Legal
Effective Date: May 12, 2026
DO NOT USE THIS SITE IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. In an emergent situation, you can: (i) call 9-1-1; (ii) go to the nearest emergency room; (iii) contact your local crisis center; (iv) if applicable, call or text the Suicide & Crisis Lifeline at 988; or (v) if applicable, contact the Crisis Text Line (text “HOME” to 741-741).
The Commerce Group Holdings, LLC (“Lttl,” “we,” “our,” or “us”) owns and operates lttl.com (the “Site”). Your use of the Site, any part thereof, or anything associated therewith — including the services, features, content, and applications — together with the Site, are the Lttl Services (“Services”) offered by Lttl and its affiliated medical groups and providers. Any products or services provided through the Site or any affiliated website, software, or application owned or operated by or in collaboration with Lttl are governed by these Terms of Service (“Terms”). By accessing or using any of the Services, you agree to be bound by these Terms.
Please read these Terms carefully. By using the Site, or by clicking to accept or agree to these Terms when this option is made available to you, you accept and agree to be bound and abide by these Terms. If you do not agree to these Terms, you cannot use the Site.
SECTION 19 OF THESE TERMS CONTAINS A MANDATORY ARBITRATION PROVISION THAT REQUIRES THE USE OF ARBITRATION ON AN INDIVIDUAL BASIS TO RESOLVE DISPUTES. THIS MEANS THAT YOU AND WE ARE EACH GIVING UP RIGHTS TO SUE EACH OTHER IN COURT OR IN CLASS ACTIONS OF ANY KIND.
Please review our Privacy Policy for information about how we collect and use your personal information. For patients of Lttl-affiliated medical practices, please review the applicable Notice of Privacy Practices for information on uses and disclosures of your Protected Health Information.
We may revise and update these Terms from time to time in our sole discretion. Any changes are effective upon posting to the Site, and your continued use after a change has been posted constitutes your acceptance of the changes unless applicable law requires us to provide additional notice. We encourage you to review these Terms regularly.
THE INFORMATION AND OTHER CONTENT AVAILABLE ON OR THROUGH THE SITE IS FOR INFORMATIONAL PURPOSES ONLY AND IS NOT INTENDED TO SUBSTITUTE FOR PROFESSIONAL MEDICAL ADVICE, DIAGNOSIS, OR TREATMENT. YOU SHOULD ALWAYS CONSULT WITH YOUR HEALTHCARE PROVIDER REGARDING QUESTIONS YOU HAVE ABOUT ANY MEDICAL CONDITION BEFORE MAKING HEALTHCARE DECISIONS. “PROVIDER” MEANS AN INDEPENDENT LICENSED CLINICIAN OR PROFESSIONAL ENTITY THAT PROVIDES CLINICAL SERVICES TO YOU THROUGH OR IN CONNECTION WITH THE PLATFORM.
We do not warrant the accuracy, completeness, or usefulness of any information presented on the Site. Any reliance you place on such information is strictly at your own risk. We disclaim all liability and responsibility arising from any reliance placed on such materials by you or any other visitor to the Site, or by anyone who may be informed of any of its contents.
By using the Lttl platform and purchasing a product or service, you acknowledge, understand, and agree to the following:
Lttl provides a platform for telehealth consultations with licensed clinicians. Based on this consultation, you may be prescribed one of two medication types:
You explicitly understand and acknowledge that compounded medications are not FDA-approved. The U.S. Food and Drug Administration does not review compounded drugs for safety, efficacy, or quality. While prescribed by a licensed clinician based on their professional medical judgment, these drugs have not undergone the same rigorous testing and approval process as FDA-approved drugs.
Lttl offers fulfillment for FDA-approved branded medications on a limited basis and strictly under specific exceptions. Availability is not guaranteed and is subject to clinical approval and inventory. All costs associated with branded medications are the sole responsibility of the patient.
