Are you able to get money off of the prepaid Visa cards that TurboTax sends out for you tax refund? (when direct deposit is not available)

Yes, you can set up a PIN which will allow you to use the card to make cash withdrawals at an ATM (fees will apply).  Please see below for additional information:

https://www.turboprepaidcard.com/help-faq-s#ATMusagePIN