A doctor answers
Online prescription services compared: prices, who prescribes, and where your medicine goes
Nine online prescription services compared: most use nurse practitioners or other advanced practice providers, and some require a membership. FutureClinic's physicians prescribe by message ($40) to your pharmacy.


The short answer
Online prescription services have a clinician licensed in your state, a physician or often a nurse practitioner, review your case by form, message, phone or video, then e-prescribe to your pharmacy or ship from their own. FutureClinic's physicians prescribe by message to your chosen pharmacy: $40 for the best-fit doctor, no subscription required.
Key facts
- A FutureClinic doctor's reply comes with a short video or voice note recorded for you, and follow-ups and refills go back to that same doctor in the same chat, however long in between.
- A temporary DEA and HHS extension lets controlled medicines be prescribed by telemedicine without an in-person exam only through December 31, 2026; FutureClinic doctors prescribe none.
- Paying cash in November 2026, a message visit at Amazon One Medical starts at $29, Teladoc Health charges $89, and PlushCare charges $129 plus a $19.99 monthly or $149 yearly membership.
Getting a new prescription or a renewal online comes down to four questions: what you pay, whether a physician or a nurse practitioner reviews your chart, whether live video is required, and which pharmacy fills your medicine. In October and November 2026, cash visits run from free in most cases at Ro and typically $25 at Lemonaid Health to $129 plus a membership at PlushCare. At FutureClinic, a licensed physician (MD, DO or MBBS) reviews your case by message and, if your doctor decides it's right for you, prescribes to the pharmacy you choose for $40 for the best-fit doctor, or a chosen doctor's listed price, typically $20 to $100, with no subscription required.
How do online prescription services work?
You share your history, medicines and photos by form, message, phone or video with a clinician licensed in your state, who can send an electronic prescription straight to a pharmacy. The Federation of State Medical Boards' 2022 policy permits care by message or video without a prior in-person exam when the standard of care is met, while barring static questionnaires alone; state rules vary.
How do the main online prescription services compare on price and access?
One-time cash visits range from typically $25 at Lemonaid Health and from $29 (message) at Amazon One Medical to $89 at Teladoc Health and $129 (plus membership) at PlushCare in October and November 2026.
| Service | Price (Nov 2026) | Subscription? | How you reach them |
|---|---|---|---|
| FutureClinic | $40 best-fit; chosen doctor typically $20 to $100 | No subscription required | Message (with doctor's video or voice note) |
| Teladoc Health | $89 cash; from $0 with benefits | No | Phone or video |
| PlushCare | $129 cash (most in-network insured pay $30 or less) + $19.99/mo or $149/yr | Yes | Video; care-team messaging |
| Sesame | From $34 refill; weight care from $59/mo on a 12-month plan ($99 month to month) (Oct 2026) | No for one-time visits; ongoing programs are subscriptions | Video |
| Amazon One Medical | From $29 message, $49 video; $99 or $199/yr plan | No (On-Demand) | Message or video; in person with a membership near an office |
| GoodRx Care | $49 to $59 visit; $19 with plan from $9.99/mo yearly | No (optional) | Text, call or video |
| Lemonaid Health | Typically $25 visit; Primary Care from $99/mo (Oct 2026) | No (optional) | Form; video consult in most states |
| Nurx | Consult by service (acne $40) + $3 fee in months an order is processed (Oct 2026) | Plans with refills | Messaging |
| Ro | Free visit in most cases; Ro Body $39 first month, then $149/mo or $74/mo prepaid yearly (Oct 2026) | Auto-refill (can be turned off); Ro Body is a membership | Messaging, phone or video |
Prices checked on November 5, 2026.
