Abstract: A system for processing medical prescriptions is disclosed. The system comprises computer hardware in communication with a customer, a prescriber, and a plurality of pharmacies. The computer hardware includes a processor and a storage medium including instructions for execution by the processor to receive insurance information from the customer and receive a medical prescription and prescription-related rules from the prescriber. The processors obtain a customer cost associated with fulfilling the medical prescription at each pharmacy based on the insurance information and communicate the customer costs to the customer. The customer provides pharmacy selection input (e.g., one or more preferred pharmacies) and the processors transmit the medical prescription to a selected pharmacy for fulfillment based on the prescription-related rules (e.g., a list of approved pharmacies).