytime after 3 months

The People Behind Scalater

Our development team extends far beyond these names. We feature only the administrative leadership here, behind every project is a full squad that already knows your industry.

Guillermo Figueroa
Guillermo Figueroa
CEO & Founder

Leads the company's vision and strategic direction. 20 years of experience as a programmer and 5 years specializing in telehealth software.

Yoannis Perez
Yoannis Perez
Backend Team Lead

Architect of our HIPAA-ready middleware and healthcare integration layer. Expert in Laravel, AWS, and event-driven systems for clinical environments.

Amadys Morera
Amadys Morera
Commercial Specialist

Guides clients from first conversation to project kickoff. Specializes in understanding telehealth workflows and translating them into actionable development scope.

Guillermo Figueroa — CEO & Founder, Scalater
Guillermo FigueroaCEO & Founder, Scalater

We believe powerful technology should never be out of reach. That's why we build tools that help telehealth and wellness companies work smarter, care better, and grow with less friction.

Will you help us make it happen?

Let's Build Together

Frequently Asked Questions

Everything you need to know before booking a call. If something isn't covered, just ask.

Yes! We believe in transparency. You’ll receive a detailed, no-obligation quote based on your specific needs, so you know exactly what to expect before making any commitment.
Yes, we offer retainer support packages so you always have a dedicated team by your side for updates, maintenance, and growth initiatives.
We build HIPAA-ready architecture, meaning we implement the technical safeguards required by the HIPAA Security Rule: encryption at rest (AES-256) and in transit (TLS 1.3), role-based access controls, audit logging, and BAA-backed infrastructure. We recommend you also work with a HIPAA compliance advisor for full organizational compliance. We never guarantee 100% compliance as a legal claim, that depends on your full organizational posture.
Shopify pharmacy integrations start at $4,000 for a basic OTC fulfillment setup. ePrescribing integrations start at $8,000. Full EHR + ePrescribing + Pharmacy integrations start at $25,000. Custom healthcare platforms (patient portals, telehealth tools) start at $15,000.
A standard Shopify pharmacy integration (OTC fulfillment) takes 2–3 weeks. ePrescribing integrations take 3–4 weeks. Full EHR + eRx + Pharmacy integrations take 3–4 weeks. Custom healthcare platforms typically take 4–10 weeks depending on scope. We provide a detailed timeline estimate after our discovery call.
We have native connectors for MDI (MD Integrations), Beluga Health, and OLA Digital Health on the EHR side. For ePrescribing: DoseSpot, DrFirst, and Surescripts routing. For pharmacy fulfillment: Lifefile, SmartScript, VortexRx, and custom 3PL partners. If your platform isn't listed, we build custom connectors — just tell us what you're working with.
Yes, completely. We deliver full ownership of the codebase, documentation, and all infrastructure configurations. No licensing fees, no vendor lock-in. The code is yours from the moment it's shipped.
Yes. Some of our best results come from clients who started from zero with us. If you're pre-revenue but have a clear product vision and funding runway, we can scope an MVP that gets you to market fast without overbuilding.
The Support Retainer (starting at $2,800/month for 40 hours) includes bug fixes, webhook monitoring, API updates, emergency support, and monthly technical reports. At 160 hours/month, you get a full dedicated team: engineers, PM, and QA, the same people who built your platform, already familiar with your codebase.
Absolutely, and this is our recommended path for most clients. We build modular systems specifically designed for this. Start with OTC fulfillment (2–3 weeks, $4,000+), then expand to ePrescribing and EHR sync as your business scales. The middleware is designed to accommodate this without rewrites.
We architect fail-safe systems from day one: retry logic with exponential backoff, dead-letter queues for unprocessable events, manual review fallbacks, and real-time alerting via Datadog and CloudWatch. In practice, this means issues are caught before they impact patients or orders, and our team is notified before you are.
We engineer scalable infrastructure. Instead of patching problems, we solve root bottlenecks that limit growth.