I find it unbelievable that a doctor should prescribe any medication of this magnitude without an in person visit. It's a good way to get sued. I had an oncologist who preferred to rely on staff rather than in person visits. I moved on to a different oncologist. I was put on Prolia because I have osteopenia and am on a drug (Letrozole) which is known for causing bone loss. It's every 6 months, and been working decently. I'm transitioning off to another drug in 6 months as I will have completed my time on Letrozole by then and Medicare will no longer cover it (for osteopenia). By all means, get another doctor.