Hi Len.......no, you don't need a Rx from uro or any doc-----------if you are ordering their Vaigra or Levitra, you just send in your order. They ask for a doctor's name, etc, and I put down my surgeon's since he sanctioned the ADC purchase anyway. But you don't have to---if you order their Cialis, you have to indicate that you'll be traveling outside of United States. That's it-----good luck.
Arnie in DE