Online prescription refills in Florida — reviewed by a board-certified MD.
If you live in Florida and are stable on a chronic medication, you can request a refill online without an appointment. A board-certified Internal Medicine physician, registered with the Florida Department of Health as an out-of-state telehealth provider (registration TPME4194), reviews every single request — not a nurse line, not an algorithm, and not a rotating panel of contractors you never hear from again.
$59 flat for a 30-day supply of all your medications · $79 for 90 days · No insurance required · No charge if not approved
Medications most online refill services in Florida won't touch
This is the part worth reading carefully, because it is where Dr. Refills differs from nearly every other online refill option available in Florida.
Most low-cost refill services explicitly exclude medications that require close monitoring, and they cap each request at three to six medications. If you take a blood thinner, use insulin, or are on a GLP-1, those services turn you away — which is how patients on exactly the medications that are most dangerous to interrupt end up at urgent care for a routine refill, or rationing doses until they can get an appointment.
Dr. Refills reviews all three categories, as same-dose continuations, with a physician reading every case:
Anticoagulants and antiplatelets
Apixaban (Eliquis), rivaroxaban (Xarelto), clopidogrel (Plavix), ticagrelor (Brilinta), dabigatran (Pradaxa) and edoxaban (Savaysa) — continued at your current dose if you have been stable on it for at least three months. Every request is screened for recent bleeding, recent surgery, and new symptoms such as unusual bruising, black stools or blood in the urine. Any recent bleeding event, including an emergency room visit for bleeding, means the request is declined rather than approved. Warfarin (Coumadin) is not eligible at all, because safe warfarin dosing depends on INR monitoring that cannot be done asynchronously.
Basal insulin for Type 2 diabetes
Insulin glargine (Lantus, Basaglar, Semglee, Toujeo), detemir (Levemir), degludec (Tresiba) and NPH — continued at the same dose for Type 2 diabetes patients stable on that dose for at least three months. Type 1 diabetes and any history of diabetic ketoacidosis are not eligible. Mealtime, sliding-scale and premixed insulins fall outside this protocol.
GLP-1 and GIP agonists
Semaglutide (Ozempic, Wegovy, Rybelsus), tirzepatide (Mounjaro, Zepbound), dulaglutide (Trulicity) and liraglutide — continued at your current dose only. Dr. Refills does not start these medications and does not titrate doses up or down. This is a physician refilling an FDA-approved medication you are already established on, sent to your own Florida pharmacy. It is not a compounded-peptide seller or a weight-loss program.
Every one of these is a same-dose continuation. Dr. Refills never starts a new medication, never changes a dose, and never prescribes controlled substances. If your dose needs to change, that belongs with the physician who manages it. If you are having a medical emergency, call 911 or go to an emergency department.
How this works under Florida rules
Florida created a specific pathway for this in section 456.47, Florida Statutes, enacted in 2019. It allows a health care practitioner licensed in another state to deliver telehealth services to Florida patients after registering with the Florida Department of Health, provided the practitioner maintains an active out-of-state license and professional liability coverage for services to Florida patients, and designates a registered agent in Florida.
Dr. Nyotowidjojo holds registration TPME4194 under that pathway. Florida issues a registration number rather than a license for out-of-state telehealth providers. Practically, that means telehealth care for Florida patients is authorised, and in-person care in Florida is not offered. Prescriptions are sent to Florida-licensed pharmacies.
How it works for Florida patients
- Answer a few questions about the medication you already take — about three to five minutes from your phone, any time of day, seven days a week.
- A physician authorised to practise in Florida reviews your request personally, verifies your prescription history, and applies the same screening criteria described above.
- You only pay if it is approved. If the request falls outside scope — a dose change, a new medication, an unstable situation — you are told why and not charged.
- Your prescription is sent electronically to any licensed pharmacy in Florida, usually within an hour of payment.
