Switching from Refill

Switching from Refill without disrupting refill day

Switching from Refill does not require a rip-and-replace. Because Refill and Fizy Health both sit above 503A compounding pharmacies rather than holding inventory, a clinic can stand up a free Fizy Health account, run a parallel validated cart on its top SKUs, compare pass-through landed cost against current Refill aggregate rates plus software fees, and move volume only once the numbers and workflow check out. The practical work is verifying credentials, re-creating your patient list, and confirming assigned 503A partners cover your formulary — not replacing your prescribers or EMR.

If you are considering moving medication ordering off Refill, this guide covers what to check before you switch, how to run in parallel, and how to avoid breaking your refill cadence during the transition.

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What to check before you switch

Before moving volume, confirm the platform change does not disrupt the pharmacy layer underneath. List your highest-volume SKUs — semaglutide, tirzepatide, hormone and peptide lines — and verify the LegitScript-certified 503A partners assigned to your Fizy Health clinic can fill them. Both Refill and Fizy Health are ordering layers, not compounders; coverage is the first gate.

Second, review your Refill agreement for notice period, minimum commitment, Connect subscription terms, or termination language before you reduce transaction volume — these are clinic-specific and belong in your contract, not assumptions. Third, decide what operational data you carry over: patient demographics, common SIGs, and repeat-order SKUs. None of this requires an EMR migration; ordering portals live alongside your chart system. If you rely on Refill's outsourced provider network or Refill Connect patient billing, plan what happens to those workflows separately — Fizy Health does not replace outsourced MD coverage or a white-label storefront.

Five-step migration path

Step one: export your comparison baseline. Pull landed cost on your top GLP-1 and hormone lines from Refill invoices or catalog — strength, supply duration, software fees, and shipping. You need apples-to-apples before you switch. Step two: create a free Fizy Health account at app.fizy.health and browse the guest catalog to compare pass-through pricing on the same SKUs without a sales call.

Step three: complete clinic and prescriber verification. NPI and DEA are validated at onboarding; most clinics reach catalog in under 10 minutes. Step four: build your first batch cart for one refill day — add today's patient lines, review pass-through pricing row by row, and run cart validation before checkout. Step five: if landed cost wins on the lines you order most, move volume. If Refill's aggregate pricing plus software fees still wins, keep Refill on those lines. Honest comparison beats a forced migration.

How to run Refill and Fizy Health in parallel

The lowest-risk path keeps Refill active for one or two refill cycles while you prove Fizy Health on a subset of patients or SKUs. Route new cash-pay quotes through Fizy Health catalog so coordinators see per-vial cost at the moment of consult; keep Refill live for any lines where aggregate leverage still wins. Per-line tracking and in-app support start on Fizy Health from the first submitted order.

Watch for duplicate reconciliation: two catalogs mean two invoice streams until cutover. Most clinics pick one primary pharmacy-ops path once parallel pricing is settled. Coexistence works in theory — Refill for Connect subscriptions and Fizy Health for in-clinic batch checkout — but ops teams usually consolidate to reduce coordinator context switching.

Stay on Refill, or migrate to pass-through ordering?

Stay on Refill if

Refill

Infrastructure you use still justifies the platform layer.

  • You depend on Refill's 50-state provider network or Refill Connect and aggregate pricing wins after software fees.
  • Your refill day is not bottlenecked and per-SKU rates confirmed at demo still beat pass-through on top lines.
  • You are not paying for provider or Connect features you do not use — or those fees are still worth the bundle.
Migrate to Fizy Health if

Fizy Health

You prescribe in-house and need price-before-quote plus validation.

  • You quote cash-pay patients daily and need per-vial 503A cost visible before checkout, not after demo.
  • You want SIG and licensure issues caught before payment — not after pharmacy rejection.
  • You batch refills across multiple 503A partners and want one cart, one validation pass, one checkout.
FAQ

Common questions about switching from Refill.

  • Definition

    How do I switch from Refill to another platform?

    Switching from Refill means changing the ordering-platform layer above your 503A pharmacies. Stand up a free Fizy Health account, verify clinic and prescriber credentials, re-create your patient list, confirm formulary coverage, export a landed-cost baseline from Refill, and run a parallel validated cart before moving volume.

  • Disruption

    Will switching disrupt my refill day?

    It does not have to. Because both platforms sit above 503A compounders rather than holding inventory, you can run Fizy Health in parallel with Refill for one or two refill cycles, confirm pricing and coverage on real SKUs, then shift volume when the numbers check out.

  • Data

    Do I need to migrate my EMR to switch?

    No. Clinic ordering portals like Refill and Fizy Health live alongside your EMR, not in place of it. Switching moves where you place and pay for compounded orders; charting, scheduling, and clinical documentation stay where they are.

  • Providers

    What happens to Refill's provider network if I switch medication ordering?

    Fizy Health assumes your clinic employs licensed prescribers and does not include Refill's outsourced MD network. If you rely on Refill for 50-state prescribing, keep that layer or plan an alternative before you move pharmacy ordering.

  • Pricing

    How do I know switching saves money?

    Compare pass-through per-vial cost in the Fizy Health catalog and cart against Refill landed cost on your highest-volume SKUs, including software fees and shipping. If pass-through pricing does not beat your aggregate rates, staying on Refill is the right call.

  • Migration

    How long does it take to get ordering live on Fizy Health?

    Most clinics complete self-serve signup and verification and reach catalog in under 10 minutes, with NPI and DEA validated at onboarding. The longer part of migration is your parallel-run window to confirm pricing and coverage before full cutover.

Sources reviewed June 2026

  • Refill public website and published pricing tiers (refill.co), reviewed June 2026.
  • Fizy Health platform capabilities reflect the live product.
Evaluate with real numbers

Run one parallel refill day before you commit.

Compare landed cost on your top SKUs, run one validated batch cart, and decide with real numbers. Free to start.