K Health closed its consumer platform on December 31, 2025. Services also differ in who treats you and where prescriptions go.
| Service | Who treats you | Where the medicine goes | Insurance |
|---|---|---|---|
| FutureClinic | Physicians only (MD, DO or MBBS) | The pharmacy you choose | Cash visit; insurance may cover medicine |
| Teladoc Health | Board-certified doctors and NPs | Pharmacy of your choice | Health plans, employers, Medicaid managed care |
| PlushCare | Board-certified physicians | Any local pharmacy | Major plans; not Medicaid |
| Sesame | MDs, DOs, NPs, PAs (you choose) | Your preferred pharmacy | Does not bill insurance |
| Amazon One Medical | "Providers"; physicians, PAs, NPs | Any pharmacy, incl. Amazon Pharmacy | Scheduled visits only |
| GoodRx Care | "Licensed healthcare professionals" | Your pharmacy of choice | No insurance necessary |
| Lemonaid Health | Physicians, pharmacists, NPs, RNs | Own mail-order or local pharmacy | Visit not covered; medicine can be at a local pharmacy |
| Nurx | KMG clinicians, incl. advanced practice providers | Nurx ships, or local pharmacy | Private plans for medicine only |
| Ro | Doctors and NPs | Ro's network or your pharmacy | No (weight medicine can use insurance) |
Hims and Hers requires a subscription, uses physicians, nurse practitioners and physician assistants by message or video when required, takes no insurance, and fills prescriptions through its wholly owned pharmacies. Doctronic offers free AI chat and $39 video visits with board-certified doctors (November 2026), with no subscription and major insurance accepted.
Can an online service prescribe controlled medicines after December 31, 2026?
Generally only after an in-person exam, unless the DEA acts first: the Ryan Haight Act (2008) requires one before prescribing controlled medicines remotely, and the temporary exception for prescribing by telemedicine runs through December 31, 2026. As of November 5, 2026, the Federal Register lists no fifth extension or final rule, though the DEA's agenda targets November 2026.
- Other services: Teladoc Health, PlushCare, Sesame and Lemonaid Health bar DEA-controlled substances; GoodRx Care bars controlled refills (capping 90-day refills at once yearly); Hims and Hers requires live video for testosterone.
- FutureClinic: doctors prescribe no controlled medicines, including stimulants, benzodiazepines, opioids, testosterone or phentermine.
How do you tell a legitimate service from a rogue online pharmacy?
A legitimate service always requires a prescription from a clinician licensed in your state, and a safe pharmacy is licensed in both your state and its own: check your state board's database, NABP's safe.pharmacy and LegitScript.
- NABP and FDA figures: NABP reports nearly 95% of online prescription-drug sites operate illegally (over 40,000 flagged for failing NABP standards or laws), and 96% of illegal sites reviewed required no valid prescription. The FDA BeSafeRx FAQs note roughly 35,000 active online pharmacies, and cite NABP's finding that about 5% comply with US pharmacy laws.
- Signs to check: Per the FDA BeSafeRx guide and NABP, look for a required prescription, a US address and phone, a licensed pharmacist, and a
.pharmacydomain. Avoid sites needing no prescription, offering steep discounts or "bonus pills", taking only crypto, or using deepfake doctor ads.
Who each one suits
Another service suits you better when you want one of these options:
- Live video or phone visits: care at FutureClinic is by message, with no video visits. Teladoc Health, PlushCare, Sesame, Doctronic, Amazon One Medical, Ro, GoodRx Care and Lemonaid Health offer live video or phone consultations.
- Connection in minutes or 24/7 visits: a FutureClinic doctor replies in hours rather than minutes, typically the same day. Teladoc Health connects most members within minutes, and Sesame offers 24/7 video refill visits.
- Compounded formulas: FutureClinic has no proprietary combinations or compounded products of its own. Hims and Hers offers compounded medicines.
- Medicine shipped by the service's own pharmacy: FutureClinic sends prescriptions only to the pharmacy you choose, and the medicine is never bundled into what you pay. Hims and Hers, Nurx, Lemonaid Health and Ro (Ro Body's fee excludes the medicine) fill prescriptions through their own pharmacies or networks.
Why a doctor of your own is the simpler route
Say your blood pressure medicine is running low. You answer the intake questions and confirm your summary; a specific physician reads your whole case and replies, typically the same day, with your plan and a recorded video or voice note. When they judge a stable medicine safe, they can prescribe several months at once to the pharmacy you choose.
