Regulatory & Compliance Disclosures

This page describes how P First operates and the standards we hold ourselves to. It is maintained by P First and is not an independent certification or endorsement by any regulator or accreditation body.

Prescription required

Every medication offered through P First is a prescription-only drug. We do not sell, ship, or facilitate the sale of prescription medication without a valid prescription issued by a licensed provider after a clinical evaluation. We do not fill prescriptions written by providers outside the LocumTele network without independent review, and we never offer prescription medication for sale directly to consumers without an evaluation.

No guarantee of a prescription

Completing an intake and paying a consultation fee does not guarantee that a prescription will be issued. The reviewing clinician may request more information, recommend an alternative, or decline to prescribe when treatment is not clinically appropriate. Clinical decisions rest solely with the treating provider.

Licensed providers

Clinical evaluations are performed by independent clinicians in the LocumTele network. Providers are licensed in the state where the patient is located at the time of the encounter, and P First does not direct or override their clinical judgment. Patients may request the name and license credentials of the provider who reviewed their case by emailing support.

Licensed pharmacy

Dispensing and shipping are performed by Rush Pharmacy, a licensed U.S. pharmacy. P First does not store, repackage, compound, or ship medication itself, and does not source medication from outside the regulated U.S. supply chain.

Controlled substances

P First does not offer, advertise, or facilitate access to controlled substances. Ivermectin and mebendazole are not controlled substances.

Eligibility

• You must be 18 years of age or older.
• You must be physically located in one of the 47 states we serve. We do not serve California, South Carolina, or New Jersey.
• You must complete the intake for yourself. Ordering on behalf of another person is prohibited.
• You must provide accurate and complete medical information.

Marketing and claims standards

• We do not claim that any medication cures, prevents, or treats a condition beyond its approved or evidence-supported use.
• We do not use fear-based, urgency, or pressure marketing to drive prescription requests.
• We do not offer coupons, discounts, or incentives tied to obtaining a prescription.
• We do not publish patient testimonials as evidence of clinical outcomes.
• Pricing, fees, and what is included are disclosed before payment.

Advertising, affiliates, and referrals

P First does not pay per-prescription commissions to providers, affiliates, or marketing partners. Compensation is never tied to the outcome of a clinical evaluation.

Adverse events and side effects

If you experience a side effect or adverse reaction, stop taking the medication and contact your provider. For emergencies, call 911. You may also report adverse events directly to the U.S. Food and Drug Administration through FDA MedWatch or by calling 1-800-FDA-1088. Please also notify us at suport@milomed.com so we can inform the prescribing provider and the dispensing pharmacy.

Medication safety and disposal

Take medication only as directed by your provider. Do not share prescription medication with anyone. Dispose of unused or expired medication through a pharmacy take-back program or per FDA disposal guidance — do not resell or give it away.

Complaints and concerns

To raise a complaint about your experience, the clinical evaluation, or the pharmacy, email suport@milomed.com with "Complaint" in the subject line. We acknowledge complaints within 2 business days and aim to resolve them within 15 business days, routing clinical matters to the treating provider and dispensing matters to the pharmacy. You may also contact your state board of pharmacy or medical board at any time.

Reporting misuse of our brand

If you encounter a website, ad, or seller claiming to be P First or offering our product without a prescription, report it to suport@milomed.com.

Website security and privacy

The site is served over HTTPS, and intake information is handled in line with our Privacy Policy and HIPAA Notice of Privacy Practices. Payment card data is processed by our payment processor and is not stored by P First.

No medical advice

Content on this site is for general information only and is not medical advice. It does not create a provider–patient relationship; that relationship is established when a licensed clinician reviews your intake, as described in our Telehealth Informed Consent.