Smart Solutions offers ambulatory pharmacy IVR applications to individual hospitals and hospital chains. Their recent centralized hospital chain implementation utilizes a Virtual Machine SIP application for 24 ambulatory pharmacies, hosted at a call center, with the ability to transfer callers to local hospital pharmacies hundreds of miles away. A mail order application is also implemented. The system supports analog and SIP telephony, text-to-speech, and multiple software vendors on the same IVR. Smart Solutions provides 24/7 support, free software upgrades, an Infusion Payer report suite, Internet refills, and patient messaging.