question from a user
Do you cut off your treatment and prescription refills at a certain hemoglobin and hematocrit? How much is it monthly with your company? Do you do telemedicine, and if so, do you require your patients to have to travel once a year or at all to come to your office? How often do you require blood work, and can patients provide their results from ultalabtests.com? Can you write an rx to be filled at the patients local Costco?
AlphaMD's Answer
We have never had to cut someone off for RBC like that, every person who has had symptoms has followed suggestions to lower it. If it was exceedingly high and the patient was completely ignoring advice, then we would have to lower their dose as it would be what we could do on our end. Though this has yet to happen, most men want to be safe.
It is typically $129 a month which includes medications, supplies, communication, shipping, consultations.We need initial bloodwork when someone starts, then if they are having intense side effects we can't figure out we would need additional bloodwork to help figure it out. If someone is 200mg+ a week then we would require bloodwork around every 3-6 months depending on the dose. Below 200mg a week & without any symptoms while feeling great, then we do not mandate additional bloodwork after you are dialed in. Some companies look to make their bank here with high cost mandatory draws for low dose folks, but we're not a fan.
We can fill local Rx's if the patient thinks they can get it covered by their insurance. We'd provide a monthly discounted rate instead. It's kind of the same amount of work for us either way and we have a really good price including meds, so we don't find this works out often but are happy to do it.
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