Utah pilot
Prescription renewals from home
Approved by Utah, the pilot will test AI-assisted renewals for adult Utah residents who are on stable treatment and staying on the same dose.
- Who it's for
- Adult Utah residents
- Clinical review
- Final check by a clinician
- Planned fee
- $4 per refill
The pilot
Same medicine, same dose.Renewed without the runaround.
Running out of refills shouldn't mean phone tag with your clinic or waiting on an appointment. You ask for a renewal online and August checks your prescription and health history. At launch, a clinician reviews every request. Once it's clinically approved, it goes straight to your pharmacy.
We're starting in Utah, with adults on stable treatment who are renewing a medicine they already take.
Renewals are routine, well-documented work, and that's the point. AI scribes gave physicians back the hours they spent on notes; August applies the same logic to refills, so clinicians' time goes to the cases only they can handle. This isn't an “AI doctor”. It's AI doing a cataloged, routine task, with a clinician accountable for the outcome.
In short
AI does the checking.A Utah-licensed clinician has the final say.
Approved under Utah's AI regulatory framework after five rounds of external physician review.
Press contact
[email protected]Watch
See the pilotin action
What to expect
The pilotin numbers
- Planned service fee per refill. Included with an August Care membership.
- $4Planned service fee per refill. Included with an August Care membership.
- Proposed time limit for reviewing a request, in business days
- 1 dayProposed time limit for reviewing a request, in business days
- Days of medicine in the longest approved refill. Others cover 30 or 60 days.
- 90Days of medicine in the longest approved refill. Others cover 30 or 60 days.
- Clinical checks on every request, ending with a clinician's review
- 5Clinical checks on every request, ending with a clinician's review
Clinical review
What David's renewalwould look like
David* is a 44-year-old man who has been taking atorvastatin for the past three years to manage his cholesterol. His request would still go through every clinical check, even though his medicine and dose aren't changing.
*David is a fictional patient.
Example patient
David's atorvastatin
He recently started another medicine, and his prescription is out of refills.
His requestSame medicine, same dose
David shares his details
From home, he confirms who he is and sends a clear photo of his current prescription label.
August checks his records
August makes sure his prescription and treatment plan match what's in his health records.
David answers a few health questions
August asks about symptoms, side effects and allergies. It also checks his new medicine for interactions and looks at any required test results.
August checks the pilot rules
David is an adult living in Utah, and his atorvastatin is a Cohort 1 medicine, covered from launch. His treatment is stable and he's staying on the same dose, so his request moves ahead.
Children and anyone who's pregnant can't take part. The pilot also doesn't cover controlled drugs, injectables, antibiotics or medicines for acute or short-term illness.
A clinician does the final check
In Phase 1 of the pilot, a clinician will review every decision before David hears back. A Utah-licensed clinician is responsible for any approved refill.
If it's approved
- His prescription goes to the pharmacy he chose.
- The pharmacy decides when his medicine is ready.
If he needs more care
- David finds out what to do next.
- He may need to share more information or see a clinician. A visit costs extra.
What comes next
Three phases.Oversight narrows only as evidence builds.
Phase 1 · Launch
A clinician reviews every decision
Nothing reaches a patient until a clinician has reviewed it. Cohort 1 medicines only.
Phase 2 · With evidence
Review narrows as the data holds up
Clinician review narrows as independent evaluators validate the pilot's results and Utah approves each step.
Phase 3 · End state
August handles routine renewals
The AI handles routine renewals on its own, and physicians spot-check 5% of its decisions.
Every step needs validated results, clinical requirements and Utah's approval.
About August
What we doat August
August is an AI health companion built over four years. It answers health questions using a person's full health history, with licensed clinicians in all 50 states, labs and medication delivery behind it. 9 million people in 160 countries have used it.
Membership is a subscription that includes a free clinical consultation every month. The Utah pilot will add prescription renewals for medicines people already take. Next, August plans to add proactive administrative support: scheduling, appointment prep and lab tracking.
Visit August9M+
users in 160 countries
Virtual patient actor model
A practice patient tells August they're tired.
August's virtual patient actor model creates practice cases like this one to test the questions August asks and the health information it collects.
When did it start?
“About three weeks ago.”
How are you sleeping?
“I keep waking up at 3 am.”
Anything new lately?
“I started a new job with long hours.”
The team
The people behind the pilotClinicians and product leads at August are building it.
