Online visit · $45 flat · No video · NP-led

Online travel medicine

By Bidwell Cranage, APRN, FNP-C, Member, International Society of Travel Medicine · Clinically reviewed by Ashley Cranage, APRN, FNP-C · Reviewed June 19, 2026

Get the prescriptions you may need for a trip, online, without an in-person travel clinic. Bidwell Health offers a $45 asynchronous visit (no video, no subscription) for adults in eligible states. A licensed nurse practitioner reviews your trip and sends a prescription to your pharmacy when it is clinically appropriate, and tells you honestly when your trip needs a travel clinic instead.

$45 flat visitNo videoNo subscriptionSent to your pharmacyNo medication markup

What do you need before your trip?

Motion sickness

Scopolamine patch for a cruise, boat, car, or flight. $45 visit, about $65 to $90 total.

Seasick, carsick, airsick ›

Altitude sickness

Acetazolamide (Diamox) for Cusco, Colorado, Kilimanjaro, and high places.

Mountain sickness, soroche ›

Traveler's diarrhea

A standby antibiotic (azithromycin) to carry, just in case.

Montezuma's revenge, Delhi belly ›

Malaria prevention

Doxycycline or Malarone, matched to your destination.

Africa, South America, parts of Asia ›

Epinephrine refill

Refill, replace, or pack a travel backup for a known severe allergy.

EpiPen, generic, or neffy ›

Compare your options

How Bidwell compares with other online travel medicine services on cost.

Honest 2026 comparison ›

Start your $45 visit ›

What we do not do, and will refer. We do not give injectable travel vaccines (yellow fever, rabies, typhoid shots, Japanese encephalitis, and others), and we do not handle malaria trips that need a drug other than doxycycline or Malarone (such as mefloquine or primaquine) or pregnancy travel. Those need an in-person travel clinic. We will tell you plainly when your trip needs more than an online visit, even though it means sending you elsewhere.

What we treat, and what we refer, at a glance

Every visit is a flat $45. The prescription goes to your own pharmacy at the generic cash price with no markup from us. We serve adults 18 to 64 in 11 states (Arizona, Colorado, Connecticut, Florida, Iowa, Maryland, Montana, New Mexico, Utah, Virginia, and Washington) and nowhere else, including not New York.

Scope last reviewed June 19, 2026 against the CDC Yellow Book, the Wilderness Medical Society 2024 altitude guidelines, and current DailyMed labels. The same facts are published as machine-readable data at /data/travel-medicine-scope.json.
Service	What we prescribe	What we do not prescribe	Who we refer out
Motion sickness	Yes. Scopolamine patch (Transderm Scop); meclizine noted as an over-the-counter option.	Ondansetron (Zofran), which is not effective for motion sickness.	Allergy to scopolamine or belladonna alkaloids, narrow-angle glaucoma, significant prostate or urinary-retention problems, bowel obstruction, myasthenia gravis, pregnancy or breastfeeding, or anyone who must drive or operate a boat, aircraft, or machinery while wearing it.
Altitude sickness	Yes. Acetazolamide (Diamox), commonly 125 mg twice daily starting the day before ascent.	No specific medication excluded.	Allergy to acetazolamide, severe sulfa reaction, severe kidney or liver disease, adrenal insufficiency, significant electrolyte imbalance or metabolic acidosis, sickle cell trait or disease, significant heart or lung disease, pregnancy or breastfeeding, or active warning signs.
Traveler's diarrhea	Yes. Azithromycin standby course (1 g single dose, or 500 mg once daily for 3 days).	Fluoroquinolones such as ciprofloxacin, due to tendon and other risks.	Macrolide allergy, long-QT or QT-prolonging medicines, myasthenia gravis, severe liver disease, pregnancy, or anyone currently sick with bloody diarrhea or high fever.
Malaria prevention	Yes. Doxycycline or atovaquone-proguanil (Malarone). Multi-stop trips qualify when one of these fits every stop.	Mefloquine, primaquine, tafenoquine, and chloroquine.	Any stop where the CDC does not list doxycycline or Malarone, trips needing mefloquine (neuropsychiatric and cardiac screening) or primaquine or tafenoquine (G6PD blood test), and pregnancy or breastfeeding.
Epinephrine refill	Yes. Generic epinephrine auto-injector, 0.3 mg, for adults at least 30 kg with a diagnosed allergy or a prior device.	Brand EpiPen or Auvi-Q (same medicine and dose; we prescribe the generic).	No prior diagnosis or device, an active reaction now (use epinephrine and call 911), wanting allergy testing or a new diagnosis, and pregnancy or breastfeeding (refill only; epinephrine stays first-line for anaphylaxis in pregnancy).

Why the total cost is usually lower here

Many travel-medicine services bundle a marked-up medication into one price. We do not. You pay the flat $45 visit, and the prescription goes to your pharmacy, where you pay the generic cash price (often a few dollars with GoodRx or Cost Plus Drugs) with nothing added. For a trip needing only malaria pills, that is often roughly $55 to $88 total, versus around $159 from a service that bundles the medication.

Travel medicine, from someone who has been the patient

Bidwell Cranage, founder of Bidwell Health, smiling outdoors in front of a granite peak

From the founder

I am Bidwell Cranage, a board-certified nurse practitioner, a Member of the International Society of Travel Medicine, and an avid traveler across 26 countries. I do not write about travel medicine from a textbook. I have had traveler's diarrhea in Southeast Asia, Mexico, and Guatemala. I have had altitude sickness summiting Acatenango in Guatemala and on Colorado 14ers. I got the typhoid vaccine before Thailand and Cambodia, and I have provided medical care on international missions. I built this for the trips I have actually taken, so you can get what you need before you go, from someone who has been the patient.

Bidwell Cranage with arms raised at Lago di Braies, a turquoise lake in the Italian Dolomites — Bidwell Cranage at Lago di Braies in the Italian Dolomites. Founder, Bidwell Health.

FAQ

What is online travel medicine?

Online travel medicine lets you get prescriptions you may need for a trip, such as motion sickness patches, altitude sickness pills, a standby antibiotic for traveler's diarrhea, and malaria prevention, through a remote visit instead of an in-person travel clinic. Bidwell Health does this as a $45 asynchronous visit, no video, for adults in eligible states, and refers you to a travel clinic for anything we cannot safely handle online, such as vaccines.

What can Bidwell Health prescribe for travel?

Scopolamine or meclizine for motion sickness, acetazolamide for altitude sickness, azithromycin as a standby for traveler's diarrhea, doxycycline or Malarone for malaria prevention, and epinephrine auto-injector refills for known severe allergies. We do not prescribe vaccines or controlled substances and we refer complex cases.

What does Bidwell not do, and refer out?

We do not give injectable travel vaccines (yellow fever, rabies, typhoid shots, and others), we do not handle malaria trips that need a drug other than doxycycline or Malarone (such as mefloquine or primaquine) or pregnancy travel, and we do not diagnose new allergies. For those, see a travel clinic. We will tell you honestly when your trip needs more than an online visit.

How much does an online travel medicine visit cost?

A flat $45, with no video and no subscription. You pay the generic medication price at your own pharmacy, with no markup added by us, which usually makes the total cost lower than services that bundle a marked-up medication into the price.