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Each OP has its own schedule of services and fees, so it's impossible to make one statement that applies to them all. However, most OP's charge for an intial consultation, during which patients receive treatment in the form of a prescription which may or may not include refills.
The vast majority, if not all, OP's require a new consultation before renewing a prescription or offering additional refills.
Bernie- When you get your med bottle it will tell you how many refills you have left. After the refills are done, than you have to sign up and pay for a new consultation- Summmer