Launch a Cash-Pay HRT Program

No medical license required. Karpa's 50-state provider network handles prescribing and compliance while you build the brand and keep the revenue.

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Last updated: May 2026

50-State Doctor Network
Licensed Pharmacies
HIPAA Compliant
256-bit Encryption

How It Works

Step 1

We Set You Up

Karpa builds your branded intake forms, connects your pharmacy partners, and configures your HRT (Hormone Replacement Therapy) program. Most clinics go live in under two weeks.

  • Branded intake form built and hosted by Karpa
  • 50-state licensed provider network assigned to your clinic
  • Pharmacy credentialing handled for you
  • Go live in under two weeks
yourclinicdomain.com/start
Your HRT (Hormone Replacement Therapy) Program

Full name

Date of birth

State

Get Started

Step 2

Patients Apply, We Handle the Medicine

Patients complete your branded intake form online. Karpa's licensed providers handle clinical review, prescribing, and compliance in your patients' states.

  • AI-powered screening and eligibility check
  • Licensed medical provider in your patient's state
  • All compliance handled, no license required from you
Clinical Review 3 pending
J

John D., 42 · California

Intake complete

Review
S

Sarah M., 35 · Texas

Eligibility verified

Approved
Licensed physicians in all 50 states

Step 3

Medications Ship, You Grow

Compounded medications ship directly to patients from our pharmacy network. You track revenue, manage your clinic, and add programs as you scale.

  • Direct-to-door from licensed compounding pharmacies
  • Automatic charting and patient notifications
  • Add more programs without adding overhead
Clinic Dashboard This month

20

Patients

18

Shipped

$6k

Revenue

Monthly revenue trend

"We went from zero to a full GLP-1 program in under two weeks. Karpa handled everything."

R

Raj, Physician · Newport Beach, CA

50

States covered

<2wks

To go live

What This Program Can Earn

20
5 200

Monthly Revenue

$6,000

Annual Revenue

$72,000

Based on $300/mo avg revenue per patient

HRT is a long-term, recurring revenue program. Patients on bioidentical hormone therapy typically remain on treatment for years with consistent monthly payments. Cash-pay pricing avoids insurance complexity, and Karpa handles the operational overhead.

Common Questions

What hormone therapies can I prescribe through Karpa?
Karpa supports prescribing bioidentical hormones (BHRT), estrogen, progesterone, DHEA, and custom compound formulations through our integrated compounding pharmacy network.
Does Karpa support personalized hormone compounding?
Yes. Through our pharmacy integrations, providers can prescribe personalized compound formulations tailored to each patient's lab results and clinical needs.
Can I offer HRT alongside other Karpa programs?
Yes. Many practices use Karpa for HRT alongside peptide therapy, GLP-1 weight loss, and TRT programs. Patients can be enrolled in multiple programs from the same dashboard.
Which pharmacies specialize in hormone compounding?
Belmar Pharma Solutions and Empower Pharmacy are known for extensive BHRT formularies. Strive Pharmacy, Olympia Pharmacy, and BoomRx also compound hormone therapy medications. All are integrated with Karpa.
How does Karpa help with HRT lab monitoring?
Karpa includes lab work tracking and follow-up scheduling so you can monitor hormone levels and adjust treatment plans as needed. All results and clinical decisions are recorded in the platform.
How quickly can I launch an HRT program?
Most practices go live in under two weeks. Karpa's onboarding team handles the technical setup, pharmacy integration, and intake form configuration.

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Karpa gives clinics and entrepreneurs a complete platform to launch compounded semaglutide and tirzepatide programs under their brand. Karpa handles intake, AI-powered clinical screening, licensed prescribing through our 50-state network, and direct-to-patient fulfillment.

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Ready to Launch HRT (Hormone Replacement Therapy)?

Book a Free Demo and we'll show you exactly how to launch your HRT (Hormone Replacement Therapy) program in under two weeks.

Book a Free Demo