What is metformin? Metformin (brand: Glucophage) is an oral biguanide used first-line for type 2 diabetes and sometimes PCOS.
Metformin is first-line for type 2 diabetes. If your A1c is reasonably controlled and labs are current, we can bridge 90 days while you schedule with a new endocrinologist or PCP.
$45 visit
90-day bridge supply · Licensed clinician · No insurance billing
Hemoglobin A1c and basic metabolic panel within the last 12 months
When a Metformin bridge refill is appropriate
You've been on the same dose of Metformin for at least 6 months
Your dose hasn't been changed in the last 3 months
You're between primary care providers (moved, insurance change, PCP retired, or a long new-patient wait)
You have your current prescription bottle or pharmacy printout
Any required monitoring labs are within the last 12 months
When we'd decline and refer you instead
You're requesting a dose change — that needs a full visit with your PCP, not a bridge
You've started Metformin within the last 6 months
You've had new side effects, a recent hospitalization, or a significant change in symptoms
Monitoring labs are missing or more than 12 months old
Clinical note. Biguanide. Contraindicated with significant kidney impairment — if your most recent eGFR is below 30, we'll decline and refer you.
How the visit works
Submit a short intake (med, dose, frequency, photo of your bottle, pharmacy)
A licensed Bidwell Health clinician reviews your request 7 days a week, including weekends
If approved, your 90-day prescription is e-prescribed to your chosen pharmacy
$45 online visit; if online treatment is not clinically appropriate, the visit fee is refunded
Pricing
Cash-pay visit. Medication cost is separate and paid at the pharmacy. The exact medication price varies by pharmacy, quantity, insurance, and discount-card pricing.
Refill by category
If your medication is stable and non-controlled, these refill guides explain how online bridge refill visits work by medication type.