Online visit · $45 flat · No video
Yes, you can refill or replace your epinephrine auto-injector online, or get a travel backup. If you have a known severe allergy or a prior auto-injector prescription, Bidwell Health offers a $45 asynchronous visit (no video, no subscription) for adults in eligible states. A licensed nurse practitioner reviews your history and sends a prescription to your pharmacy when clinically appropriate. This is for getting a device in advance, not for diagnosing a new allergy or treating a reaction happening now.
This is a refill, replacement, or travel-backup service for people already known to be at risk, the same idea as renewing any stable, previously prescribed medication.
A common myth is that asthma or heart disease rules out epinephrine. The opposite is true for asthma: people with asthma are at higher risk of dying from anaphylaxis and especially need a rescue device. Epinephrine has no true contraindication in a life-threatening allergic reaction. We may advise you to also follow up with your own clinician about your asthma or heart condition, but that does not stop us from prescribing the device.
My clinical background is in flight medicine, trauma, and emergency care, where I have seen how fast a severe allergic reaction can move. A device that is in date and actually on you is one of the few things that truly changes the outcome, so we keep refills and travel backups simple. We are here for refills and known-allergy backups, and we will say plainly when you need in-person allergy care instead.
We prescribe the generic epinephrine auto-injector. It is the same medication and the same 0.3 mg dose as EpiPen, just without the brand markup, and it is the easiest device to fill at a normal pharmacy. Here is how it compares to the other options you may have heard of, which we show for reference but do not prescribe.
| Device | What it is | Cost and access | Do we prescribe it? |
|---|---|---|---|
| Generic epinephrine auto-injector | Same drug and 0.3 mg dose as EpiPen, an injection | Lowest cost, widely stocked, no prior authorization | Yes, this is what we send |
| EpiPen (brand) | The brand-name version of the same auto-injector | Much pricier; usually billed to insurance and often needs prior authorization | No, shown for comparison |
| Auvi-Q | A compact, voice-guided auto-injector | Distributed through a manufacturer program, not a normal pharmacy | No, shown for comparison |
| neffy | A needle-free epinephrine nasal spray, heat-stable | Brand-only, costs more, often needs prior authorization | No, shown for comparison |
The generic is the same rescue medication as the brand at a fraction of the price, which is why it is what we prescribe. Want to compare the newer options? See EpiPen vs. neffy.
Yes, for a refill, replacement, or travel backup if you have a known severe allergy or a prior auto-injector prescription. Bidwell Health offers a $45 asynchronous visit, no video and no subscription, for adults in eligible states. A licensed nurse practitioner reviews your history and sends a prescription to your pharmacy when clinically appropriate. This is not for diagnosing a new allergy or treating a reaction happening now.
No. If you are having a severe reaction now, use your epinephrine if you have it and call 911 immediately. This online visit is only for getting a device in advance, not for an active emergency.
No. People with asthma are actually at higher risk of severe allergic reactions and especially need a rescue device. Epinephrine has no true contraindication in anaphylaxis. We may advise you to also follow up with your own clinician about your asthma or heart condition, but those do not stop us from prescribing the device.
We prescribe the generic epinephrine auto-injector. It is the same medication and the same 0.3 mg dose as EpiPen, just without the brand markup, and it is the lowest cost, is widely stocked, and does not need a prior authorization. Brand devices like EpiPen and Auvi-Q, and neffy, the needle-free nasal spray, are shown on this page for comparison only. They usually cost more and often need an insurance prior authorization, so we keep it simple and prescribe the proven generic.