You understand that any compounded medication you may be prescribed is not a “generic” version of an FDA-approved drug and should not be considered as such. Lttl makes no claims that its compounded formulations are equivalent to, have the same active ingredient as, or will produce the same clinical outcomes as any FDA-approved drug.
You agree that you have been given the opportunity to ask questions regarding your treatment and that the decision to move forward with any prescribed medication is based on the medical judgment of your provider and your informed consent.
By creating an account, you consent to receive electronic communications from Lttl (e.g., via email to the email address you provide, text message (SMS) to a mobile phone number you provide, or by posting notices to the Site). These communications may include operational notices about your account (e.g., password changes and other transactional information) and are part of your relationship with us. You may incur data, call-time, or messaging charges from your communication providers in connection with communications from Lttl. We may also send you promotional communications via email or other means, including newsletters, special offers, surveys, and other news and information we think will be of interest to you. You may opt out of receiving promotional emails at any time by following the unsubscribe instructions provided in such emails.
You agree that any notices, agreements, disclosures, or other communications that we send to you electronically will satisfy any legal communication requirements, including that such communications be in writing, and you consent and agree that your use of your finger, a keypad, mouse, or other device to select an item, button, icon, or similar act while using the Site constitutes your signature, acceptance, and agreement as if actually signed by you in writing.
We may update the content on the Site from time to time, but its content is not necessarily complete or current. Any of the material on the Site may be out of date at any given time, and we are under no obligation to update such material.
The Site and all information and content included on the Site are the exclusive property of Lttl or its content suppliers and are protected under applicable copyright, patent, trademark, and other proprietary rights. No right, title, or interest in or to the Site or any content on the Site is transferred to you, and all rights not expressly granted are reserved by Lttl. Any use of the Site not expressly permitted by these Terms is a breach of these Terms and may violate copyright, trademark, and other laws.
The Lttl name, logo, and all related names, logos, product and service names, designs, and slogans are trademarks of Lttl or its affiliates or licensors. You must not use such marks without our prior written permission. All other names, logos, product and service names, designs, and slogans on the Site are the trademarks of their respective owners.
These Terms permit you to access and use the Site for your personal, non-commercial use only. You agree not to (a) reproduce, distribute, modify, create derivative works of, publicly display, publicly perform, republish, download, store, transmit, or reverse-engineer the Site or any of the material on our Site; (b) use materials, products, or services available on the Site in violation of any law; (c) impersonate or attempt to impersonate Lttl, any Lttl employee, or any other person or entity (including by using email addresses associated with Lttl); or (d) engage in any other conduct that restricts or inhibits anyone’s use or enjoyment of the Site, or which, as determined in our sole discretion, may harm Lttl or other users of the Site or expose them to liability.
Additionally, you agree not to, or permit or direct any other person to:
If you print, copy, modify, download, or otherwise use or provide any other person with access to any part of the Site or otherwise engage in conduct in breach of these Terms, your right to use the Site will stop immediately and you must, at our option, return or destroy any copies of the materials you have made.
The Site may facilitate prescription orders placed by your Provider. Where applicable, prescriptions may be fulfilled by partner pharmacies (“Partner Pharmacies”) and/or a pharmacy of your choice, depending on the program and your location. You authorize Providers and the Site to transmit prescription information to one or more pharmacies for dispensing and shipment, as permitted by law. Any prescription orders are at the professional discretion of your Provider.
“Pharmacy” means any pharmacy (including compounding pharmacies, where permitted) that may fulfill prescriptions issued by a Provider. Always directly contact your Provider or other qualified healthcare professionals with any questions regarding your personal health or medical conditions. Patients should not contact Partner Pharmacies directly; all questions should be directed to hello@lttl.com.
Currently offering services in all 50 states plus Washington D.C. Some services may not be available in all 50 states or Washington D.C. Subject to change.
