Cicadence — Operational Infrastructure for Psychedelic Medicine and Specialty PharmacyOperational infrastructure for regulated medicine. The queue, staffing, and compliance layer for teams where every case has a clock and every bottleneck has a clinical consequence. Built for psychedelic medicine operations and specialty pharmacy.New regulatory windows. Existing operational debt. The queue can't wait.Operational infrastructure for regulated medicine — the queue, staffing, and compliance layer for teams where every case has a clock.Two Doors — choose your platformSide A — Psychedelic Medicine OperationsThe regulatory window is open. Most programs aren't ready.REMS enrollment, credentialed monitoring, and prior auth — at a scale no clinic has managed before.

Every open REMS monitoring obligation visible in one queue

Staff assigned only to sessions they're credentialed for

Prior auth backlog surfaces the hour it forms — not in Friday's report

Side B — Specialty Pharmacy Queue IntelligencePA backlogs don't announce themselves until it's too late.Directors check end-of-day reports while the backlog grew all week.

Queue risk visible the hour it forms — not at day-end

Required headcount calculated from live case counts and credentials

Capacity moved before SLA clocks run out

The same engine powers bothWhether the queue is a PA backlog or a REMS monitoring schedule, the operational problems are the same.

Live queue intelligence — track volume and throughput across every queue and location

Skill-aware staffing — required headcount calculated from live case counts and individual credentials

Credential verification — staff are only assigned to queues they are credentialed for

Fatigue monitoring — track active-shift fatigue across your team and move capacity before errors happen

Proven on the Hardest Queues in PharmacyBuilt from 15 years of specialty pharmacy operations. Connects with CareTend, PioneerRx, Epic and other EMRs, Salesforce, and CoverMyMeds — use of these names does not imply any partnership or endorsement.Built for compliance-heavy operationsHIPAA-ready architecture, role-based permissions, audit trails on sensitive actions, and AES-256 encryption — with SOC 2 on the roadmap.Built by a 15-year specialty pharmacy operator who watched directors manage 80-case PA backlogs from spreadsheets and gut instinct. There's a better way.