Not fairly 18 months after being named CEO of Truepill, cofounder Sid Viswanathan is gone. The corporate, value $1.6 billion at its final fairness funding spherical, faces an unsure future with a money squeeze and DEA investigation.

Truepill cofounder Sid Viswanathan is out as CEO of the tech-enabled pharmacy as the corporate’s troubles mount.

“Earlier this week was my final day as CEO of Truepill,” Viswanathan wrote in a LinkedIn put up earlier right now. “This month marks 9 years since I left my final job to pursue a loopy startup concept with Umar Afridi. It has been nothing wanting an exhilarating trip filled with all of the ups and downs you’ll count on, after which some.”

The San Mateo, California-based firm has not publicly named a brand new substitute. Truepill didn’t reply to requests for remark. Paul Greenall, the corporate’s president, would appear to be the plain candidate to be CEO or appearing CEO. He joined the corporate as chief enterprise officer final July and was promoted to president later within the 12 months. Greenall didn’t reply to requests for remark.

Viswanathan mentioned in his LinkedIn put up that he was “actually proud” of what they’d constructed at Truepill and that he had “no clue” what he can be doing subsequent. “I’ll be taking a while off to recharge and determine the following chapter,” he wrote. Viswanathan didn’t reply to voicemail, textual content or e mail messages in search of extra remark.

Forbes first profiled Truepill as a part of the Subsequent Billion-Greenback Startups record in 2019, an oddity within the record because it had raised simply $13 million in enterprise funding on the time. Viswanathan, an Indian immigrant who offered his earlier startup to LinkedIn, and Afridi, a former pharmacist who was then the corporate’s CEO, got down to upend the closely regulated pharmacy enterprise with expertise. The startup shipped its first prescriptions in 2016. By 2018, its income had reached $48 million, helped by the quick progress of direct-to-consumer clients like Nurx, which sells contraception, and Hims, which focuses on cures for hair loss, erectile dysfunction and zits. To shoppers, these Instagrammable well being merchandise don’t appear to be medication, and their subscription packing containers typically include a mixture of each prescription and over-the-counter merchandise. But when there’s even a vial of prescription drugs going out within the mail, the startup sending it wants a pharmacy to meet the order.

By 2019, the corporate had doubled its income to just about $100 million because it expanded its buyer base past direct-to-consumer drugs to prescriptions that deal with extra severe sicknesses. It anticipated nearer to $200 million in income for 2020.

The massive guess, after all, was telemedicine. Because it appeared to extend past pharmacy, it rolled out at-home testing companies, for instance, only one piece of what Viswanathan and Afridi believed can be a broad change to on-line healthcare. “We envision a future the place 80% of healthcare is digital,” Viswanathan instructed commerce publication Fierce Healthcare in 2020.

In October 2021, the corporate raised a $142 million Sequence D at a $1.6 billion valuation. At that time, the corporate had raised a complete of $256 million in fairness funding from buyers that embody Initialized Capital and TI Platform Administration.

However competitors has gotten harder as different tech-enabled pharmacies, like Alto and Capsule, have cropped up. Simply over a 12 months later, Truepill wanted one other infusion of money, elevating $50 million in convertible debt in November 2022, in keeping with venture-capital database PitchBook. It has since confronted different difficulties because it has been quickly burning by way of money–at a fee of $12 million per thirty days–in keeping with a Could 2023 article in Insider. It carried out 4 rounds of layoffs and closed three of its pharmacies, whereas downsizing a fourth, in keeping with Insider’s reporting.

The issues ran deeper than only a money squeeze because the startup additionally got here underneath scrutiny from the federal authorities. In 2022, the U.S. Drug Enforcement Company alleged that Truepill had “wrongfully crammed” hundreds of prescriptions for managed substances, together with the ADHD treatment Adderall, a stimulant. The investigation stemmed from Truepill’s work filling prescriptions for the Softbank-backed psychological well being startup Cerebral, which was underneath investigation by the U.S. Division of Justice over its prescribing practices. The DEA alleged Truepill was filling prescriptions in extra of 90-day provide limits, in addition to prescriptions written by suppliers with out the right state licensing. “We’re assured we can display the absence of wrongdoing,” Viswanathan instructed The Wall Avenue Journal in December. (The DEA didn’t reply to a request for an replace on the standing of the investigation.)

When he left the corporate, Viswanathan had been CEO for just below 18 months. He took over as CEO from Afridi in February 2022. Afridi left Truepill at that time, in keeping with his LinkedIn profile. Afridi didn’t reply to an e mail message in search of remark. On the time Viswanathan took over, the corporate mentioned that it had processed greater than two million diagnostic assessments, shipped greater than 10 million prescriptions and was facilitating as much as 50,000 telehealth visits per week.