It varies by state. In Ohio, I had to get physical paper with a physical signature from the doctor’s office. Every single month. I’m somewhat thankful I turned out to have been misdiagnosed in childhood and I’m actually bipolar. At least I can get my meds as a 90-day supply and have over a month of spare medication.

I don’t understand the hyper-regulation of adhd meds when they hand out benzos like candy. Unadulterated opioids are a bit more difficult but I’ve still have a month’s supply of those from a previous dental surgery.