How RxScale works
RxScale runs the flow of a self-pay offering under your brand: from the medical questionnaire through medical review to the pharmacy that handles order and shipping. Doctors, pharmacies and your team each work in their own area. The medical decision rests solely with the treating doctor.

The flow in 5 steps
1. Online questionnaire, video consultation or in-person appointment
The patient completes a medical questionnaire on your website, in your design and on your domain. Alternatively, a video consultation or an in-person appointment is possible. If your Shopify shop is connected or you use the RxScale-hosted storefront, the selection lands in the cart, and the medical review follows after payment.
→ More on the questionnaire
2. Medical review
A doctor reviews the answers in the RxScale doctor area, based on the questionnaire alone where medically appropriate. With Shopify and the RxScale-hosted storefront, only paid orders reach the doctor. The doctor judges whether the information is sufficient for a decision.
3. Follow-up questions via chat or video
If the doctor needs more information, they ask follow-up questions via chat or invite the patient to a video consultation. The patient answers directly within the flow.
→ Patient & doctor chat · Secure video consultations
4. Private prescription or decline
If medically appropriate, a private prescription can be created. The doctor makes that decision. If it is not appropriate, the doctor declines and no prescription is created. There is no automatic refund; refunds are handled by the operator.
5. Pharmacy chosen by the patient
The patient can always choose the pharmacy. The pharmacy chosen by the patient handles order and shipping. If you connect your own shop via the API, order status is available via webhook or API.
The modules
Each module has its own page with details.
- Medical questionnaire: an online questionnaire in your design, reviewed by a doctor.
- Patient overview: all relevant patient information in one place.
- Smart appointment scheduling: coordinate appointments without unnecessary calls or emails.
- Secure video consultations: video consultations within the RxScale infrastructure.
- Patient & doctor chat: questions and follow-ups directly between patient and doctor.
- Patient Wallet: a digital patient pass in Apple or Google Wallet.
- Pharmacy Tool: orders, products, inventory and shipping for pharmacies.
- For telemedicine providers: how RxScale supports existing offerings.
For doctors
Doctors work in their own area with the tools they need for the review:
- Review cases: see submitted questionnaires and patient information
- Manage prescriptions: create and manage private prescriptions
- Chat: ask the patient follow-up questions directly
- Video consultation: hold video consultations when the case requires it
You can connect your own doctors and map your own processes. RxScale can also work with licensed doctors.
For pharmacies
Pharmacies work with the RxScale Pharmacy Tool:
- Manage orders: process incoming orders from the RxScale flow
- Inventory and products: maintain products and stock in one place
- Shipping and fulfillment: handle shipping and order fulfillment
- Patient pass: recognize the digital patient pass from Apple or Google Wallet
The Pharmacy Tool can be used without running your own telemedicine offering. Flexible integrations are available for existing merchandise management systems.
→ Pharmacy Tool · Pharmacies
For your team
Your team manages the offering in the admin portal and connects your own systems:
- Admin portal: orders, patients, prescriptions and reporting in one place
- Questionnaires: customize them yourself in the Admin Tool; your account manager supports you at launch
- Management API: build your own integrations, documented at https://docs.rxscale.com/
- Webhooks: notify your systems of new and updated orders and stock changes (
pharmacy_order_created,pharmacy_order_updated,pharmacy_sku_stock_updated) → https://docs.rxscale.com/webhooks/events - Shop integration: RxScale works with all shop systems.
Appearance, domain and patient communication are adapted to your brand. RxScale engineers handle the setup together with you. Live in 14 days once all content is in place.
→ Documentation and integrations
What it costs
A one-time setup fee of €2,500 net, then per enquiry, meaning per submitted questionnaire. Prices per plan are on the pricing page.
→ See pricing
Frequently asked questions
Who makes the medical decision?
Solely the treating doctor. RxScale provides the technical infrastructure: questionnaire, chat, video, prescription management and transmission to the pharmacy chosen by the patient. Whether a private prescription is created is decided by the doctor after reviewing the answers.
Does the patient always need a video call?
No. The patient completes a medical questionnaire. Alternatively, a video consultation or an in-person appointment is possible. If the doctor needs more information, they ask follow-up questions via chat or invite the patient to a video consultation. Where medically appropriate, the questionnaire is sufficient. The doctor decides which route a case requires.
Who chooses the pharmacy?
The patient can always choose the pharmacy. The pharmacy chosen by the patient handles order and shipping. If it uses the RxScale Pharmacy Tool, it manages these orders there and can recognize the digital patient pass from Apple or Google Wallet.
Which prescriptions are handled?
Private prescriptions from the RxScale flow. RxScale is built for self-pay offerings: if medically appropriate, the private prescription can be created digitally within the flow and sent to the pharmacy chosen by the patient.
How is billing handled?
Every plan requires a one-time setup fee of €2,500 net. After that, billing is per enquiry, meaning per completed and submitted questionnaire, not per patient. The price per enquiry for each plan is on https://www.rxscale.com/pricing.