​Launching: Nov 17, 2026. Additive, with no breaking changes.

​LillyDirect prescriptions filled by GiftHealth now appear as read-only case orders. MDI checks GiftHealth’s events feed on a schedule and automatically moves each order through its statuses. LillyDirect partners should contact GiftHealth to obtain API credentials to set up LillyDirect as a pharmacy within ​MDI.

​How it works

• ​​You must have a Direct-to-Pharmacy integration.
• ​Prescriptions are sent to LillyDirect via standard e-prescribing (Surescripts/DoseSpot), and GiftHealth fills them. ​- MDI reads GiftHealth’s fulfillment events and turns them into standard MDI case orders.
• ​Status and tracking updates come through the case order webhooks you already use.

​Webhook - Fires when

​​​- case_order_created - MDI creates the read-only case order for a LillyDirect prescription
​- order_status_changed - GiftHealth reports a status change
- ​order_tracking_number_changed - A shipment gets tracking. The payload includes tracking_url
​- case_order_updated - Other order data changes

Read-only pharmacy flag

​​- New field on the pharmacy object: [field name]. It defaults to true, which means orders are managed as usual.
- ​When it’s false, as it is for LillyDirect, orders can’t be edited, approved, unapproved, or canceled.
- ​Check this flag to hide those actions in your UI.

​Freshness

• Updates arrive on MDI’s next scheduled check of GiftHealth, usually within 10 minutes.
• POST /partner/case-orders/{caseOrder}/refresh does not work for LillyDirect orders because GiftHealth doesn’t support it.

​Catalog

​18 NDCs:

• Zepbound KwikPen (6 strengths) ​- Zepbound vials (6 strengths)
• ​orforglipron tablets (6 strengths).

​Getting started

​​- Must have Direct-to-Pharmacy integration.
​- Your existing case order webhook handlers will receive LillyDirect orders.
- ​Get API credentials from GiftHealth to set up LillyDirect as a pharmacy within MDI.