New Patient Evaluation


New patient consult including intake. Initial charge only

Advice Only Consultation:
Follow up


New patient seeking advice only


Medical Doctor:
Follow up consultation


Up to 45min follow up consult, Does not include call-in processing fee

Managed Care Follow-Up


Does not include call-in processing fee

Internmediate Care Consulation


30 min. Does not include call-in processing fee

General Medical Consult


<15min. Non HRT consultation. Includes call-in processing fee for Anti-Biotic only. (or any <30 days treatment for acute illness-i.e. Tamiflu)

Diet Plan


No cost to active HRT patients. Calorie specific template

Prescription Processing Fee


Charged whenever an Rx is called in or written prescription provided. Up to a 90 day supply

Insurance Claim Service


Only charged when the form is completed for you by medical staff



Physical Exam:


10-15min. The following blood tests also needed: 1. CBC 2. CMP 3. TSH

Physical Exam:


Included for HRT patients once per year. $35 for additional PE requests

Phlebotomy Fee


Charged only when labs are done at the clinic and being billed through insurance. Phlebotomy fee is not charged when self-pay

Therapeutic Phlebotomy Price


Average procedure time is 1 hour

Vitamin B12 Injection


Includes 1500mcg of Methylcobalamin (1.5cc)

Specialty Injection


Up to 3ml of any specialty nutrient combo

Testosterone Cyp Injection


MUST BE PRE-APPROVED BY DOCTOR AND MUST BE AN ACTIVE TRT PATIENT. Includes Testosterone Cypionate at prescribed dosage

IV Infusion


Click here for more information


Platelet-Rich Plasma (PRP) & Stem Cell Treatments

Joint Restoration & Pain Management


Click here for more information

Hair Restoration


Click here for more information

Sex Rejuvenation & Size Enhancement for men
Hyaluronic Acid filler (1ml Juvederm XC) add-on
Fat Pad Injections


Click here for more information

Sexual Restoration & V-Enhancement for women


Click here for more information

Payment must be received prior to scheduling an appointment or providing service
Services are provided by request

Clinical Procedures for Hormone Replacement Therapy

Each patient starting HRT is provided our Clinical Procedures & Treatment Consent to be reviewed and signed prior to their first appointment. You can download a copy by clicking here. You may also request a copy of your signed consent at any time.

Some of the common questions we receive regarding Hormone Replacement Therapy procedures are further clarified below.

Using Insurance: Defy Medical does not accept any form of insurance. Most health insurance companies do not recognize our style of practice nor do they adequately reimburse for the type of care we provide. Defy Medical strives to provide both quality concierge medical care along with affordable access to compounded medications, blood tests, and nutritional supplements. In order to accomplish this, we do not accept any form of insurance. Many of the formulations we use in our therapies are not covered by insurance, and the cost of overall treatment is often less than when using insurance. All compounding pharmacies used by Defy Medical do not accept insurance. On case by case basis, some insurance companies do reimburse for Hormone Replacement Therapy after the treatment has been paid for. Defy Medical provides claim assistance by completing the standard claim form (CMS-1500) for the patient to submit to their insurance company. It is each patient's responsibility to contact their own insurance company to confirm reimbursement. Defy Medical will not contact your insurance company nor will take any responsibility for any additional forms your insurance requires. If you would like to receive Claim Assistance, please contact patient services at info@defymedical.com.

Required Hormone (HRT) Follow Up Evaluations:

One of the purposes behind drawing blood for analysis is to provide our physician a means to compare how you are responding to therapy with your hormone blood levels and other important indicators of your health. This information allows Dr. Saya to make appropriate adjustments to your regimen that not only improve how you are feeling but minimize any side effects and risks with treatment. The laboratory analysis of your blood will also provide a comparison with initial blood work and provide data that will aid in the development of your treatment plan.

HRT Follow up blood work FAQs:

We strive to go beyond the minimum recommendations for monitoring every type of hormone replacement. All important tests needed to monitor men and women being prescribed hormones are completed at least twice per year and as needed based upon the individual’s response to treatment.

Pharmacy & Prescription Hormone Medication:

All compounded Hormone Replacement Therapy medications are included in the overall cost of therapy and must be ordered at Defy Medical using one of our approved national compounding pharmacies.

  1. Compounded medications are custom formulated by the prescribing doctor and adjusted based upon a patient’s needs. Therefore, continual communication between the doctor and compounding pharmacist is an important part of our patient’s care. Our relationship with the compounding pharmacy provides an additional level of service while also enhancing the triad-of-care between the pharmacist, doctor, and patient. The experts on our team have dedicated over 10 years working with compounding pharmacies to develop the best hormone and nutrient formulas. We consistently monitor any use of preservatives along with the Ph level and the type of carrier in order to ensure the best absorption with a reduced risk of irritation after application or injection.

  2. USP 797 and USP 800 are important Federal standards that regulate the compounding of sterile injectables and handling of specific medications like testosterone, estrogen, and progesterone. We ensure that every compounding pharmacy we use is USP 797 and USP 800 compliant by personally visiting each pharmacy prior to sending the first prescription. Pharmacy licensing including state license, certifications, pharmacist name, and independent test results are available to all patients by request.

  3. Controlled substances require additional steps to be taken by the doctor when prescribing to patients located in a different state. All forms of Testosterone are a controlled substance in every US state. Human Chorionic Gonadotropin (HCG) is now a controlled substance in many US states. Additional time will be spent prescribing these medications however we will still process the prescription within one business day of the request.

  4. Federal and State laws can often change resulting in the sudden inability for a compounding pharmacy to provide a medication or ship medicine to another state. Raw ingredients can also be on backorder at a particular pharmacy also limiting access to needed medications. Our team manages your prescriptions while maintaining constant communication with multiple compounding pharmacies to mitigate a disruption to your treatment. If one pharmacy cannot provide a medication we will use an alternative pharmacy who can provide the medication for the same price. Sometimes there can be an ingredient shortage that can affect all pharmacies, when this rare event occurs we will immediately notify patients and prescribe an alternative treatment when needed.

  5. In order to keep the fees affordable and to avoid charging a monthly fee all HRT monitoring & management fees are included in the cost of the HRT medications. Collectively, these fees go towards the cost of maintaining a full time practice dedicating to serving patients while providing optimal concierge care.

Helpful links regarding medication

Different types of injectable testosterone prescribed in the US

Reasons why some patients run out of their injectable testosterone before their next refill

How to Apply Hormone Medications

Video Education