This document is a case study detailing Medix's migration of its core SAP ECC management system to AWS in partnership with NTT DATA. The objective of this migration was to overcome the limitations of Medix's on-premises infrastructure, which had become a barrier to growth due to high maintenance costs and obsolescence. The document outlines the challenges faced by Medix, such as the need for improved efficiency, agility, and flexibility in application development. It describes the lift-and-shift migration strategy employed by NTT DATA, which included a thorough assessment of Medix's existing environment and the design of a scalable architecture. The case study also highlights the security measures implemented, including AWS Identity and Access Management, to ensure compliance with healthcare regulations. The outcomes of the migration are presented, showcasing enhanced scalability, cost optimization, and improved operational efficiency, positioning Medix for future innovation in the pharmaceutical sector.