Patient on a telehealth video call with her doctor at home
Patient on a telehealth video call with her doctor at home

Direct-to-patient (DTP) services

One goal. One funnel.
Every DTP hand-off connected.

We put experienced DTP leadership in place to plan, launch and optimize your program, connecting marketing, market access, patient services and their vendors around one goal: more patients started and staying on therapy.

Cover of the Kairos Meridian white paper on DTP program performance

Free white paper

Why DTP programs plateau

Cover of the Kairos Meridian white paper on DTP program performance

Free white paper

Why DTP programs plateau

The problem in four numbers

The bucket is leaking. Nobody can see where.

0MNew-therapy prescriptions abandoned at U.S. pharmacies in 2023¹
0MOf those abandoned when the patient’s cost was under $10¹
0%Of DTP marketers can’t connect marketing activity to a prescription fill³
0 ptsGap between patients who would buy direct (72%) and those who have (22%)²
0MNew-therapy prescriptions abandoned at U.S. pharmacies in 2023¹
0MOf those abandoned when the patient’s cost was under $10¹
0%Of DTP marketers can’t connect marketing activity to a prescription fill³
0 ptsGap between patients who would buy direct (72%) and those who have (22%)²
0MNew-therapy prescriptions abandoned at U.S. pharmacies in 2023¹
0MOf those abandoned when the patient’s cost was under $10¹
0%Of DTP marketers can’t connect marketing activity to a prescription fill³
0 ptsGap between patients who would buy direct (72%) and those who have (22%)²

Where DTP fits

Where direct-to-patient works, and where it doesn’t.

DTP makes business sense when two things are true. First, the product’s WAC price and patient lifetime value (LTV) support the economics of the program. Second, patients are willing to use a direct channel to get diagnosed and treated in the category. An optional cash price that qualifies for TrumpRx is a bonus, adding a federal front door and additional tax benefits.

The real question is whether a brand can acquire patients at a cost that supports profitability and scale, while solving its key challenges. That is why Kairos Meridian works on the whole DTP model, from patient acquisition through telehealth, pharmacy and refills, not just the campaign.

Where DTP is most established
Obesity, diabetes, migraine, cardiometabolic and respiratory care.
Programs often led by telehealth companies
Women’s health, men’s health, dermatology, mental health and vaccines.
A harder fit for DTP
Specialty and infused drugs, hands-on diagnosis, strict safety programs and buy-and-bill products.

Why DTP

The brand challenges a direct program can solve.

Pharma companies leveraging DTP for appropriate brands can address one or more of these issues and, depending on the therapy, can drive up to 20% of product prescriptions.

00123456789
Decrease time to therapy
Shorten the path from diagnosis to first dose by improving access to HCPs and removing the steps that stall a new prescription.
00123456789
Make therapy affordable
Offer a clear, predictable price leveraging insurance or a cash price for self-paying patients, so cost isn’t the reason a patient walks away.
00123456789
Reduce abandonment at the pharmacy
Remove the friction behind abandoned prescriptions: coverage surprises, prior authorizations and fulfillment delays.
00123456789
Increase adherence
Keep patients on therapy with simple refills, timely reminders and support built into the experience.
00123456789
Put patients at the center
Design every step in the DTP experience, from program awareness to how patients secure care, pay for it and obtain their prescription, with less friction than the traditional journey.

How DTP flows

Every hand-off is a chance to lose a patient.

Each step has its own vendor, its own data and its own definition of success. Marketing, market access and patient services each own a piece of the program, but rarely the whole, and their decisions can make or break it. Kairos Meridian is the ribbon that connects them and the vendors behind them around one goal and one funnel, so fewer patients fall out between hand-offs and fewer clicks stand between the first media touch and a telehealth visit.

AwarenessMedia and Brand.com
Meet with their HCP
Find an HCP
Talk to an HCP online
Diagnosis & treatment
Insurance
Cash pay
Dispense & refillStaying on therapy

The above is a high-level visualization of DTP. Actual programs may vary based on company, brand, therapy and fulfillment.

Five priorities we help DTP brands deliver.

Every direct-to-patient program is different, but the ones that scale share many of these priorities. Kairos Meridian helps brands deliver each one, from strategy to weekly optimization.

Patient on a sofa holding a phone during a telehealth video visit with her doctor

Growth channel

Run DTP as a growth channel, not a price program.