By providing a credit card or other payment method accepted by us (“Payment Method”), you are expressly agreeing that we are (or our service provider is) authorized to charge the Payment Method for the total amount of the fees associated with your use of the Site, together with any applicable taxes (collectively, a “Purchase”). If the Payment Method cannot be verified, is invalid, or is otherwise not acceptable, your Purchase may be suspended or cancelled. You must resolve any payment method problems before we proceed with your Purchase. If a payment is not successfully settled and you do not edit your Payment Method information or cancel your Purchase or account, you remain responsible for any uncollected amounts and authorize us to continue billing the Payment Method, as it may be updated. Unless expressly stated otherwise, services are offered on a cash-pay basis and are not billed to insurance. We do not guarantee that any amounts paid are eligible for reimbursement by insurance, HSA/FSA, or otherwise.
If you enroll in a subscription or recurring program, you authorize us (and/or our payment processors) to charge your payment method on a recurring basis until you cancel. Subscription terms, billing cadence, and cancellation deadlines will be disclosed at checkout or in your account. To avoid renewal charges, you must cancel before the disclosed cutoff time prior to the renewal date. Payments may be processed by third parties (e.g., Stripe). We do not store full payment card numbers. We may offer third-party installment/financing options (e.g., Klarna and/or Afterpay). These providers have separate terms and privacy practices, and approval/repayment is between you and the financing provider. If you initiate a chargeback, we may suspend your account, and collection efforts may apply to amounts legitimately owed.
All transactions on lttl.com are conducted in United States Dollars (USD). Lttl accepts MasterCard, Visa, American Express, and Discover.
Refunds are granted only under the following circumstances:
Refund requests must be made within 28 days of the original payment date and submitted in writing to hello@lttl.com. Requests submitted after 28 days or through other channels will not be honored.
From time to time, we may offer promotions, discounts, referral programs, or sweepstakes. Promotions may be subject to additional terms, eligibility rules, and official rules that are incorporated by reference. Unless prohibited, those additional terms will control in the event of a conflict with these Terms.
We have the right to terminate or suspend your access to all or part of the Site at any time for any reason without notice. Lttl may terminate or suspend any of the rights granted by these Terms and your access to and use of the Site with or without prior notice, for any reason, and at any time, including for violations of these Terms. The following provisions, and any other provision which by its nature should survive termination, will survive the expiration or termination of these Terms for any reason whatsoever: Disclaimer of Warranties; Limitation of Liability; Indemnification; Governing Law and Dispute Resolution.
If the Site contains links to third-party sites or resources, these links are provided for your convenience only. We do not control or endorse these third-party sites or resources and accept no responsibility for them or for any loss or damage that may arise from your use of them. If you decide to access any of the third-party websites linked to the Site, you do so entirely at your own risk and subject to the terms and conditions of use for such websites.
THE SITE AND THE INFORMATION AND CONTENT ON THE SITE ARE PROVIDED ON AN “AS IS,” “AS AVAILABLE” BASIS. YOU AGREE THAT YOUR USE OF THE SITE IS AT YOUR SOLE RISK. LTTL, ITS AFFILIATES, AND ITS OR THEIR LICENSORS, SERVICE PROVIDERS, EMPLOYEES, AGENTS, OFFICERS, AND DIRECTORS DISCLAIM ALL WARRANTIES OF ANY KIND, INCLUDING BUT NOT LIMITED TO ANY EXPRESS WARRANTIES, STATUTORY WARRANTIES, AND ANY IMPLIED WARRANTIES OF MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE, AND NON-INFRINGEMENT. TO THE EXTENT YOUR JURISDICTION DOES NOT ALLOW LIMITATIONS ON WARRANTIES, THIS LIMITATION MAY NOT APPLY TO YOU. IF THIS IS THE CASE, YOUR SOLE AND EXCLUSIVE REMEDY RELATING TO YOUR USE OF THE SITE SHALL BE TO DISCONTINUE USING THE SITE.
