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Not Offered / Unapproved

Not Offered / Unapproved: how we evaluate, when we prescribe, and safety checks. Start a confidential online consultation.

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Dr. Annie Casta, M.D., FAAP

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Family Medicine & Primary Care

Specializing in primary care, chronic disease management, and wellness services for adults and families.

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Overview

The Not Offered section lists medical services or treatments that are outside the scope of the clinic or telehealth platform. These may include high-risk substances, experimental drugs, or therapies requiring in-person evaluation.

Examples

  • Controlled narcotics and addictive stimulants.
  • Experimental, unapproved, or cosmetic agents.
  • Emergency, surgical, or inpatient care.

Rationale

Omissions maintain compliance with telemedicine laws, patient safety, and ethical practice.

Patient Considerations

Patients are referred to specialists or emergency departments when their condition exceeds telehealth boundaries..

FAQ

Why aren’t all drugs offered?

Legal, ethical, and safety restrictions limit remote prescribing.

Can exceptions be made?

No, but alternative options may be recommended.

How can I find appropriate care?

Licensed providers can direct you to suitable local facilities.

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Service availability varies by state; clinicians practice within jurisdiction. Controlled‑substance prescribing is limited; Accutane requires special safety program and coordination.