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Medical policies

What we treat

K Health affiliated doctors can remotely treat a wide array of patients across hundreds of conditions, safely. Our goal is to help as many patients as possible, while practicing safe and responsible medicine. There are some scenarios where we believe the best course of action is to refer a patient out to in-person care rather than treat them remotely. Patient health and safety is always our priority.

The following are the most common scenarios where we will NOT treat patients remotely, and will instead refer out to in-person care:

  • Patients seeking ongoing care and prescriptions for some chronic conditions. Particularly ones that require physical examination for safe management. In some cases, K Health may help diagnose and initially prescribe medication for these conditions, but for ongoing care we will refer out. These conditions include hypothyroidismdiabeteshigh blood pressure, cholesterol, fibromyalgia, Graves’ disease, COPD, and CHF.
  • Pregnant patients with any pregnancy-related symptoms and conditions. These include (but are not limited to) headacheschest painshortness of breathabdominal painUTI, and/or pelvic/vaginal complaints.
  • Patients under the age of 18.
  • Patients who have sustained animal bites or scratches or patients seeking treatment for an animal related injury.
  • Immunocompromised patients (including active chemotherapy or immunotherapy, autoimmune diseases on chronic steroids, and HIV/AIDS with unknown recent CD4) with infectious symptoms, including but not limited to fevers and rashes.
  • Patients with certain sexually transmitted infections (STIs) including gonorrhea, HIV, syphilis, or primary herpes. We will prescribe medication for chlamydia.
  • Patients with more severe behavioral health conditions. These include severe depression, suicidal ideation, bipolar disorder/mania, substance abuse, schizophrenia, obsessive compulsive disorder (OCD), eating disorders, and/or ADD/ADHD.

What we prescribe

K Health affiliated doctors can prescribe most medications to treat acute and chronic needs as well as to manage some behavioral health conditions. There are several types of medications we WILL NOT prescribe—those that are considered high risk or those that require ongoing physical evaluation.

Medications we do not prescribe include:

  • Controlled substances including:
    • Weight loss medications such as phentermine
    • Stimulants for shift work disorder such as Provigil
    • Sedatives and sleep aids such as Ambien, Lunesta, promethazine (brand names include Phenergan and Promethegan)
    • Prescription pain relievers and muscle relaxers such as carisoprodol (brand names include Soma and Vanadol), Butalbital, tramadol (brand names include Ultram and Ultracet), gabapentin (brand names include Neurontin, Gralise, and Horizant), and Fioricet
    • High risk medications that require a Drug Enforcement Administration (DEA) license, or are subject to abuse such as Xanax. If you are unsure if a substance is controlled, here are a couple of resources to look up individual drugs: Prescriber’s Digital ReferenceU.S. Dept. of Justice DEA Diversion Control Division
  • Medication that requires blood work to monitor (i.e. lithium, Coumadin, carbamazepine, etc.)
  • Any injectable medication (except insulin and epinephrine autoinjector refills)
  • Birth control

Our refill policy

K Health affiliated doctors will provide refills whenever they deem it is safe to do so. In order to safely refill medication, a patient needs to either (a) meet our refill criteria outlined below, or (b) have their condition actively managed through K Health (i.e. through our anxiety and depression management program).

For K Health anxiety and depression management members

  • Prescriptions are adjusted (as needed) and sent every 30 days based on an active reassessment with a doctor
  • Prescriptions are sent via mail-order pharmacy

For non-anxiety and depression management members

  • Patients are eligible for a one-time only 30-90 day refill, if refill conditions are met
  • Future refills for chronic conditions need to be fulfilled via a specialist or in-person care
  • It’s at the physician’s discretion to ultimately determine the length of a refill

Refills must meet all of the following criteria:

  • Patient can demonstrate a recent prescription (less than one year old), usually via a photo of the pill bottle or listing from a pharmacy
  • Patient is asymptomatic
  • Medication being refilled is one that we prescribe (see what we prescribe above)