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I know of two OPs that allow you to pay for your medication and your consult fee c.o.d. With them, all you do is place the order for your consultation; have your consultation; and you pay for both the consultation and meds in a money order c.o.d. when the package arrives.
I mean think about it. Why would OPs be afraid to let you pay for your consultation c.o.d. They know that you want to receive your meds. It's not as though your going to go through all the trouble of faxing in records, consulting with the doc and then decide not to accept the package when it comes c.o.d.
Ephy is one of the OPs that offers this service. I like it b/c if the doc fails to prescribe you the meds you are requesting, you have not lost a single dime.