A specific physician reads your whole case, with a Human Signature. Every FutureClinic doctor is a state-licensed, background-checked and verified physician holding an MD, DO or MBBS degree, never a nurse practitioner or physician assistant. FutureClinic has over 300 doctors, and our doctors are board-certified. Your doctor reads your summary, messages and photos, makes every medical decision, and includes a Human Signature: a short video or voice note recorded live for you. No form is approved in bulk.
One doctor across their specialty. Your doctor can help with other problems in their specialty, like a dermatologist treating both hair loss and eczema. Follow-ups and refills go back to that same doctor in the same chat, however long in between, to build trust, try treatments together and track progress. You can also see other FutureClinic specialists across more than 60 specialties, and every FutureClinic doctor you see works from your one medical record.
So which did you come for: a monthly plan tied to one company's pharmacy, or a doctor of your own who sends the prescription wherever you like? If you want what a subscription plan bundles beyond the doctor, those services are a strong option. If you wanted an expert physician directly, FutureClinic gives you that with nothing attached.
Any fitting medicine, and a clear yearly cost. FutureClinic sells no medicine, and your doctor earns nothing extra for any prescription or test. If your doctor decides it's right for you, they can prescribe any fitting non-controlled brand or generic to the pharmacy you choose (mail-order delivery included), where insurance may cover it or the texted discount coupon can lower your cash price; FutureClinic also helps with prior authorizations. Subscription plans assume you keep paying to get your medicine: in November 2026, two cash PlushCare visits plus its $149 yearly membership cost $407 (or $258 plus $19.99/month). Two FutureClinic visits cost $80 at $40 each with the best-fit doctor (or a chosen doctor's listed price, typically $20 to $100), with no subscription required; optional memberships for unlimited care with one doctor run typically $25 to $100 a month, cancel any time.
Getting a prescription from a physician of your own
Visit futureclinic.com and you can start a conversation with a doctor right away. You can even do it from the AI app you already use (ChatGPT, Claude, Claude Code, Codex and Grok Bot) by visiting futureclinic.com/connect-your-ai or sending your AI this setup line:
Set up FutureClinic for me: read https://futureclinic.com/llms.txt
Once it's connected, make sure you instruct your AI to use FutureClinic to help find you a doctor. Otherwise, it may not know that this is what you want.
FutureClinic is available in 34 states: Arizona, California, Colorado, Connecticut, Florida, Georgia, Hawaii, Idaho, Illinois, Indiana, Kentucky, Maine, Maryland, Massachusetts, Michigan, Montana, New Hampshire, New Jersey, New York, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, Tennessee, Texas, Utah, Vermont, Virginia, Washington, Wisconsin, Wyoming, and Washington, D.C. If you do not see your state listed here, give it a try anyway, because FutureClinic may have opened there since.
FutureClinic is not for emergencies: in a medical emergency call 911, or call or text 988 in a mental-health crisis.
Get care for a prescription by message from a FutureClinic doctor. There are no appointments and no video calls. Start a visit instantly on the web or in the FutureClinic app. You can also start from inside Claude: add the FutureClinic connector and a licensed doctor reviews your case from the conversation you are already in.
Questions, answered.
- Can I get a prescription online without a video call?
- Yes. At FutureClinic, you share your history and photos by message; a physician licensed in your state reviews your case and, if your doctor decides it's right for you, e-prescribes to the pharmacy you choose without a video call.
- Why won't most online prescription services prescribe Adderall or Xanax?
- Adderall and Xanax are DEA-controlled medicines. The Ryan Haight Act (2008) generally requires an in-person exam first, and although a DEA and HHS extension waives that through December 31, 2026, Teladoc Health, PlushCare, Sesame, Lemonaid Health and FutureClinic prescribe no controlled medicines.
- Who actually writes the prescription on online doctor platforms?
