You raise an interesting point here.
Are you advising that there are certain states you are aware of that have regulations that would prohibit a physician from issuing refills on prescription drugs scheduled C-III and higher? Other than New York regarding benzodiazepines?
Along the same lines, is the need for "another consultation" somehow subject to similar state agency regulations or Rules requiring doctors to consult by telephone before a refill could be authorized within a six month period after the initial script?
I would think that your sharing of this kind of information upfront with your customers would be a very helpful addition to the service that you advertise on your Internet web site.
You seem to be a well-informed service representative and I look forward to hearing more details about these restrictive state regulations that are creating frustrations for many of your customers. Thank you in advance for your clarification.

i think we already know the answer to that.

theres simply only a very few states that physicians are available and because of the f2f requirement its economically more efficient to charge the few customers that are now patronizing these services every month then every 3 months.