FAQ

Good questions, plain answers.

See who reads your intake, who dispenses your prescription, which states we operate in and where our service begins and ends. If your question is missing, ask patient support and we will answer it.

Getting to know us

6 questions

A telemedicine platform. It connects you with a physician who is board-certified and holds a license in your state, and the whole visit takes place online. If the physician judges treatment to be medically appropriate, your prescription goes to Rush Pharmacy, a state-licensed pharmacy, which dispenses your medication and sends it, in plain packaging, to your door. The medical care comes from physicians and the dispensing from a pharmacy; Peoples First Rx is the platform that gives you access to both, not a medical practice or pharmacy in its own right. The company behind Peoples First Rx is Pursuance Shore LLC, and Peoples First Rx is its trade name.

Every state we serve is covered by board-certified physicians from LocumTele, who are licensed there to practice telemedicine. LocumTele is one of the two companies that Remedora Inc., our pharmacy and fulfillment partner, works with. Yes, they are independent: the physician looking at your intake is an independent practitioner using their own clinical judgment. They are trained in the conditions this service treats, and we neither employ them nor tell them what to prescribe. No physician is paid per prescription, and there are no prescribing quotas.

Every prescription written through Peoples First Rx is dispensed and shipped by one state-licensed pharmacy: Rush Pharmacy. Here is the full chain. We hold our partnership agreement with Remedora Inc., the company serving as our pharmacy and fulfillment partner, and Remedora, for its part, works with both Rush Pharmacy and LocumTele, which supplies the physicians together with the clinical and compliance infrastructure. Medication is prepared only in licensed facilities, held to standards at or above the regulatory minimum. For the dispensing pharmacy's name and license details, look at your prescription label or the paperwork inside your package.

Our service area covers 49 states (every U.S. state except California), and peoplesfirstrx.com/states-we-serve/ names each one; it does not include Washington, D.C., Puerto Rico or any other U.S. territory, and orders never ship to addresses abroad. Where you are matters because your visit can only be completed by a physician whose license covers your physical location at that time. That is why the intake confirms your location first, before you pay for any medication.

Not us, on either count. Practicing medicine and making clinical decisions are not things Peoples First Rx does, and we never dispense, compound or store medication, because we are a platform rather than a medical practice or a pharmacy. Only your treating physician, who comes from the LocumTele network, can make a clinical decision about you. Rush Pharmacy, the state-licensed pharmacy filling your prescription, is the only party that dispenses; before it does, the pharmacy reviews the prescription independently and may decline to fill it. We run the platform and patient support, and we coordinate the handoffs between your physician and the pharmacy.

No. You cannot put medication in a cart and buy it anywhere on this site. Each medication described here requires a prescription, which means nothing is dispensed unless a licensed physician first reviews your intake and decides to prescribe. Your payment is for that review, and for the medication too if a prescription is issued. No amount of money buys a prescription.

Intake and review

8 questions

Everything begins with a detailed intake form online, where you cover your past health, current medicines, allergies and what brings you to us; next, a physician whose license covers your state goes through it and either messages you with follow-up questions on the platform or makes a decision. Expect most reviews to wrap up within one business day, and you hear the outcome whichever way it goes.

In writing. Your visit runs asynchronously rather than as a live appointment. You complete a structured medical questionnaire; nothing is decided about a prescription until your physician, who is licensed in your state, has gone through the complete file. There is no appointment to join by video or phone. Any extra detail the physician needs is requested through the platform, and a physician who thinks you need an in-person examination will tell you that instead of prescribing.

No, and we set it up that way deliberately. A prescription happens only if the physician reviewing your file concludes it is medically appropriate for you; if they conclude otherwise, they explain why and, where they can, recommend a better next step. What your visit buys is time and professional judgment from a licensed physician, never a prescription, a certain medication, a certain dose or a certain outcome. Promising someone a prescription ahead of any physician review is not the practice of medicine, which is why no one should guarantee you one.

The reviewer is always board-certified and comes from the LocumTele network, and their license for the state you are in has to be active, with no restrictions on it. Licensure checks, both at the start and on an ongoing basis, are handled by LocumTele within the compliance infrastructure it provides. You can read how licenses are verified, and see the licensure details certain states make us publish, at peoplesfirstrx.com/providers/. You will never have a nurse practitioner or physician assistant write your prescription: physicians write every one.

Most intakes need no more than one business day to be reviewed; if the physician needs more information before deciding, the request comes to you as a message on the platform, so nothing is decided on assumptions. Nothing about the review is instant or automated; an actual physician reads what you submitted.

Then the physician lets you know, gives the reasons behind the decision and, when they can, directs you toward a better-suited option, in-person care included. Not prescribing counts as a legitimate result of a visit: the visit is complete, and it has not failed. For how fees are treated in that situation, see our Refund Policy.

