Before prescriptionconsultation.com was shut down that was how they operated.Once a year you would have to get an exam in order to get your meds.I don't know about any other place but,this was a joke.They would weigh you,check your bp,and ask you what your complaint was.As we all know this company is gone by the way.This was supposed to show a personal contact.I think it was another way to get your money.Whatever it was supposed to do you did get your meds it just took about a month to get started