Online prescription refills in Texas — reviewed by a board-certified MD.
If you live in Texas and are stable on a chronic medication, you can request a refill online without an appointment. A board-certified Internal Medicine physician, personally licensed in Texas (Texas Medical Board, license U1614), 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 Texas 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 to Texans.
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 Texans on exactly the medications that are most dangerous to interrupt end up at urgent care for a routine refill, or worse, 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 Texas 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.
Is this allowed under Texas law?
Yes, and Texas is unusually explicit about it. Texas Occupations Code Chapter 111, as amended by Senate Bill 1107 in 2017, sets out how a physician may establish the practitioner-patient relationship required before prescribing. One of the permitted methods is asynchronous store-and-forward technology, where the physician reviews the patient's relevant medical records — including prescriptive history — rather than conducting a live video visit.
That is exactly how Dr. Refills works. Your medication history is verified, a Texas-licensed physician reviews the case against the standard of care set out in Section 111.007, and the prescription is issued or declined on that basis. The same framework is mirrored in Texas Medical Board rules at 22 Texas Administrative Code § 279.16.
Texas separately prohibits prescribing pain management treatment through telemedicine and restricts controlled substance prescribing. Neither applies here, because Dr. Refills does not prescribe controlled substances or treat pain conditions under any circumstances.
You can verify the reviewing physician's Texas license independently through the Texas Medical Board, and NPI 1578976270 through the NPPES registry. Both are linked from our licensure page.
How it works for Texas 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 licensed in Texas 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 Texas, usually within an hour of payment.
What it costs, compared to the alternatives in Texas
| 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 Texas
Dr. Refills serves patients anywhere in Texas — Houston, San Antonio, Dallas, Austin, Fort Worth, El Paso, Arlington, Corpus Christi, Plano, Laredo, Lubbock, Irving, Garland, Amarillo, Brownsville, McAllen, and every smaller community in between. Because everything happens asynchronously, rural patients in West Texas or the Panhandle get exactly the same turnaround as someone in downtown Dallas.
Prescriptions can be sent to any pharmacy licensed in Texas, including H-E-B, Kroger, Tom Thumb, CVS, Walgreens, Walmart, Costco, Brookshire's, independent pharmacies, and mail-order services.
Who this is built for
- Texans 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 Texas and have not yet established care locally
- Gig workers, contractors and self-employed Texans 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 Texas?
Board-certified MD review · From $59 · No appointment needed
Start my refill requestCommon questions from Texas patients
Yes. Texas Occupations Code Chapter 111, as amended by Senate Bill 1107 in 2017, allows a physician to establish the practitioner-patient relationship required for prescribing through asynchronous store-and-forward technology, using the patient's relevant medical records including prescriptive history. That is precisely how Dr. Refills operates. The reviewing physician holds an active Texas medical license (Texas Medical Board, license U1614).
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 Texas. Prescriptions are sent through the standard e-prescribing network, so CVS, Walgreens, Walmart, H-E-B, Kroger, Costco, Tom Thumb, independent pharmacies and mail-order pharmacies 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. Texas also prohibits prescribing pain management treatment by telemedicine. 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.