Glossary

TRT Program

A telehealth-delivered testosterone replacement therapy program that prescribes compounded or commercial testosterone to patients with clinically low testosterone.

A TRT program combines lab-based patient evaluation, licensed provider prescribing, and ongoing hormone monitoring into a recurring revenue program. Testosterone is a Schedule III controlled substance, which adds prescribing complexity compared to non-controlled compounds. Providers must follow federal and state guidelines for controlled substance prescribing via telehealth, including requirements around in-person evaluation in some states.

For operators, TRT is a large and growing market with strong demand. Men seeking treatment for low testosterone respond well to direct marketing and have high willingness to pay for a convenient, private experience. Monthly program pricing typically ranges from $150 to $300, with lab costs either bundled or billed separately. Retention is strong because patients feel the effects of treatment and want to maintain them.

Karpa's TRT infrastructure supports lab order integration, provider workflows calibrated for controlled substance prescribing, and compounding pharmacy fulfillment for testosterone cypionate and related compounds. Operators must ensure their provider network meets state requirements for controlled substance telehealth prescribing before launching.

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Related Terms

Telehealth Prescribing 50-State Prescribing Cash-Pay Revenue Model

Frequently Asked Questions

Can testosterone be prescribed via telehealth in all 50 states? expand_more
Telehealth prescribing of Schedule III controlled substances like testosterone is governed by the Ryan Haight Act and varies by state. Some states require an in-person visit before a telehealth prescription can be issued. Karpa's provider network is configured to meet each state's requirements, but operators should confirm current rules with their compliance team.
What lab work is required before prescribing testosterone? expand_more
Standard intake labs typically include total testosterone, free testosterone, estradiol, CBC, comprehensive metabolic panel, and PSA. Some providers also order LH and FSH to assess pituitary function. Karpa's platform supports lab order integration so patients can complete labs before their provider review.
Is compounded testosterone legal? expand_more
Compounded testosterone is legal when prescribed for a specific patient by a licensed provider. It is commonly compounded as a cypionate or enanthate ester in various concentrations. Because it is a controlled substance, handling and prescribing rules are more stringent than for non-controlled compounds.

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