- Every FutureClinic doctor is a physician (MD, DO or MBBS), and PlushCare and Doctronic also use board-certified physicians. Teladoc Health, Sesame, Amazon One Medical, Lemonaid Health, Nurx and Ro use a mix of physicians, nurse practitioners, physician assistants or pharmacists.
- Is paying cash cheaper than using insurance for a prescription?
- Sometimes. GoodRx notes a copay may exceed cash discount prices: on November 5, 2026, generic metformin started at $7.34 ($26.22 average retail) and 90 tablets of 20 mg atorvastatin cost $10.29 ($399.49 retail). Paying cash with a coupon doesn't count toward your deductible automatically, though many plans take receipts.
Sources
- 1Considering an Online Pharmacy? (BeSafeRx)U.S. Food and Drug Administration
- 2BeSafeRx Frequently Asked Questions (FAQs)U.S. Food and Drug Administration
- 3Locate a State-Licensed Online PharmacyU.S. Food and Drug Administration
- 4Buy Safely: Verify Before You BuyNational Association of Boards of Pharmacy
- 5Website Certification Status LookupLegitScript
- 6The Appropriate Use of Telemedicine Technologies in the Practice of MedicineFederation of State Medical Boards
- 7Fourth Temporary Extension of COVID-19 Telemedicine Flexibilities for Prescription of Controlled MedicationsFederal Register (DEA and HHS)
- 8Special Registrations for Telemedicine (Unified Agenda RIN 1117-AB40)Office of Information and Regulatory Affairs
- 9Electronic PrescribingCenters for Medicare & Medicaid Services
- 10Teladoc Health General Medical and Prescription FAQsTeladoc Health
- 11Teladoc Health 24/7 Care FAQsTeladoc Health
- 12
- 13PlushCare Telehealth AppointmentsPlushCare
- 14
- 15
- 16
- 17Amazon One Medical Help and On-Demand Care PricingAmazon One Medical
- 18
- 19
- 20
- 21What Is GoodRx Care?GoodRx
- 22
- 23Lemonaid Health Online Doctor and Pharmacy ServicesLemonaid Health
- 24How Much Does a Medical Consultation Cost?Lemonaid Health
- 25Lemonaid Health Primary Care CompleteLemonaid Health
- 26Lemonaid Health Prescription PolicyLemonaid Health
- 27Can I Get My Prescription Sent to a Local Pharmacy?Lemonaid Health
- 28Can I Use My Insurance at Lemonaid Health?Lemonaid Health
- 29
- 30
- 31
- 32
- 33
- 34
- 35
- 36
- 37
- 38
- 39Hims & Hers Health, Inc. Form 10-K (2025 Annual Report)U.S. Securities and Exchange Commission
- 40Doctronic AI and Video Visit PricingDoctronic
- 41Doctronic Resource CenterDoctronic
- 42
- 43K Health App Transition FAQK Health
- 44
- 45
- 46
- 47
Related articles

MEDVi reviews: what it costs, what customers report, and a brand GLP-1 from your own doctor
A $179 first month of MEDVi compounded semaglutide becomes $299 a refill on its main GLP-1 page (Nov 2026). See its BBB record and refund rules, and how a FutureClinic doctor can prescribe brand Wegovy or Zepbound.

Rugiet reviews: what's in Rugiet Ready, what it costs, and a generic option from your own doctor
Rugiet sells its own compounded ED blends, led by Rugiet Ready, on 30- or 90-day auto-refill plans, while a FutureClinic physician can prescribe FDA-approved generic sildenafil or tadalafil without a subscription.

Claude for health: what it can do, and how to reach a doctor from Claude
Compare Claude for health, ChatGPT Health, and FutureClinic: what Claude's health connectors do, Anthropic's medical advice rules, and how to message a licensed physician from Claude for $40 a visit.

Get a prescription online: what a doctor can prescribe by message, and what it costs
What a doctor can prescribe online by message, which controlled medicines are excluded, how refills reach the pharmacy you choose, and how October 2026 visit prices compare across seven telehealth services.
