Four stars because Initially I had a confirmation email that my order was complete then the day after I had another email to ask me to call for more details...I did and was asked the questions I wrote on the form plus I spoke more about myself.I was then put on hold for ages and about to hang up when at last I heard a voice!the pharmacist had approved it..It was a hassle all that for a tube of cream however I realise they must be careful and in the end my order was delivered overnight so All,s well that ends well..(and it worked)Thankyou