Services

Two ways to work together.

Some companies need a plan. Some need someone to own it. Tilth does either, and often both in sequence.

01

Launch Strategy & Commercial Planning

A commercial plan built from the specifics of your asset, your market, and your balance sheet, not a template borrowed from a company ten times your size.

Engagements typically include

  • Sizing the opportunity: how many patients are addressable, and what the competitive set will look like on launch day.
  • Mapping the patient journey, so you know where patients get diagnosed, who makes the treatment decision, and where a new therapy enters.
  • Positioning and value proposition, built on the claim your data will actually support.
  • Demand forecasts and scenario models you can defend to a board, with the assumptions written down instead of buried.
  • A launch sequence that says what has to be true by when, and what happens if it isn't.
  • The shape and size of the commercial team your plan really requires.
  • How the product reaches prescribers, and how it gets paid for.
02

Fractional & Interim Commercial Leadership

Experienced commercial leadership inside your organization, accountable for outcomes, at a fraction of a full-time commitment.

Engagements typically include

  • Leading commercial through a launch, owning the plan and its execution.
  • Interim coverage that holds the function steady during a leadership gap or a search.
  • Building your first commercial team: defining the roles, writing the scorecards, and helping you hire against them.
  • Translating commercial reality into terms your board and investors can act on.
  • Choosing and managing agencies, data providers, and outsourced field partners.
  • Standing up the systems, data, and processes a launch depends on.

Engagement shapes


Scoped to the decision in front of you.

Focused project

Typically 4 to 12 weeks

A defined question with a defined answer: a market assessment, a forecast, a positioning platform, a launch plan. Fixed scope, fixed fee.

Fractional retainer

Ongoing, defined days per month

A standing commercial partner for the leadership team, a set number of days each month with continuity between them.

Interim leadership

Full engagement, defined term

Sitting in the commercial seat: on the leadership team, in front of the board, accountable for the function.

How the work goes


Four steps, in this order.

  1. Orient

    Read everything: the data, the deck, the prior work, the board materials. Talk to the people who know the asset best. Arrive with context instead of questions I could have answered myself.

  2. Frame

    Name the decisions that actually matter and the ones that only feel urgent. Most commercial plans fail because they answer the wrong question thoroughly.

  3. Work

    Research, model, and test. Bring findings as they emerge rather than saving them for a reveal. Surprises belong in the middle of an engagement, not at the end.

  4. Hand off

    Leave behind decisions your team owns and can defend without me in the room, along with the materials to carry them forward.

Not sure which shape fits?

Most engagements start as a conversation about a specific problem and take their shape from there. Tell me what you're facing.