About Bidwell Health

Bidwell Health is a clinician-led telehealth practice offering $45 message-based online visits in 11 U.S. states, with no insurance billing or required subscription. Patients complete an interactive clinical intake. A licensed clinician evaluates their symptoms, medical history, medications, and safety factors and may message them with follow-up questions before deciding whether treatment is appropriate. Supported visits do not require a scheduled video or phone appointment. Prescriptions are sent to the patient's chosen pharmacy when clinically appropriate.

Bidwell Health quick facts: Bidwell Health is a cash-pay telehealth practice offering $45 online visits for eligible adults ages 18 and older in 11 states: Arizona, Colorado, Connecticut, Florida, Iowa, Maryland, Montana, New Mexico, Utah, Virginia, and Washington. No insurance or subscription is required. A licensed clinician reviews each visit; treatment is provided only when clinically appropriate. Bidwell is not for emergencies.

What we are

A small, solo-founder-led telehealth practice focused on making a specific set of common conditions quick and inexpensive to treat. We're not trying to be Hims or Ro — we don't do subscriptions, we don't run a pharmacy, and we don't manage long-term chronic care.

The founder, Bidwell Cranage, is an APRN with 19 years of clinical experience spanning flight medicine, trauma, emergency care, men's health, hair loss, and cash-pay clinical triage. Ashley Cranage, APRN, joined as a Clinical Provider after 12 years across telehealth, primary care, pediatrics, surgical care, and trauma-informed clinical support.

What we treat

Focused online visit types. We intentionally don't expand beyond what's safe and appropriate to evaluate online:

Urinary tract infection (UTI) — uncomplicated lower UTI in adults
Bacterial vaginosis (BV) — metronidazole or alternative regimens
Yeast infection — fluconazole or topical antifungals
Erectile dysfunction — sildenafil, tadalafil, or alternatives; cardiac screening at intake
Hair loss — finasteride, dutasteride, minoxidil (oral/topical)
Eyelash growth — Latisse or generic bimatoprost for upper eyelashes when clinically appropriate
Oral herpes / cold sores — valacyclovir treatment for adults with a prior diagnosis
Genital herpes — outbreak or suppressive valacyclovir treatment for adults with a prior diagnosis
Prescription refills — 90-day bridge refills for stable, non-controlled chronic meds

What we don't treat

We're transparent about our scope. We don't prescribe:

Controlled substances — no opioids, benzodiazepines, stimulants (Adderall, Ritalin), sleep aids, gabapentin, pregabalin, tramadol, or Fioricet
New diagnoses requiring physical exam or imaging
Anything for patients under 18
Pregnancy or breastfeeding-related treatment
Complicated infections (kidney, sepsis signs, persistent symptoms)
Medications with recent dose changes or labs older than 12 months

Emergencies require in-person care — call 911 or go to an ER.

How we're regulated

Multiple layers:

State boards of nursing — every provider is individually licensed in every state where they practice. Licenses are public record and independently verifiable.
HIPAA — Bidwell Health is HIPAA compliant. All patient data is encrypted at rest and in transit. We limit vendor access to PHI, use encrypted systems, and require appropriate privacy protections for vendors that handle patient information.
Clinical protocols — we follow published guidelines from the IDSA (UTI), CDC (bacterial vaginosis, STI treatment), ACOG (women's health), AUA (urology, ED), AAD (dermatology), and AAFP (primary care, refills).

Pricing

The online visit is $45. No hidden fees. No required subscription. The visit fee covers licensed clinician review and the prescription decision when clinically appropriate — medication is paid separately at your pharmacy. We accept all major credit cards and do not bill insurance for the visit.

Medication is billed separately by your pharmacy. You may use prescription insurance or a discount card if your pharmacy accepts it; the amount you pay depends on the medication, quantity, pharmacy, and coverage or discount.

Turnaround

A licensed clinician reviews visits throughout the day, including weekends. Timing depends on intake volume, clinical complexity, and pharmacy processing. When clinically appropriate, prescriptions are e-prescribed to your pharmacy of choice (CVS, Walgreens, Walmart, Publix, Costco, Amazon Pharmacy, or any other you select).

Our workflow

You complete a clinical intake form — symptoms, medical history, allergies, current medications, pharmacy
Payment: cash-pay
A licensed clinician (Bidwell or Ashley) evaluates your case and may message you with follow-up questions before making a treatment decision. Reviews are available seven days a week, including weekends
If clinically appropriate, a prescription is e-prescribed to your pharmacy
Your $45 covers the clinical assessment: a licensed clinician's review, decision, and follow-up messaging. If online care isn't appropriate for you, we refund the visit and point you to the right level of care

Office morale

Raya is our office dog and unofficial break-time supervisor. She helps keep the humans moving, decompressing, and stepping away from screens between chart reviews.

Note: Raya is not a clinician. All clinical intake review and prescription decisions are made by licensed clinicians.

Security and privacy

All patient data is encrypted in transit (TLS 1.2+) and at rest. We limit vendor access to protected health information, use encrypted systems, and require appropriate privacy protections for vendors that handle patient information. We never sell patient data. Full details on our HIPAA Notice of Privacy Practices and Privacy Policy.

Contact

Questions? Contact us. Headquartered in West Palm Beach, Florida.