Rupa Health is closing. Fullscript, which bought Rupa in October 2024, made Rupa view-only for every provider on October 30, 2026, and the Rupa login closes for practitioners and patients on January 20, 2027. Practitioners can move their Rupa data to labs on Fullscript, where practitioner accounts are free, or order elsewhere, but should move or download what they need before January 20.
This guide is for practitioners, clinics and wellness businesses that still have patients, results or open orders on Rupa. It covers what has already changed, what moves to Fullscript and what doesn’t, the dates that matter, and the options for where to order next. Every date and fee below comes from Rupa or Fullscript’s own pages, linked in the sources.
Is Rupa Health Shutting Down?
Yes. Fullscript announced its acquisition of Rupa Health on October 10, 2024, with terms not disclosed, and said Rupa’s labs would be merged into Fullscript’s platform. Starting in spring 2026, Fullscript invited practices to move in phases, each with a two-week window.
That phased period is over. Fullscript’s support center says that “starting October 30, 2026, Rupa Health is view-only for all providers”. A view-only account can see past orders, financial information and results, and can download results, but cannot place new orders. The Rupa homepage now says the Rupa login “closes January 20, 2027 and continues on Fullscript.”
So if you are reading this in November 2026, you are no longer ordering on Rupa. Your remaining jobs are getting your data and your patients’ open orders to wherever you’ll order next.
What Are the Key Dates?
Fullscript publishes these dates in Rupa closes January 20, 2027: key dates and next steps and its in-progress orders guide.
| Date | What happens | Applies to |
|---|---|---|
| October 30, 2026 | Rupa became view-only for all providers. New orders go through Fullscript. | Everyone |
| December 4, 2026 | If you haven’t moved, patients with unpaid or in-progress orders get an email with deadlines and refund instructions. | Practitioners who haven’t moved |
| December 23, 2026 | Unpaid Rupa orders are canceled after this date. | Practitioners who haven’t moved |
| December 31, 2026 | Rupa University login closes. Recorded videos can’t be downloaded. | Everyone |
| January 6, 2027 | Recommended last day for blood draws and specialty sample shipments. Fullscript calls this a recommended date, not a cancellation date, but samples collected later risk results not arriving before the Rupa login closes on January 20. | Practitioners who haven’t moved |
| January 20, 2027 | Rupa login closes for practitioners and patients. Paid but uncollected orders are canceled if you haven’t moved. Open orders for New York, New Jersey and Rhode Island patients are canceled and refunded. | Everyone |
Patients with open orders who want a refund should request it by January 20, 2027 through Fullscript support.
Refunds
Fullscript’s key dates article sets out who can get money back:
- Orders paid within the last 365 days (180 days for ACH payments) are eligible, provided the lab hasn’t received the sample.
- Expired kits that were never collected still qualify if the order falls inside that window.
- Processing, Physician Services and shipping fees aren’t refundable, and some tests are final sale.
- Orders for patients in New York, New Jersey or Rhode Island are refunded in full.
The article lists 1-888-488-8153 and [email protected] for refund questions. Rupa orders follow Rupa’s original refund policy.
What Moves to Fullscript Automatically?
When you move your account, Fullscript says your Rupa data transfers automatically. The move itself takes a few minutes. The listed data includes:
- Order history and test results
- Patients
- Scheduled lab orders
- Favorites, custom panels and bundles
- Preferred phlebotomists
- Results notification preferences
- Text snippets
Patients find transferred results in the Labs tab of their Fullscript account as “the original PDF report from the lab”. Tests that were already in progress at a lab keep going there, and the results appear in Fullscript.
What Doesn’t Move, or Has to Be Set Up Again?
Several things need your attention after the move.
- Custom fees. Fee settings don’t carry over. You set a fee name and amount again during setup. Fullscript applies custom fees per lab company, adds them to your regular Fullscript payout (every 30 days by default), and its ordering and payment article says it applies a 5% processing fee to custom fees. Past Rupa custom-fee payouts stay in your Rupa Stripe Express account.
- Labshops. Panels and bundles transfer, but the Labshop configuration doesn’t. You rebuild the featured tests, fees, descriptions and logo in a Fullscript storefront, where patients see one bundled price at checkout. The old Labshop link does not redirect on its own. You request a redirect from [email protected].
- EHR connections. Reconnecting your EHR is listed as a setup task, and Fullscript says your Rupa integration must be set up again.
- Scheduled orders. They transfer, but you re-enter payment details before they can be placed.
- Signing practitioner. Rupa Physician Services becomes Fullscript’s authorization network. Former users see the opt-in when they move. The fee is $9.50 per test or panel (Rupa charged $10 per kit), and you recommend tests from a curated list that a signing clinician reviews.
- Patient notifications. On Fullscript, patients can see results in their account as soon as they’re available, but they aren’t emailed until you or your staff share the results. Your Rupa results notification preferences transfer, so check how they map before results start coming in.
- New York, New Jersey and Rhode Island orders. Open Rupa orders for patients in these states can’t transfer. You send new recommendations on Fullscript.
