You've been on the same dose of Montelukast 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 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
You're requesting a dose change — that needs a full visit with your PCP, not a bridge
You've started Montelukast 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. Leukotriene modifier. FDA black box warning (2020) about mood/behavior changes — we ask about this at intake. If you've tolerated it without issue, a bridge refill is appropriate.
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.