Yes. The optional $22 doctor visit fee (a charge for a service not provided by TelyRx, but by independent providers licensed in your state) is added when you indicate that you need a prescription for one or more of the selected medications. The issuance of a prescription (or prescriptions) is entirely within the provider's discretion, but you will only be charged the fee if a prescription is issued. The doctor's visit is not a bundled service, and a prescription need not be generated through TelyRx's platform as a condition of purchase. If you already have a valid (and unexpired) unfilled prescription from a licensed prescriber for the specific drug, dosage, quantity, and formulation you seek from TelyRx, you can mail a copy of the prescription (along with your name, address, telephone number, and email address) to our pharmacy at 24761 US Hwy 19 N, Clearwater, Florida 33763, and a manual order will be initiated. Alternatively, you can have your provider fax your prescription directly to our pharmacy at (813) 845-8520. The manual order will include the pharmacy validating the prescription consistent with Florida pharmacy law. Please be advised that this process can take up to 3 days after the pharmacy received your prescription. If and when the prescription is validated, the pharmacy will reach out to you via phone and confirm your shipping and payment information, then dispense and ship the medication(s).