Refills are available, but every refill request goes through a licensed provider's review of your current health information — nothing is automatically renewed just because time has passed since your last order. This protects against prescribing medication without confirming it's still appropriate for you.

Why refills aren't automatic

A provider's original decision was based on your situation at that time. If time has passed, your health has changed, you've started new medications, or your symptoms have shifted, that original decision may no longer apply. Reviewing each refill request lets a provider confirm the prescription still fits before it's renewed.

What a refill review looks at

• Time elapsed since your last consultation
• Whether your original symptoms resolved, persisted, or changed
• Any new medications or health conditions
• Whether treatment appears to have gone as expected

How to request one

1. Log into your account and navigate to your prescription history.
2. Submit a refill request, updating your health information as prompted.
3. A licensed provider reviews the update and makes an independent decision.
4. If approved, the new prescription is sent to an accredited pharmacy and shipped to you, following the same fulfillment process described on how it works.

Refill vs. new consultation

| Scenario | Likely path | |---|---| | Same symptoms, recent prior order, no health changes | Streamlined refill review | | Long gap since last order | Fuller review, possibly treated like a new request | | New symptoms or new medications | New consultation | | Provider requests more detail | Follow-up before decision |

The exact path is determined by the reviewing provider's judgment, not a fixed calendar rule.

Cost of a refill

Refill reviews are billed under the same consultation-fee structure used for an initial request — a one-time fee covers the provider's evaluation, and medication is billed separately based on what's prescribed. Current numbers are on the pricing page. As with an initial order, if the provider decides a refill isn't appropriate, your medication cost is refunded and the consultation fee covers the review itself.

Avoiding a gap in treatment

Because review and shipping both take time, request a refill before you run out rather than after. Keep your contact information and health history current in your account so a provider isn't reviewing outdated details, and respond promptly if a provider follows up with questions — delays in your response extend the timeline.

If you've moved, changed insurance-adjacent payment details, or your contact information is out of date, update your account before submitting a refill request so the provider is reviewing accurate, current details rather than stale information from your last order.

If your situation has changed significantly

If you've developed new symptoms, started a new medication, or your health has changed meaningfully since your last order, expect the refill process to look more like a fresh assessment. This isn't a barrier for its own sake — it's the same clinical logic that governs any prescribing decision, whether for ivermectin or mebendazole.

Related questions

Will my refill be approved automatically if nothing has changed?

No request is approved automatically. A licensed provider reviews every refill request, even when your situation appears unchanged, before deciding whether to renew a prescription.

How long does a refill review take?

Refill reviews generally follow the same timeline as an initial consultation, often within 24-48 hours, though a provider may take longer if they request additional information from you.

Does a refill cost the same as my first consultation?

Refills are billed under the same fee structure as an initial consultation — a one-time review fee plus the cost of any medication prescribed. Check pricing for current figures.

What if I need a refill but I'm not sure I still need the medication?

Describe your current situation honestly in the refill request. A provider can help determine whether continuing, adjusting, or stopping treatment is appropriate based on your updated information.

Sources

• MedlinePlus: Ivermectin — consumer information on this medication, including monitoring considerations.
• MedlinePlus: Mebendazole — consumer information on this medication, including monitoring considerations.
• DailyMed: Mebendazole label — full FDA-approved prescribing information.
• DailyMed: Ivermectin (STROMECTOL) label — full FDA-approved prescribing information.