Educational information, reviewed by Ryan Arvizo, FNP-C. Current as of September 2026. Not medical advice.
Men in the West Valley ask us this more than any other question, usually in one sentence: “Do you do TRT and take insurance?” The honest answer is no, we do not bill insurance. Here is what that means so you can decide with the numbers in front of you.
What you pay
- Free Provider Evaluation. A licensed provider reviews your history, symptoms, and goals — at no charge; the $110 fee was removed. This is a consult, not a prescription.
- Labs, billed separately. Low testosterone is a lab-and-history diagnosis. Your provider will tell you which labs are needed and what they cost before they are ordered.
- One all-in monthly price if therapy is appropriate. That single number already covers ongoing provider care, monitoring, dose management, messaging and shipping — there is no membership fee. It is month to month.
- Medication, billed separately at a flat price disclosed before you pay, and only when prescribed.
There is no claim to submit, no prior authorization, and no surprise bill months later.
Why cash-pay
Insurance-covered testosterone therapy is real, and for some men it is the right path through their primary care provider or a urologist. It also tends to come with prior authorizations, narrow lab thresholds, and long waits. Cash-pay lets a provider evaluate you on your history and labs and start monitored care without a payer in the middle. The tradeoff is that you pay the price yourself. We would rather you know that up front.
What Arizona and federal rules require
- Arizona nurse practitioners hold full prescribing authority, including for controlled substances, under state law.
- Federal rules currently allow a DEA-registered provider to prescribe controlled medications such as testosterone after an audio-video telehealth evaluation without a prior in-person visit, through December 31, 2026. A final rule is expected before then, and we will update this page if it changes.
- Arizona telehealth law allows non-Schedule II prescriptions after a telehealth examination and requires informed consent for telehealth care.
What a TRT evaluation covers
Symptoms like fatigue, low libido, lost strength, and brain fog overlap with sleep, thyroid, mood, and metabolic problems. That is why a real evaluation looks at the whole picture before anyone talks about testosterone. Our article on the signs of low testosterone and when to get evaluated walks through it.
West Valley, in person or by video
Our provider is based in Goodyear. Litchfield Park, Estrella, Buckeye, Avondale, and Surprise residents can be seen in person or by telehealth, whichever fits. The evaluation, labs, and follow-ups work the same either way.
Sources
- Arizona Revised Statutes, § 32-1601 (registered nurse practitioner scope, prescribing and dispensing)
- Arizona Revised Statutes, § 36-3602 (telehealth; prescribing)
- DEA, DEA Extends Telemedicine Flexibilities to Ensure Continued Access to Care (through December 31, 2026)
This information is educational and is not medical advice. It is not intended to diagnose, treat, cure, or prevent any disease. Treatments require evaluation by a licensed provider.