Fizy health
Refill vs Promise Pharmacy

Refill vs Promise Pharmacy

Refill and Promise Pharmacy operate on different layers of the 503A stack. Refill is a telehealth infrastructure platform that connects clinics to multiple compounding pharmacies through one dashboard, while Promise Pharmacy is a single 503A compounder you order from through its own white-label portal. Fizy Health is an ordering platform like Refill that adds pass-through per-vial pricing before checkout and validation before you pay.

If you are weighing an ordering platform against ordering directly from Promise Pharmacy, this page breaks down the platform-versus-pharmacy tradeoff and shows where a pass-through model like Fizy Health fits.

Compare Fizy Health vs Promise Pharmacy
Platform vs single compounder Multiple 503A partners Promise white-label portal Pass-through pricing option Validation before payment Cash-pay and telehealth clinics
Refill vs Promise Pharmacy

Refill vs Promise Pharmacy, capability by capability.

Refill is the ordering layer across several 503A pharmacies. Promise Pharmacy is one of the compounders that fills orders. The comparison is really platform versus pharmacy.

Platform model
Refill Telehealth infrastructure platform: pharmacy network, provider network, Refill Connect patient portal, and aggregate medication pricing.
Promise Pharmacy Single 503A compounding pharmacy ordered through its own white-label provider portal.
Catalog scope
Refill 503A compounded medications across LegitScript-certified partner pharmacies; broader catalog scope may include additional supply channels.
Promise Pharmacy Promise's own compounded formulary, limited to what Promise makes.
Pricing visibility
Refill Pre-negotiated aggregate medication pricing plus tiered software fees (roughly 1.5–5% on transactions per public tiers); confirm per-SKU landed cost at onboarding.
Promise Pharmacy Pricing set by Promise through your clinic account; rates vary by agreement.
Multi-pharmacy orders
Refill One dashboard routes orders to several 503A partners.
Promise Pharmacy Orders stay inside Promise's catalog and portal workflow.
Pre-submit validation
Refill Not highlighted in Refill public marketing or FAQ.
Promise Pharmacy Standard pharmacy review after submission inside Promise's portal.
Support
Refill Tiered standard support on platform plans; dedicated fulfillment coordination. No in-app ticketing advertised on refill.co.
Promise Pharmacy Promise pharmacy account and support channels.

  • When Refill fits

    You need multi-pharmacy routing plus outsourced 50-state prescribing or Refill Connect, and aggregate pricing beats your solo pharmacy contracts.

  • When Promise fits

    Promise is already your 503A compounder, you order its SKUs, and its portal handles your daily workflow.

Promise Pharmacy details from its public website and portal materials (June 2026). Refill details from refill.co (June 2026).

Platform or pharmacy — which question are you really asking?

Comparing Refill to Promise Pharmacy compares two layers. Refill is software that routes orders to a network of compounders. Promise is one of those compounders. A clinic can reach pharmacies like Promise through a platform, or order from Promise directly through its portal.

The decision is one pharmacy relationship or a dashboard across several. If you only order what Promise compounds, a single portal is simpler. If you batch across multiple compounders, an ordering platform removes the portal hopping — and the model you choose determines how pricing, validation, and support show up.

Where Fizy Health changes the comparison

Fizy Health is an ordering platform in the same category as Refill, but it shows resolved per-vial 503A cost on every catalog and cart line before checkout, with a disclosed facilitation fee at payment — so you quote cash-pay patients on real numbers without a sales call. Cart validation catches invalid SIGs, prescriber state mismatches, and stock gaps before you pay, not after a pharmacy rejects the order.

Refill, Promise Pharmacy, or a pass-through platform — which fits your clinic?

Refill fits if

Refill

You need outsourced prescribing, Refill Connect, or aggregate pharmacy leverage.

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

Fizy Health

Pass-through per-vial pricing and validation before you pay.

  • You want resolved per-vial 503A cost visible in catalog and cart before you quote cash-pay patients.
  • You want SIG and licensure issues caught before payment — not after a pharmacy rejects the order.
  • You batch refills across multiple 503A partners and want one cart, one validation pass, one checkout.
If you choose Fizy Health

What a pass-through ordering platform gives your clinic.

Whether you compare Refill to Promise Pharmacy or to Fizy Health, these are the outcomes when pricing is visible and orders are validated before you pay.

See all features
Keep comparing Refill

More Refill head-to-head comparisons.

See the full Refill guide
FAQ

Refill vs Promise Pharmacy questions.

  • Category

    Is Refill the same kind of thing as Promise Pharmacy?

    No. Refill is a telehealth infrastructure platform that routes clinic orders to multiple 503A compounding pharmacies, while Promise Pharmacy is a single 503A compounder. You can reach pharmacies like Promise through a platform, or order from Promise directly in its portal.

  • Pricing

    Does Refill or Promise Pharmacy show pricing up front?

    Neither publishes per-vial prices openly. Refill uses pre-negotiated aggregate pricing with tiered software fees; confirm per-SKU landed cost at onboarding, and Promise pricing is set through your clinic account. Fizy Health shows resolved per-vial 503A cost in catalog and cart before checkout.

  • Catalog

    Can I order more than Promise's medications through Refill?

    Yes. Because Refill aggregates several 503A partners, its catalog can span more than any single compounder. Ordering directly from Promise limits you to Promise's own compounded formulary.

  • Validation

    Does either catch order errors before submission?

    Refill public materials do not highlight pre-submit validation, and Promise applies standard pharmacy review after submission. Fizy Health runs cart validation before checkout to catch invalid SIGs, licensure mismatches, and stock gaps before you pay.

  • Support

    How does support differ between Refill and Promise Pharmacy?

    Refill offers tiered platform support and fulfillment coordination per refill.co, and Promise provides pharmacy account and support channels. Fizy Health offers in-app support tickets threaded to the order, patient, and clinic.

  • Alternative

    Where does Fizy Health fit between Refill and Promise Pharmacy?

    Fizy Health is an ordering platform like Refill that routes to LegitScript-certified 503A partners, but it adds pass-through per-vial pricing before checkout, pre-submit cart validation, and per-line tracking across compounders.

Sources reviewed June 2026

  • Promise Pharmacy public website and portal materials, reviewed June 2026.
  • Refill public website and FAQ (refill.co), reviewed June 2026.
  • Fizy Health platform capabilities reflect the live product.
Evaluate with real numbers

Compare pass-through pricing against both options.

See resolved per-vial 503A cost before you quote, with validation before you pay and one cart across partners. Free to start.

Fizy Health vs Promise Pharmacy Start Ordering Free