Clinical Tools

Refill Calendar: Fill Dates, Usage and Med Sync

Count days between fills, check over- or underuse against the prescribed rate, project refill dates forward or back, and sync two medications.

Open the Refill Calendar

Runs free in your browser. Calculations happen on your device and are not sent to a server.

What it is for

The Refill Calendar groups five small calculators for tracking fills of controlled and restricted medications. It is useful when reviewing a prescription monitoring report, deciding whether an early refill request fits the prescribed regimen, or lining up refills for a patient on several medications. Each result has a Copy button that copies a plain-text summary.

The five calculators

  • Days between two dates. Gives the exact number of days between any two dates, also shown as weeks plus days and approximate months.
  • Usage calculator. Enter the fill date, an end or pill-count date, pills dispensed, pill strength (mg, mcg or g), and optionally the prescribed pills per day and pills remaining. It returns pills used, average daily dose, average pills per day, and projected monthly totals. With a prescribed rate, it compares actual use with expected use and labels the result as on track (within 3%), or as a percentage of overuse or underuse.
  • Forward refill dates. From a fill date and days supply, it projects the next six refill dates.
  • Reverse refill tracker. From the most recent fill date and the expected days between fills, it estimates when the previous six fills should have occurred.
  • Medication sync. Aligns two medications to a common refill date with a one-time short fill. Enter each medication's last fill date, days supply, quantity dispensed and daily dose. With no preferred date, it aligns to the later of the two depletion dates. It shows the short-fill quantity and days, then a schedule of future fills for each medication.

Interpreting the results

Usage figures assume the pills not counted as remaining were taken during the period, so an accurate pill count improves the estimate. Reverse-tracker dates are expected dates based on a consistent fill interval. Actual fill dates vary, so compare them with the dispensing record rather than treating them as fact.

Limitations

These are arithmetic aids. An overuse or underuse percentage does not explain why a patient's use differs from the prescription. Check short-fill quantities against pharmacy and payer rules for the specific drug.

About PsychoPharmRef

PsychoPharmRef is a free clinical psychopharmacology reference built by Jerad Shoemaker, MD for psychiatrists, residents, and medical students. All tools are evidence-based and designed for point-of-care clinical decision support.

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PsychoPharmRef Clinical Reference | A resource for medical professionals | Page updated October 23, 2026

This tool is intended for educational purposes for healthcare professionals. Clinical decision-making should incorporate individual patient assessment and current guidelines.

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