What the per-Rx model means on a high-volume refill day
For a clinic running ten to fifteen refills a week, per-Rx fax or EMR submission is manageable. Staff complete the fax cover sheet or EMR ordering screen for each patient, send it, and the pharmacy compounds. The effort per patient is predictable and the pharmacist relationship is direct.
At thirty, fifty, or one hundred refills a week, the same model becomes the bottleneck. Each patient's submission is its own workflow — its own cover sheet, its own EMR screen, its own separate transaction. No batching, no single validation pass, no single payment. The time cost scales linearly with patient count.