Fizy health
Refill checkout process

How the Refill checkout process works

The Refill checkout process is where a clinic confirms a submitted order, pays for medication at Refill's pre-negotiated aggregate 503A rates plus tiered software fees on transactions (roughly 1.5–5% on published tiers), and the platform routes each line to the 503A partner pharmacy that fulfills it. Validation depth before payment is not publicly documented, so SIG, licensure, and stock checks typically happen at the partner pharmacy after checkout.

This page explains what happens at Refill checkout, what to confirm about software fees and routing before you pay, and how Fizy Health shows pass-through landed cost and validates every line before checkout.

Compare Fizy Health vs Refill
Confirm → pay → route Aggregate 503A pricing Software fees 1.5–5% Multi-pharmacy routing Confirm all-in landed cost Validation timing matters
The checkout steps

From confirmed order to routed payment

Refill does not publish a detailed checkout breakdown, so this describes the standard payment-and-routing sequence for its telehealth infrastructure platform. Confirm fee line items in your demo.

  1. 01

    Review the order before payment

    The clinic confirms patient, medication, strength, quantity, SIG, and pharmacy selection. This is the last clinic-side checkpoint before money and routing happen.

  2. 02

    See aggregate medication cost

    Pricing reflects Refill's pre-negotiated aggregate 503A rates from onboarding — not pass-through per-vial cost on a public catalog. Confirm what is included before you pay.

  3. 03

    Pay medication plus software fees

    The clinic submits payment for medication and tiered software fees on transactions per platform plan. Platform tiers run Free through paid plans with percentage fees on top of med cost.

  4. 04

    Route each line to a 503A partner

    After payment, Refill routes the order to the partner pharmacy responsible for that medication. The pharmacy verifies and begins compounding.

  5. 05

    Track to delivery

    The partner pharmacy ships cold-chain and Refill surfaces real-time order tracking in-platform. Patient portal tracking depends on tier and Refill Connect setup.

Where it breaks

  • You pay before validation

    When SIG, licensure, and stock checks happen at the pharmacy, a problem can surface after payment and force a refund-and-resubmit cycle.

  • Software fees on top of med cost

    Tiered transaction fees (roughly 1.5–5%) plus platform monthly tiers affect landed cost in ways that are harder to compare across SKUs than pass-through per-vial pricing.

  • Split orders, scattered status

    When one checkout fulfills across multiple 503A partners, each line moves on its own schedule unless status is unified per line.

What to confirm before you pay

Refill's checkout economics combine aggregate medication pricing with software fees on transactions and optional platform monthly tiers. Before you depend on margin math, confirm in writing whether shipping, cold-chain handling, and processing are inside the aggregate rate or billed separately, what percentage software fee applies on your plan, and what happens to payment if the partner pharmacy rejects the order after checkout.

Fizy Health moves both pricing and validation ahead of payment. Each catalog and cart line shows resolved per-vial 503A cost with a separately disclosed facilitation fee, and cart validation checks SIGs, prescriber state licensure, and stock before checkout — so the order you pay for is one the partner pharmacy can fill, with per-line tracking when routing splits across compounders.

Aggregate checkout with software fees — or pass-through cost validated before you pay?

Refill fits if

Refill

Aggregate leverage plus software fees fits your telehealth economics.

  • Pre-negotiated aggregate 503A pricing on your top SKUs beats solo pharmacy contracts after demo comparison.
  • You accept tiered software fees on transactions as part of the telehealth infrastructure bundle.
  • You are launching with Refill Connect and outsourced provider coverage, not optimizing in-house refill-day batching.
Consider Fizy Health if

Fizy Health

You want per-vial pass-through cost and validation before checkout.

  • You want resolved per-vial 503A cost and a disclosed facilitation fee on each line before you pay.
  • You want SIGs, licensure, and stock validated before checkout so fewer paid orders bounce.
  • You want one checkout to route a split order while keeping tracking per line.
If you choose Fizy Health

What a validated, transparent checkout gives you.

Both platforms collect payment and route to 503A partners. These outcomes show up when cost and validation come before checkout.

See all features
Keep evaluating checkout

More on what happens at and after checkout.

See the full workflows guide
FAQ

Refill checkout process — common questions.

  • Checkout

    What happens at Refill checkout?

    At Refill checkout a clinic confirms the submitted order, pays aggregate 503A medication cost plus tiered software fees on transactions, and the platform routes each line to the 503A partner pharmacy that fulfills it.

  • Pricing

    What price do I pay at Refill checkout?

    You pay Refill's pre-negotiated aggregate 503A rates plus software fees on transactions per your platform tier (roughly 1.5–5% on published tiers). Per-SKU landed cost is confirmed after onboarding via demo rather than pass-through on every line.

  • Fees

    Are there fees added at Refill checkout?

    Yes. Refill charges tiered software fees on transactions in addition to medication cost, plus optional monthly platform tiers. Confirm all-in landed cost including shipping and handling in your demo.

  • Validation

    Does Refill validate the order before payment?

    Refill does not foreground pre-payment validation in public materials, so SIG, licensure, and stock checks generally happen at the partner pharmacy after checkout. Fizy Health validates before checkout.

  • Refunds

    What happens if a paid Refill order is rejected?

    Confirm Refill's handling of post-payment rejections during onboarding. Fizy Health validates before checkout to prevent the paid-then-rejected cycle.

  • Comparison

    How is Fizy Health checkout different from Refill?

    Fizy Health shows pass-through per-vial cost and a disclosed facilitation fee on each line, validates before checkout, and routes split orders under one payment with per-line tracking. Refill uses aggregate pricing plus software fees with validation that surfaces after payment.

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

Check out with the cost and validation already done.

See how Fizy Health shows per-vial pass-through cost and validates each line before checkout. Free to start.

Start Ordering Free Fizy Health vs Refill