Testosterone Start Requirements | The Menopause Clinic

Testosterone Start Requirements

Complete the steps below in any order. A prescription can’t be written until all steps are complete.

Progress: 0/6
Quick summary: Tier 2 (Comprehensive) is required (for members who started after Oct 15, 2025), an in-person visit is required, and labs are required before starting, again at 6–8 weeks, then every 6 months.
This page saves progress on this device/browser. If you switch devices, you may need to re-check items.

Step-by-step checklist

0
Acknowledgement: Tier 2 + responsibility for tracking requirements
For patients that started after Oct 15, 2025: Testosterone prescribing requires Tier 2 (Comprehensive). By checking this box, I confirm I understand the Tier 2 requirement and that I’m responsible for completing the requirements.
1
Complete the testosterone acknowledgement form
Required before the prescription can be written.
Open form
2
Read the “Testosterone Therapy Patient Guide” (and watch the video inside)
Use the direct link below, or find it in your portal document library.
Open Patient Guide (Google Drive)
  • How to find documents in your portal: Portal → Documents & Handouts
  • Use the search box and choose “Search all columns”. Try typing testosterone.
3
Schedule and complete an in-person visit
Required because testosterone is a Schedule III controlled substance. If you are currently in Tier 1, you will receive an invoice to increase to Tier 2. Once payment is received, your appointment will be confirmed.
Schedule in-person visit
4
Baseline labs completed and results received
Required before prescribing.

Option 1 — Use insurance

We can upload a lab requisition for you to take to an in-network lab. We recommend confirming coverage/pricing with your insurance first. We cannot guarantee coverage. If you use insurance, please upload or message us your results once available (faxed results don’t always come through).

Option 2 — Cash-pay (Rupa Labs)

Great for high-deductible plans. We can send your order through Rupa Labs (usually under $120). They email instructions, and results come directly to us. Message us and we’ll confirm exact cost.

⚠️
Important: Stop all biotin supplements for 72 hours before labs, including anything labeled: Biotin B7 Vitamin H
Will you automatically receive my insurance-based results? ▾
Sometimes. We request faxed results, but they don’t always come through automatically. If you use insurance, please upload or message us your results once they’re available.
Why do I need an in-person visit? ▾
Testosterone is a Schedule III controlled substance, so an in-person visit is required before we can prescribe.
Do I really need to stop biotin before labs? ▾
Yes—biotin can interfere with certain lab tests. Please stop for 72 hours before labs.
5
I understand the follow-up lab schedule
After starting testosterone: labs at 6–8 weeks, then every 6 months. (Your team will review results and advise next steps.)

Your Progress

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Not ready yet
Complete all steps and type your name to finish this checklist acknowledgement.

Typing your name saves on this device and can be used as your electronic acknowledgement for this checklist page. Clinical review and prescribing decisions are finalized during your in-person visit after labs are received.