Your care team takes questions about your treatment by message in your patient account, and no new appointment is needed. Orders, shipping and billing are patient support's area. Clinical questions are always passed to the clinical team, since medical advice is not something our support staff give.

Yes. Our services are limited to adults, 18 or older, who are physically in a state we serve, and we never knowingly serve or collect information from someone younger than 18.

Treatment and safety

9 questions

No. Each prescription for ivermectin or mebendazole written through Peoples First Rx is filled with compounded oral capsules. As the FDA puts it, compounded drugs are not FDA-approved, which means the FDA does not verify their safety, effectiveness or quality before they are marketed. Both medicines do exist as FDA-approved products, just not in this form: ivermectin tablets and mebendazole chewable tablets are approved for specific parasitic infections, and using either medicine for another purpose is off-label. Ivermectin is never prescribed here for COVID-19 or any other viral illness. Both medication pages state it plainly, and you will hear it from your physician as well before deciding anything.

A medication is compounded when a licensed pharmacy prepares it for a specific individual, usually because nothing commercially manufactured is suitable for that person or available in the form required. Such a preparation is not FDA-approved, which leaves its safety, effectiveness and quality unverified by the FDA ahead of sale. The compounding pharmacy does hold a license, though, and answers to the board of pharmacy in its state and, where applicable, to the FDA. That is exactly the kind of preparation you receive when ivermectin or mebendazole is prescribed here: a compounded oral capsule.

A medicine the FDA has approved can still be prescribed, lawfully, for a condition, dose or group of patients the agency never evaluated it for; that is what off-label means. It is common throughout medicine and rests on the judgment of the physician who prescribes, but it also means that particular use has never been assessed by the FDA. Should that apply to a treatment you are thinking about, you will see it flagged on the medication page, and your physician will talk it through with you.

No. Controlled substances, whatever their schedule, are off the table: none is prescribed, dispensed or shipped by way of this platform. Neither ivermectin nor mebendazole is federally controlled. If a controlled medication is what you are after, we are the wrong service, and we will say so rather than charge you any visit fee.

Some reactions can't wait: if you notice a severe rash, fainting, chest pain, trouble breathing or swelling of your lips, face or throat, call 911 or head to the closest emergency room without delay. Other side effects should still be reported. Send a message to your care team in your patient account or email support@peoplesfirstrx.com, and we will forward your report to the dispensing pharmacy and your prescribing physician, each of which must record it. Reporting to FDA MedWatch is open to you too, by phone at 1-800-FDA-1088 or online through the FDA website, and it never requires going through us or asking our permission. Stopping abruptly is not safe for every medicine, and your physician can often adjust the plan instead, so speak with them before you stop suddenly.

Two notices reach you when medication you were dispensed is part of a recall or safety withdrawal: one from the dispensing pharmacy, sent to the contact details in its prescription record, and one from us, sent to the details on your account. Once you're told to stop taking it, do so, save the packaging and contact us. There is no charge to replace or refund a recalled medication, and our Refund Policy's rules on dispensed prescriptions do not change that.

Yes, all of them. List every prescription and over-the-counter medicine, supplement and herbal product you use, plus any illness or condition you've been treated for in the past, even if it looks unrelated. Most of the time, when a physician says no to prescribing or alters a plan, the reason is a drug interaction or a condition that makes a medicine unsafe, and a physician can weigh only what you have disclosed. If your intake is missing information, the advice you get may not be safe.

No. The prescription was written for you, based on your health information, and it is dispensed to you and nobody else. The law forbids sharing, selling or giving away prescription medication, and doing so puts people at risk. Stick to the directions on your label and from your physician. Take unused medication to a drug take-back program if there is one near you, or dispose of it at home using the FDA's instructions; please don't flush it or just toss it in the trash.

No. Treatment pages, medication pages, blog articles and everything else on this site are general information only. None of it is medical advice, a diagnosis or treatment, and none of it can take the place of judgment from a physician who knows your history. Never disregard a professional's medical advice or wait to seek it on the strength of something you read on this site.

Paying, shipping and refunds

5 questions

Nothing is charged before you have seen the full cost in U.S. dollars, broken out into any visit fee, the medication price, tax and shipping if it applies. There is no membership fee, every order is a one-time purchase, and your card is not charged for any medication until a physician has prescribed it. A price posted in error won't be enforced against you; we will cancel that order and give back anything you were charged.

Neither. Insurance plays no part in paying for care here: we are not an insurance plan and we do not bill insurance; filing a claim with your insurer for you is also not something we can do. Checkout takes credit and debit cards and nothing else, and no invoices are sent. You cover the cost of the visit yourself, and the cost of the medication too if a prescription is issued.

