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Telemedicine Operating System

You treat patients. We handle everything else.

CRM, pharmacy ordering, marketing automation, and paid ads in one platform built for telemedicine clinics. Stop juggling tools. Start growing your practice.

app.redletternexus.com
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Dashboard · Live

Telemedicine Overview

DR

Active Patients

1,284
+12

MRR

$24.1K
+18.4%

Rx Fulfilled · 30d

892
+7.2%

Recent Messages

2
MH
M. Harper

Refill request submitted

JO
J. Okafor

Intake form complete

LC
L. Chen

Thanks, got the Rx

Upcoming

27APR
29APR
02MAY

Operator Metrics · Live Sample

MRR
+18.4%
$24,180
30-day change
Patients / mo
+214
4,218
New acquisitions
Response
-31s
2m 14s
Automated reply
Retention
+2.1%
92%
12-month cohort
NX.RX1,284+12·MRR$24.1K+18.4%·CAC$68-9%·RETENTION92%+2.1%·PATIENTS/MO4,218+214·RESPONSE2m 14s-31s·CTR.META3.2%+0.4%·FILL.RATE98.4%+1.1%·NX.RX1,284+12·MRR$24.1K+18.4%·CAC$68-9%·RETENTION92%+2.1%·PATIENTS/MO4,218+214·RESPONSE2m 14s-31s·CTR.META3.2%+0.4%·FILL.RATE98.4%+1.1%·

Process

A clear path from first click to recurring revenue.

01Step

Tell us about your clinic

Share your practice details. We review your online presence, patient acquisition channels, and growth opportunities.

< 24hAudit turnaround
02Step

We build your growth plan

Custom platform setup and marketing strategy, tailored to your specialty, market, and patient volume goals.

1 weekTo first campaign
03Step

Watch your practice grow

Patients find you, book, and become long-term subscribers. You focus on care. We focus on growth.

3–6 moCompounding revenue

The Platform

Everything your clinic needs.
Under one roof.

Most telemedicine clinics cobble together a dozen tools for patient management, prescriptions, marketing, and billing. We put it all in one place, instrumented so you can see what's actually working.

NexusRX01 / 06

Pharmacy Ordering

Integrated prescription management and automated pharmacy ordering. Providers write scripts, the system handles the rest.

1,284Rx / mo
CRM02 / 06

Patient Pipelines

Track every patient from first click to recurring subscription. Automated follow-ups, reminders, and revenue attribution built in.

92%Retention
Comms03 / 06

Email & SMS Automation

Drip campaigns, appointment confirmations, refill reminders, and re-engagement sequences that run on autopilot.

2m 14sAvg reply
Paid04 / 06

Meta Ads Management

Facebook and Instagram campaigns designed for patient acquisition. Targeting, creative, CAPI tracking, and optimization handled by our team.

3.2%CTR
Social05 / 06

Social Media Management

Branded content, scheduling, and reporting across your social channels. We create posts, you approve them.

84Posts / mo
Billing06 / 06

Payment & Subscriptions

Collect payments, manage recurring subscriptions, track lifetime value. Integrated with your CRM for full revenue visibility.

$24.1KMRR

Built for Your Stage of Growth

Start as your marketing platform. Grow into your whole clinic.

Land more patients first. When your clinic is ready, bring prescriptions, pharmacy, and patient care onto the same platform. One ladder, no migrations.

Foundation
$749/mo

Your marketing platform. CRM, pipelines, and automation that turn clicks into recurring subscribers.

  • +Core CRM & patient pipelines
  • +Email & SMS automation
  • +Reputation monitoring
  • +Reporting & dashboards
See plan details
GrowthMost popular
$1,497/mo

Your full growth engine. Everything in Foundation, plus the full AI suite to scale patient acquisition.

  • +Everything in Foundation
  • +Social Planner, Review & Conversation AI
  • +Content AI & AI Voice Agent
  • +Advanced analytics & attribution
See plan details
CompleteWhole clinic
$1,997/mo

Unlimited providers · one flat price

Everything in Growth, plus NexusRX. E-prescribing and pharmacy in the same place you run marketing. Your clinic's system of record.

  • +Everything in Growth
  • +NexusRX e-prescribing & pharmacy
  • +Subscription refills on autopilot
  • +Provider approval & Rx audit trail
See plan details

Prefer we run the marketing for you? Done-for-you Meta Ads, social, and content layer onto any plan. See marketing services →

Why Red Letter Nexus

Built in the trenches with a real telemedicine clinic.

We didn't build a generic SaaS and bolt on a medical label. Red Letter Nexus grew out of running growth, CRM, pharmacy ordering, and paid ads for an active telemedicine practice. Every tool here exists because a real clinic needed it.

That means our platform doesn't just look like it fits your workflow. It actually does. From pharmacy ordering to subscription billing to Meta Ads that drive patient acquisition, every piece was built to solve a problem a working clinic hit in production.

When you partner with us, you get a team that speaks your language. We know what CPAs look like across subscription-based telemedicine (hormone, weight loss, hair, skincare, and beyond), how to structure a patient pipeline for recurring revenue, and where telemedicine clinics leak conversions.

Operator Stats · Live
Integrated Platformsuite
1
Automated Workflowsuptime
24/7
HIPAA-Aware Infracompliant
100%
Revenue Attributiontracked
LTV
Platform uptime · 90d99.98%

Next Step

Ready to grow your practice?

See exactly where your clinic stands online. Our free marketing audit gives you real numbers, honest insights, and a clear path to more patients.