# Pharmacy delivery route software that proves which prescription reached which door, and when

> A pharmacy delivery route is the daily run that carries filled prescriptions from a pharmacy to patients, group homes and nursing facilities, and it is regulated at both ends. A registrant must notify the DEA field office of a theft or significant loss within one business day and file a Form 106 within 45 calendar days, DEA records are kept at least 2 years, and a dispenser holds its supply chain transaction records for 6 years under the federal drug supply chain rules. Neurobird holds the stop, the signature and the record together.

- URL: https://neurobird.com/pharmacydelivery/
- Product: Neurobird Pharmacy Delivery Route Dispatch Platform
- Niche: pharmacy delivery route
- Buyer: retail, long term care and home infusion pharmacies
- Status: in development, open for early access
- Updated: 2026-08-22

## What Neurobird Pharmacy Delivery Route does

- Build the route from the fill queue so a stop is a set of prescriptions, not a parcel
- Capture the signature, the refusal or the second attempt at the door with a time on it
- Record cold chain readings on the tote rather than trusting the return trip
- Keep the controlled substance handoffs where the pharmacist in charge can actually see them

## How it works

1. **Build the run** Stops are assembled from the fill queue with the facility, the patient and the item count, so the manifest matches what the pharmacy actually handed to the driver.
2. **Work the door** Each stop records the time, the person who signed, a refusal or a second attempt, and a temperature reading where the item needed one, captured on the phone the driver already carries.
3. **Close the loop** The run reconciles against the manifest, undelivered items come back into the pharmacy as returns rather than as unknowns, and the controlled substance entries land in one log.

## From the source material

> A Part D sponsor 's contracted pharmacy network must provide adequate access to home infusion pharmacies consistent with written policy guidelines and other CMS instructions.

Source: 42 CFR 423.120, access to covered Part D drugs, https://www.law.cornell.edu/cfr/text/42/423.120

## Industry context

- **1 business day** Time a registrant has to notify the DEA field office in writing of any theft or significant loss of controlled substances, including in transit losses by a carrier the registrant selected. (source: 21 CFR 1301.74, https://www.law.cornell.edu/cfr/text/21/1301.74)
- **45 calendar days** Time to file a complete and accurate DEA Form 106 after discovery of the theft or loss, whether or not the substances are later recovered or anyone is held responsible for them. (source: 21 CFR 1301.74, https://www.law.cornell.edu/cfr/text/21/1301.74)
- **2 years** Minimum period every DEA inventory and record must be kept and be available for inspection and copying, including records of deliveries of controlled substances between all locations of the registrant. (source: 21 CFR 1304.04, https://www.law.cornell.edu/cfr/text/21/1304.04)
- **6 years** Period a dispenser must keep the transaction information, transaction history and transaction statement for each product, and it has 2 business days to produce them when a recall or investigation request arrives. (source: 21 U.S.C. 360eee-1, https://www.law.cornell.edu/uscode/text/21/360eee-1)
- **90 percent** Share of Medicare beneficiaries in urban areas who must live within 2 miles of a network pharmacy, with the same share within 5 miles in suburban areas and 70 percent within 15 miles in rural areas. (source: 42 CFR 423.120, https://www.law.cornell.edu/cfr/text/42/423.120)
- **24 hours** Time a network home infusion pharmacy has to deliver home infused drugs after a patient is discharged from an acute care setting, unless the prescriber set a later date. (source: 42 CFR 423.120, https://www.law.cornell.edu/cfr/text/42/423.120)

## Pricing

- Single pharmacy: $159 per month
- Multi site: $525 per month
- Regional operation: $1,350 per month

## Questions

### What is a pharmacy delivery route?

It is the scheduled run that carries filled prescriptions from a pharmacy to patients and facilities, together with the record that goes with it: who was on the manifest, who signed, what came back, and what temperature a cold chain item was held at along the way.

### What are the DEA obligations when a controlled substance goes missing on a route?

Notify the DEA field office in your area in writing within one business day of discovering the theft or significant loss, then file a complete DEA Form 106 within 45 calendar days. The obligation stands whether or not the drugs turn up later.

### How long do delivery records need to be kept?

DEA records run at least 2 years under 21 CFR 1304.04, and that includes records of deliveries between the registrant's locations. Supply chain transaction records held by a dispenser run 6 years under the federal drug supply chain rules.

### Does this replace our pharmacy management system?

No. Filling, billing and the patient profile stay where they are. This is the part that happens after the bag leaves the counter, which most dispensing systems treat as finished business.

### Can it handle facilities and home patients on the same run?

Yes. A stop is a facility with a cart and a return bin or a patient with two bags, and each carries the fields that apply to it, so a mixed run reconciles as one manifest at the end of the day.

## Sources

- [21 CFR 1301.74, security controls for non-practitioners](https://www.law.cornell.edu/cfr/text/21/1301.74)
- [21 CFR 1304.04, maintenance of records and inventories](https://www.law.cornell.edu/cfr/text/21/1304.04)
- [21 CFR 1306.14, labeling of substances and filling of prescriptions](https://www.law.cornell.edu/cfr/text/21/1306.14)
- [21 U.S. Code 360eee-1, drug supply chain security requirements](https://www.law.cornell.edu/uscode/text/21/360eee-1)
- [42 CFR 423.120, access to covered Part D drugs](https://www.law.cornell.edu/cfr/text/42/423.120)
- [42 CFR 483.45, pharmacy services in long term care facilities](https://www.law.cornell.edu/cfr/text/42/483.45)

## Contact

- office@neurobird.com
- https://neurobird.com/