Governing Entities: United Medical Group, PLLC · YourMD.Online, LLC
Policy Owner: Teja V. Surapaneni, MD, MS, ABIM — Medical Director
Last Updated: April 2026
1. Controlled Substance Policy
Absolute Prohibition
YourMD Telehealth does NOT prescribe, dispense, recommend, or facilitate the prescribing of any DEA-scheduled controlled substances. This prohibition is absolute, applies to all providers, and has no exceptions.
Prohibited Substances
| Schedule | Examples |
|---|---|
| Schedule II | Opioids (oxycodone, hydrocodone, fentanyl, morphine), stimulants (Adderall, Ritalin, Vyvanse), barbiturates |
| Schedule III | Testosterone (all forms), ketamine, anabolic steroids, buprenorphine |
| Schedule IV | Benzodiazepines (Xanax, Ativan, Valium, Klonopin), Ambien, tramadol, phentermine, modafinil |
| Schedule V | Pregabalin/Lyrica, codeine cough preparations |
Permitted Non-Controlled Medications
| Medication | Status |
|---|---|
| Semaglutide / Tirzepatide (GLP-1) | Permitted — core formulary |
| Sildenafil / Tadalafil | Permitted — core formulary |
| Finasteride / Minoxidil | Permitted — core formulary |
| Tretinoin / dermatology compounds | Permitted |
| Naltrexone (LDN) | Permitted — not scheduled |
| Gabapentin | Permitted with caution (state-specific scheduling) |
| All compounded products in formulary | Permitted unless specifically excluded above |
Enforcement
- The YourmdRx e-prescribing system excludes all controlled substances from the prescriber catalog.
- Any prescriber who circumvents this policy faces immediate termination and state medical board reporting.
- Pharmacy partners must reject any YourMD prescription for a controlled substance and notify the Medical Director immediately.
2. Prescriber Qualifications & Obligations
Credentialing Requirements
- Active, unrestricted medical license in every state where they see YourMD patients
- Board certification (ABIM, ABFM, or equivalent) or board eligibility
- Active NPI (individual) and DEA registration
- Malpractice insurance coverage
- No active disciplinary actions or federal program exclusions
- Completion of YourMD prescriber orientation
Before Prescribing
- Conduct a proper clinical evaluation via video, audio, or chat
- Review intake, medical history, allergies, and current medications in the EHR
- Confirm identity and state of residence
- Verify no contraindications exist
- Obtain informed consent and document the clinical rationale in a SOAP note
Prescriber Prohibitions
- No controlled substances through or on behalf of YourMD
- No prescriptions without a documented patient encounter
- No pre-signing or auto-signing prescriptions
- No prescribing for patients in unlicensed states
- No prescribing for self, family, or friends through the platform
- No accepting gifts or incentives from pharmacy partners
3. Approved Formulary Overview
Weight Management
Compounded semaglutide and tirzepatide injectables · oral semaglutide suspension · tirzepatide ODT · ondansetron · metformin · low-dose naltrexone · B12/MIC lipotropic injections · L-carnitine
Sexual Wellness
Sildenafil and tadalafil (capsules, troches, RDT) · oxytocin · PT-141/bremelanotide · apomorphine · topical formulations
Hair Restoration
Finasteride oral and topical · minoxidil (foam, spray) · combination formulations · dutasteride · ketoconazole shampoo · spironolactone
Dermatology
Tretinoin (all strengths) · tretinoin combinations · hydroquinone · azelaic acid · doxycycline (short courses)
Peptide Therapy
Sermorelin (injectable, troche, nasal) · PT-141 · GHRP-2 · AOD9604. Note: BPC-157 is NOT in the current formulary due to FDA Category 2 classification.
Longevity & Optimization
Rapamycin/sirolimus (weekly dosing) · metformin/metformin ER · atorvastatin · DHEA · NAD+ · methylene blue · melatonin
Wellness Injectables
B12 methylcobalamin · MIC/Lipo-B · L-carnitine · glutathione · vitamin D3 · GAC · NAD+
4. Patient Safety Standards
Clinical Safety Checks (built into YourmdRx)
- Allergy cross-reference: Hard stop if documented allergy matches the selected medication
- Drug interaction check: Hard stop for contraindicated combinations (e.g., PDE5 inhibitor + nitrate)
- Contraindication flags: GLP-1 + MTC/MEN2 → BLOCK · GLP-1 + pregnancy → BLOCK · Finasteride + female of reproductive age → BLOCK · Tretinoin + pregnancy → BLOCK
- Dosing validation: Maximum dose limits enforced (semaglutide 2.4 mg/week, sildenafil 200 mg/dose, rapamycin 6 mg/week)
- Duplicate therapy check: Alert if patient already has an active Rx for the same drug class
Adverse Event Reporting
- Patient reports via portal, phone, or consultation
- Prescriber documents in EHR encounter note
- If serious: Medical Director notified within 24 hours, FDA MedWatch filed, pharmacy partner notified with lot details
- Replacement product shipped at pharmacy’s cost if quality-related
5. Pharmacy Partner Standards
- Maintain active pharmacy licenses in all states where they ship to YourMD patients
- USP <795> and <797> compliance (verified by annual audit or PCAB/ACHC accreditation)
- HIPAA compliance + BAA with United Medical Group PLLC
- Certificate of Analysis (COA) per batch, third-party potency and sterility testing
- Process prescriptions within 48 hours of receipt (24 hours preferred)
- Ship direct-to-patient with cold-chain packaging for temperature-sensitive products
- Discreet packaging (no pharmacy name or medication details visible on exterior)
- Replace damaged, lost, or temperature-compromised shipments at pharmacy’s cost
- Never market directly to YourMD patients without written authorization
- Route all clinical questions from patients back to the prescribing YourMD provider
6. Multi-State Prescribing
As of May 2026, YourMD prescribers are licensed in: Nevada (NV), Washington (WA), Oregon (OR), and Wisconsin (WI). The YourmdRx system enforces state-based routing — if a prescriber is not licensed in the patient’s state, the Rx button is disabled.
7. Patient Disclosures
Prescribing Disclosure: All medications are prescribed by board-certified physicians after a thorough clinical evaluation. YourMD physicians exercise independent clinical judgment and may decline to prescribe based on your health profile. Compounded medications are prepared by licensed compounding pharmacies from FDA-approved ingredients but are not themselves FDA-approved drugs. Individual results vary. YourMD Telehealth does not prescribe controlled substances. If you are experiencing a medical emergency, call 911.
About Your Medication: Your medication was compounded specifically for you by a licensed compounding pharmacy based on your physician’s prescription. Compounded medications are not commercially manufactured drugs — they are custom-prepared using pharmaceutical-grade ingredients. While the individual ingredients are FDA-approved, the specific compounded formulation has not been evaluated by the FDA for safety, efficacy, or manufacturing standards.
No Controlled Substances: YourMD does not prescribe controlled substances including but not limited to: opioid pain medications, benzodiazepines (Xanax, Ativan, Valium, Klonopin), stimulants (Adderall, Ritalin, Vyvanse), sleep medications (Ambien, Lunesta), testosterone, phentermine, ketamine, or tramadol. If you need these medications, please contact your primary care physician or specialist.
8. Policy Review
This policy is reviewed annually by the Medical Director, within 30 days of any FDA regulatory change affecting compounding, within 30 days of new pharmacy partner onboarding, and within 7 days of any adverse event resulting in hospitalization or death. All prescribers re-acknowledge annually.
Medical disclaimer: This document is for informational purposes and describes YourMD’s internal clinical standards. It does not constitute legal advice. For questions, contact compliance@yourmd.online.