Clear answers, no runaround.

Monarch Rx is a direct-pay clinic for people who intend to be at their best. Lab testing, physician review, and prescription therapy — hormones, peptides, metabolic and sexual health — run through one place, without a waiting room. Every physician in our U.S.-licensed network reviews your case in full before anything is prescribed.

Choose a therapy or start with a lab panel, then complete a focused medical intake. A licensed physician reviews your answers and your data, and prescribes only when it's clinically appropriate. Most people hear back within about 24 hours. A few states require a short video or chat visit first.

For hormone therapy, yes — we won't dose blind. For most other protocols, labs are strongly recommended rather than required. A baseline gives your physician something to prescribe against and something to measure progress by.

One transparent price covers your physician review, your therapy, and your refills. Consultations are included with an order. Monarch Rx pricing typically lands well below specialty channels and often below the local pharmacy counter. No membership tiers, no surprise fees.

Monarch Rx is built for adults who want measurable results and a physician behind them — not a supplement shelf. If a therapy isn't appropriate for you, our physicians will say so and tell you what is.

Monarch Rx serves patients in Alabama, Arizona, Arkansas, California, Colorado, Connecticut, Delaware, Florida, Georgia, Hawaii, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Montana, Nebraska, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, Oregon, Pennsylvania, Rhode Island, South Carolina, South Dakota, Tennessee, Texas, Utah, Vermont, Virginia, Washington, West Virginia, Wisconsin, and Wyoming. Some therapies may not be available in every state.

Unmarked, temperature-controlled where the therapy calls for it, and no signature required. Nothing on the box names the medication.

A licensed physician typically reviews your intake within 24 hours — some states require a short chat or video visit first. Once approved, the pharmacy fulfills and ships, and most orders land within a few business days.

When your medication ships, on the plan you selected. Nothing is billed for a review that doesn't result in a prescription.

Monarch Rx works with a network of licensed dispensing pharmacy partners to fulfill prescriptions written by clinicians on our platform. When a prescription is issued, it is routed to one of these partner pharmacies based on the medication prescribed, the patient's state of residence, and availability. Each partner pharmacy is independently licensed and responsible for dispensing, labeling, and shipping the medication directly to the patient. Our current pharmacy partners, including the licensed entity name that will appear on your prescription label, may include:

• DrugStore on East State — The Drugstore at O'Bleness LLC, 934 E State St, Athens, OH 45701 · (740) 566-4690
• DiRx Health — Direct Pharmacy Source, Inc., 3540 NW 56th St, Ste 204, Fort Lauderdale, FL 33309 · (877) 367-3479
• Curexa — Curexa Pharmacy, 501 Zion Rd, Ste 13-14, Egg Harbor Township, NJ 08234 · (855) 927-0390
• Mycelium — Mycelium Pharmacy LLC, 141 E Commercial Blvd, Fort Lauderdale, FL 33334 · (954) 890-1150
• ChemistryRx — Madame Rx, LLC d/b/a Chemistry Rx, 950 Henderson Blvd, Folcroft, PA 19032 · (855) 790-0100
• Brooksville Rx — Brooksville Pharmaceuticals, 16140 Flight Path Dr, Brooksville, FL 34604 · (352) 848-3446
• Epiq Scripts — Epiq Scripts LLC, 465 W President George Bush Hwy, Ste 240, Richardson, TX 75080 · (833) 654-3553
• Foothills — Foothills Professional Pharmacy Ltd, 2727 W Baseline Rd, Ste 1, Tempe, AZ 85283 · (833) 236-8080
• Southend — Southend Pharmacy, 4802 N Sam Houston Pkwy W, #100, Houston, TX 77086 · (855) 414-5356
• Wells — Wells Pharmacy Network, 3420 Fairlane Farms Rd, Wellington, FL 33414 · (800) 622-4510

Certain branded medications are fulfilled through manufacturer self-pay programs rather than our pharmacy network. These include NovoCare Pharmacy (CoAssist Pharmacy, LLC, 2400 Sand Lake Rd, Ste 200B, Orlando, FL 32809 · (833) 949-5527) and LillyDirect (GiftHealth, Inc., 266 N 4th St, Ste 200, Columbus, OH 43215 · (833) 614-4438). This list may change from time to time.

No — Monarch Rx is direct-pay by design. It keeps pricing transparent and keeps the decision between you and your physician instead of a coverage policy. In most cases the all-in price is lower than a specialist visit plus copay.

A U.S.-licensed physician holding an active license in your state. They review your intake and your labs, prescribe only when it's appropriate, and stay with you through refills and adjustments.

Yes. Telehealth prescribing is legal and regulated, and every Monarch Rx physician is licensed to treat in your state. Medications are dispensed by licensed U.S. pharmacies.

18 and older. If you're under 18, start with a local primary care provider.

Your health data is encrypted, handled under HIPAA, and never sold. See our Privacy Policy for specifics.

Any time, from your account. We notify you before a refill ships or bills, so nothing arrives you didn't choose. No cancellation fee, no retention call.

State and federal rules prohibit returning dispensed medication, so all sales are final. If an order arrives damaged, incorrect, or compromised in transit, contact us and we'll replace it.

Tell your physician. Dose, delivery method, or the protocol itself can be adjusted — and if the data says a different path fits better, they'll move you to it rather than keep you on it.