I have had excellent experiences with Avella. They do refills very quickly. The meds that have to be made elsewhere were overnight shipped to my home. As for the cost of meds, clearly specialty meds are expensive but Avella has helped me locate coupons and allowed me to reuse the coupons again and again, saving me quite a bit of money. In addition, the location is very centrally located. Only negative is a very small parking lot out front, but that's no big deal. I'm very pleased and the staff is pleasant.