Compliance & Registrations

DEA 21 CFR Part 1311 aligned (third-party audit in progress) electronic prescribing for Schedule II–V controlled substances. TOTP two-factor authentication on every signing event, identity proofing at enrollment, DEA auditable signing log. Schellman EPCS Third-Party Audit engaged.

Real-time interstate PDMP query via NABP PMPInterConnect hub. Mandatory query before any Schedule II–IV Rx signing. Flags doctor-shopping risk: 5+ Rxs/30 days, 3+ prescribers, or 3+ pharmacies. State direct APIs wired: NV, CA, TX, FL, NY.

Substance Use Disorder records enforced under 42 CFR Part 2 — stricter than HIPAA. Consent must be patient-specific, recipient-specific, and purpose-specific. Platform blocks all SUD data at the data layer for ICD-10 F10–F19 and MAT medications (buprenorphine, methadone, naloxone, naltrexone). Treatment provider exception built in.

Direct electronic prescription routing to pharmacies using the NCPDP SCRIPT 2017071 standard. Transmits NewRx, CancelRx, RxChangeRequest, RefillRequest, and RxFill transactions with NPI-matched pharmacy routing on every Rx.

CMS-0057-F effective January 1, 2026. Implements Da Vinci PAS IG v2.0.1 — FHIR R4 Claim resource with use="preauthorization". CDS Hooks integration for real-time coverage-requirement-prefetch. 6 major payers wired: CMS Medicare Advantage, UHC, Aetna, Cigna, Humana, Anthem.

HRSA OPAIS live database query verifying 340B covered entity eligibility. FQHCs, rural health centers, Ryan White clinics, and DSH hospitals qualify for 20–60% drug discounts. Required for any FQHC-serving EHR.

Live CMS QPP public API integration. Real-time MIPS provider quality scores by NPI — providers see their QPP performance data directly in the EHR portal.

Every drug lot receives a unique DRG NFT at manufacture. Supply chain custody recorded on-chain: manufactured → distributed → at_pharmacy → dispensed → recalled. Live FDA openFDA recall check on every patient scan. Counterfeiting eliminated at the lot level.

Each participant receives a soulbound TRL NFT — cryptographic proof of consent, randomization assignment (blinded until unblinding), and adverse event log. Eliminates paper ICF audit trails. FDA-auditable electronic consent per 21 CFR Part 11.

Live NLM RxNav API — every medication resolved to an RxCUI code and checked for drug-drug interactions. LOINC and SNOMED CT terminology validation via NLM VSAC. Required for all US Core FHIR R4 conformance and ONC (g)(10) Inferno Test Suite — PASS.

Live CMS CLIA database query on every lab result import — verifies the originating laboratory's certification before any DiagnosticReport is accepted into the EHR. Required under 42 CFR Part 493 and ONC US Core Lab profiles.

Live integration with VA Lighthouse FHIR API — the federal portal for veteran health data under the MISSION Act. 9M+ enrolled veterans. Platform can pull FHIR R4 records for any veteran who has authorized access. Directly positions MyRxWallet for VA/Oracle Health contract displacement.

HRSA Uniform Data System Plus — mandatory annual FHIR bulk reporting for FQHCs (Federally Qualified Health Centers). Platform generates UDS+ bulk ndjson exports directly from the EHR. Critical capability for FQHC customer acquisition (NVPCA, CPCA, TACHC targets).

Live NPPES API integration for organizational NPI lookup and enrollment. Any healthcare organization onboarded through the platform can have their NPI validated and Type 2 organizational NPI enrollment initiated programmatically.

Hyperledger Fabric 2.5.6 LTS deployed on production VPS. 4 permissioned channels (identity, consent, health, rewards) with 5 Go CaaS chaincodes. HIPAA-compatible — no PHI on-chain, only SHA-256 hashes and event IDs. Zero gas fees. No public chain exposure.

On-chain governance with MRT-weighted proposal voting. Standards and community-advisory utility — no profit distribution, no financial returns. 10% quorum (10M MRT), 48-hour voting window. Proposal types: credential standards input, interoperability priorities, integration approvals, research grants, public roadmap feedback. Compliance, security, emergency access, PHI governance, and legal obligations are reserved to board and counsel — not subject to token vote.

Non-transferable digital credential registry for healthcare identity, consent, and proof receipts. Each credential is soulbound — cryptographically bound to the holder, cannot be forged, altered, or transferred. Credentials store proofs and consent references only — no PHI, no clinical content stored on-chain. All anchored on Hyperledger Fabric.

Patient-directed research authorization exchange with patient-controlled consent and 85/15 split enforced at transaction level. Patients authorize de-identified datasets for qualified research use — not raw PHI sale. 12 curated data categories. IRB oversight, de-identification standards, and Part 2 protections apply. All authorizations cryptographically logged with patient consent receipt. Pricing details available to verified research partners upon request.

Regulatory white paper covering the Chain 8472 validator architecture, MRT token infrastructure compensation model, non-transferable credential design, DAORX.IO governance boundaries, Howey analysis (subject to counsel review), HIPAA technical safeguards alignment (45 CFR Part 164), and ONC Interoperability Rule compliance. Anchored to the 21st Century Cures Act, HIPAA, HITECH, MACRA, and ACA §1557.

Chain 8472 validator pioneer program is live. Automated deployer monitor watches for gas receipt and triggers MRTBridgeMint contract deployment across all 5 connected EVM chains. Multi-protocol bridge live: Across, Hop, Stargate, deBridge. Developer SDK published: npm install @myrx-token/sdk