RefillGuard by RxHealing
- Checked on the 1st
- Every patient, every month
- Waitlist open
Illustration, not actual patients. Each card is a patient. Tap the cards to run a check.
Stay refill ready.
RefillGuard will check every patient's insurance every month, so you get the new card before the refill, not at the counter. Launching soon.
No sign-up needed for the demo.
Are you a patient? Upload your new insurance card for your pharmacyof every month, we check every patient with their insurer.
to patients whose coverage changed, included in every plan.
signed with every account, and an encrypted portal.
from your dispensing system, so new patients are checked too. Launching soon.
Every patient, checked on the 1st.
This is what a monthly check could look like for a sample store, the moment it finishes.
Main Street Pharmacy
| Dolores M.DOB 03/14/1952 | Humana Medicare Advantage | Checking |
| Walter K.DOB 11/02/1947 | UnitedHealthcare Medicare Advantage | Checking |
| Rosa T.DOB 07/21/1961 | Indiana Medicaid | Checking |
| June P.DOB 01/30/1958 | Anthem Blue Cross | Checking |
| Earl S.DOB 05/09/1944 | SilverScript Part D | Checking |
Ask a PharmD: Whiteboard Wednesday with Hai Thai
Every Wednesday at 3 pm ET, Hai Thai, PharmD, RxHealing’s full-time Chief Clinical Officer, runs a live clinic for pharmacy owners and pharmacists. This isn’t a sales call. Bring your clinical questions, plus anything about insurance protection, remote care, credentialing and surplus drug sales. Up to an hour, and it ends early if the questions run out.
Your staff keeps filling. We handle the checking.
Send us your patient list
Upload the export your pharmacy system already makes. Our team helps with the first one and sets up a secure monthly update.
We check every patient on the 1st
We ask each insurer whether the coverage on file is still active, for every patient, every month.
You get the new card first
You get a report of who changed plans or lost coverage. We text those patients, and our team calls you to walk through the list.
Coverage changes every month.
January is the biggest wave, not the only one. Checking monthly keeps patients and revenue protected all year.
Illustration of a typical store. Example only, not actual data.
Open enrollment runs October 15 to December 7, and Medicare Advantage members can switch again from January 1 to March 31.
About 10,000 Americans turn 65 every day, often leaving an employer plan.
Medicaid renews member by member all year, and new jobs and employer plan years change commercial coverage without warning.
The new card comes to you.
When a patient's coverage changes, we text them for a photo of their new card. It lands in your portal before they're back for a refill.
- Every text starts with your pharmacy's name and comes from (844) GUARD-70
- Patients reply with a photo. No app, no login
- Anyone can opt out by replying STOP
New card received
What it's worth to your store.
Every coverage change you catch early is a claim that goes through and a patient who doesn't walk away.
Adjust the other assumptions
in fills kept and staff time saved
Based on 225 coverage changes a year.
One price per location.
This is what RefillGuard will cost once it connects to your dispensing system. Pick the plan that fits how many active patients you fill for. Nobody is charged while RefillGuard is on the waitlist.
Starter
Up to 500 active patients
- Monthly check of every patient
- Coverage report and a call from our team
- Texts to patients for a new card
- December outreach to Part D patients
Standard
Up to 1,500 active patients
Most popular- Everything in Starter
- Three times the patients
- Room to grow without changing plans
Plus
Up to 2,500 active patients
- Everything in Standard
- Built for high-volume stores
- Over 2,500 patients: $25 per extra 100 patients
Choose Plus and add $25 per extra 100 patients.
Own 2 to 9 stores? Add them all in one checkout and take 10% off every location.
Enterprise pricing for groups with 10 or more stores. Talk to us and we'll put it together.
There's no free trial and no free plan, because every insurance check has a real cost. Instead, every plan comes with a 30-day money-back guarantee.
Everything's included in every plan
Patient texting included in every plan. No per-text fees. No per-check fees. Month to month.
Prices are per location, per month, at launch. You won't be charged anything while you're on the waitlist: RefillGuard opens pharmacy by pharmacy as each dispensing system is connected, and we'll reach out when yours is ready. Join the waitlist
RefillGuard is launching soon.
Join the waitlist and we'll reach out when RefillGuard connects to your dispensing system. The pricing above is what you'll pay at launch, not before.
Why a waitlist? RefillGuard works from a live feed of your new patients, straight from your dispensing system, so every patient is checked, including the ones who start with you this week. We're integrating with dispensing systems like PioneerRx one at a time, and RefillGuard opens for each pharmacy as its system is connected. Tell us which one you use and we'll start there.