TO THE FULLEST EXTENT PROVIDED BY LAW, IN NO EVENT WILL LTTL, ITS AFFILIATES, OR ITS OR THEIR LICENSORS, SERVICE PROVIDERS, EMPLOYEES, AGENTS, OFFICERS, OR DIRECTORS BE LIABLE FOR ANY DIRECT, INDIRECT, INCIDENTAL, CONSEQUENTIAL (INCLUDING DAMAGES FROM LOSS OF BUSINESS, LOST PROFITS, LITIGATION, OR THE LIKE), SPECIAL, EXEMPLARY, PUNITIVE, OR OTHER DAMAGES, UNDER ANY LEGAL THEORY, ARISING OUT OF OR IN CONNECTION WITH YOUR USE, OR INABILITY TO USE, THE SITE, ANY WEBSITES LINKED TO IT, ANY CONTENT ON THE SITE OR SUCH OTHER WEBSITES, EVEN IF ADVISED OF THE POSSIBILITY OF SUCH DAMAGES. YOUR SOLE REMEDY FOR DISSATISFACTION WITH THE SITE AND/OR CONTENT SHALL BE TO DISCONTINUE USING THE SITE.
IN NO EVENT SHALL LTTL OR ITS RELATED PERSONS’ TOTAL LIABILITY TO YOU FOR ALL DAMAGES, LOSSES, AND CAUSES OF ACTION (WHETHER IN CONTRACT, TORT (INCLUDING, BUT NOT LIMITED TO, NEGLIGENCE), OR OTHERWISE) EXCEED IN THE AGGREGATE THE GREATER OF (I) ONE HUNDRED DOLLARS ($100), OR (II) THE AMOUNT PAID BY YOU, IF ANY, FOR ACCESSING THE SITE IN THE TWELVE (12) MONTH PERIOD PRECEDING THE APPLICABLE CLAIM.
CERTAIN JURISDICTIONS DO NOT PERMIT THE EXCLUSION OF CERTAIN WARRANTIES OR LIMITATION OF LIABILITY FOR INCIDENTAL OR CONSEQUENTIAL DAMAGES, WHICH MEANS THAT SOME OF THE ABOVE LIMITATIONS MAY NOT APPLY TO YOU. IN THESE JURISDICTIONS, THE FOREGOING EXCLUSIONS AND LIMITATIONS WILL BE ENFORCED TO THE GREATEST EXTENT PERMITTED BY APPLICABLE LAW.
IF YOU ARE A CALIFORNIA RESIDENT, YOU WAIVE CALIFORNIA CIVIL CODE SECTION 1542, WHICH PROVIDES: A GENERAL RELEASE DOES NOT EXTEND TO CLAIMS THAT THE CREDITOR OR RELEASING PARTY DOES NOT KNOW OR SUSPECT TO EXIST IN HIS OR HER FAVOR AT THE TIME OF EXECUTING THE RELEASE AND THAT, IF KNOWN BY HIM OR HER, WOULD HAVE MATERIALLY AFFECTED HIS OR HER SETTLEMENT WITH THE DEBTOR OR RELEASED PARTY.
You agree to defend, indemnify, and hold harmless Lttl, its affiliates, licensors, and service providers, and its and their respective officers, directors, employees, contractors, agents, licensors, suppliers, successors, and assigns from and against any claims, liabilities, damages, judgments, awards, losses, costs, expenses, or fees (including reasonable attorneys’ fees) arising out of or relating to your violation of these Terms or your use of the Site, including any use of the Site’s content, services, and products other than as expressly authorized in these Terms, or your use of any information obtained from the Site.
You agree that the laws of the State of Delaware will govern these Terms and any dispute that may arise between you and Lttl or its affiliates related to your use of the Site, without regard to conflicts of laws provisions.
