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 Smart Flow, there is a setting that allows you to stop Smart Flow 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 Smart Flow in ezyVet, ezyVet talks with Smart Flows configuration settings and enables this setting automatically.

The Smart Flow 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 Smart Flow integration setting from your ezyVet Admin panel. For this please open your ezyVet Admin > go to the Integration section > open the Smart Flow Sheet - ezyVet tab > and set the Send "Sync With Cubex" Product Flag to NO:

Here is how the Smart Flow "In Cubex" 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 Smart Flow & Cubex. As a result of this, items will get billed for twice on the invoice!

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

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

Here is how the Cubex billing setting looks:

If In Cubex is ON then Smart Flow 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!