Built for the refill work that happens between the counter, the claim, and the patient.
Mission
Help pharmacies reduce refill and insurance workflow chaos by making every blocked prescription visible, owned, and actionable.
What Refillops is
- Pharmacy workflow support
- Rejected claim organization
- Prior auth tracking
- Patient update drafting
- Prescriber message drafting
- Inventory delay awareness
What Refillops is not
- Not an AI pharmacist
- Not clinical decision-making software
- Not a pharmacy POS
- Not an EHR
- Not a payer coverage decision system
- Not a medication substitution engine
Values
The principles behind the workflow.
- Patient clarity
Updates the patient can act on, in plain language.
- Pharmacist control
Suggestions are drafts; decisions stay with the pharmacist.
- Technician speed
Workflows built around how the counter actually moves.
- Clean follow-up
Nothing waits on someone's memory.
- Privacy-safe workflow
Patient data scoped to your account and your team.
- Practical automation
Automate the repetitive; keep the human in the loop.
Customer case study · Veridian Health Solutions
Veridian Health Solutions: from portal-hopping to one blocked-prescription queue.
Tier 2 regional independent pharmacy distributor, Mid-Atlantic / Ohio Valley. Pilot: April 2025 via Partner Program. Production launch: October 2025 across all 42 locations. Performance window: October 1, 2025 to February 15, 2026.
Technicians checked separate CRM and portal logins to identify blocked prescriptions, creating roughly 30 minutes of status-identification latency.
HL7 feed aggregation brought blocked-prescription signals into a unified Refillops dashboard with automatic rejection-code categorization.
Average ticket handling time dropped from 48 minutes to 12 minutes.
Technicians still reviewed and acted on the workflow; Refillops organized and drafted next steps.
“Refillops stopped the friction between our backend billing and our front desk technicians. We moved from reactive explanation calls to proactive message drafting with 85% hit-rate on interpretation accuracy.”
94% of technicians logged in daily to the Refillops dashboard, compared with 12% on the legacy system. Measured from Veridian operating data, October 1, 2025 to February 15, 2026.
Operating metrics
Q1 2026 benchmark · Veridian Health Solutions only
| Metric | Pre-Refillops | Post-Refillops | Change |
|---|---|---|---|
| Avg ticket handling time | 48 minutes | 12 minutes | 75% reduction |
| Queue bloat (end-of-day open items) | 312 | 42 | 86% reduction |
| Manual follow-up rate | 62% email/phone | 14% phone-only | 48 pt reduction |
| Duplicate-ticket error rate | 4.1% | 0.8% | 3.3 pt reduction |
Q1 2026, Veridian Health Solutions, 42 locations. Weighted by rejection volume. Queue bloat means tickets remaining in Review for more than 24 hours.
Workflow story
The Authorization Hijack Resolution.
In a complex payer-policy scenario, Refillops matched a rejection ID against payer policy text and drafted a preliminary explanation for technician review. The technician accepted the high-confidence draft, edited one sentence for nuance, and kept the workflow moving without relying on a generic appeal template.
Support tickets tied to generic failure handling dropped 40% in the reviewed workflow.
Refillops did not make the clinical, payer, prior authorization, or coverage decision. Drafts and suggestions always require human review.
Security & trust posture
Where pharmacy workflow data lives and how it is protected.
- HIPAA BAA in place for verified healthcare customer workflows.
- SOC 2 Type II audit in progress; expected Q4 2026.
- Data residency: US-East-1.
- Encryption: TLS 1.3 in transit and AES-256 at rest.
- MFA required for admin roles; SAML 2.0 SSO supported.
- Server-side action logs retained for 3 years.
Refillops is not HIPAA certified and is not SOC 2 certified. The SOC 2 Type II audit is in progress. Ask our team for current documentation before signing.
Contact & legal
How to reach us.
- General
- hello@refillops.co
- Support
- support@refillops.co
- Privacy
- privacy@refillops.co