The whole journey, start to porch.

Every treatment page shows the plans and the published cash price, with the online visit and shipping included. Pick the plan that fits. Not sure which treatment? The concierge narrows it down in a few taps and helps you judge whether you are a good candidate, and the guides explain each condition in plain English. A licensed provider makes the final call.

You pay at checkout, before the provider reviews you. The full amount is shown before you pay, and it is the whole price: no visit fee, no shipping charge, no membership, no insurance paperwork. If a licensed provider does not approve your treatment, anything collected is refunded in full.

• Your card statement shows a discreet billing descriptor.
• HSA and FSA cards are accepted on prescription treatments.
• Lab work, where a treatment requires it, is billed separately and shown before you choose it.

After checkout you complete a short online visit in the secure patient portal: your health history, the medications you take, allergies, and what you are hoping to treat. It is written to be answered from a phone at the kitchen table. The sample below shows the kind of questions to expect. Where state law requires it, the provider follows up with a quick phone or video conversation.

Testosterone therapy and the other hormone treatments cannot be prescribed responsibly without baseline blood work, and follow-up labs are required during treatment. Sermorelin may require baseline labs at your provider’s discretion. Everything else needs no labs before your visit, though your provider can ask for lab work if your history calls for it.

For testosterone you choose how to get it done, and the choice is confirmed at your visit:

• Rythm™ at-home lab kit, $99. Collected at home in minutes and shipped to a licensed lab. No clinic, no waiting room.
• Quest Diagnostics™ concierge service in your home, $174. A licensed phlebotomist comes to you to draw the panel, at a time you schedule.
• Quest Diagnostics™ local lab near you, $109. Draw the panel at a Quest Diagnostics patient service center near you.
• Use labs you already have, $0. From the last 12 months, including Total and Free Testosterone, CBC, CMP, PSA, and Estradiol. Your provider may still order additional labs if needed.

Use the labs checker below to see what your treatment needs.

A provider licensed in your state reads your visit, and your labs where they apply, and decides whether the treatment is appropriate for you. There are three outcomes: approved, a request for more information through the portal, or declined. Not everyone is approved. If the answer is no, you are refunded in full. Providers set the strength and the dose; nothing on this site does.

An approved prescription goes to a licensed US pharmacy. Many of our treatments are compounded: prepared by a state-licensed compounding pharmacy for your individual prescription. Compounded medications are not FDA-approved and have not been evaluated by the FDA for safety, effectiveness, or quality; every treatment page says which it is. The pharmacy prepares your order in 1 to 2 business days on average, then it ships next-day air, free, in plain packaging with cold packs when needed. Nothing on the box says what is inside.

Your provider stays with you: they adjust treatment as needed, order follow-up labs where required, and answer questions through the patient portal. Refills ship on your plan’s schedule. Monthly plans renew each month and multi-month plans are billed up front, always with the amount shown before you pay.

You can stop any future renewal at any time in the portal, with no fee. Allow up to 48 hours for a cancellation to take effect before a billing date. Dispensed prescriptions cannot be returned, by pharmacy law; the returns and refunds policy has the details.