August has been approved to run a prescription renewal pilot under Utah's AI regulatory framework, after five rounds of review by external physicians. Conversations with the state began in February 2026.
The pilot covers one thing: renewing medicines people already take, at the dose they already take. It does not start new medicines, change doses, or replace a patient's doctor.
“Millions of people do everything right: they take their medicine, every day, for years. Then the refills run out, and the system asks them to start over. Renewing a prescription you already take shouldn't cost you a week. Utah is letting us prove it can take minutes, with a clinician checking every decision until the results speak for themselves.”
Anuruddh MishraFounder & CEO, AugustWhy renewals
Roughly 80% of all medication activity is refills, much of it for long-term conditions like high blood pressure, diabetes, and high cholesterol. Yet a renewal can still mean phone calls, waiting, or an appointment, and too many patients run out of medicine through no fault of their own.
How it works
Patients confirm their identity, photograph their prescription label, and answer a few health questions. August then runs five checks:
- 1
The prescription and treatment plan match the patient's health records
- 2
Checks for interactions with other medicines
- 3
Checks for new symptoms, side effects or allergies, and that required tests are up to date
- 4
Pilot rules: an adult Utah resident, an included medicine, the same dose
- 5
A Utah-licensed clinician reviews the decision
Approved prescriptions go to the patient's pharmacy, for 30, 60, or up to 90 days. If anything needs a closer look, the patient is referred to a clinician instead.
Clinical oversight, in three phases
Review is only reduced when independent evaluators validate the results and Utah approves the change.
- Phase 1At launch
A clinician reviews every decision. Only Cohort 1, the lowest-risk medicines, is included.
- Phase 2Next
Clinician review narrows as independent evaluators validate results and Utah approves each change.
- Phase 3End state
August handles routine renewals, and physicians spot-check 5% of decisions.
Who it's for
Included
- Adults living in Utah
- Stable treatment, same dose
- Cohort 1 medicines, such as frontline treatments for diabetes, high blood pressure, and high cholesterol
Not included
- Children and pregnant patients
- Controlled drugs and injectables
- Antibiotics and medicines for short-term illness
- New medicines or dose changes
About August
Founded four years ago, August is an AI health companion used by more than 9 million people across 160 countries. It offers telehealth in all 50 states, with lab tests and medicine delivery built in.
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For interviews and partnership details, contact our press team. [email protected]
Approval allows August to operate the pilot under Utah's framework, with monthly reporting. It is not an endorsement by the State of Utah.
The pilot does not provide emergency care. For severe symptoms, call 911.
Full pilot details at utah.meetaugust.ai.
