Started out good, but the past few months they have really gone downhill. You almost never speak to your prescriber, only a customer service "care coordinator". Every request takes days to respond, and they will almost always get it wrong. I've been waiting for them to update my prescription for nearly 2 months now, while paying for them every month. I asked to go down in dose, and they keep sending a higher dose EVERY SINGLE TIME. When you remind them that you'd like it lowered, they still send in a higher one, then apologize and say they will fix it, then go completely dark and never respond. This company feels like a pill mill that truly does not care about patient care.