Online Medication Refills: $49 MD Visit, Same-Day E-Prescription

No. TeleDirectMD does not prescribe Adderall, any other amphetamine, or any Schedule II controlled substance. The Ryan Haight Act (DEA) requires an in-person medical evaluation before a practitioner can prescribe Schedule II controlled substances via telemedicine in most circumstances. Adderall (amphetamine salts) is Schedule II, the most restrictive category. Even during the COVID-19 telemedicine flexibility period, many DEA-registered practices — including TeleDirectMD — chose not to prescribe controlled substances via telehealth because the clinical safeguards (PDMP review, full psychiatric evaluation, diversion screening) cannot be adequately performed remotely. For ADHD medication management, you need an in-person prescriber or a specialty telehealth practice with a DEA special registration.

Yes, when clinically appropriate. For stable chronic conditions with current labs and no active dose titration — blood pressure, hypothyroidism, hyperlipidemia, GERD, type 2 diabetes on oral agents — a 90-day supply is medically reasonable and reduces your annual visit frequency. Dr. Bhavsar makes the final determination based on your clinical picture. Some state laws and individual drug categories may limit supply quantity; this is discussed during the visit. Most major retail pharmacies and all mail-order pharmacies fill 90-day supplies of generic chronic medications.

It depends on the medication. For most stable chronic medications — blood pressure pills, GERD medications, allergy medications — a brief symptom review is sufficient if you have been stable on the same dose for 12+ months. For medications that require lab monitoring — levothyroxine (TSH), metformin (HbA1c), atorvastatin or rosuvastatin (lipid panel), ACE inhibitors (basic metabolic panel for creatinine/potassium) — labs within the past 12 months are standard of care. If labs are overdue, Dr. Bhavsar can order them during the visit and issue a short bridge supply while you wait for results.

Bring whatever documentation you have — your pill bottle, a pharmacy printout, or a note from your prior provider. Dr. Bhavsar can often verify a prescription history through the pharmacy network. For medications with lab requirements, he may issue a 30-day bridge supply and order labs to establish your current baseline. It is not ideal to be completely without records, but the visit can proceed in most cases for stable, non-controlled medications.

Yes. Major medical organizations — including ACOG — have stated that a pelvic exam is not required before prescribing combined oral contraceptives or progestin-only pills. Blood pressure measurement is the most important screening step; you can provide recent home BP readings. For birth control pills, no lab work is routinely required for healthy adults. Pharmacy cash prices for generic oral contraceptives range from $15–$68 per cycle with GoodRx; Norethindrone (Camila, Errin) starts around $4 at Walmart's generic program.

No. Testosterone is a Schedule III controlled substance under the DEA Controlled Substances Act. TeleDirectMD does not prescribe testosterone, testosterone cypionate, or any testosterone-containing compound. The Ryan Haight Act's in-person evaluation requirement applies to all Schedule II–IV controlled substances, including testosterone. For TRT, you need an in-person prescriber — typically a urologist or endocrinologist who can perform a physical examination, review PDMP data, and manage testosterone's cardiovascular and hematological risks.

No. GLP-1 agonist management for weight loss or type 2 diabetes requires active dose titration, gastrointestinal side effect monitoring, cardiac and renal function assessment, and in most cases thyroid monitoring. This goes substantially beyond what a brief refill visit can safely accomplish. Additionally, compounded semaglutide and tirzepatide availability, dosing accuracy, and insurance prior authorization complexities require ongoing prescriber oversight. For GLP-1 management, a dedicated obesity medicine or endocrinology practice with appropriate monitoring infrastructure is appropriate.

The e-prescription is sent electronically within 30 minutes of the visit ending. Most pharmacies receive it in real time and begin processing immediately. Typical pharmacy preparation time is 30–90 minutes for in-stock generics. If your pharmacy does not have the medication in stock, we can route the prescription to a different pharmacy during the visit — just let Dr. Bhavsar know your backup options.

Yes — we can e-prescribe to any US retail pharmacy, including CVS, Walgreens, Walmart, Rite Aid, Costco, Kroger, independent pharmacies, and mail-order pharmacies. We use an electronic prescribing system that connects directly to pharmacy dispensing systems. If your preferred pharmacy is out of stock, we can switch the Rx to another location in real time. Just provide the pharmacy name and address (or let us look it up by zip code) when you book.

Drug shortages — particularly for ADHD medications, some antibiotics, and certain generics — have been ongoing since 2022. If your pharmacy is out of stock, there are two options: (1) we switch the e-prescription to a different pharmacy that has the drug in stock — Dr. Bhavsar can send to multiple pharmacies during the visit; or (2) for drugs with therapeutic equivalents (e.g., rosuvastatin if atorvastatin is unavailable, or pantoprazole if omeprazole is unavailable), we can prescribe an appropriate alternative. National shortage information is available from the ASHP Drug Shortage Resource Center.

TeleDirectMD is in-network with Aetna, Blue Cross Blue Shield, and UnitedHealthcare in select states — check teledirectmd.com/insurance. If your insurer is in-network, your standard telehealth copay applies. If your plan is not in-network or you are uninsured, the $49 self-pay rate is often cheaper than an in-network copay before your deductible is met. The $49 visit fee is HSA- and FSA-eligible. Note that the prescription itself is billed through your pharmacy — separately from the visit.

For non-controlled medications, a 6-month supply is sometimes appropriate for extended international travel. Dr. Bhavsar can write a 6-month supply if the condition is stable, labs are current, and there is a documented travel reason. Practically, most US pharmacies will fill a maximum of 90 days at one time; for a longer supply, a mail-order pharmacy is typically required. Note that some countries have import restrictions on certain medications — verify with the destination country's embassy or customs authority before traveling with a large medication supply. Controlled substances face additional restrictions and cannot be prescribed by TeleDirectMD in any quantity.

Yes. The FSMB's Model Policy for Telemedicine (2022) states that telemedicine practitioners "must meet the same standard of care and professional ethics as a practitioner using a traditional in-person encounter." A prescription written after a telehealth visit has the same legal standing as one written in a physician's office. Pharmacies treat e-prescriptions identically regardless of how the prescribing evaluation was conducted. The NABP accredits telehealth platforms that meet its legitimacy standards; TeleDirectMD is LegitScript-certified.