How does Refill charge for shipping and handling?

Ask whether shipping is included in the aggregate medication rate or billed separately. Ask whether cold-chain GLP-1 orders carry a different fee than room-temperature hormones or peptides. Ask how multi-line orders are handled: one shipping charge per patient per checkout, per line item, or per pharmacy partner routed behind the platform. Ask whether your software fee percentage applies to shipping dollars or only to medication cost. Ask whether rates change by state or carrier and whether refunds apply when shipments are delayed or reshipped.

Model shipping on a representative refill week, not a single patient. If you batch dozens of GLP-1 refills, small per-order shipping differences compound across the week. Add confirmed shipping rules to your all-in landed-cost spreadsheet alongside per-vial medication rate and software fee percentage before you compare Refill to alternatives.

Fizy Health shows resolved per-vial 503A cost on each catalog and cart line before checkout, with fulfillment economics visible enough to model landed cost before you pay. A disclosed facilitation fee at payment is separate from drug cost. For clinics that prescribe in-house and run refill day at volume, reading per-line cost before checkout beats discovering shipping rules on the first invoice.

When you evaluate Refill, get shipping terms in writing at demo, add them to medication rate and software fees, and compare that all-in per-vial number against visible pass-through cost on the same SKU and supply duration. Landed cost wins the comparison, not a headline aggregate drug rate that excludes fulfillment.