To clarify, my PP only gives out 4 months of NuvaRing at a time because there have been issues with patients not storing them correctly. When I say I go in for refills, I mean when I go in for my next set of rings. I don't know what my PP's policy for pills is (IIRC, it's the same), but yours might be different. I do have to have a physical once yearly to continue getting my BC.