What it costs, compared to the alternatives in Florida
| Option | Typical cost | Medications covered |
|---|---|---|
| Dr. Refills (30-day) | $59 flat | Unlimited, including anticoagulants, insulin, GLP-1s |
| Dr. Refills (90-day) | $79 flat | Unlimited, including anticoagulants, insulin, GLP-1s |
| Urgent care visit | $150–$250 | Varies; often requires a full visit for a routine refill |
| Emergency department | Substantially more | Not an appropriate setting for a routine refill |
The fee covers the physician review and the prescription only. The medication itself is paid separately at your pharmacy, where you can use insurance, a discount card, or cash — whichever is cheapest. The Dr. Refills fee is HSA and FSA eligible.
To be straightforward about it: if you take one simple generic medication and nothing else, there are cheaper online options than Dr. Refills, and you should use them. If you are on an anticoagulant, on insulin, on a GLP-1, or juggling several chronic medications at once, there generally are not.
Available across Florida
Dr. Refills serves patients anywhere in Florida — Jacksonville, Miami, Tampa, Orlando, St. Petersburg, Hialeah, Port St. Lucie, Cape Coral, Tallahassee, Fort Lauderdale, Naples, Sarasota and communities across the Panhandle and the Keys. Because everything happens asynchronously, rural patients get exactly the same turnaround as someone downtown.
Prescriptions can be sent to any pharmacy licensed in Florida, including CVS, Walgreens, Publix, Winn-Dixie, Costco, Walmart, Sam's Club, independent pharmacies and mail-order services.
Who this is built for
- Florida residents between jobs or between insurance plans who lost access to their prescriber
- Patients whose primary care physician retired, moved, or is booked out for months
- People who moved to Florida and have not yet established care locally
- Gig workers, contractors and self-employed people without employer coverage
- Patients on several chronic medications who do not want to pay per medication
- Anyone who needs a bridge refill while establishing care with a new primary care physician
Dr. Refills is a bridge, not a replacement for primary care. If you do not have a regular physician, establishing one remains important for monitoring, labs and everything that falls outside a same-dose refill.
Out of refills in Florida?
Board-certified MD review · From $59 · No appointment needed
Start my refill requestCommon questions from Florida patients
Yes. The reviewing physician holds an active telehealth provider registration in Florida (Florida Department of Health, Out-of-State Telehealth Provider Registration, TPME4194) and reviews every request personally. Dr. Refills prescribes no controlled substances, starts no new medications and changes no doses — every prescription is a same-dose continuation of a medication you are already established on.
Yes, if you have been stable on the same dose for at least three months. Most low-cost online refill services exclude anticoagulants because they require close monitoring. Dr. Refills reviews them individually. Warfarin (Coumadin) is not eligible because it requires INR monitoring.
Basal insulin for Type 2 diabetes and GLP-1 or GIP agonists such as semaglutide and tirzepatide can be continued at the same dose if you have been stable on that dose for at least three months. Dr. Refills does not start these medications and does not titrate doses. Type 1 diabetes and any history of DKA are not eligible.
$59 flat for a 30-day supply or $79 for a 90-day supply, covering any number of chronic medications in one request. There is no charge if the refill is not approved. The medication itself is paid separately at your pharmacy.
No. Dr. Refills is cash-pay only and does not bill insurance. The flat fee is HSA and FSA eligible. At the pharmacy you can use insurance, a discount card, or cash for the medication itself, whichever is cheapest.
Any pharmacy licensed in Florida. Prescriptions are sent through the standard e-prescribing network, so CVS, Walgreens, Publix, Winn-Dixie, Costco, Walmart can all receive them.
Most requests are reviewed the same day. Once approved and paid, the prescription typically reaches your pharmacy within an hour.
No controlled substances of any kind, no new medications, no dose changes, no antibiotics, and nothing for an acute or undiagnosed condition. Dr. Refills only continues established chronic medications at the dose you are already taking.
This page is general information about a medical service, not medical advice. It does not create a physician-patient relationship. Do not start, stop or change any medication based on this page. If you are experiencing a medical emergency, call 911.