It travels with tracking in plain packaging, and the outside of the parcel gives no clue about its contents. No order goes out until a pharmacist has checked it and it has been sealed in tamper-evident packaging. Tracking information is sent to you when the pharmacy releases the order. If a package shows up damaged, our Shipping Policy tells you what to do, along with everything else about delivery.

A visit can be canceled for a full refund of any visit fee as long as no physician has started reviewing it. Until the pharmacy dispenses your medication, you are free to cancel the order. After a prescription has been dispensed and shipped, returns and refunds are not possible, because state and federal law bars a pharmacy from putting medication back on its shelves after it has left the pharmacy's control. We replace, free of charge, any shipment that arrives damaged or incorrect or that gets lost, and our Refund Policy goes through every one of these cases in detail.

No. Every order is a one-time purchase, and you pay only the total you confirmed at checkout for it. Nothing ships or gets charged again on its own. If you need more medication later, you place a new order, and it ships only after your prescribing physician authorizes it and the pharmacy fills it.

Your data and privacy

4 questions

Your health information stays private. The physicians and pharmacies taking part in your care are HIPAA-covered entities; each gives you its own Notice of Privacy Practices and handles your protected health information under it. Any handling of it by us or our partners on their behalf happens in the role of business associate, under written agreements that set limits on use and require safeguards. HTTPS protects the connection to this site, and the complete account of our practices is in our Privacy Policy.

No. Selling your personal information is something we never do, and no outside company gets it from us for its advertising. None of your health information is used to target ads. Personal information is shared only when the law requires it or when the care you asked for depends on it, which means with the shipping carrier, the payment processor, the dispensing pharmacy and your physician.

Yes, you can get a copy. Two different parties keep your records: visit records stay with your treating physician and dispensing records with the pharmacy, and each follows the retention rules that apply to it. If you'd rather not contact them yourself using the details on your paperwork, ask us and we'll send your request to the right place. Separately, for personal information that Peoples First Rx itself holds, you can request access, a correction, deletion or an export; our Privacy Policy explains how those requests work.

Please don't. Keep clinical details out of our contact forms: they exist for general questions and are not a clinical channel. Anything submitted through a contact form is not protected health information and never becomes part of your medical record. Your patient account is the secure route to your care team for that kind of information.

Contact and concerns

3 questions

Yes: our support team is reachable Monday to Friday at support@peoplesfirstrx.com or +1 (877) 908-1485. Messages are always read by a person, and anything sent when we're closed is answered on the next business day. A clinical question won't be answered by support staff; the clinical team takes it.

Phone us, or email support@peoplesfirstrx.com using Complaint as your subject line. You'll get an acknowledgment within one business day, and our goal is a resolution within ten business days. If the complaint concerns a dispensed medication, the dispensing pharmacy receives it; if it concerns your clinical care, it goes to your treating physician and is also reviewed under LocumTele's medical oversight. Escalating to a regulator is always an option too, whether that means your state board of pharmacy, the FDA or your state medical board. You don't need to come to us beforehand, and our complaint process never limits that right. For the full set of routes, see our Patient Safety & Complaints page.

No. This platform is not an emergency service, so call 911 or get yourself to the closest emergency department right away. Nobody monitors messages here around the clock, which means no one on our side can help you in an emergency, and you should never put off in-person care while you wait for a reply online.

Where we treat

Check that we serve your state.

Telemedicine law changes at each state line. For that reason, only a physician holding a license for your current location can complete your visit. The 49 states listed here, every U.S. state except California, are where we can accept patients.

We cannot accept patients located in the District of Columbia, Puerto Rico or any other U.S. territory. Shipping is limited to addresses inside the United States. Your intake confirms your location, and that step comes before you pay for any medication.

Not available in California.

Serving 49 states

  • Alabama
  • Alaska
  • Arizona
  • Arkansas
  • Colorado
  • Connecticut
  • Delaware
  • Florida
  • Georgia
  • Hawaii
  • Idaho
  • Illinois
  • Indiana
  • Iowa
  • Kansas
  • Kentucky
  • Louisiana
  • Maine
  • Maryland
  • Massachusetts
  • Michigan
  • Minnesota
  • Mississippi
  • Missouri
  • Montana
  • Nebraska
  • Nevada
  • New Hampshire
  • New Jersey
  • New Mexico
  • New York
  • North Carolina
  • North Dakota
  • Ohio
  • Oklahoma
  • Oregon
  • Pennsylvania
  • Rhode Island
  • South Carolina
  • South Dakota
  • Tennessee
  • Texas
  • Utah
  • Vermont
  • Virginia
  • Washington
  • West Virginia
  • Wisconsin
  • Wyoming

Something we didn't cover?

Every message to patient support is answered by a person, and anything clinical goes on to the clinical team. Raise a complaint and you'll get an acknowledgment within one business day.