Launch a Cash-Pay TRT 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 TRT (Testosterone 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 TRT (Testosterone 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

25
5 200

Monthly Revenue

$6,250

Annual Revenue

$75,000

Based on $250/mo avg revenue per patient

TRT is a long-term, recurring revenue program. Patients typically remain on therapy for years, creating one of the most predictable cash-pay income streams in medicine. Karpa eliminates the operational overhead so you can grow your TRT program without growing your admin workload.

Common Questions

What testosterone formulations can I prescribe through Karpa?
Karpa supports prescribing compounded testosterone in multiple formulations including injectable testosterone cypionate, topical creams, and other delivery methods through our integrated pharmacy network.
Does Karpa help with TRT lab work and monitoring?
Yes. Karpa includes lab work tracking and follow-up scheduling tools so you can monitor testosterone levels, hematocrit, PSA, and other relevant markers as part of ongoing TRT management.
Can I offer TRT alongside other Karpa programs?
Yes. Many practices use Karpa for TRT alongside peptide therapy, GLP-1 weight loss, and HRT programs. Patients can be enrolled in multiple programs from the same dashboard.
How does Karpa handle TRT compliance and record keeping?
Karpa is fully HIPAA compliant and maintains complete records of every patient interaction, clinical review, lab result, and prescribing decision. All records are accessible from your dashboard.
Do I need to be a specialist to offer TRT?
No. Any licensed provider authorized to prescribe controlled substances can offer TRT. Karpa provides the platform and workflow tools. Our onboarding team helps configure intake forms and protocols for your practice.
How quickly can I start offering TRT?
Most practices go live in under two weeks. Karpa's onboarding team handles the technical setup, pharmacy integration, and intake form configuration.

Other Programs You Can Launch

Peptide Therapy

Karpa gives primary care practices, med spas, and entrepreneurs a complete platform to launch BPC-157, CJC/Ipamorelin, and other therapeutic peptide clinics with white-label patient flows. Patients see your brand while Karpa handles intake, licensed prescribing through our 50-state network, compounding pharmacy fulfillment, and patient follow-up.

Learn more →

GLP-1 Weight Loss

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.

Learn more →

HRT (Hormone Replacement Therapy)

Karpa gives clinics and entrepreneurs a complete platform to launch hormone replacement therapy programs including BHRT, estrogen, progesterone, and custom compound formulations. Karpa handles intake, AI-powered clinical review, licensed prescribing through our 50-state network, and pharmacy fulfillment.

Learn more →

Ready to Launch TRT (Testosterone Replacement Therapy)?

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

Book a Free Demo