BlockMedX is developing a blockchain solution to combat the opioid crisis by creating an immutable, fraud-proof prescription drug ledger. This ledger would authorize healthcare providers for prescription transactions using digital signatures, eliminate patient fraud and abuse, store prescription records across providers and state lines, and use machine learning to monitor for fraudulent activity in real-time. The solution aims to incentivize responsible behavior and reduce overdoses and healthcare costs associated with opioid abuse. There is currently no direct competition providing a real-time prescription monitoring database integrated into provider and pharmacy workflows.

1. BLOCKMEDX
Combating the Opioid Crisis
on the Blockchain
TM

2. • Opioid crisis is a national public health
emergency
• More people die from prescription opioid overdoses
every year than car accidents. More deaths than
breast and prostate cancer combined. 44 people die
every single day
• There is no trustless, fraud-proof solution to solve
prescription fraud, abuse, and overprescribing
Problem

3. Opioid Crisis by the Numbers
Facts
500,000 projected to die within the next decade
#1 Cause of accidental death is drug poisoning
Since 1999, opioid prescriptions have more than
quadrupled
5% of all hospital admissions due to opioid overdose
305,000 ED visits

4. Prescription Drug Monitoring Program (PDMP)
• Online database of dispensed scheduled
drugs
•Inter-state variation in dispensed drug
reporting formats and scheduled drugs
monitored• Through 2019 CDC awards states between
$750,000 and $1 million to implement
PDMPs and improve prevention policies.
• No interoperability
standards
• Pharmacists have up to 72 hours to
record filled prescriptions in some states
and up to three weeks in others
• Limited provider access to state
borders
• Florida demonstrated a decrease of
18% in controlled prescription related
deaths
• Main value proposition is prevention
of in-state doctor shopping which only
accounts for between 21-32% of drug
overdose deaths.
• Limited provider access to established
patients
• No ‘real-time’ reporting with varied time
lags
• Not integrated into pharmacist/provider
workflow
• Does not address fraudulent prescriptions or
over-prescribing
• Does not address fraudulent patient registration
Facts

5. Facts 290 Million prescriptions
11.7 Billion pills
2.1 Million abuse patients
$75 Billion in costs
Yearly Opioid Epidemic Cost
Economic impact due to healthcare, criminal justice, and workplace
costs
$28.9 billion
or 38.5% due to direct healthcare costs
(ED visits, hospitalizations, substance abuse
treatments)
“The rapid and ongoing rise in both numbers of
hospitalizations and their costs suggests that the burden of
prescription opioid overdoses may threaten the
infrastructure and finances of US hospitals.”
Payor line
of
business
Cost
per
membe
r
Excess
cost per
member
Commercial $22K $16K
Medicaid $25K $15K
Medicare $15K $4K
Veterans Affairs $19K $15K

6. Solution
Distributed application built on the
Ethereum blockchain
Prescriptions accepted by pharmacy
staff biometrically and MDX token
deposited in pharmacy’s integrated
wallet
Full, real-time prescription history at the
fingertips of both prescribers and pharmacies
Constant, real-time database monitoring by
machine-learning algorithms to identify and
report fraud and suspicious activity to
regulatory agencies as it happens
Prescriptions are transmitted electronically,
paired with a native MDX token
Prescriptions are biometrically signed by
prescriber
• No more identity/authenticity issues
Rx
Rx

7. Solution
An immutable fraud proof prescription ledger
built on the blockchain that:
1. Authorizes healthcare providers for prescription
transactions using a digital biometric signature
2. Eliminates patient fraud and abuse
3. Automates population health analytics with our
machine-learning algorithms
4. Stores a single record across providers and state
lines solving interoperability
5. Incentivizes parties in the system to make
responsible choices, thereby reducing opioid
abuse and overdoses and associated healthcare
costs
Solution

8. BlockMedx d-App
User friendly access to the immutable record
that allows providers to prescribe,
pharmacists to verify, and patients to pay for
prescription drugs

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Screenshots

10. Competition
Competitive Landscape
• No direct competition
• The Cures Act, signed in December 2016 by President Obama, gave $920
million over a two-year period to devote to opioid use disorder treatment.
• State PDMPs receive only a fraction of funding for prevention with
majority funneled towards access to therapy such as methadone clinics,
MAT (medication assisted treatment) programs, and increased supply of
naloxone.
Opportunity exists to align incentives and reduce healthcare costs for
both payors in a fee for service model and providers in a value based
payment model

11. Competition
Competitive Landscape
Healthcare related blockchain startups include:
Patientory: A personal health record on the blockchain that is
interoperable with major EMR systems. Business model is B2C
with patient’s paying cryptocurrency tokens to buy storage space.
GEM: The GEM OS product is a middleware layer that allows
developers to build distributed applications without blockchain
coding knowledge, built on ehtereum and hyperledger. Currently
pursuing companies in Canada and Europe to build on its
platform.
Healthcoin: A rewards based system that rewards diabetes
patients for improved biomarkers. Targets payors and health
systems interested in population health management.

12. Competitive Advantage
First to market with no direct
competitors
Specialized and experienced
team of domain experts
First real-time prescription
monitoring database
UI/UX vastly superior to most
existing healthcare software for
both providers and patients
Machine-learning algorithms and
automated real-time incidence
reporting for Population Health
management
Patents pending
Interoperable prescription drug record New healthcare cryptocurrency for
payments to doctors and pharmacies as
well as discounted products and services
Competition

13. January 2017
Development
begins
November 2017
High Fidelity
Prototype
September 2017
Incorporation
December 2017
Business Development
Q1 2018
MVP Completion &
BlockMedx Network
Live
Q2 2018
Public Token Sale
Q4 2018
Pilot Projects
Brought
Online
Q4 2018
Raiden State Channels
Implementation
(Scaling Solution)
Q1 2019
Further
Implementation
and On-Boarding
of Healthcare
Systems
Q1 2019
EMR API Access
and Integration
Seed round*
For operating expenses, software development, and
initiation of pilot projects
Financial
Further expansion for comprehensive prescribing solution for all drugs in
months 12-18. Medication adherence market = $300B in US alone

14. Team
Alexander
Antoniou
MD|MBA, Chief Medical Officer
Matthew
Mitchell
Senior Blockchain Engineer
Michael J
Brunner
PharmD, Founder & CEO
About

15. Advisor
Jim Kyung-Soo Liew
Ph.D.
Professor, Johns Hopkins Carey School of
Business
About

16. ThankYou
www.blockmedx.com
info@blockmedx.com