For insurers and health plans

See whether members take the medication your programmes pay for

DoryGo combines pre-sorted multi-dose blisters, a sensor pill box and a patient app. It records each dose as it is taken, so a programme can be evaluated on recorded intake rather than on claims.

Sensor pill box on a kitchen table
Fig. 1 — Sensor pill box at home
Passive
No patient input. Every compartment opening is recorded by the box.
FHIR
Intake data leaves the platform in standard FHIR resources.
Swiss
Built in Zurich, hosted in Switzerland, GDPR-aligned.

01 — The problem

You fund adherence programmes you cannot measure

A health plan sees adherence through claims: which prescriptions were filled, and when. That is enough to estimate supply. It is not enough to know whether members take what they collect, or whether a programme changed anything.

01

Claims show dispensing

A filled prescription is the measure furthest from actual intake, and usually the only one a plan has.

02

Programme effects are hard to attribute

Without intake data, the effect of an adherence programme cannot be separated from changes that would have happened anyway.

03

The plan does not deliver care

Following up on missed doses needs someone close to the member: a pharmacy, a nurse line or a treating physician.

25–30%

of plasma samples contained the study drug, while self-report and returned pill counts indicated 86–90% adherence (HIV prevention trial, women in South Africa, Uganda and Zimbabwe).

Source: Marrazzo et al., New England Journal of Medicine, 2015 (VOICE trial)

02 — The economics

Measurement first, programme design second

~50%

of patients in developed countries do not take medication for chronic conditions as prescribed.

Source: WHO, Adherence to Long-Term Therapies (Sabaté, ed.), 2003
USD 3–13

saved in avoidable emergency and hospital cost per additional USD spent on making patients adherent (diabetes, hypertension, hyperlipidaemia).

Source: OECD Health Working Paper No. 105, 2018
EUR 125 bn

in annual European cost from avoidable hospitalisations, emergency care and outpatient visits caused by non-adherence.

Source: OECD Health Working Paper No. 105, 2018
USD 100–300 bn

in estimated annual cost of medication non-adherence to the US healthcare system.

Source: Iuga & McGuire, Risk Management and Healthcare Policy, 2014

A health plan carries the cost of avoidable admissions but does not run the pharmacy or the clinic. Most adherence programmes therefore work through reminders, education or co-payment design — and are evaluated on refill data, which measures supply rather than intake. DoryGo combines a medication management service with a record of intake: pre-sorted medication in a fixed supply rhythm, and a dose-level record of whether it was taken.

Better intake tends to raise medication spend; according to the literature, the cost of non-adherence sits downstream in admissions and emergency care. We do not claim a general return or a clinical benefit. What we provide is a reliable record of intake, so that your programme can be judged on your own members rather than on published averages.

03 — The product

Three parts, one continuous record

Part 01

Pre-sorted multi-dose blister

A pharmacy sorts the full regimen into dated, time-labelled compartments, so the patient never assembles a dose themselves.

  • —One compartment per intake time, printed with date and patient name
  • —Regimen changes handled at the pharmacy, not by the patient
  • —Removes the manual weekly re-sorting step entirely
Multi-dose blister tray with a printed patient label and four time-labelled compartments (night, evening, noon, morning); three are foil-sealed and the morning compartment is open with tablets
Fig. 2 — Multi-dose blister, 1 day × 4 slots
Part 02

Sensor pill box

A new blister is inserted each day. The box registers each compartment opening passively — no app step, no confirmation, nothing else for the patient to remember.

  • —Timestamped event per opening, at compartment level
  • —Local buffering; syncs when a connection is available
  • —Works for patients who do not use a smartphone
Sensor pill box with lid open and blister compartments
Fig. 3 — Sensor pill box
Part 03

Patient app and dashboard

Patients see their own schedule and history. Your team sees recorded intake across all participating patients, sorted by missed and late doses.

  • —Overview of all participating patients, sorted by missed and late doses
  • —Intake history per patient
  • —Role-based access; export via FHIR or CSV
Patient app on a phone beside the team dashboard on a tablet
Fig. 4 — Patient app and dashboard

04 — Workflow

From the pharmacy bench to your team, in five steps

Step 1
Pharmacy sorts
The regimen is blistered by dose and time.
Step 2
Patient inserts blister
One action per day. Nothing else to operate.
Step 3
Box records each opening
Timestamp and compartment, recorded passively.
Step 4
Encrypted transfer
End-to-end encrypted, to Swiss-hosted storage.
Step 5
Your programme partner sees the record
Missed and late doses are visible to the pharmacy or care partner within days, not in a quarterly report.

05 — How step 1 is set up

Blistering runs through a licensed pharmacy partner in your market

There is one route, and it is deliberate. The pre-sorting is carried out by a local, licensed pharmacy partner, which we identify and set up together with your organisation. Dispensing stays where it is already regulated and already trusted. We equip that pharmacy with the sealing machine, the blisters and the foils, and we supply the box, the app, the dashboard and the integration.

National rules for dispensing, repackaging and medical-device classification differ, and they determine what is possible in your market. We clarify this per country before a pilot is scoped, and say so plainly where something is not viable.

Sealing machine on a pharmacy counter
Fig. 5 — Sealing machine for the pharmacy

06 — Evidence

What is shown, and what is not

Both columns are part of the same answer, and they carry the same weight. We would rather you take the right-hand column into your evaluation than discover it later.

What we can show today

  • The box records each compartment opening without any patient input, which removes self-report bias by construction.
  • The full chain is built and working end to end: blister, sensor box, patient app, dashboard.
  • In our own development testing, compartment openings were detected without error over several months of continuous bench testing, and battery life reached 18 months at four openings per day. These are internal measurements; independent validation is planned.

What we have not shown yet

  • Any effect on treatment results. Whether a reliable record of intake improves them is the question our pilots are designed to answer.
  • A validated cost-offset figure for a specific insured population. We will not quote an ROI we cannot defend.
  • Long-run persistence: how intake behaves after two years of use.
  • Deployment at the scale of a full health system.

07 — Pilot

What a first project looks like

Cohort
Insured members on long-term medication, defined together with your medical or programme team.
Duration
Pre-defined period of recording, plus a set-up and onboarding phase beforehand.
What we measure
Intake per dose and compartment, timing of each dose, data completeness and member retention — and, if you provide them, admissions and emergency contacts for the same period.
What we provide
Boxes, blister supply via a licensed pharmacy partner, member onboarding material, dashboard access, and a named contact in Zurich.
What we need from you
A programme owner, a data-protection contact, a route for member selection and consent, and a care partner who follows up on missed doses.
What you get
Recorded intake for a defined member group, a written read-out with the limitations stated, and a clear basis for deciding whether to fund at scale.

08 — Integration

Into the systems you already run

FHIR
Intake events as standard resources, pulled or pushed.
Scientific data export
Analysis-ready extracts for research and evaluation teams.

09 — Compliance

Where the data sits, and who may see it

Swiss hosting
GDPR and Swiss FADP
Role-based access
Pseudonymisation
End-to-end encryption from box to dashboard

10 — About us

Who you would be working with

DoryHealth is a small Swiss company based in Zurich. We build and operate DoryGo ourselves, which means a pilot is run by the people who built the product rather than handed to an implementation team.

11 — Contact

Request a scoping call

Thirty minutes, no slide deck. We ask about your member group and your programme design, and tell you whether a pilot makes sense.

DoryHealth AG · Hagenholzstrasse 81a, 8050 Zürich
hello@doryhealth.com

No newsletter, no CRM sequence.