Your state license is on the wall and your formulary is compliant — but the processor holding $200k in reserves did not read either. Compounding pharmacies need payment infrastructure as deliberate as their sterility protocols.
Patient-specific 503A compounding and 503B outsourcing facilities both face acquirer scrutiny — especially when selling online, via telehealth partners, or on subscription refill programs. A single MID freeze disrupts patient continuity and partner SLAs alike.
iKash routes transactions across multiple PSP relationships so one acquirer policy change does not halt every refill batch. Separate telehealth consult fees from compound fulfillment when rules demand it; unify reporting for finance.
We work with licensed compounding operators who treat payments as operational infrastructure. If you are comparing merchant accounts, ask what happens on day 91 when reserves increase — iKash is built for that conversation.
Payment orchestration handles card routing and settlement — not PHI storage. Work with your compliance team on BAA requirements with individual PSPs; we help you route reliably across them.
Routing rules can split B2B invoicing patterns from direct-to-patient checkout across different PSP paths where underwriting allows.
Split routing models can separate partner consult billing from compound fulfillment charges — discuss your flow with sales.
Tell us your vertical, monthly volume, and what processor failed you last. We’ll say honestly if orchestration fits.
Contact sales