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Three separate entities, three separate jobs, and none of them is a stand-in for the others: Zevay - runs the online intake and account experience The medical group (Telegra MD, per Zevay's site) - reviews your information and makes the prescribing decision The pharmacy (Southend or Boothwyn) - compounds and ships the medication if a provider decides it's appropriate for you The brand's own terms are explicit that Zevay itself doesn't practice medicine or pharmacy