Abstract: Methods, systems, and apparatus, including medium-encoded computer program products for cloud-based infusion medication fulfillment. A cloud-based medication fulfillment system can receive a request to fulfill an order for a medication of a type. When the customer is authorized to process requests via an enhanced medication workflow that includes legacy medication fulfillment steps for fulfilling medications that are not of the type as well as enhanced medication fulfillment steps for fulfilling medications that are of the type, the system can: (i) process the request according to the legacy medication fulfillment steps, and (ii) process the request according to the enhanced medication fulfillment steps, including processing a representation of the request by an automated device that is associated with preparing medications of the type. The cloud-based medication fulfillment system can store data indicating that the order for the medication of the type has been fulfilled and/or administered.