No appointment and no video call for most treatments. A licensed clinician reviews your intake and prescribes if appropriate, entirely online.
A platform for prescription generics · A licensed clinician reviews every request
Care you trust. On your terms.
A licensed clinician reviews your intake online, and if it's the right treatment for you, your evidence-based prescription ships directly to your door.
- Launching in 7 states
- 100% online, no video call for most treatments
- No insurance needed, flat cash pricing
- Prescription ships directly to you
- Async review, typically within a few hours
The catalog
What's available
Each treatment has its own page: the dose options, who qualifies, who should not use it and what the evidence says. Prices are listed up front.
Hormones & menopause
HRT bundle
Available nowTransdermal estradiol and micronized progesterone for menopause symptoms: hot flashes, night sweats and sleep disruption.
Most complete: estradiol patch + micronized progesterone.
- estradiol patch, 90 days
- from $155
- progesterone, 90 days
- $60
- Visit
- $49
Non-hormonal hot flash treatment
Available nowFor hot flashes and night sweats when you can't take estrogen or would rather not. Venlafaxine, oxybutynin or low-dose paroxetine, chosen with a clinician.
- venlafaxine, 90 days
- from $49
- oxybutynin, 90 days
- $55
- Visit
- $39
Hair
Hair loss bundle
Available nowFinasteride, dutasteride, oral minoxidil and ketoconazole shampoo for pattern hair loss. One intake covers any combination.
Most complete: finasteride + oral minoxidil + ketoconazole shampoo. Dutasteride can swap in for finasteride as a step-up.
- finasteride, 90 days
- from $59
- Visit
- $39
Skin
Tretinoin
Available nowTopical retinoid for acne and sun damage. You start at a low strength and step up as your skin tolerates it.
- 90 days
- $79
- Visit
- $39
Azelaic acid
Available nowFor inflammatory acne, rosacea and the dark marks breakouts leave. Safe in pregnancy.
- 90 days
- $65
- Visit
- $39
Doxycycline
Available nowOral antibiotic course for inflammatory acne and rosacea. For acne we always pair it with a topical, per the 2024 AAD guideline.
- course
- $49
- Visit
- $39
Eyelashes
Latanoprost
Available nowGrows upper lashes, off-label. It can permanently darken your iris, so a signed consent is required first.
- 2.5 mL bottle
- $65
- Visit
- $39
Sexual health
Valacyclovir
Available nowFor genital and oral herpes (HSV-1 and HSV-2). Take it daily to suppress outbreaks or as a short course when one starts.
- suppression, 90 days
- $65
- episodic course
- $35
- Visit
- $35
Women's health
Fluconazole
Available nowFor vaginal yeast infections. A single 150 mg pill clears most of them, and a licensed clinician reviews your intake before it ships, usually the same day.
- single dose
- from $15
- Visit
- $25
Migraine
Sumatriptan
Available nowFor migraine attacks. Take it when the headache starts. Nine doses per fill, a cap that protects you from medication-overuse headache.
- 9 doses
- $45
- Visit
- $39
Rizatriptan
Available nowFor migraine attacks. A dissolving tablet is available if nausea makes pills hard to keep down. Nine doses per fill.
- 9 doses
- $55
- Visit
- $39
See the full catalog, grouped by condition with the prices and the review each treatment needs.
How it works
Three steps to a clinician's decision
Complete the intake
A structured questionnaire covers your health history. It takes about ten minutes, and disqualifying answers stop the flow before any charge.
A clinician reviews the case
A licensed clinician in your state reviews the intake and prescribes if appropriate. Most reviews finish within a few hours.
If approved, it ships
Medication ships directly to your door, billed quarterly at a flat cash rate, with no insurance paperwork.
The full process who reviews, which states and what happens after the first fill.
Who reviews your case
Every prescription is reviewed by a licensed clinician
Open Scripts does not use automated prescribing. A licensed physician or nurse practitioner in your state reviews every intake individually before any prescription is issued. If a medication is not appropriate, the clinician explains why.
Clinical review runs through a partner clinical network, with prescriptions written by providers licensed in your state. Most decisions come back within a few hours.
Your reviewing clinician
Physician or nurse practitioner, licensed in your state
- Licensed in the state where you live, and reviewing only there.
- Working from the written protocol published on each medication page.
- Free to approve, adjust, decline, or ask for a video visit.
The rules we operate by
Four rules, applied to every treatment in the catalog.
Every treatment lists who should not use it
Contraindications are published before you pay anything. If a safety rule applies to you, the intake ends there and tells you where to go instead.
A clinician reviews every request
Your intake goes to a clinician licensed in your state. Borderline answers route to messages or a video visit. Nothing is auto-approved.
Backed by published evidence
Every treatment we carry has published clinical evidence behind its use. We don't formulate proprietary blends or add ingredients because they sound credible.
Flat prices, listed up front
The visit price and the medication price are listed before you start. There is no membership fee.
FAQ
Common questions
Do I need insurance?
No. Open Scripts uses flat cash pricing. Insurance is not required or accepted.
How long does a review take?
Most clinical reviews finish within a few hours. Once a clinician approves the prescription, it ships from a partner pharmacy.
Who reviews my intake?
A licensed physician or nurse practitioner in your state reviews every intake individually. Open Scripts does not use automated prescribing.
What if I'm not approved?
If a clinician decides a medication is not appropriate, the intake stops and there is no charge for it. The reason is always explained.
Is this available in my state?
Open Scripts is launching in AZ, CA, FL, IN, NY, OH and TX. When it launches, the first question in every intake confirms your state.
Can I cancel?
Yes. A subscription can be canceled at any time through the patient portal.
The catalog
Start with the treatment you came for
Pick it from the catalog, answer the intake and get a clinical decision, usually within a few hours.