Mir Meridian Insights

Every Pill Counts

Written by Mir Meridian | 2025 Apr 14

How RxPost Is Rewiring Pharmacy From the Inside Out

A dozen small things must go right to get a prescription bottle into a patient’s hand—the medication has to be ordered, stocked, labeled, approved, and paid for.  This especially hits pharmacies operating with margins so thin that canceled pickups can wipe out a month’s profits, especially when medication is high-cost or specialized.

In community pharmacies, those quietly essential players scattered across rural highways and urban storefronts, these inefficiencies are daily realities. They aren’t bugs in the system. They are the system.

Which is why RxPost doesn’t promise to disrupt pharmacy. They promise to connect it.

Founded in the crucible of COVID-era shutdowns and staffed by people who have stood behind the pharmacy counter, RxPost is building a platform that legally and efficiently redistributes unused medication between pharmacies and facilitates the red tape that usually stifles such exchanges. RxPost’s goal is to reduce waste, protect independent pharmacies, and ultimately make healthcare more local, not less.

It’s a digital marketplace and logistics company with a pharmacy technician's instincts. It began not in a boardroom but in the backroom of a small Los Angeles pharmacy.

The Roots of a Platform

Before RxPost became an online marketplace, it was a workaround—a technician calling other local pharmacies to find a home for an expensive cancer drug a patient no longer needed. That technician was Amantha Bagdon, who spent nearly 20 years in and around pharmacy operations. She saw up close the emotional stakes of the job—knowing patients by name, following up on missed pickups, calling insurance providers into the evening.

“You don’t just sell pills,” she recalls. “You serve people. Sometimes that means chasing paperwork. Sometimes it means calling around to find the drug nobody else can.”

Her realization wasn’t that the industry was broken. It lacked connective tissue. Medications went unused, even when someone else needed them. Pharmacies alone bore the cost of waste, and patients suffered the result of it. Coordination, when it happened at all, was entirely manual.

Amantha knew the data was there. The supply was there. The need was always there. But the infrastructure? That didn’t exist.

A Marketplace Born in a Crisis

RxPost launched in 2022, after a rough beta built by university computer science students during the pandemic proved there was demand and urgency. A few months in, a moment crystallized their value: a common antibiotic, out of stock due to supply chain stress, was needed immediately. A nearby pharmacy had it. Using RxPost, they completed the transaction in under an hour. The cost of the medication? $2.50. The value? Immeasurable.

The platform formalized what pharmacy professionals had been doing off the books for years—trading excess inventory, coordinating last-minute deliveries, and hustling to keep medications from expiring on shelves. RxPost did so with compliance, transparency, and traceability.

Today, RxPost operates across California, helping pharmacies recoup costs, prevent waste, and ensure more medications reach those needing them. But their ambitions go further.

Connecting the Shelf to the System

At their core, RxPost is building a dynamic inventory layer for the pharmaceutical supply chain that sees what’s on the shelf, not just what’s been ordered or sold. By integrating with pharmacy management systems, the platform can anticipate which medications are underutilized and which are at risk of shortage.

From there, the data compounds in value: more innovative reorder recommendations, inventory pooling across geographies, and, eventually, predictive alerts for drug manufacturers. If one drug might be collecting dust while another is about to run out, RxPost can predict the difference. And, critically, they can do something about it.

RxPost envisions a future where manufacturers aren’t guessing at demand months in advance but are fed real-time signals from the bottom of the supply chain. The result: fewer shortages, less overproduction, and a more resilient system.

“Every pill counts,” Amantha says. “If it’s made, it should be used.”

Culture, Codified

RxPost’s team is small, but its culture is loud in all the right ways. Weekly all-hands meetings begin with reciting the company’s mission and core values—collaboration, innovation, and advocacy—not the buzzword kind, but the actionable kind. Team members are encouraged to highlight each other’s contributions in Slack and to jump in wherever needed—engineering, sales, support.

A founding engineer who once helped build the beta is now translating pharmacy complexity into usable code. The customer success rep is a pharmacy technician who knows exactly what RxPost’s users navigate.

In management theory, there’s a term for it: servant leadership. But at RxPost, it’s just called doing the work.

“We want it to be more than just useful,” Amantha explains. “We want to be trusted.”

Betting on the Local

Some in tech see pharmacy as the next e-commerce frontier, with Amazon and others pushing centralized, mail-based services. But RxPost is focused elsewhere: on the pharmacists still working in ‘care deserts,’ where a pharmacy is the only point of contact for miles. For the walk-ins who need help now, not in 48 hours. For the grandmother who can’t wait for a delivery and shouldn’t have to.

In this way, RxPost is a strange fit for the typical health tech story. They are not offering disruption. They are offering infrastructure, not automation, but augmentation.

Their work is shaped by legislative advocacy as much as code. Amantha serves on local and national pharmacy policy boards, chairs an AI council for health system pharmacists, and remains deeply engaged with the profession’s evolving role in primary care. Her goal is not just to grow a company—it’s to expand the space in which community pharmacies can thrive.

Toward a More Rational Supply Chain

Where RxPost goes next is evident in their product roadmap: more integrations, smarter inventory forecasting, and a broader network of contributors—from clinics to hospitals to wholesalers. What sets RxPost apart isn’t just what they build, but how they build it—with transparency, with trust, and with a profound respect for the people behind the counter.

The platform doesn’t aim to solve every problem in pharmacy, but it’s solving a stubborn one—the disconnect between abundance and need, between availability and access.

That’s not disruption. That’s stewardship.

And sometimes, stewardship is precisely what a broken system needs.