Joining is free. There's nothing to buy or sign, and you can leave the list at any time.
From waitlist to your first monthly check
- Join the waitlist and tell us which dispensing system you use. It's free.
- We integrate with your dispensing system, so new patients reach RefillGuard automatically and nobody slips through.
- We reach out when it's connected. You pick a plan at the prices above, sign a BAA, and your first monthly check runs.
Nobody is charged while you're on the waitlist, and there's no date to promise: it depends on when your system is connected.
Ask your dispensing system provider to integrate with RefillGuard.
Dispensing system companies build the integrations their pharmacies ask for. A short note from you to your provider's support team or account rep moves your system up their list, for you and every pharmacy that uses it.
Subject: Integration request: RefillGuard by RxHealing
Fill in the waitlist form and your pharmacy's details appear in the message. Send it to your provider's support or account rep. It shares no patient information.
GotCreds · also from RxHealing
Bill medical plans for your services? Get credentialed.
Vaccines, test-and-treat and clinical services are billed to the medical side of a plan, and that takes separate enrollment. GotCreds handles it. You answer one questionnaire, and we submit to every payer and make every follow-up call.
- Medicare Part B, state Medicaid and commercial plans
- Every application error-checked before it's submitted
- Flat pricing from $89 per enrollment, never a cut of your reimbursements
Turning away Medicare flu shots? That’s just one payer.
For Medicare patients, flu, pneumonia and hepatitis B shots are covered by Medicare Part B, not Part D. They don't go through your PBM. If your pharmacy isn't enrolled in Part B, Medicare doesn't pay you for them at all.
Add up every payer
Medicare Part B is just one plan. Turn on the payers you'd enroll with and adjust the numbers to fit your pharmacy.
Estimates for planning only, not a guarantee of payment. Medicare Part B uses the 2026 national vaccine administration rate; actual payment varies by location, and the vaccine itself is paid on top. Medicaid rates are set by each state and range from $0 to about $21 per shot; the $13 default is the national median for pharmacies, and your state may pay more or less. Medicaid managed care, Medicare Advantage and commercial plan payments depend on each plan's contract. Whether a state or plan pays for test-and-treat and other pharmacist services depends on your state's laws and the plan. Payer fees, like Medicare's $750 fee for pharmacies in 2026, are separate.
Good questions, straight answers.
Why is RefillGuard on a waitlist?
RefillGuard needs a live feed of your new patients from your dispensing system, so every patient is checked, including the ones who started with you this week. We're integrating with the dispensing systems pharmacies use most, one at a time. Join the waitlist, tell us which system you use, and we'll reach out when RefillGuard connects to it.
What will RefillGuard cost?
One price per location, per month, at launch: Starter (up to 500 active patients) $199, Standard (up to 1,500) $349 and Plus (up to 2,500) $599, plus $25 per extra 100 patients over 2,500. Own 2 or more stores? 10% off every location. 10 or more locations get enterprise pricing. Patient texting is included in every plan. There's no free trial or free plan, and every plan has a 30-day money-back guarantee. Nothing is charged while you're on the waitlist. See pricing at launch.
Can we help RefillGuard reach our pharmacy sooner?
Yes. Ask your dispensing system provider to integrate with RefillGuard by RxHealing. Providers build the integrations their pharmacies ask for, so a short note to their support team or your account rep helps. Copy our ready-made request or open it in your email.
Which insurance do you check?
Every month we check Medicare Advantage, Medicaid and commercial coverage with each patient's insurer. Standalone Part D plans can't be checked the same way, so every December we reach out to those patients about plan changes. Automated Part D checks are on our roadmap.
Who contacts the patient?
We text patients whose coverage changed and ask for their new card, with a simple way to opt out. Texts come from (844) GUARD-70, which is (844) 482-7370, and start with your pharmacy's name. Patients who'd rather not text a photo can upload it securely at refillguard.com/card. Texting is included, and the photo they send back appears in your portal. See what patients see.
How is patient information protected?
You sign a Business Associate Agreement before any patient information is shared. Data is encrypted in storage and in transit, and each pharmacy sees only its own patients.
When does RefillGuard launch?
It opens pharmacy by pharmacy as each dispensing system is connected, so there's no single date. Joining the waitlist is free and there's nothing to buy. We'll reach out when RefillGuard connects to your system.
What if it isn't a fit?
Every plan is month to month with a 30-day money-back guarantee.
See it first. Then join the waitlist.
Want to see it first? The live demo takes two minutes, no call needed. Questions about the waitlist? Ask us anything.