Switching from Promise Pharmacy without disrupting refill day

Before moving any volume, confirm the platform layer change does not disrupt the pharmacy layer underneath. First, check formulary coverage: list your highest-volume SKUs — semaglutide, tirzepatide, your hormone and peptide lines — and confirm the LegitScript-certified 503A partners assigned to your Fizy Health clinic can fill them. Promise compounds and ships its own formulary; Fizy Health routes to partners in its network, so coverage is the first thing to verify on your actual lines.

Second, review your Promise Pharmacy agreement for any notice period, white-label minimums, or volume commitments before you reduce orders — these are clinic-specific contract details you should read in your own agreement rather than assume. Third, decide what data you carry over: patient demographics, your common SIGs, and your repeat-order SKUs. None of this requires an EMR migration — provider portals live alongside your chart system, not in place of it. If white-label patient packaging from Promise still matters for a subset of patients, you can keep Promise active for those lines while Fizy Health handles multi-partner batch checkout.

The lowest-risk path is to run both ordering paths side by side for a short window rather than cutting over cold. Create a free Fizy Health account at app.fizy.health, complete clinic and prescriber verification (NPI and DEA are validated at onboarding — most clinics reach catalog in under 10 minutes), and add patients from your existing list or create them inline while building your first cart. Open catalog and cart for your top GLP-1 and hormone lines and compare pass-through per-vial cost against the wholesale tiers you see in Promise's provider portal.

Run your first validated batch cart for a single refill day: add today's patient lines across every partner you use, let cart validation catch SIG and licensure issues before checkout, and submit one payment. Tracking and in-app support start per line from day one. Keep Promise active until you have confirmed pricing, coverage, and workflow over one or two refill cycles — then shift the rest of your volume. If pass-through pricing does not beat your Promise wholesale rates on your top SKUs and you only ever order from Promise, staying is the right call; switch on the numbers and workflow, not the pitch.