An owned, near-real-time view of the patient, and a team that moves on it weekly.

Marketing efficiency

Get more from every marketing dollar.

Feed patient starts, not clicks, back to the platforms; spend the hours acting on insight.

Operational integrity

Keep every hand-off running as designed.

Data, telehealth and pharmacy partners operate the way the program was built to work.

Culture of optimization

Build a culture of improvement.

Test, learn and adjust every week, so the team runs the program like a store, not a launch.

Ecosystem

Build an ecosystem that compounds.

Integrated, compliant by design, and built to grow with the organization.

Ten ways we help

Design the flow. Fix the leaks. Run it like a store.

Kairos Meridian works across three stages of a DTP program. Design builds a model that fits your brand and your patients, not a copy of someone else’s. Fix finds where scripts leak today and gives one team ownership of the flow. Optimize puts experienced leaders and real data to work so more patients get from first visit to first fill, and stay on therapy.

Consultant presenting a business case to a room of pharma colleagues
01
Business case development
Strategy team gathered around a table in a glass-walled meeting room
02
Strategy & program design
Professional on a video call with partners beside a screen of performance charts
03
Vendor & partner selection
Abstract map of paths branching from connected nodes
04
Patient experience mapping

One Owned View of the patient, ad to refill

If you can’t measure it, you can’t manage it.

0%Of healthcare marketers name compliance and legal as their top measurement obstacle⁴
0%Report a fully integrated, privacy-compliant patient data ecosystem³
0%Median improvement in cost per patient acquisition⁶
$0M+In U.S. healthcare settlements and fines tied to pixel tracking⁵
0%Of healthcare marketers name compliance and legal as their top measurement obstacle⁴
0%Report a fully integrated, privacy-compliant patient data ecosystem³
0%Median improvement in cost per patient acquisition⁶
$0M+In U.S. healthcare settlements and fines tied to pixel tracking⁵
0%Of healthcare marketers name compliance and legal as their top measurement obstacle⁴
0%Report a fully integrated, privacy-compliant patient data ecosystem³
0%Median improvement in cost per patient acquisition⁶
$0M+In U.S. healthcare settlements and fines tied to pixel tracking⁵

Most DTP programs go dark at the hand-offs. The ad platform sees a click, the telehealth partner sees a visit, the pharmacy sees a fill, and no one sees the patient. A privacy-first data layer keeps the signal on from first impression to refill. The teams pulling ahead treat privacy as the foundation, not the roadblock.

Ad Click
Page View
Intake Form
Marketing Consent
Scheduling
Payment
HCP Consult
Diagnosis
Treatment
Rx Written
eBV
ePA
Co-Pay Card
Denial
Switch
Self Pay
Dispensed
Refill
DATA LAYER
Media
Websites
Telehealth
Pharmacy
Co-pay
Fulfillment
Marketing CRM
LIVE DTP DASHBOARD
BOOKINGS BY SOURCE
Social46%
Search28%
CTV9%
Other17%
NEW PATIENT STARTS/ wk
PATIENT JOURNEY
Booked
34%
Rx
26%
Refill
14%
01 · PATIENT SIGNALS
02 · CONSENT & PRIVACY
03 · PATIENT HAND-OFF POINTS
04 · END-TO-END VIEW OF THE PATIENT
Ad Click
Page View
Intake Form
Marketing Consent
Scheduling
Payment
HCP Consult
Diagnosis
Treatment
Rx Written
eBV
ePA
Co-Pay Card
Denial
Switch
Self Pay
Dispensed
Refill
DATA LAYER
Media
Websites
Telehealth
Pharmacy
Co-pay
Fulfillment
Marketing CRM
LIVE DTP DASHBOARD
BOOKINGS BY SOURCE
Social46%
Search28%
CTV9%
Other17%
NEW PATIENT STARTS/ wk
PATIENT JOURNEY
Booked
34%
Rx
26%
Refill
14%
01 · PATIENT SIGNALS
02 · CONSENT & PRIVACY
03 · PATIENT HAND-OFF POINTS
04 · END-TO-END VIEW OF THE PATIENT
Ad Click
Page View
Intake Form
Marketing Consent
Scheduling
Payment
HCP Consult
Diagnosis
Treatment
Rx Written
eBV
ePA
Co-Pay Card
Denial
Switch
Self Pay
Dispensed
Refill
DATA LAYER
Media
Websites
Telehealth
Pharmacy
Co-pay
Fulfillment
Marketing CRM
LIVE DTP DASHBOARD
BOOKINGS BY SOURCE
Social46%
Search28%
CTV9%
Other17%
NEW PATIENT STARTS/ wk
PATIENT JOURNEY
Booked
34%
Rx
26%
Refill
14%

Illustrative data flow. Exact flows will vary.

