Bridge Refill Visit — Bidwell Health

Step 1 of 4

Your medication

One medication per visit. If your medication is on our non-refill list, we'll tell you right away and refund automatically if you've already paid.

What is your biological sex?

Medication name

Start typing the generic or brand name — pick from the dropdown. One medication per visit.

Dose / strength

How often do you take it?

Photo of your medication bottle

📷 Tap to take a photo or upload

Label must be readable — med name, dose, your name, and prescriber visible. JPEG, PNG, or iPhone HEIC up to 8 MB.

Your provider verifies your photo against what you entered above.

Pharmacy — search by ZIP

Can't find it? Type the pharmacy manually

We can't bridge this medication

Step 2 of 4

Safety check

Three quick confirmations so your provider can bridge safely.

Stable dose, no change requested. I've been on this same dose for at least 6 months, the dose hasn't been changed in the last 3 months, and I'm not asking for a dose increase or decrease.

Labs are current and I'm feeling stable. If my medication requires monitoring (thyroid, statins, metformin, BP/heart meds), my most recent labs are within the last 12 months. I haven't had new concerning symptoms, an ER visit, a hospitalization, or significant side effects.

This is not a controlled substance. No opioids, benzos, stimulants, sleep aids like Ambien, tramadol, gabapentin, pregabalin, or Fioricet. If any of those apply, please stop here.

Is there anything else you'd like your provider to know?

Step 3 of 4

Your info & pharmacy

Required by state licensure and pharmacy e-prescribing.

First name

Last name

Date of birth

Email

Phone

State of residence

We're currently licensed in these 12 states. More coming soon.

Street address

City

ZIP

Who prescribed this medication?

Last fill date (approximate)

Step 4 of 4

Review & pay

Charged only if your provider approves. Auto-refunded within 2 business days if declined.

Medication

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Dose

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Frequency

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Pharmacy

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Payment — $45 flat

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