A system and method for selling medical items. The system comprises one or more vending machines and a service center. The system further comprises a communications network used to allow communication between a communication device located at a vending machine and a communication device located at the service center. An individual contemplating the purchase of a medical item from one of the vending machines can consult with a pharmacist located at the service center before making a purchase from the vending machine. In one embodiment of the invention, a purchase may be made at one of the vending machines only after the purchase has been approved by a pharmacist at the service center.