You can check the box for asynchronous (? IIRC) option where you don't have to speak on the telephone with a med professional. You have to fill out a lengthy form about your medical history, so they can prescribe something that's innocuous as long as you don't have history of heart disease or other contraindicated conditions. So a med professional is reviewing your detailed med information from the many-page form, and then can write you a prescription. However, you are stuck with whatever they decide (i,.e., you don't get your consult fee back if you don't like their decision).

Just fill out the forms on the telemed site and before it's over you will have the option to check a box for asynchronous (meaning no phone call) and they will just process it based on the detailed info you provided.