Fullscript has not published a full list of anything else that stays behind. If a part of your workflow isn’t listed above, ask Fullscript support before January 20.
How Do Fees Change on Fullscript?
| Fee | Rupa | Fullscript |
|---|---|---|
| Practitioner account | Free | Free |
| Patient service fee | 7% on labs | 3% on specialty tests only. Not charged on blood labs or orders in NY, NJ or RI. |
| Quest blood draw | $10 flat | $10 flat |
| Signing practitioner | $10 per kit (Rupa Physician Services) | $9.50 per test or panel (authorization network) |
| Practitioner custom fee | Paid after results were delivered | 5% processing fee; added to your next payout when the requisition is generated (blood draws) or the kit ships (specialty) |
Sources: Rupa homepage, Fullscript move page, Fullscript ordering and paying for lab testing, Labshops article, Rupa Physician Services, custom fee management.
Does Fullscript Have the Same Tests as Rupa?
Fullscript hasn’t published a test-by-test comparison. Its move page says practices are invited “once the specific tests and features your practice relies on are live,” and Fullscript Labs lists more than 2,500 blood labs and specialty tests under one login. An August 2025 Rupa update said the labs practitioners rely on would cost “the same price, or lower on Fullscript.”
Before you send your next batch of orders, search your ten most-used tests in the Fullscript catalog. If one is missing, that’s your signal to look at the alternatives below for that test.
A Checklist Before January 20, 2027
- This week: Log in to Rupa and list every open order (unpaid, paid but uncollected, and in progress at a lab). Note any patients in New York, New Jersey or Rhode Island.
- By December 4, 2026: Move your data to Fullscript if any patients have open orders. Confirm your license, NPI and team emails are current first, since lab access on Fullscript depends on each lab’s rules for your state, license and NPI.
- Right after moving: Reset custom fees, rebuild any Labshop as a Fullscript storefront and request the link redirect, reconnect your EHR, re-enter payment details on scheduled orders, and opt into the authorization network if you used a signing physician.
- By December 23, 2026: If you haven’t moved, make sure patients pay any unpaid orders. They are canceled after this date.
- By December 31, 2026: Save any Rupa University written materials you want to keep.
- By January 6, 2027: Get remaining blood draws done and specialty samples shipped.
- Before January 20, 2027: Download any results you want on file outside Fullscript, and point patients who need refunds to Fullscript support. Saving copies of your past payout records is a good idea too. Fullscript says you keep view-only access to your Rupa Stripe Express account by signing in to Stripe Express directly after the Rupa login closes.
- After January 20, 2027: Request any missing Rupa results from [email protected]. Fullscript says results are stored for up to seven years.
Where Can You Order Labs After Rupa?
Moving your data to Fullscript keeps patient history and open orders in one place, and Fullscript practitioner accounts are free. That doesn’t lock you in. Once the data is safe, you can order new tests wherever fits your practice. The main options are:
- Stay on labs on Fullscript. The direct successor, with the same billing options, the authorization network for non-licensed practitioners, and supplement dispensing in the same account.
- Evexia Diagnostics. A practitioner ordering platform covering Labcorp and 30+ specialty labs, with a physician network for non-licensed clinicians. Evexia does not do business in New York, New Jersey or Rhode Island.
- Vibrant Wellness. A single specialty lab with its own Zoomer test panels, ordered directly by licensed providers.
- A provider-ordered white label model. For a business without a medical license that wants to sell standard blood panels under its own brand and price, a platform such as Karpa has a licensed provider in its network order each test. Karpa runs on Labcorp draws and does not offer specialty kits like DUTCH, Genova or Vibrant.
We compare the first three side by side, with license requirements, test menus, fees and state limits, in Rupa Health alternatives: Fullscript Labs vs Evexia vs Vibrant Wellness. For how Rupa and Karpa differ, see Karpa vs Rupa Health, and for the wider field of white label providers, see the best white label lab testing companies.
What If You Used Rupa Without a License?
Health coaches, nutritionists and other non-licensed professionals used Rupa Physician Services to have a physician sign their orders. On Fullscript, the authorization network does the same job: you recommend tests from a curated list, a signing clinician reviews each order and appears on the requisition, and the patient pays through Fullscript. If the clinician doesn’t approve the order, the patient is refunded.
That model fits when you want to recommend tests to clients one at a time. Fullscript also lets you run a storefront with your logo and earn a custom fee, with checkout and payment processing handled by Fullscript. If you’d rather sell testing as your own product with payments settling to your own Stripe account, a white label lab storefront, where a licensed provider orders every test, is another route. Karpa is one example; it shares its labs-only pricing on a call rather than publishing it. Our guide to who can order lab tests explains the rules, and how to start a lab testing business walks through the setup.
The Bottom Line
Rupa stopped taking new orders on October 30, 2026 and closes for good on January 20, 2027. Fullscript practitioner accounts are free, moving your data there keeps results and open orders intact, and the dates that cost patients money are December 23 for unpaid orders and January 20 for uncollected ones. Once your data is moved or downloaded, choose where to order next based on who orders in your practice, which tests you need and whether you want patients paying a platform or paying you.
