A licensed clinician reviews every order

An online pharmacy · A licensed clinician reviews every order

The clinical evidence is clear. Getting the prescription should be just as straightforward.

A licensed clinician reviews your intake online, and your evidence-based prescription ships directly to your door.

The catalog

Everything we prescribe, with prices. Each medication has its own page: doses, who qualifies, who should not use it and what the evidence says.

HRT bundle

Hormones & menopause

Transdermal estradiol and micronized progesterone for menopause symptoms: hot flashes, night sweats and sleep disruption.

Includes: Estradiol transdermal patch or gel · Micronized progesterone (always included when you have a uterus) · Low-dose vaginal estradiol for genitourinary symptoms

from$45 estradiol patch, 90 days$35 progesterone, 90 daysvisit $49

Finasteride, dutasteride, oral minoxidil and ketoconazole shampoo for pattern hair loss. One intake covers any combination.

Includes: Finasteride 1 mg · Dutasteride 0.5 mg (off-label step-up) · Oral minoxidil (off-label, dose ladder) · Ketoconazole 2% shampoo (adjunct)

from$27 finasteride, 90 daysvisit $39

Topical retinoid for acne and sun damage. You start at a low strength and step up as your skin tolerates it.

$39 90 daysvisit $39

For inflammatory acne, rosacea and the dark marks breakouts leave. Safe in pregnancy.

$35 90 daysvisit $39

Oral antibiotic course for inflammatory acne and rosacea. For acne we always pair it with a topical, per the 2024 AAD guideline.

$30 coursevisit $39

Grows upper lashes, off-label. It can permanently darken your iris, so a signed consent is required first.

$44 2.5 mL bottlevisit $39

Valacyclovir

Sexual health

For genital and oral herpes (HSV-1 and HSV-2). Take it daily to suppress outbreaks or as a short course when one starts.

$30 suppression, 90 days$15 episodic coursevisit $29

Sumatriptan

Migraine

For migraine attacks. Take it when the headache starts. Nine doses per fill, a cap that protects you from medication-overuse headache.

$24 9 dosesvisit $39

Rizatriptan

Migraine

For migraine attacks. A dissolving tablet is available if attacks make you vomit. Nine doses per fill.

$32 9 dosesvisit $39

See the full catalog, grouped by condition with the prices and the review each medication needs.

How it works

  1. Pick a medication and answer its intake

    A questionnaire built from the clinical protocol, about ten minutes. Disqualifying answers stop the flow before you pay and explain why.

  2. A licensed clinician reviews it

    Most reviews finish within one business day. Flags route to secure messages or a video visit.

  3. A pharmacy ships your medication

    FDA-approved generics from a partner pharmacy. You track the order in your portal from prescription to delivery.

  4. Follow-up on a set schedule

    Check-ins and reassessments happen at the intervals the protocol sets, not when a renewal fee is due.

The full process who reviews, which states and what happens after the first fill.

The rules we operate by

Four rules, applied to every medication in the catalog.

Every medication lists who should not use it

Contraindications are published before you pay anything. If a safety rule applies to you, the intake ends there and tells you where to go instead.

A clinician reviews every order

Your intake goes to a clinician licensed in your state. Borderline answers route to messages or a video visit. Nothing is auto-approved.

FDA-approved generics only

No compounded hormones, no compounded topical finasteride, no proprietary blends. When a regulated product exists, that is what we prescribe.

Flat prices, listed up front

The visit price and the medication price are listed before you start. If your insurance copay would beat our cash price, we tell you.

The catalog

Start with the medication you came for

Pick it from the catalog, answer the intake and get a clinical decision, usually within one business day.