SOLUTION · SUPPLY CHAIN · DISTRIBUTOR-SIDE

Your supply chain
disruptions, resolved
autonomously.

from $0.99 per activated substitution From disruption signal to confirmed order — detection, substitution scoring, clinical approval, supplier confirmation, GPO validation — without an analyst writing a single email.

Supply chain intelligence without supply chain execution.

Medical supply distributors have the demand intelligence they need — systems that monitor inventory signals, detect at-risk items, and score substitution candidates. The problem is execution. Acting on a supply disruption recommendation means a human analyst contacts the affected health system, proposes a substitution, waits for a response, loops in clinical leadership when the substitution affects formulary, and manually coordinates the order change across systems.

Each step is a delay. In supply chain terms, delays in substitution execution are the difference between a disruption that is absorbed and one that becomes a stockout. The intelligence is there. The autonomous execution is not.

Seven steps. No analyst email required.

Every step below is executed autonomously by the PLRX supply chain fleet. The PLRX Durable State Machine persists state through clinical approval chains that span days, supplier confirmations that require callbacks, and GPO contract validations that involve multiple rule sets simultaneously. A mission that enters a clinical approval wait on day one resumes with full context when the approval arrives — whether that takes two hours or two weeks.

  1. 01
    Disruption Detection
    The supply chain intelligence layer detects an at-risk item — a backorder signal, an inventory level crossing a threshold, or a supplier forecast indicating a supply gap. It publishes a disruption event to the PLRX event stream. The Customer Success Manager agent receives the signal, persists the disruption record, and starts a PLRX Durable State Machine workflow. Mission state: DISRUPTION_DETECTED. The clock starts — every subsequent step is tracked from this moment.
    disruption signal ingestPLRX DSM startedat-risk item flagged
  2. 02
    Substitution Analysis
    The Supply Chain Analyst agent receives the disruption record via A2A and analyzes the substitution landscape. It queries the distributor's product catalog for clinically equivalent items, scores each candidate by availability, lead time, price differential, and GPO contract alignment, and produces a ranked substitution recommendation list. Items that cross a clinical preference threshold — products requiring formulary approval or physician sign-off — are flagged for the clinical approval routing step.
    substitution scoringcatalog queryGPO alignment checkclinical flag
  3. 03
    Customer Notification
    The Customer Communications Specialist agent composes a structured disruption notification to the affected health system — detailing the at-risk item, the anticipated impact window, and the ranked substitution options with pricing, availability, and contract tier information. The notification is sent via the customer's preferred channel. The agent creates a structured response task in the PLRX Durable State Machine: the mission suspends in AWAITING_CUSTOMER_RESPONSE until the customer responds with a preferred substitution or requests additional information.
    disruption notificationsubstitution optionsinput_requiredchannel routing
  4. 04
    Clinical Approval Routing (When Required)
    If the selected substitution involves a clinically preferred item or a formulary product that requires physician or P&T committee approval, the Customer Communications Specialist routes the approval request to the customer's designated clinical decision-maker via a structured A2A task. The workflow suspends durably — AWAITING_CLINICAL_APPROVAL — for as long as the approval process requires. Reminder notifications are sent at configurable intervals. When approval arrives, the workflow resumes immediately. When a substitution does not require clinical approval, this step is skipped entirely.
    clinical approval chainP&T committee routingdurable suspensionreminder loop
  5. 05
    GPO Contract Validation
    The Contract Compliance Analyst agent validates the approved substitution against the customer's active Group Purchasing Organization contracts. It checks that the substitute item is on a contracted tier, that the pricing reflects the correct GPO schedule, that any volume thresholds or compliance requirements are satisfied, and that the substitution does not trigger a contract penalty or compliance gap for the health system. Substitutions that fail contract validation are flagged back to the Supply Chain Analyst for an alternative recommendation.
    GPO contract checkpricing tier validationcompliance verificationpenalty detection
  6. 06
    Supplier Confirmation
    The Supplier Relations Specialist agent submits an EDI 850 Purchase Order to the upstream supplier for the approved substitution item. The supplier responds with an EDI 855 Purchase Order Acknowledgement confirming availability, lead time, and pricing. If the supplier returns a partial acknowledgement — indicating they can fulfil part of the quantity — the agent communicates back to the Customer Communications Specialist, which notifies the customer and adjusts the order accordingly. The mission suspends durably in AWAITING_SUPPLIER_CONFIRMATION until the EDI 855 arrives.
    EDI 850 purchase orderEDI 855 acknowledgementpartial fulfilment handlingdurable wait
  7. 07
    Substitution Activated & Mission Complete
    With clinical approval confirmed, GPO contract validated, and supplier availability confirmed, the Customer Success Manager activates the substitution — updating the customer's active order profile, notifying all stakeholders of the resolution, and closing the disruption event. The PLRX Durable State Machine transitions to SUBSTITUTION_ACTIVATED. The full mission record — every event, every approval, every EDI transaction — is captured in the WORM audit log. Mission billed as a single resolved outcome.
    SUBSTITUTION_ACTIVATEDorder profile updatedstakeholder notificationWORM audit log