What you get

See the whole patient journey, compliantly and with confidence.

Most DTP programs measure with a blind spot at every hand-off. Together, Kairos Meridian and Freshpaint close them, so legal can approve the program on day one and marketing can act on it every week. The result is a single source of truth for the program and the patient, built compliantly from day one. When brand, medical, market access and analytics teams, and the agency, telehealth and pharmacy partners behind them, all work from the same data, decisions get faster, hand-offs get cleaner and every partner is accountable to the same numbers.

Kairos Meridian

01 · Plan

Sets the measurement strategy and plan: what to track at every hand-off, where consent applies, and the standard every partner in the chain is held to.

Freshpaint

02 · Connect

Builds and links the data ecosystem: consent enforced at the data layer, sensitive data removed before it moves, every event verified to its destination.

Kairos Meridian

03 · Act

Turns that data into insight quickly. With one governed source of truth, AI can be layered on top to show what’s working, what isn’t and what patients need, so spend, channels and patient support improve week by week.

Preferred DTP DATA partner

Freshpaint

The privacy-first marketing data platform built for healthcare.

Freshpaint connects activity across a brand’s sites and apps and its downstream telehealth, pharmacy and fulfillment partners into one governed foundation. Sensitive health information is removed before data moves; only de-identified conversion signals return to the brand and, server-side, to ad platforms, so campaigns optimize toward patient starts and fills rather than clicks.

DTP pharma teams use Freshpaint to see where patients drop off from site visit through fulfillment, measure first- versus last-touch contribution and cost per patient start by channel, and give leadership an auditable, full-funnel view of marketing’s impact, without compromising privacy or compliance.

While Kairos Meridian is solution-agnostic, Freshpaint is our preferred partner for privacy-first healthcare DTP data.

Case study

The program was live. Now it had to perform.

Kairos Meridian approached this DTP program with an ecommerce mindset: tag every booking to its source, act on the data while it is still fresh, and treat every change as something to test and improve. That culture of optimization is how we measure our work, by the impact it has on patients starting treatment.

0%NEW PATIENT STARTSMonthly new patient starts grew 33% during the first 60 days of the engagement.
0%NEW PATIENT STARTSMonthly new patient starts grew 33% during the first 60 days of the engagement.
0xSOURCE-TRACKED BOOKINGSShare of telehealth bookings tied to a media source: 4.7% in mid-August, 32.4% by early October.
0xSOURCE-TRACKED BOOKINGSShare of telehealth bookings tied to a media source: 4.7% in mid-August, 32.4% by early October.

Perspectives

The thinking behind the work.

Short, practical reads from people who have built, fixed and scaled DTP programs inside pharma. Each one takes on a question brand teams are asking right now: what DTP is really worth, who should own it, and why programs stall after launch.

Who we are

Strategy, marketing, and analytics with a dose of innovation… all in service of impact.

Kairos Meridian does this work because direct-to-patient is the rare channel where the brand’s upside and the patient’s are the same thing: fewer days to therapy, fewer forms, fewer reasons to walk away, and more patients started, counted every week.

We set the strategy, help build the program, scale it, and stand up a measurement discipline that holds it accountable for new patient starts and lifetime value. We sit between marketing, market access, patient services and their vendors, so the whole program works toward the same number. Kairos Meridian runs DTP with an ecommerce mentality, not a traditional pharma marketing & sales one.

Staffed by experienced leaders who have designed, fixed and optimized DTP programs inside pharma.

5+

pharma companies

10+

brands

5+

therapeutic areas

How we compare

Everyone owns a piece. We connect the whole.

DTP programs run on great partners. Each is built to deliver its own piece, and none is set up to own the outcome across all of them. That is the role Kairos Meridian plays.

