Fizy health
Refill fees checklist

What fees should I confirm before signing with Refill?

Before you sign with Refill, confirm every cost layer beyond the aggregate medication rate: transaction software fees published at roughly 1.5–5% depending on platform tier, monthly platform subscriptions from free to about $299, Refill Connect white-label tools from about $399 per month plus setup and transaction fees, optional provider encounters at about $30 hands-on or $50 hands-off per encounter, and shipping or payment processing charges that may not appear in the headline medication quote. Any fee not itemized at demo is effectively undisclosed until invoiced.

This checklist walks through each Refill cost layer so your landed-cost model reflects true total cost of ownership, not just aggregate medication pricing.

Compare Fizy Health vs Refill
Software fees 1.5–5% Platform tiers to $299/mo Refill Connect from $399/mo Provider encounter fees Shipping and processing Disclosed-fee alternative

Why a fees checklist matters for Refill

Refill markets pre-negotiated aggregate 503A medication pricing, which clinics naturally anchor on during evaluation. But the public pricing structure also includes tiered software fees on transactions, monthly platform subscriptions, optional Refill Connect charges, and per-encounter provider network fees. Shipping and payment processing may sit outside the medication rate you see at demo. A fees checklist forces you to itemize every layer so your landed-cost spreadsheet matches what finance actually pays, and so you can compare Refill fairly against pass-through platforms that separate drug cost from a single disclosed facilitation fee.

The Refill fees checklist

Medication rate: get written per-vial cost on your top three SKUs, not a verbal range. Software fee: confirm your platform tier and the exact transaction fee percentage within the published roughly 1.5–5% band. Platform subscription: confirm monthly cost from free to about $299 and what features your tier includes. Refill Connect: if you need a white-label patient portal, confirm the about $399 per month base plus setup and transaction fees. Provider network: if you outsource encounters, budget about $30 hands-on or $50 hands-off per encounter. Shipping: ask how cold-chain and multi-line orders are billed. Processing: ask whether payment processing is separate from the software fee. Meet-or-beat: confirm guarantee terms, eligible SKUs, and duration.

Run the checklist on a representative refill week, not a single order. Multiply per-vial medication cost plus software fee percentage across your actual line count, add monthly platform and Connect charges prorated per vial, and add shipping per patient. That all-in number is what belongs in your margin model.

How a single disclosed fee compares

Fizy Health reduces the checklist to two visible lines: resolved per-vial 503A drug cost on each catalog and cart line before checkout, and a disclosed facilitation fee at payment. There is no percentage software fee on transactions and no monthly platform fee on the free plan. For fee diligence, you read the numbers on screen rather than chase separate invoice lines.

When you finish the Refill checklist, set your all-in monthly total against visible pass-through cost plus facilitation fee on the same SKUs and volume. The platform with lower true landed cost wins, not the one with the better headline aggregate medication rate.

Itemize fees at demo — or read two disclosed lines up front?

Refill fits if

Refill

You will run the full fee checklist during onboarding.

  • Aggregate medication pricing plus meet-or-beat terms justify diligencing a multi-layer fee stack.
  • You need Refill Connect or outsourced prescribing and accept software fees on transactions.
  • Your volume makes fixed platform fees cheap on a per-vial basis after the checklist is complete.
Consider Fizy Health if

Fizy Health

You want drug cost and one fee visible before checkout.

  • You prescribe in-house and need landed cost on GLP-1 SKUs before the consult without a fee scavenger hunt.
  • You want to avoid percentage software fees that grow with every transaction.
  • You want total cost of ownership you can read on the cart, not reconstruct from invoices.
If you choose Fizy Health

What you get when fees are visible on the cart.

Refill fees span multiple layers. These are the outcomes when cost is readable before checkout.

See all features
Keep evaluating Refill pricing

More on Refill cost layers.

See the full Refill pricing guide
FAQ

What clinics ask about Refill fees.

  • Software fee

    What software fees does Refill charge?

    Published Refill tiers show transaction software fees roughly between 1.5% and 5% depending on platform plan, plus monthly subscriptions from free to about $299. Refill Connect starts around $399 per month with additional setup and transaction fees.

  • Hidden

    Does Refill have hidden fees?

    Refill publishes platform tiers and software fee ranges, but per-SKU medication rates, shipping, and processing may not be fully itemized until demo and onboarding. Any charge not confirmed in writing is effectively undisclosed until invoiced.

  • Providers

    Are Refill provider encounter fees separate?

    Yes. Refill publishes hands-on provider encounters at about $30 and hands-off at about $50 per encounter. Those fees are separate from medication and software transaction fees if you use the outsourced provider network.

  • Checklist

    What is the minimum fee diligence before signing?

    Written per-vial cost on top SKUs, exact software fee percentage and platform tier, Connect and setup charges if applicable, provider encounter fees, shipping and processing rules, and meet-or-beat guarantee terms.

  • Comparison

    How does Fizy Health fee structure compare?

    Fizy Health shows resolved per-vial 503A cost before checkout with a disclosed facilitation fee at payment. There is no percentage software fee on transactions and no monthly platform fee on the free plan.

  • GLP-1

    Why do fees matter more on GLP-1 programs?

    High transaction counts multiply percentage software fees across hundreds of monthly refills. A competitive aggregate medication rate can still produce thinner margin once software fees, platform subscription, and shipping are included.

Sources reviewed June 2026

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

Compare all-in cost, not just the medication rate.

See per-vial cost and one disclosed fee on your top SKUs, then decide with a real landed-cost model. Free to start.

Start Ordering Free Fizy Health vs Refill