Why some refills require clinical review
A prescription reflects a clinical decision made for a particular person at a particular time. Before renewing it, a clinician may need to know whether the medication is still being used as intended, whether it helped, whether side effects occurred, and whether the patient's health, other medicines, allergies, or monitoring needs have changed.
Review is not a punishment or a promise that the medicine will continue. It is the process used to decide whether another prescription, a different plan, more information, or another level of care is appropriate now.
What a clinician may review
The clinician may review the exact medication and dose, how it has been taken, the response, side effects, adherence, remaining supply, changes in symptoms or health, other medicines, allergies, monitoring, and relevant laboratory information. The exact review depends on the medicine and clinical situation.
Provide current facts rather than copying an old medication list. If the label, prescriber, pharmacy, or dose has changed, say so. Do not ask an administrative team member or pharmacy to make a clinical decision on the clinician's behalf.
- Medication name, formulation, and labeled dose
- How it is being taken and the remaining supply
- Response, side effects, and missed doses
- New symptoms, diagnoses, allergies, or health changes
- Other prescriptions, over-the-counter medicines, and supplements
- Relevant monitoring, records, or laboratory results
- Current pharmacy and contact information
A refill request is different from a prescription
A refill request asks a clinician to evaluate whether another prescription may be appropriate. It is not a prescription and does not require the clinician to approve the request. A prescription exists only after an authorized clinician completes the necessary review and issues it.
A dose-change request is also a clinical request, not a routine administrative edit. The clinician may decline, defer, request a video visit, request more information, or recommend another form of care.
Who can use the Kosius refill pathway?
The refill pathway is intended for eligible current Kosius patients requesting review of one non-controlled medication where the service applies. It is not a shortcut for a new patient seeking a first prescription or for a new medical concern that requires a different visit type.
If you are not an established Kosius patient for the medication or are unsure which route applies, review the service information before submitting. A new General Consultation may be the appropriate starting point for an unrelated non-emergency concern.
Kosius does not prescribe controlled substances
Kosius does not prescribe controlled substances through its telehealth services. The current-patient refill pathway should not be used to request one. Submitting a request does not create an exception or guarantee an alternative prescription.
Patients should use an appropriate established clinician or in-person care setting for questions that fall outside Kosius scope. Kosius administrative support cannot advise which controlled medication or replacement may be appropriate.
When a video refill visit may be needed
A clinician may require a live video appointment when the decision needs a direct clinical conversation, updated history, assessment of symptoms or side effects, review of adherence or monitoring, or clarification that cannot be handled through submitted information alone.
If a video appointment was selected or scheduled, the patient must join it through Practice Better. Review for that path occurs during and after the completed appointment, not simply because the booking form was submitted. The clinician will not replace the required video visit with an ordinary phone call unless Kosius specifically directs otherwise.
When review may begin without a scheduled appointment
For an eligible No Appointment Needed request, clinical review generally begins after submission and may take up to three business days starting the next business day. This is an expected review window, not a guaranteed completion or prescription time.
The clinician may still request more information, a video visit, monitoring, laboratory results, or another form of care. Do not wait for routine refill processing if you have urgent symptoms or believe you need emergency care.
Pharmacy-generated requests do not replace Kosius review
A pharmacy may send an automated or manual refill request, but that message does not complete the Kosius evaluation process. The clinical team may still need the patient to use the secure portal, update information, pay an applicable visit fee, or attend a scheduled appointment.
The pharmacy request and the clinical decision are separate records. Patients should follow Kosius instructions even when the pharmacy says it contacted the prescriber.
What the pharmacy manages after a prescription
If a clinician issues a prescription, the selected pharmacy manages pricing, inventory, processing, dispensing, substitutions permitted by law, pickup, shipping, and delivery. Kosius cannot guarantee that a pharmacy has a product, accepts a prescription, offers delivery, or completes fulfillment by a specific time.
Contact the pharmacy for medication price, stock, payment, pickup, or delivery questions. Contact Kosius through the secure patient process for questions about the clinical review. Medication and pharmacy costs are separate from Kosius visit fees.
Costs and timing to understand
The current Single Medication Refill Visit is $50 for eligible current Kosius patients when a refill visit is required. A submission pathway that does not require an appointment has its own instructions. Medication, pharmacy, laboratory, delivery, and other future-visit costs are separate unless explicitly stated.
Clinical review timing is not pharmacy fulfillment timing. After a prescription is issued, the pharmacy may still need to process it, confirm inventory, collect payment, or arrange pickup or delivery. Avoid waiting until all medication is gone when the existing care plan provides a responsible time to request review.
When another form of care may be needed
A refill request may reveal a new symptom, worsening condition, monitoring gap, or question outside the original treatment plan. The clinician may recommend a General Consultation, primary care, specialist care, laboratory testing, urgent care, or another in-person setting.
Kosius does not provide emergency care. A refill form, portal message, or scheduled routine visit should never be used in place of 911 or immediate in-person care for a medical emergency.