How Kairos Meridian compares with other DTP suppliers
Consultancies& agenciesTelehealthprovidersOnlinepharmaciesKairos Meridian
What they do wellBrand strategy and analytics, creative, media buying and patient acquisitionDiagnosis, the prescribing visit and schedulingDispensing, cash-pay pricing, shipping and refillsTies the pieces together around one goal
What they seeTheir own analysis, media and site performanceThe consultThe fillThe whole patient journey, from first touch to refill
What success looks likeA strategy or dashboard delivered, media bought, impressions and clicksHCP consults completedProduct dispensedNew patient starts, lifetime value and cost per patient acquired
How they’re paidTime, materials and pass-throughsPer consult or platform feesPer fill or dispensing feesFixed fee against a written mandate. No commissions, markups or referral fees.
Independent analysisReports on its own pieceReports on its own pieceReports on its own pieceIndependent read across every piece
Works with the othersHands off to themHands off to themHands off to themConnects them, and holds each to the same goal
We don’t buy media, make creative, run a telehealth platform or dispense product.

FAQ

DTP questions brand teams ask Kairos Meridian.

Straight answers.

Aaron Uydess, founder of Kairos Meridian, independent pharma commercial strategy and omnichannel advisor

Talk with Aaron

Start a conversation today

Aaron Uydess, founder of Kairos Meridian, independent pharma commercial strategy and omnichannel advisor

Talk with Aaron

Start a conversation today

What is a direct-to-patient (DTP) program in pharma?

A DTP program gives patients a brand-led path from awareness to treatment: a telehealth or in-person visit with an HCP, a prescription, insurance or cash pay, and pharmacy fulfillment with refills. The brand owns the experience and the data across each step instead of handing the patient off to the traditional retail channel.

How is DTP different from DTC advertising?

DTC advertising builds awareness and sends patients to their doctor. DTP connects that awareness to the rest of the journey: diagnosis, prescription, payment, fulfillment and refills. DTP marketing is one part of a DTP program, which also includes telehealth, pharmacy, access and the data that ties them together.

Which therapies are a good fit for DTP?

DTP works best for chronic, self-administered therapies with strong patient demand and real barriers to access or affordability. It is most established in obesity, diabetes, migraine, cardiometabolic and respiratory care, and a harder fit for specialty and infused drugs, hands-on diagnosis, strict safety programs and buy-and-bill products.

Why do DTP programs stall after launch?

Most stall in the hand-offs. Each step has its own vendor, its own data and its own definition of success, and no one owns the flow end to end. Without a clear link from marketing activity to prescription fills, teams can’t see where patients drop out or what to fix.

What does a DTP consultant do?

Kairos Meridian helps brands build the business case, including whether telehealth is the right model for the brand, design the program, evaluate and select vendors and partners such as telehealth and pharmacy, map the patient experience and set up measurement. After launch, the work shifts to auditing performance, strengthening governance and optimizing targeting, data and analytics week by week.

How is Kairos Meridian different from an agency, consultancy or telehealth partner?

Agencies, consultancies, telehealth providers and online pharmacies each deliver one piece of a DTP program and are measured on that piece. Kairos Meridian doesn’t buy media, make creative, run a telehealth platform or dispense product. We connect those partners around one goal, give an independent read across every piece, and measure the program on new patient starts, lifetime value and cost per patient acquired. We work for a fixed fee against a written mandate, with no commissions, markups or referral fees.

How do you measure DTP program performance?

Start with the outcomes the brand cares about: new patient starts, time to therapy, abandonment and refills, with every booking tied to its media source. In one Kairos Meridian engagement, the share of bookings tied to a media source rose from 4.7% to 32.4% in under two months, and monthly new patient starts grew 33% in the first 60 days. With one governed data foundation in place, AI can be layered on top to surface what’s working, what isn’t and where patients need support.

Quiet loft office with timber beams, where a 25-minute Kairos Meridian diagnostic conversation starts

The first conversation is twenty-five minutes — a diagnostic, not a pitch.

Start a conversation today

We listen for the real problem — how you got here, what you’ve tried, what success looks like — then come back with a structured read. The gap between the call and the response is where the senior judgment gets applied.

Sources: 1. IQVIA Institute, The Use of Medicines in the U.S. 2024. 2. Model N / Dynata, June 2025. 3. DigiPharma Insights and Freshpaint, 2026. 4. Freshpaint, 2026 State of Healthcare Marketing, n=200 healthcare marketing leaders. 5. Freshpaint, “What to Look for in a Healthcare Marketing Platform Partner,” June 2026. 6. Freshpaint customer performance data on file, September 2026; individual results vary.