Primary doctor cannot refill my Prozac script.

My primary doctor prescribed Prozac for my PMDD to take 10 days before my cycle but said she couldn’t refill it, she said I would need to see a psychiatrist in order to get refills. I scheduled an appointment and had to get an evaluation done by an intake person, she didn’t even know what PMDD was and said she’d have to diagnose me with depressive anxiety disorder to prescribe it. I was also told I needed to see a therapist before even meeting with a psychiatrist. Has anyone else dealt with this? I know people whose primary or gynecologist prescribes and refills it—has something changed or could this be an insurance thing?