Actually I believe Midlands decision not to sell to TN residents is their own choice. I live in TN and use an out of state OP. In fact, the one I am using now was just chosen because I needed some pain relief untill my med records arrived.

I have already contacted a couple of other OP's that offer better prices and service for when my script expires.And they also deliver to TN. So it seems Midland made their own choice.