Once Midwest is connected (see Enabling Midwest Veterinary Integration for Shopping Cart & Order History for setup), approved orders go straight to Midwest — there's no separate cart to review on their site. This guide covers what to expect day to day.

If your practice orders controlled substances through Midwest, open the Midwest integration screen and set (or update) your default DEA License and DVM License. These are pulled from the licenses Midwest has on file for your account, you can see them here.

Midwest places your order the moment you approve it in Inventory Ally — there's no follow-up review step in Midwest's own portal. Double-check quantities and items before approving your order list.

Midwest can decline an item — most commonly because a required license isn't on file, or the item isn't available to your account. When that happens, the whole order doesn't go through, not just the flagged item, so nothing partially submits.

The affected item shows up as a cart error in Inventory Ally, but a finalized order can't be edited directly — use the live chat button in the bottom-right corner of our website, or email [email protected] and we'll unfinalize it for you. From there, update the license selection or remove the flagged item, then resync to resubmit.

Inventory Ally pulls Midwest order status and invoice details back automatically, so you can confirm an order went through without logging into Midwest separately. If you ever do want to double-check directly on Midwest's site, your placed orders show up in Midwest's own order history under your account.

Reach out to your Customer Success Manager or [email protected] for help with your Midwest integration.