Prescription fees are for our U.S. qualified doctors to evaluate your request and issue a prescription if that is the appropriate outcome for your case. We want to make healthcare pricing transparent and affordable that's why we set the doctor's fee at a flat rate of $20 for all services which is lower than most copays. The $20 medical fee does not include the cost of the medicine. We issue a 100% refund if we cannot help you including the doctor’s fee.