Step 01
Activate membership
Choose monthly or annual continuity. Member access opens immediately — records portable, cancellation any cycle.
Ecosystem Layer 03 · Continuity Infrastructure
Membership is the
operating system.
A private 100% telehealth membership for individuals who need more than one medication, exclusive delivery formats — orals, patches, nasal inhalers — and a provider who can call in acute prescriptions to any U.S. pharmacy in the country, where your insurance can apply at the counter.
Provider-reviewed Stacked optimization Exclusive formats Live video
Continuity advantage
24 months · with vs. without provider continuity
Lower index = better stability
Member continuity
Steady downward trend over 24 mo
Fragmented care
Drifts without ongoing oversight
Recalibrations
Ongoing · provider-reviewed
“Single labs are a snapshot. Continuity is the only way to see the trajectory — and trajectory is where optimization actually happens.”
The economics of continuity
Membership compounds in your favor.
Ecosystem pricing is dynamic — calibrated to the live formulary — so the absolute number moves, but the architecture doesn't. Members consistently pay materially less across every layer of the system.
Exclusive biomarker panels
Without
Retail lab pricing
Member
Member rate
Hormones · Lipids · CBC · CMP — plus member-only panels
Optimization medications
Without
Retail Rx
Member
Ecosystem rate
Dynamic discounted pricing on every refill
Exclusive delivery formats
Without
Standard injectables
Member
Orals · patches · nasal inhalers
Member-only formulations beyond what's offered off-platform
Acute care, anywhere
Without
Urgent-care visit
Member
Concierge Rx, nationwide
Providers call in acute prescriptions to any U.S. pharmacy — use your insurance locally
Ecosystem pricing is dynamic · Biomarker panels remain optional
Exclusive delivery formats
Beyond the
injectable.
Membership unlocks formulations reserved for members — orals, patches, nasal inhalers — engineered for the people who quit injectables and need a format that fits a life.
Oral
Sublingual · troche
Patch
Transdermal · 24h
Nasal
Inhaled · rapid onset
Injectable
Subcutaneous · pen
Format library · members only
Continuity pricing
Two pathways. One ecosystem.
Both unlock the full member ecosystem. Annual is the continuity-aligned pathway — engineered for individuals who treat physiology as a multi-year system.
Swipe · 01 / 02
Membership includes
ECOSYSTEM · v.2026
Pillar 01 / 03
Access
- Ecosystem pricing on optimization medications
- Exclusive biomarker panels at member rates
- Private member-only optimization pathways
- Gated treatments not available to non-members
What membership is
Four privileges, one membership: exclusive ecosystem pricing on every refill, delivery formats reserved for members — orals, patches, nasal inhalers — members-only biomarker panels, and concierge acute care with a provider on call to send prescriptions to any U.S. pharmacy.
What it isn't
- —Not insurance. We bill only the consultation. Acute Rx called in locally? Your insurance may apply at the pharmacy counter.
- —Not a refill service. Every prescription is provider-reviewed — never auto-dispensed.
- —Not bundled with Hormone Optimization. TRT & BHRT remain separate provider-guided pathways.
What members unlock · 100+ ecosystem pathways
One membership. A full concierge ecosystem.
For many members, routine use of discounted biomarker panels, treatments, and concierge consultations can make the membership worth it pretty quickly. Higher-ticket services tend to offset the membership cost the fastest.
Member pricing on biomarker panels
Standard panels and member-only bundles at concierge rates. Higher-ticket panels often deliver the most meaningful per-visit savings.
Member pricing across treatments
Optimization pathways, sexual wellness, hair, skin, sleep, and metabolic — at member rates across the formulary.
Concierge telehealth pathways
Provider-reviewed consultations spanning optimization, dermatology, GI, and acute-care support — available where clinically appropriate.
Everyday wellness & acute-care support
Respiratory, minor urgent care, travel and lifestyle support — a broader ecosystem than optimization alone.
Provider-reviewedMember pricing across the ecosystemCancel any cycle
Savings and value vary based on selected services, utilization, eligibility, and pricing. Concierge consultations are not a substitute for primary or emergency care.
Selected pathway
Annual Continuity · $468 / year
Equivalent to $39/mo — saves $120/yr vs. monthly. Non-refundable.
Before you activate
You will be charged $468 today for one year of Vitality membership ($39/month equivalent). The membership auto-renews annually at $468 on the anniversary of your activation date unless cancelled at least 24 hours before renewal. Annual membership is non-refundable.
This payment purchases the membership and provider evaluation only. Any prescription is subject to the independent decision of a licensed provider after review of your assessment and biomarker results. No medication is guaranteed or dispensed by paying for membership.
Cancel anytime from or by emailing support. See the Terms & cancellation policy.
Annual commitment Non-refundable Records portable Provider-reviewed All 50 states HIPAA-secure
0/ 50 states · live
Nationwide telehealth. Synchronous video auto-routes only where your state requires it.
The member journey
From activation to stacked, concierge-grade care.
One activation unlocks the full ecosystem — exclusive pricing, member-only delivery formats, exclusive biomarker panels, and a provider on call to send acute prescriptions anywhere in the country.
Step 01 / 06Member journey
One provider relationship · stacked pathways · nationwide acute Rx
Concierge acute care
One provider.
Every pharmacy.
Need an antibiotic on a Sunday? A provider sends an acute prescription to any U.S. pharmacy — and your insurance applies at the counter.
From inside the ecosystem
What stacked, concierge optimization feels like.
Testimonial · No. 01Concierge acute Rx
“I was tired of stitching together three different clinics for three different medications. One provider now manages the whole stack — and when I needed an antibiotic on a Sunday, they called it in to my CVS in under four hours.”
M. Reyes
Member · Stacked optimization + concierge acute care
Testimonial · No. 02Member-only formulations
“The patches and nasal formats are what kept me. I'd tried injectables elsewhere and quit. Having delivery formats that actually fit my life — at member pricing — changed the entire experience.”
K. Aoki
Member · Exclusive delivery formats
Verified members · names abbreviated for privacyMember testimonials · ongoing
Not sure yet?
Begin with the 90-second Assessment.
The Assessment routes you to the correct pathway and shows you, in plain language, whether membership fits your physiology and goals — before you activate.
Clinical prequalification
See if you may qualify for provider-guided optimization.
A two-minute adaptive assessment, reviewed by a licensed provider.