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Logistics with a Mission: The Immigrant Entrepreneur Making U.S. Healthcare Faster and Smarter

At just 28 years old, Erkin Sattarov has emerged as one of the most compelling figures in America’s healthcare logistics space. He moved to the United States at the age of 18 with no connections, no capital, and limited English. Today, he leads two thriving companies — Rx2Go, a pharmaceutical delivery service, and Rx4Route, an AI-powered logistics software platform — that have collectively managed over 15 million deliveries, serve more than 585 pharmacies, and employ over 1,000 drivers across the U.S.

In this exclusive interview with inkl, Erkin shares the deeply personal journey that led him from working as a delivery driver to building a multi-million-dollar tech-driven logistics ecosystem. We discuss how he bootstrapped both companies from the ground up, why he turned down outside investors, and what it truly means to lead with purpose.

Picture of Erkin Sattarov

You were recently featured on the cover of INSIDER Magazine. What do you think resonated most with readers?

Erkin Sattarov: I think it was the honesty of my story. People saw that I didn’t have a head start. I didn’t have funding or family backing or even fluent English when I arrived. What I had were hunger, discipline, and the ability to see problems where others saw routine. I started as a pharmacy driver and I noticed just how inefficient the entire system was. Deliveries were late, patients were angry, and pharmacies lost business. I knew something had to change. And I thought, if I could reimagine the system from scratch, I might be able to create real impact.

What was the first step in creating Rx2Go?

Sattarov: Honestly? Listening. I talked to every pharmacist, every patient, every driver. I wrote down the pain points. Then I built something that served them, not me. Rx2Go started with three phones, two drivers, and me working 18-hour days. Today, we handle over 475,000 prescription deliveries every month, with peaks of 22 deliveries per minute. We integrate directly with pharmacy systems, provide real-time SMS updates to patients, and support specialized delivery — from cold chain meds to scheduled compliance orders.

And what led to the creation of Rx4Route?

Sattarov: Rx2Go was doing well, but I saw that many pharmacies were still struggling with route planning. It was costing them time, gas, money — and it was draining their staff. So I built Rx4Route, a logistics software that optimizes every delivery route based on live conditions, delivery urgency, and pharmacy workflow. It reduced delivery costs by up to 30% for some clients and increased driver efficiency significantly. We now power over 70,000 deliveries a day through Rx4Route.

You’ve managed to scale without external investors. Was that a strategic decision?

Sattarov: Absolutely. I wanted to prove that it’s possible to grow without investors if you stay focused on the product and the people. I also didn’t want to give away equity, as most early-stage startups do, because I believed in our success. Even now, I regularly receive offers — including from major players like UBER — but I still choose independence at this stage of the company’s growth. That said, I truly appreciate their strong interest in how we’ve built our processes. Due to an NDA, I can’t share details, but I can say this: they were very impressed with our system and metrics.

What role does your background as an immigrant play in your leadership?

Sattarov: Immigrants are some of the most resourceful people in the world. When you arrive with nothing, you see the world differently. You don’t waste time. You learn fast, adapt fast, and you never expect anything to be easy. I believe that pressure made me a better leader. I have a deep respect for every job because I’ve done most of them myself — from dispatching to deliveries to customer support.

How do you lead a team of over 70 employees and 1,000 drivers?

Sattarov: With transparency and shared mission. Everyone knows why we exist: to help pharmacies serve patients better. Our tech is great, but our people are better. We provide dashboards, tracking, and analytics — but what truly drives our success is the culture of responsibility and innovation we’ve created.

In addition to Rx2Go and Rx4Route, you recently launched a third company — PharmaStaff. What inspired you to expand in that direction?

Sattarov: After building Rx2Go and Rx4Route, I kept hearing from pharmacy owners that they were struggling not just with logistics, but also with staffing — especially administrative roles like customer service, data entry, and coordination. So I launched PharmaStaff to fill that gap. It’s a specialized outsourcing service that provides vetted, high-quality non-clinical support staff to pharmacies and healthcare providers. We designed it with transparency in mind: every staff member works from a secure, monitored office environment, and clients have real-time access to performance data. For me, PharmaStaff is the third pillar of a complete solution — delivery, logistics optimization, and now workforce support. It’s about giving pharmacies the tools to operate at full capacity without sacrificing care quality or operational control.

What advice would you give to young entrepreneurs — especially immigrants?

Sattarov: Don’t wait for the perfect plan. Build the version you can — today. Don’t be afraid to be underestimated. It’s your advantage. Learn from every mistake, treat every customer like your first, and be obsessed with solving problems. Also: protect your focus. There will always be distractions. I turned down offers that could have looked good short-term, but I stayed true to our mission. That’s what made the difference.

What’s next for Rx2Go and Rx4Route?

Sattarov: We’re investing heavily in AI-driven automation and predictive analytics. The goal is to eventually automate 80% of logistics operations while increasing delivery speed and reducing costs even further. We’re also expanding geographically — especially into underserved regions where pharmacies still struggle with access and infrastructure.

But beyond growth, I’m passionate about building a culture where business and compassion go hand-in-hand. I want to show that you can build something big without losing your soul in the process.

Final question — what drives you today?

Sattarov: Legacy. I want to show that where you start doesn’t define where you end up. I want to build systems that outlive me — systems that make healthcare more humane, more accessible, more intelligent. And I want every immigrant who reads this to know: you belong here, you can build here, and your story matters.

For more about Rx2Go and Rx4Route, visit rx2go.ai and rx4route.com.

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