Case Study

Three product lines, one principal-led team, zero ramp time

How KTG embedded a principal-led engineering team inside RVL Pharmaceuticals' operations — shipping telehealth, multi-product e-commerce, and pharmacy optimization simultaneously.

RVL Pharmaceuticals — a healthcare technology company selling prescription and OTC products through telehealth, e-commerce, and B2B channels — was scaling fast. They needed to rebuild their telehealth platform, launch a new multi-product storefront, and optimize pharmacy operations, all while keeping existing systems running. Adding individual contractors meant managing ramp, context-switching, and quality across three complex product lines — with no coordinating layer.

KTG embedded a principal-led engineering team directly into RVL's operations. Starting with a single Fractional CTO in January 2025, the team scaled to fourteen engineers within 12 months — without a single day of ramp time. KTG manages the team, owns delivery quality, and handles all coordination across product lines. The stack spans three concurrent lines: Ruby on Rails, Vue.js, and PostgreSQL for the Virtual Hub telehealth platform; Shopify, Stripe, and Avalara for the Upneeq D2C storefront; and a multi-tenant Rails application with ShipStation and DoseSpot for the Elevate B2B portal. AI systems amplify team throughput on code review, documentation, and operational monitoring.

Telehealth Platform Rebuilt

Virtual Hub NextGen — a ground-up rebuild of RVL's telehealth platform — launched in March 2026 on schedule. Provider workflows, patient intake, prescription management, and refill orders through a modern, mobile-first experience.

Multi-Product E-Commerce

Under Eye Complex storefront launched April 2026 on Shopify, extending RVL from a single-product Rx company into a multi-product healthcare brand. D2C and B2B channels designed and built in parallel with unified Rx + OTC checkout.

Pharmacy Operations Optimized

Identified pharmacy as the scaling bottleneck at 140% projected capacity. Delivered auto-refill bypass, intake validation, and prescription API integration — projected to recover 1.1 FTE in manual labor.