A dynamic refill level is used for determining medication refill requirements for a medication at a medication dispensing apparatus. When a medication refill report process for a medication dispensing apparatus is triggered, a quantity of medication likely needed to fulfill orders for a medication from the medication dispensing apparatus until a next scheduled refill is determined. A dynamic refill level is set for the medication based on the quantity of medication likely needed. A current count for the medication in the medication dispensing apparatus is compared against the dynamic refill level. If the current count satisfies the dynamic refill level, there is no need to refill the medication. However, if the current count does not satisfy the dynamic refill level, there is a need to refill the medication.