Is your ezyVet integrated with Cubex? As of ezyVet 22.8, there is some additional functionality you need to be aware of.

There are some changes on the ezyVet side (from ezyVet 22.8 release notes): 

    In SmartFlow, there is a setting that allows you to stop SmartFlow from processing a billing charge to ezyVet if the product is also mapped to Cubex, and will let Cubex send the billing charge. Now, if a product is both synced to Cubex and SmartFlow in ezyVet, ezyVet talks with SmartFlows configuration settings and enables this setting automatically.

The SmartFlow parameter switch will be set to match your Sync with Cubex toggle in that product's ezyVet settings:

If you do not want this synchronization to occur, you can customize the SmartFlow integration setting from your ezyVet Admin panel. For this please open your ezyVet Admin > go to the Integration section > open the SmartFlow Sheet - ezyVet tab > and set the Send "Sync With Cubex" Product Flag to NO:

Here is how the Smart Flow "Cubex Billing" toggle works:

In your EMR Settings, if you have SEND BILLING & MEDICAL RECORDS TO EMR option switched ON, your ezyVet will receive treatment events from both SmartFlow & Cubex. As a result of this, items will get billed twice on the invoice!

To solve this problem you will see the option in Settings > Parameters > Edit parameter to toggle a setting named Cubex Billing to either ON or OFF:

NOTE: This settings switch will only be visible if your SmartFlow account is connected to Cubex, and only for mapped inventory.

Here is how the Cubex billing setting looks:

If Cubex Billing is ON then SmartFlow will NOT send treatment events to your ezyVet. You must use this setting only for medications where you have set Cubex to bill for those items. You will see a check box next to Billable Item on the inventory item:

If you need any assistance with your configuration in Cubex, please reach out to Cubex Support ( for assistance.

We hope you found this information useful!