You and we both agree to provide written notice of any disputes to the other party and try to resolve any disputes informally in good faith arising from your use of the Site. If any dispute is not resolved within 30 days of a party providing notice to the other party, the dispute will be resolved through individual, non-representative, binding arbitration conducted in English, instead of a proceeding in courts of general jurisdiction. Any disputes will be decided by a single arbitrator and will be administered by Judicial Arbitration Mediation Services, Inc. (“JAMS”) pursuant to the JAMS Streamlined Arbitration Rules & Procedures and as modified by this agreement to arbitrate. The arbitrator will conduct hearings, if any, by teleconference or videoconference, rather than by personal appearances, unless the arbitrator determines upon request that an in-person hearing is appropriate. The arbitrator will have authority to award temporary, interim, or permanent injunctive relief or relief providing for specific performance, but only to the extent necessary to provide relief warranted by the individual claim before the arbitrator. The award rendered by the arbitrator may be confirmed and enforced in any court with appropriate jurisdiction. Each party will be responsible for its respective costs, including costs related to its respective attorneys, experts, and witnesses.
ANY CAUSE OF ACTION OR CLAIM YOU MAY HAVE ARISING OUT OF OR RELATING TO THESE TERMS MUST BE COMMENCED WITHIN ONE YEAR AFTER THE CAUSE OF ACTION ACCRUES. OTHERWISE, SUCH CAUSE OF ACTION OR CLAIM IS PERMANENTLY BARRED.
YOU AND WE EXPRESSLY WAIVE THE RIGHT TO GO TO COURT, TO A TRIAL BY JURY, AND TO PARTICIPATE IN A CLASS ACTION, CLASS ARBITRATION, OR OTHER REPRESENTATIVE PROCEEDING WITH RESPECT TO ANY CLAIM SUBJECT TO ARBITRATION. NOTWITHSTANDING THE PARTIES’ DECISION TO RESOLVE ALL DISPUTES THROUGH ARBITRATION, WE MAY BRING AN ACTION IN A STATE OR FEDERAL COURT TO PROTECT OUR INTELLECTUAL PROPERTY RIGHTS. SEEKING SUCH RELIEF SHALL NOT WAIVE OUR RIGHT TO ARBITRATION UNDER THESE TERMS.
No waiver by us of any term or condition set out in these Terms shall be deemed a further or continuing waiver of such term or condition or a waiver of any other term or condition, and any failure by us to assert a right or provision under these Terms shall not constitute a waiver of such right or provision.
If any provision of these Terms is held by a court or other tribunal of competent jurisdiction to be invalid, illegal, or unenforceable for any reason, such provision shall be eliminated or limited to the minimum extent such that the remaining provisions of these Terms will continue in full force and effect.
Lttl is based in the United States. Access to the Site may not be legal by certain persons or in certain countries. If you access the Site from outside the United States, you do so on your own initiative and are responsible for compliance with local laws. Our products and services are available only within the 50 states of the United States plus Washington D.C. We are not authorized to sell or ship to any other territories or countries.
Upon approval of the prescription during the telehealth consultation, the medication will typically be shipped within 48 business hours. Shipping cannot be canceled or modified after the product has been dispatched.
Lttl respects your privacy and is committed to protecting your personal information. For more details, please refer to our Privacy Policy.
The Lttl mobile message service (the “Service”) is operated by The Commerce Group Holdings, LLC. Your use of the Service constitutes your agreement to these mobile terms. We may modify or cancel the Service or any of its features without notice. To the extent permitted by applicable law, we may also modify these mobile terms at any time, and your continued use of the Service following any such changes constitutes your acceptance of those changes.
By consenting to Lttl’s SMS/text messaging service, you agree to receive recurring SMS messages from and on behalf of Lttl through your wireless provider to the mobile number you provided. Service-related messages may include order updates and account alerts. Promotional messages may include promotions and other marketing offers. Your consent is not a condition of any purchase. Message frequency varies and message and data rates may apply. You may opt out at any time by texting STOP. For support, text HELP or email hello@lttl.com.
These Terms constitute the sole and entire agreement between you and Lttl regarding the Site and supersede all prior and contemporaneous understandings, agreements, representations, and warranties, both written and oral, regarding the Site.
All feedback, comments, requests for technical support, and other communications relating to the Site should be directed to hello@lttl.com.
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