What to expect from your consult

Telehealth, not in person. The consult is a brief video visit with a licensed clinician. You do not visit a clinic, and there is no waiting room. Most patients complete the full process from their living room or office.

Why a consult is required

Compounded medications are dispensed under prescription. That means a licensed clinician needs to evaluate whether a given therapy is appropriate for you, in your specific situation, before any prescription is written. This is the consult. It is required by the regulatory framework that allows your medication to be compounded for you in the first place.

The good news: it is a brief, focused conversation. We are not asking you to navigate a hospital intake process. The consult exists because the prescription decision belongs to a clinician, and the clinician needs to actually meet you.

Before your appointment

When you place your order, we collect the information the clinician needs ahead of time: your name, date of birth, shipping address, and a short questionnaire about what you are looking for. That data is passed to the telehealth platform before your consult so the clinician walks in already familiar with your context.

Right after checkout, you will receive an invitation to join the consult. Some consults are live and scheduled; others are asynchronous, where you submit a short questionnaire and the clinician reviews it on their own time. Which one applies depends on the medication and the state you are in. The invitation tells you which to expect.

During the consult

A typical live consult lasts ten to fifteen minutes. The clinician will:

• Confirm your identity and basic medical history.
• Walk through what you are hoping to get out of the therapy and whether the medication you ordered is the right fit.
• Cover dosing, the protocol, and what to expect in the first few weeks.
• Answer your questions. Coming in with two or three specific questions tends to make the visit more useful.

If the clinician determines the medication is a fit, they issue the prescription on the spot. That kicks off the rest of the workflow.

After approval

Once your prescription is approved, three things happen, in parallel:

• Payment is captured. The authorization that was placed on your card at checkout is finalized. You are charged the order total.
• Confirmation email goes out. A confirmation note arrives in your inbox outlining the next steps.
• The pharmacy gets to work. Your prescription is routed to the 503A pharmacy partner, who compounds your medication specifically for you. Once it is prepared and shipped, you receive tracking information.

If it is not the right fit

Sometimes the clinician decides the medication is not the right fit. That might be because of a contraindication in your history, because a different therapy would be a better match, or because more information is needed before a responsible prescribing decision can be made.

If that happens, the authorization on your card is released, no charge is processed, and you receive an email explaining the outcome. In some cases the clinician will suggest an alternative direction. In others, they may simply decline to prescribe.