Dr. Trushar Dungarani
Chief Clinical Officer, DO, SFHM
Clinical leadership
Anuruddh Mishra
Founder & CEO
Product leadership
Dr. Anuruddh Misra
Medical Advisor, MD, FACP
Clinical advice
Dr. Deep Bhatt
Product Specialist, MBBS
Medical science
Samarth Sharma
Data Science
AI and data
For the press
Media contact
Want to learn more about the Utah pilot?
We can arrange interviews with the August team, answer questions about the pilot and share additional details with members of the press.
August press team
[email protected]Pilot overview
Utah and August AI are partnering to test AI-assisted prescription renewals for adult Utah residents with stable treatment at an unchanged dose. In Phase 1, clinicians review every decision before it reaches the patient. The pilot is designed to progress, with independent evaluation and Utah's approval, toward AI handling routine renewals with physicians spot-checking 5% of decisions. Medicines are introduced in three risk cohorts, starting with the lowest-risk. The service fee is $4 per refill, or included with an August Care membership. The pilot was approved under Utah's AI regulatory framework after five rounds of external physician review. Access and medicine availability depend on pilot rules.
About August
August is an AI health companion founded four years ago. It answers patient questions using their full health history, with telehealth in all 50 states, labs and medication delivery behind it. 9 million people across 160 countries have used August. The company is backed by Accel.
Key dates
- February 2026: discussions with Utah begin
- Five rounds of external physician review
- Pilot approved under Utah's AI regulatory framework
- Phase 1 launch: date to be confirmed
- 12-month pilot, with monthly reports to Utah
- Independent evaluation before any move to Phase 2 or 3
Common questions
Everything you need to know about the pilot: who it's for, eligible medicines, safety, cost and how it works.
$4 per refill, or included with an August Care membership. Your medicine costs extra, and so does a clinician visit if you need one.
“Included” means there's no per-refill fee and no cap on eligible renewals while your membership is active. Every renewal still goes through the clinical checks and the pilot's rules, including limits on how many times a medicine can be renewed before a clinician visit.
You confirm who you are, send a clear photo of your current prescription label and answer a few health questions. August runs five clinical checks: your prescription and treatment plan match your records, no medicine interactions, your symptoms, side effects, allergies and required test results, and the pilot rules. A clinician does the last check and reviews every decision in Phase 1.
Anything unclear or outside the rules goes to a clinician, and repeat AI refills have limits. We aim to review within one business day. If it's approved, the prescription goes to the pharmacy you chose, which decides when your medicine is ready.
Medicines come in three risk cohorts. Cohort 1, available from launch, covers the lowest-risk medicines, such as frontline treatments for diabetes, high blood pressure and high cholesterol. Later cohorts add higher-risk medicines as the pilot's results support it.
Controlled drugs, injectables, antibiotics and medicines for acute or short-term illness aren't included. Whether yours qualifies depends on the pilot's active medicine list, what you take it for and your clinical checks.
Adults living in Utah who are on stable treatment and want to renew an included medicine they already take, at the same dose. It isn't open to children or anyone who's pregnant.
There's no public launch date yet. We'll announce it here and through the press team.
Yes. Utah approved the pilot under its AI regulatory framework after five rounds of external physician review. We've been working with the state since February 2026.
No. Utah's approval lets the pilot run under the state's AI regulatory framework, with monthly reporting and the state's sign-off on any change to how reviews work. Approval to run a pilot isn't a state endorsement of August.
No. Controlled drugs are excluded, along with injectables, antibiotics and medicines for acute or short-term illness. The service also won't start a new medicine or change a dose.
Those go to a clinician. The pilot only renews medicines you already take, at the same dose. If your request isn't approved, we'll tell you what to do next. You might need to send more information or see a clinician, and a clinician visit costs extra.
No. This isn't an “AI doctor”. It only renews medicines you already take, at the same dose, and a clinician stays accountable for every approved refill.
Not at launch. In Phase 1 a clinician reviews every decision. The pilot is designed to move, with independent evaluation and Utah's approval, toward a final phase where August handles routine renewals and physicians spot-check 5% of its decisions.
Some coverage calls this an “autonomous refill” pilot. That describes the end state, not the launch.
Independent external evaluators will validate the pilot's data, and we report to Utah every month on safety, refill times and patient experience across the 12-month pilot. The evaluators are being appointed.
Yes. That's the core use case: an included medicine you already take that has run out of refills and needs a renewal at the same dose.
We won't sell your health data or use it for advertising. We may use it to run, monitor and improve the service, as the law allows. We're building the pilot to follow HIPAA.
This isn't emergency care. If you have severe symptoms or a medical emergency, call 911 or go to the nearest emergency room.