How an online visit works

Care in three steps

Online visits aren’t open yet. StackRx is opening in stages, and people on the early-access list get an email when visits open. Here’s how a visit is planned to work.

1. Tell us about you. You answer private questions about your health, history and goals. You upload photos if your treatment needs them.
2. A provider reviews. A US-licensed provider reviews your answers, messages you with any questions, and prescribes only if it’s right for you.
3. Made and delivered. A licensed pharmacy compounds your prescription to order and ships it in plain packaging.

Most visits are asynchronous. That means your provider reviews your answers and photos on their own time, not in a live conversation, so replies aren’t instant.

Every treatment except Metformin ER, an FDA-approved generic, is compounded. Compounded medicines aren’t FDA-approved, and the FDA doesn’t review them for safety, effectiveness or quality. Compounded vs FDA-approved medicines explains the difference.

What you’ll be asked

Most visits will ask about these things, in this order:

• Getting started: your state, your age and a few questions about whether the treatment could fit.
• What you’d like help with, and which concern matters most to you.
• A quick safety check for warning signs that need in-person or urgent care instead.
• Your health history: conditions, medicines, supplements and allergies, and pregnancy or breastfeeding where it matters.
• What you’ve tried before, and any concerns you have.
• Anything you’d like your provider to know, or a question for them, and your email.

You’ll also need an account, with details such as your name, email, phone number and date of birth. Answer as fully and honestly as you can, and complete the visit yourself. There’s no physical exam, so your provider relies on what you tell them. Missing or wrong answers can lead to a decision that isn’t right for you.

Photos for skin and hair

Skin and hair treatments usually need photos. The visit for Hair Regrowth Solution is planned to ask for four scalp photos: front, top, crown and part. Your face doesn’t need to be in them. Most skin visits are planned to ask for three face photos, from the front and each side.

Use bright, even light. You can add photos later, but your provider needs them before prescribing. Poor lighting, focus or angle can make photos hard to assess, so your provider may ask for more.

Lab work for some treatments

• Enclomiphene: low testosterone is confirmed with two early-morning blood tests. Your provider also checks related hormones (LH, FSH and prolactin), your hematocrit and, from age 40, PSA. Testosterone is rechecked 4 to 6 weeks after you start, then every 6 to 12 months.
• Metformin ER: you’ll have a kidney test before starting and at least once a year, plus a B12 check from time to time. Metformin isn’t used when kidney function is very low.
• Menopause creams: your provider reviews your health history and tells you if any tests are needed. For MICC (B12) injections, your provider decides whether to order a B12 test.

What a provider can decide

After reviewing your visit, your provider may:

• message you with questions, or ask for more information or photos
• ask you to do a phone or video visit, if they decide one is needed or your state’s law requires it
• prescribe a treatment, if they decide it’s right for you
• recommend a different option, which may be an FDA-approved medicine
• recommend that you see a provider in person
• decline to prescribe

Completing a visit doesn’t guarantee a prescription, and those decisions are your provider’s alone. A request for a video visit isn’t a no; it’s so the plan fits you.

Some answers lead somewhere else before a provider decides. Warning signs in the safety check lead to advice to get care today or see someone in person. Some requests aren’t offered at all: glutathione isn’t prescribed for skin lightening, and metformin isn’t started during pregnancy through this service.

Refills need a valid prescription, and your provider may ask you to check in before approving more.

You can say no too. You can decline any treatment your provider recommends, choose in-person care instead, or withdraw your telehealth consent at any time by emailing support@joinstackrx.com.

Your privacy

• Consent comes first. Some state health-privacy laws require your consent before any health question, so the visit asks for it at the start.
• Who sees what. Your answers, photos, messages and prescriptions become part of your medical record, which the medical group keeps. The medical group may share information with the pharmacy that fills your prescription, and with StackRx as needed to run the platform, as the law allows.
• No sale, no ads. StackRx doesn’t sell health information or use it for advertising, and it doesn’t use advertising tools. It counts page views with an analytics tool that uses no cookies and doesn’t track you across sites or over time. It won’t place advertising or analytics tools on the pages where you enter health information for your visit.
• Photos are for your care. Your provider, and the people who support them, use your photos to assess your request. They aren’t used in marketing without your separate written permission.
• Your rights. Depending on where you live, you may have the right to see, correct or delete your information, or to withdraw consent. Email privacy@joinstackrx.com. The medical group and pharmacies may have to keep medical and pharmacy records by law.

Where HIPAA applies, your health information is handled under HIPAA and the relevant Notice of Privacy Practices. Some state laws also protect “consumer health data”, which can include the treatment pages you view while signed in. No system is perfectly secure. The full details are in StackRx’s Privacy Policy, Consumer Health Data Privacy Policy and Telehealth Consent.

When and where visits will open

StackRx is starting in a limited number of states, and you can check yours on the homepage. The list may change, and some treatments may not be available in every state on it.

• You need to be 18 or older.
• You need to be physically in one of these states when you complete your visit and whenever you communicate with your provider.
• Your medicine ships to an address in the same state.
• Your provider will be licensed in the state where you are during your visit.

People on the early-access list whose state isn’t live yet get an email when it is.

Safety and what an online visit can’t do

• It isn’t for emergencies. If you think you’re having a medical emergency, call 911 or go to the nearest emergency room. Don’t wait for a provider’s message.
• There’s no physical exam. Some conditions can’t be properly assessed without an in-person exam or tests.
• It doesn’t replace your own doctor. Keep seeing your primary care provider, and tell them about any treatment you receive through StackRx.
• Any medicine can have side effects. Compounded or not, it can also interact with other medicines or conditions. Each treatment page lists its own safety rules.
• Know when to get help. Follow the directions on your pharmacy label, and tell your provider if your health or medicines change. For severe or worrying side effects, stop the medicine and get medical help right away, then tell your provider. Get emergency care for chest pain, trouble breathing, or swelling of the face, lips or throat.

A provider decides whether a treatment is right for you, and prescribes only if it is.

Sources

1. StackRx, Telehealth Consent (effective September 30, 2026), joinstackrx.com/telehealth-consent
2. StackRx, Terms of Use (effective September 30, 2026), joinstackrx.com/terms
3. StackRx, Privacy Policy (effective September 30, 2026), joinstackrx.com/privacy
4. StackRx, Consumer Health Data Privacy Policy (effective September 29, 2026), joinstackrx.com/consumer-health-data
5. AUA Testosterone Deficiency Guideline 2018, reaffirmed 2024 (enclomiphene bloodwork), auanet.org
6. Metformin ER label (kidney test before starting and at least yearly), DailyMed

This article is general information, not medical advice. Only a US-licensed provider who reviews your health can say whether a treatment is right for you. If you have a medical emergency, call 911.