Fizy health
How Refill works

How Refill works, step by step

Refill works as telehealth infrastructure between a clinic and 503A compounding pharmacies: a prescriber or Refill provider network authorizes the order, the clinic selects medication and patient in the platform, Refill routes to a LegitScript-certified 503A partner that compounds and ships, and optional Refill Connect tools handle patient-facing portal and billing. Refill does not compound medications itself — it bundles pharmacy leverage, provider coverage, and ordering software.

This page walks the full Refill ordering chain, names where it commonly breaks, and shows how Fizy Health fits clinics that already prescribe and need pass-through landed cost plus batch checkout.

Compare Fizy Health vs Refill
Telehealth infrastructure 503A pharmacy network Optional provider network Multi-pharmacy routing Aggregate 503A pricing Refill Connect portal
The ordering flow

The end-to-end Refill ordering flow

Refill markets pharmacy network, provider coverage, and white-label patient tools as one stack. This describes the standard 503A path; confirm specifics in your onboarding demo.

  1. 01

    Onboard clinic or telehealth brand

    A practice signs up for a Refill platform tier, completes compliance onboarding, and gains access to the medication catalog across multiple LegitScript 503A partners with pre-negotiated aggregate pricing.

  2. 02

    Select patient and medication

    A clinic user opens the dashboard, chooses a patient, and browses compounded medications — GLP-1s, hormones, peptides, and more — with pharmacy choice per patient on cost or turnaround where applicable.

  3. 03

    Authorize and enter the prescription

    The order captures the SIG, quantity, and prescribing provider — your in-house prescriber or a Refill network provider for hands-on ($30) or hands-off ($50) encounters in states where you lack coverage.

  4. 04

    Submit and route to a 503A partner

    The clinic submits via quickfills, reorder tools, or standard order entry. Refill routes the order to the selected 503A partner, which verifies prescription, licensure, and stock.

  5. 05

    Compound, ship, and track

    The partner pharmacy compounds and ships, typically cold-chain, directly to the patient. Refill offers real-time order tracking in-platform; patient portal tracking depends on tier and Refill Connect setup.

Where it breaks

  • Validation depth not publicly documented

    Refill does not foreground pre-submit cart validation, so SIG, licensure, and stock issues can surface at the partner pharmacy after submission — restarting the cycle.

  • Aggregate pricing obscures per-line margin

    Pre-negotiated aggregate 503A pricing plus tiered software fees (roughly 1.5–5% on published tiers) makes apples-to-apples landed-cost comparison across SKUs harder than pass-through per-vial pricing.

  • Platform workflow vs ops batch day

    Quickfills and auto-refills suit subscription telehealth brands; clinics that batch dozens of in-house-prescribed refills on one day may still process largely per-order.

Where Refill fits in the telehealth stack

Refill occupies more than the ordering-platform layer. It bundles a 503A pharmacy network with optional nationwide provider coverage, Refill Connect white-label patient portal and billing, and aggregate medication pricing negotiated on platform volume. Questions about compounding quality and certificates of analysis belong to partner pharmacies; questions about launch speed, outsourced prescribing, and software fees belong to the platform.

Fizy Health sits in the pharmacy-ops layer for a different buyer: clinics that already employ licensed prescribers and need pass-through per-vial 503A cost visible before checkout, cart validation before payment, and one clinic cart for an entire refill day. Both coordinate the same 503A chain — they optimize different layers of the stack.

Launch full-stack telehealth on Refill — or batch pharmacy ops on Fizy Health?

Refill fits if

Refill

You need telehealth infrastructure, not just a pharmacy dashboard.

  • You need a 50-state provider network without hiring prescribers in every state.
  • You want Refill Connect — white-label patient portal, assessments, and billing in one launch.
  • Pre-negotiated aggregate 503A pricing beats your solo pharmacy contracts and you accept tiered software fees on transactions.
Consider Fizy Health if

Fizy Health

You already prescribe and need margin clarity on every line.

  • You employ licensed prescribers and need landed per-vial cost before you quote cash-pay patients.
  • You batch dozens of GLP-1, hormone, or peptide refills and want one checkout — not per-patient portal sessions.
  • You want SIG, licensure, and stock validated before payment — not after a partner pharmacy rejects the order.
If you choose Fizy Health

What a validated pharmacy-ops flow gives your clinic.

Both platforms coordinate 503A fulfillment. These outcomes show up when your team already prescribes and runs refill day at volume.

See all features
Keep evaluating the workflow

More on how Refill ordering works.

See the full workflows guide
FAQ

How Refill works — common questions.

  • Workflow

    How does Refill work in one sentence?

    Refill is telehealth infrastructure: a clinic selects a patient and compounded medication, authorizes the prescription, and Refill routes it to a 503A partner pharmacy that compounds and ships — with optional provider network and Refill Connect patient tools.

  • Role

    Does Refill compound or ship the medication itself?

    No. Refill does not hold a pharmacy license. Its LegitScript-certified 503A partner pharmacies verify the prescription, compound the medication, and ship it to the patient.

  • Providers

    Does Refill include prescribers?

    Yes, optionally. Refill markets a nationwide provider network with hands-on ($30) or hands-off ($50) per-encounter pricing for brands that lack licensure in target states. Fizy Health assumes your clinic employs its own prescribers.

  • Validation

    When does Refill check an order for errors?

    Refill's public materials do not highlight pre-submit cart validation, so error checks typically happen at the partner pharmacy. Fizy Health validates SIGs, prescriber licensure, and stock before checkout.

  • Pricing

    How does Refill pricing work?

    Refill negotiates pre-negotiated aggregate 503A pricing across its partner network and charges tiered software fees on transactions (roughly 1.5–5% on published tiers). Per-SKU landed cost is confirmed after onboarding via demo rather than pass-through on every cart line.

  • Comparison

    How is the Fizy Health workflow different from Refill?

    Fizy Health is pharmacy ops for clinics that already prescribe: pass-through per-vial cost and validation before payment, plus one batch cart for refill day. Refill is telehealth infrastructure with provider coverage, Refill Connect, and aggregate pharmacy leverage.

Sources reviewed June 2026

  • Refill public website and published pricing tiers (refill.co), reviewed June 2026.
  • General 503A compounding-pharmacy ordering flow (prescriber, platform, pharmacy, carrier).
  • Fizy Health platform capabilities reflect the live product.
Evaluate with real numbers

Already prescribe in-house? Compare batch checkout.

See how Fizy Health resolves per-vial cost and validates each order before checkout. Free to start.

Start Ordering Free Fizy Health vs Refill