Once you submit your health assessment and pay the one-time $50 provider consultation fee, the process moves out of your hands and into the reviewing provider's. Here is what typically happens at each stage afterward.

Immediately after submission

You'll receive confirmation that your assessment was submitted successfully. A licensed provider in your state then begins reviewing your information, generally completing that review within 24-48 hours.

If the provider needs more information

Sometimes a provider can't make a confident decision from the initial assessment alone. In that case, they send a follow-up message through the platform requesting clarification, additional history, or details about current medications. Review continues once you respond, so checking your email or account promptly keeps things moving.

If your request is approved

• You're notified that a prescription has been issued.
• The prescription is sent to a partner compounding pharmacy.
• The pharmacy prepares your medication and ships it directly to you.
• You receive shipping confirmation with tracking information.
• Delivery typically takes about 3-7 business days.

If your request is not approved

Providers decline a request when a medication isn't clinically appropriate for your reported history, when information is incomplete, or when a safety concern is identified — that's the review functioning as intended, not a technical error. You'll be notified of the outcome along with any next-step guidance the provider offers. Your medication charge is refunded in that case; the $50 consultation fee covers the provider's evaluation itself and is not refundable regardless of outcome. Our eligibility and provider review page explains this in more detail.

What outcomes look like at a glance

| Outcome | What happens next | | --- | --- | | Approved | Prescription sent to pharmacy, prepared, and shipped to you | | Needs more information | Provider messages you; review resumes once you respond | | Not approved | Medication charge refunded; next-step guidance shared |

After you receive your medication

Take the medication as directed by the prescribing provider, and complete the full course as instructed. Dosing decisions are made by the prescriber based on your individual assessment, not a fixed schedule. If questions come up after delivery, look for guidance in the materials that ship with your order, and reach out through the platform if you need to raise a concern with the reviewing provider.

Refills and future requests

Some situations may call for a brand-new assessment rather than an automatic refill, since a provider needs current information to make each prescribing decision. You'll be notified of your options when relevant. In general, expect that each new request goes through the same written review described on our how it works page.

Ongoing access to support

Getting a decision from a provider isn't the end of the relationship — you continue to have access to the platform for questions about your order, and the reviewing provider remains the appropriate contact for medical questions about your specific prescription, whether for ivermectin or mebendazole.

Related questions

How will I know if my prescription was approved?

You'll receive a notification through the platform, typically the same day the provider completes their review, letting you know whether a prescription was issued and, if so, when it was sent to the pharmacy.

What if I disagree with the provider's decision?

The decision reflects the independent clinical judgment of a licensed provider based on your reported information. If your health situation changes or you have additional relevant information, you can submit a new assessment for review.

Do I get my money back if I'm not prescribed anything?

Yes, for the medication portion. If no prescription is issued, your medication cost is refunded. The $50 provider consultation fee is not refundable, since it covers the provider's clinical evaluation regardless of the outcome.

Can I request a refill without a new assessment?

Some situations may allow for a refill, while others require a new assessment so the provider has current information. You'll be told which applies to your situation when you're ready to request more medication.

Sources

• Telehealth — MedlinePlus overview of how telehealth outcomes and follow-up are generally communicated.
• Generic Drugs: Questions and Answers — FDA background relevant to pharmacy-prepared medications.
• Ivermectin: MedlinePlus Drug Information — reference for one of the medications that may be prescribed and shipped.
• Mebendazole: MedlinePlus Drug Information — reference for one of the medications that may be prescribed and shipped.