Five specialists.
One end-to-end mission.

Each agent maps directly to a real function in the distributor's organization. The Customer Success Manager is the account owner — it drives the mission and owns the customer relationship throughout. The Supply Chain Analyst is the domain expert on product alternatives. The Supplier Relations Specialist manages the upstream supplier conversation. The Customer Communications Specialist handles all structured customer-facing notifications. The Contract Compliance Analyst ensures every substitution stays within GPO contract boundaries.

No agent reads another agent's data directly. Every coordination happens through A2A task delegation — structured, logged, and correlated to the PLRX Durable State Machine workflow instance. The full coordination chain — from disruption signal to activated substitution — is visible in Mission Control in real time.

Intelligence recommends.
PLRX executes.

Supply chain intelligence platforms are excellent at identifying what should happen. The PLRX Agentic Execution Platform is what makes it happen — autonomously, durably, and without a human coordinating each step. These are the specific gaps the platform closes.

What intelligence does

  • Identifies at-risk items

    Demand signals, inventory thresholds, supplier forecasts indicate a disruption is approaching before it becomes a stockout.

  • Scores substitution candidates

    Clinical equivalence, pricing, and contract alignment analyzed across the product catalog to produce ranked recommendations.

  • Forecasts impact windows

    Estimated disruption timeline and customer impact quantified for prioritization of analyst attention.

What PLRX executes

  • Notifies customers — structured, not freeform

    Disruption notification with substitution options, pricing, and contract status delivered immediately. No analyst drafts an email.

  • Routes clinical approvals — durably

    Approval chains involving P&T committees or physician sign-off managed as durable workflows. The mission waits without forgetting.

  • Confirms with suppliers — via EDI

    EDI 850/855 purchase order and acknowledgement cycle executed automatically. Partial confirmations handled and communicated.

  • Validates GPO contracts — before activation

    Every substitution checked against active GPO contract tiers, volume thresholds, and compliance requirements before the order is placed.

  • Activates the substitution — without a human trigger

    When all conditions are met — customer approved, clinical cleared, supplier confirmed, contract valid — the substitution activates automatically.

Every substitution is a durable mission.

A substitution mission may span a clinical approval process that takes two weeks, a supplier confirmation window that takes 48 hours, and a GPO validation that runs against multiple contract rule sets simultaneously. Every stage is a durable workflow state — the mission holds full context through every suspension, every wait, and every callback. Nothing falls through the cracks.

Pay when the substitution resolves.
Not while it coordinates.

From $0.99
per resolved substitution outcome
See full pricing detail →

A resolved substitution outcome is one that reaches SUBSTITUTION_ACTIVATED — customer approved, clinically cleared, supplier confirmed, contract validated, and order placed. You are not billed for the time the mission spends waiting for a clinical approval committee, for the number of reminder notifications sent, or for the duration of the supplier confirmation window.

  • Activated substitution — billed once per mission
  • Multi-week clinical approvals counted as single outcome
  • No charge for coordination wait time
  • Cancelled or customer-rejected substitutions not billed
  • No charge for EDI transaction volume
  • No setup fees · No monthly minimums

Your supply chain disruptions, resolved autonomously.

Connect the PLRX Agentic Execution Platform to your supply chain intelligence layer and watch disruption events resolve themselves — from detection to activated substitution — without analyst coordination.

Request a demo and we will walk you through a live substitution mission end to end.