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Prescribing API Pricing

Outcome-based pricing: you pay for the physician's review, priced by what the review delivered. No platform fees, no per-prescription charges. Your patient is never charged by Appendix.

How Pricing Works

Pay per completed review

One fee each time a board-certified physician completes a review. Complete reviews — where the physician established care with a prescription, clinical advice, or a lab or imaging order — and incomplete reviews are priced differently.

Nothing charged until review

Nothing is charged at submission or consent, and a request your user never consents to costs nothing. Reviews draw from a prepaid credit balance with optional auto-refill. Sandbox (test key) submissions are always free.

Current per-review rates are listed in the pricing & credits documentation.

Every review includes

Review by a licensed, board-certified U.S. physician
E-prescriptions to any pharmacy in the U.S.
OAuth-style patient consent and identity verification
Signed outcome webhooks and polling
Free sandbox with instant test keys

Volume Pricing

Contact us at hello@appendix.com for flexible volume pricing based on your use case and expected monthly volume.

Start in the sandbox — free

Self-issue a test key and integrate against simulated physician decisions before requesting production access.

For individuals & families

Not building an app? Use Appendix yourself — connect your own AI and get physician review with a monthly membership.

Individual & family pricing