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Case Study · Hells Canyon Pharmacy

Hells Canyon Pharmacy: From Completed Scoping to Launch in 15 Days

How TJM Labs Voice AI took over routine refill and status calls at a fast-growing independent pharmacy — after a single scoping meeting. In its first 30 days live, the agent handled 749 calls and submitted 380 refill requests without staff intervention.

Results at a glance

749
Calls handled by the Voice AI agent in the first 30 days
380
Refill requests submitted without staff intervention
15 days
From completed scoping to live
1 meeting
Total staff time required from the pharmacy
300 → 600
Scripts per day through rapid growth
24/7
HIPAA-compliant call coverage, no hold time

The phone was always the point — until it wasn’t

Hells Canyon Pharmacy has always prided itself on picking up the phone quickly. For a community pharmacy serving a largely elderly patient base, the phone isn’t just a support channel — it’s the relationship. Most patients aren’t going to navigate a text message or press their way through a keypad menu to check on a refill. They call because they trust that someone will pick up.

That started to break down over the last 18 months. Rapid growth brought a surge of new patients to Hells Canyon. Script volume went from roughly 300 per day to 600 on peak days, and call volume followed. The majority of the calls were routine: “Is it ready?” “How much is my copay?” “Can I get a refill?” But routine or not, every call needed someone to answer it.

With limited physical space, adding more staff wasn’t a realistic option. The team was already stretched thin, and calls started going to voicemail. The pharmacy that always picked up was now missing calls.

Voice AI that frees staff to do what they do best

Andy wanted the best solution he could find:

  • A team that understood pharmacy
  • Software that integrated with his existing systems
  • Something ready now — not a promised feature that wasn’t live yet

He found TJM Labs one evening and reached out. One scoping meeting later — where the team came prepared and asked the right questions because they already understood the workflow — TJM Labs Voice AI was live at Hells Canyon.

The setup was configured specifically for Hells Canyon’s workflows and patient base. When a caller presses the refills and status option, the Voice AI agent takes the call. It identifies the patient, pulls their active prescriptions in real time, answers status questions, and submits refill requests — all without a staff member picking up.

For patients who can’t recall an Rx number or drug name, the agent works from what they do know. If a prescription isn’t eligible for a refill, it queues a renewal request to the prescriber automatically. It also handles all the documentation and leaves consistent patient notes every time — a task that previously ate up a meaningful chunk of staff time every day.

From completed scoping to launch in 15 days

One scoping meeting. Zero disruption to the pharmacy.

  • Day 1 — Scoping completed. One meeting, where we asked the right questions.
  • Days 2–14 — Voice AI configured. Built around Hells Canyon’s workflows and patient base.
  • Day 15 — Launched. We flipped the switch.

Total staff time required from the pharmacy: one meeting. That was it.

The business impact

"We want to be the pharmacy that picks up the phone, but it just wasn't humanly possible anymore. One scoping call with the TJM Labs team and we were up and running. They already understood the workflow. It's already handling hundreds of calls we may have missed, and my team can focus on giving every patient the attention they deserve."

— Andy Pottenger, Owner, Hells Canyon Pharmacy

How TJM Labs Voice AI solved Hells Canyon's biggest challenges

Limited physical space — no room to hireAn agent that takes up no space
Calls going to voicemailEvery call answered, many at once
Staff interrupted for routine "Is it ready?" callsStaff freed for patient care

749 calls handled in the first 30 days

In its first month live, the Voice AI agent handled 749 calls and submitted 380 refill requests without a staff member picking up. At a pharmacy running 300-plus scripts per day with limited staff, that’s not a minor convenience. It’s the difference between a team that can breathe and one that can’t.

Every call answered, notes written back automatically

Because the agent picks up multiple calls simultaneously, nothing goes to voicemail. It also carries the documentation — leaving consistent patient notes every time and queuing prescriber renewal requests when a prescription isn’t eligible for a refill — work that previously ate up a meaningful chunk of staff time every day.

What rapid growth is really doing to independent pharmacy

Hells Canyon’s story isn’t unique. Growth is a good problem to have — until the infrastructure built for a slower pace can’t keep up. “Press 1” or “Press 2” phone trees weren’t designed for a patient population that just wants to talk to someone. The pharmacies navigating this well are the ones finding ways to scale service alongside volume.

A Voice AI agent that handles conversations naturally, knows the patient’s medication history, and writes directly back to the pharmacy management system isn’t a workaround. It’s how the math starts to work again.

The pharmacy still picks up every call — just not the way it used to

Hells Canyon Pharmacy didn’t have to choose between growth and the quality of care they’d built their reputation on. They needed a Voice AI agent that could carry the routine calls so their team could focus on the ones that actually require a pharmacist.

Has call volume gotten ahead of what your team can handle?

See how TJM Labs Voice AI handles your pharmacy's calls — on your existing phone system, working alongside the PMS you already run. 24/7, HIPAA-compliant, no hold time.

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