Telyrx

TelyRx is a modern online pharmacy and healthcare platform that provides patients with affordable prescription medications and direct-to-door delivery. With an emphasis on access, affordability, and customer care, TelyRx connects patients to licensed U.S. physicians and pharmacists through a secure and HIPAA-compliant digital experience. The platform offers both one-time prescription fills and recurring subscriptions, giving customers greater control over their health from the comfort of their homes.

What Was the Problem?

The Challenge

TelyRx approached Nexus Box with a critical situation: their existing website—originally built by a different agency—was unstable, inefficient, and filled with backend conflicts. These issues were directly impacting sales, operations, and customer experience.

The key challenges included:

Unstable Platform

The website was plagued by buggy code, unresolved conflicts, and poor practices from previous developers who had implemented shortcuts instead of scalable solutions.

Broken Integrations

Critical third-party systems, such as DRx (for prescription handling) and ShipStation (for fulfillment), were malfunctioning or failing to sync correctly with Magento.

Admin Workflow Problems

The Magento backend was slow and confusing. Admins struggled with delays in managing orders, editing content, updating inventory, and overseeing the customer experience.

Security Concerns

Without a reliable audit of vulnerabilities, the platform was at risk of performance and security breaches.

Growth Inhibitors

TelyRx needed new features and better UX to allow the business to grow—but their unstable infrastructure was preventing them from innovating.
In a business where regulatory compliance (including HIPAA), speed, and trust are critical, these obstacles posed an existential threat to the success of the company.

How We Solved It

Our Approach & Solution

Nexus Box came in with the goal of not only fixing the foundation but also building a system TelyRx could scale with. Here’s how we approached the project:

Stabilizing the System

We performed a full system audit to identify backend and frontend conflicts and inconsistencies. We resolved major code issues and stabilized the core Magento framework. Third-party integrations, including DRx and ShipStation, were carefully debugged and fixed, ensuring proper communication between the platforms and the TelyRx order management system.

Security & Performance Enhancements

Our server administration and penetration testing teams conducted a deep security audit, identifying vulnerabilities and implementing mitigation protocols. We improved page load times and reduced processing lag, giving both customers and admins a faster, smoother experience.

Feature Expansion & Custom Development

Once the system was stable, we developed and deployed multiple custom features, including:

  • A HIPAA-compliant Doctor’s Note generation system with PDF creation and order splitting logic.
  • A prescription refill request system for patients, allowing users to request medication refills directly from their dashboard.
  • Customer dashboard redesign, improving subscription management, user navigation, and order clarity.
  • Maximum cart quantity rules tied to category-level medication types, ensuring prescription limits were enforced.
  • Geo-IP integration to auto-populate user address data and streamline checkout.

Magento Admin Interface Overhaul

We restructured the Magento admin interface, reducing clutter and making it easier for the internal team to:

  • Manage orders and customer records efficiently.
  • Upload and send Patient Advisory Leaflets (PALs) automatically upon prescription approval.
  • Assign and track prescribers for each medication.
  • Split orders when medications and services (e.g., Doctor’s Notes) were purchased together.

TelyCore Microservices Architecture

To lay the groundwork for future expansion, we began developing TelyCore, a custom microservices ecosystem built alongside Magento. This modular backend strategy allows TelyRx to scale quickly, integrate with new platforms, and launch services independently from the main e-commerce system. These services are built in a HIPAA-compliant architecture and include components for data syncing, order routing, reporting, and pharmacy-side tools.

Prescriber Portal Development

We introduced a fully custom Prescriber Portal for doctors and medical staff. This portal allows licensed professionals to:

  • Review and prescribe medications per patient order.
  • Handle Doctor’s Note approvals through a queue-based interface.
  • Review refill requests submitted by patients.
  • Maintain full audit logs for compliance and liability purposes.

Pet Products Expansion (PetMeds Buildout)

As TelyRx began expanding into veterinary medications, Nexus Box created a new category structure, custom logic, and visual changes to support pet prescriptions. We built new workflows and backend processes to support product limitations, prescription logic, and shipping for pet-specific products. The PetMeds rollout was integrated seamlessly into the main platform without disrupting existing services.

Ongoing Support and Innovation

Nexus Box remains a long-term development and consulting partner for TelyRx. We continue to provide:

  • Code audits
  • Ongoing feature rollouts
  • Infrastructure monitoring
  • Development of V2 systems (including mobile apps, updated dashboards, and further modularity)

Additional Feature Highlights

In addition to core stability and improvements, several custom-built features helped transform business operations:

  • Doctor’s Note Queue System
  • Prescription Refill Module
  • PetMeds System
  • Prescriber Portal

These enhancements empowered both customers and prescribers while streamlining internal operations across the platform.

Technology Used

Frontend

HTML5, CSS3, JavaScript, Knockout.js

CMS / E-commerce Platform

Magento 2

Page Builder

Custom Magento WYSIWYG + Admin Module Development

Microservices Ecosystem

TelyCore (Node.js, PHP, MySQL, RabbitMQ)

3rd Party Integrations

DRx, ShipStation, LupaSearch, Easyship, HubSpot

Merchant Processing

Authorize.net, NMI

Security Tools

Penetration Testing, Static IP Restrictions, SSL

Server Technology

AWS, Microsoft Azure, NGINX, PHP 8.2, MySQL

Monitoring & Analytics

DataDog

Design Tools

Figma