@rosemarya, Thanks for your response. It is a good idea to contact my Mayo transplant coordinator for my refill on the Zofran or any other prescriptions when I get a push back from my local Nephrologist. I have my 2 year follow-up in August with Mayo. I didn’t contact Mayo because I was told by Mayo doctors that I was released to my local Nephrologist who would take care of my prescriptions. I’m just a little disappointed. When I had my first kidney transplant at Chapel Hill Hospital in North Carolina, my nephrology team took care of everything, any prescriptions I needed, I got from my nephrology team. They took great care of me. They were very confident and very skilled in their craft and understood that taking care of the entire body (within reason) was directly related to keeping the kidney functioning. When I was depressed, they prescribed an anti depression medicine for 6 months, they didn’t say go see a therapist. When I had the flu or was sick they would prescribe medication or put me in the hospital, they didn’t say go see a PCP. My kidney transplant lasted 15 years and didn’t fail until after I moved away. I’m sorry I have that comparison to think about, Chapel Hill nephrology team set the bar high. On the bright side, I must say that Mayo have the very best physicians and I’m grateful to be under their superb care.