Once your consultation and health questionnaire is reviewed and approved. Your prescription is sent directly to one of our pharmaceutical partners. Processing and shipping times can vary. Typically, we see our customers receiving their treatments within 3-5 days of approval.

Yes. When your order ships, you will receive a text or email with a tracking number directly from the pharmacy fulfilling your treatment. Locate your pharmacy via Patient Portal / Prescriptions. You can contact them for status updates at any time.

• If the carrier marks your package as delivered but you haven’t received it, contact support immediately. We’ll open a claim directly with the pharmacy partner on your behalf.
• For damaged items, retain all packaging and contents, then reach out to support. We will work on your behalf with the pharmacy to resolve the issue.

We process orders 24/7. However, most carriers do not deliver on major U.S. holidays. If you need your treatment by a specific date, plan accordingly and order well in advance

Yes—if your order hasn’t shipped. Contact support within two hours of placing your order to update your address. Once the package is in transit, address changes cannot be made.

All packages are mailed in plain boxes from our pharmaceutical partners. Your invoice and shipping notifications use neutral language. Your treatment or RX will never be on the exterior of the box.

We process refunds quickly and automatically for any treatment if deemed ineligible after your consultation. However, refund timing can vary based on your bank or payment provider, and it may take up to one week to appear in your account.

We cannot accept refunds for products that have already been processed by our pharmacies due to safety and regulatory reasons. 

Send us an email to support@plutocare.us. Expect a response within one business day.

If you refuse delivery or return the unopened kit, it is not refundable due to safety and regulatory reasons. 

Yes! You may request a Pluto gift card that is transferrable to share with family and friends.

Yes! Ketamine has been approved by the FDA in 1970 for anesthesia. Over the past 50+ years, it has been administered to millions of patients worldwide with a well-characterized safety record.Researchers first published case reports and trials in 2000 demonstrating rapid antidepressant effects in treatment-resistant depression (TRD) patients, and subsequent studies throughout the 2000s expanded its off-label use for depression, PTSD, and other disorders. Ketamine has been FDA-approved as an anesthetic since 1970. In 2019, the FDA approved esketamine (a ketamine derivative) for treatment-resistant depression. PlutoCare prescribers may use ketamine off-label when clinically appropriate. Hundreds of thousands of patients have undergone off-label ketamine treatment worldwide over the past two decades. Our providers will review all potential risks, contraindications, and safety measures with you during your virtual consultation.

• Major Depressive Disorder (treatment-resistant)
• PTSD and Complex Trauma
• Generalized and Social Anxiety Disorders
• Select Chronic Pain Syndromes (off-label)
• Alcoholism and Dependency Disorders

Yes all our treatments are designed to work together and in most cases combining treatments can boost efficacy.
Ketamine can be safely combined with weight-loss, sexual health and longevity treatments when approved by your PlutoCare provider.

• Oral Semaglutide - similar to Ozempic/Wegovy.
• Oral Tirzepatide - similar to Mounjaro.
• Our formulations use the same active ingredients as branded GLP-1 agonists but are compounded for oral/sublingual use. Compounded medications are not FDA-approved; efficacy and tolerability can differ from injectables. Your licensed provider will determine appropriateness.
  

Our formulations use the same active molecules as FDA approved branded GLP-1 agonists but are compounded for oral/sublingual use.

Compounded medications are not FDA-approved; efficacy and tolerability can differ from injectables. Your licensed provider will determine appropriateness.

Clinical studies of GLP‑1s show ~10–22% weight loss over 6–12 months with lifestyle support. Individual results vary.

• Peptide Protocols: In sublingual or nasal form for cellular repair, improved sleep, and metabolic support.
• Hormone Optimization: Topical or oral testosterone, DHEA, and select thyroid support for energy, libido, and muscle preservation.
• Nutraceutical Bundles: NAD⁺ precursors (NMN, NR), CoQ10, vitamin/mineral complexes to support mitochondrial health and antioxidant defenses.

• Peptides: Peer-reviewed studies show improved IGF-1, sleep architecture, lean muscle mass, and metabolic markers.
• Hormone Protocols: Follow established endocrinology best practices and monitoring.
• Nutraceuticals: Backed by research on NAD⁺’s role in cellular longevity and antioxidant support.

Labs are typically not required for most PlutoCare treatments. In some rare cases your clinician may recommend labs based on your health history or goals.

All our offerings are controlled low dose treatments for our longevity offerings making them safe and effective for a broad audience and use type without labs in most cases.

• Topical Hormone Creams: Testosterone or DHEA creams for low libido, energy, and mild hormone imbalances (needle-free).
• Oral Dissolvable Tablets (ODT): Fast-acting sildenafil or tadalafil equivalents for erectile support—dissolve in seconds for discreet dosing.
• Herbal & Peptide Blends: Sublingual lozenges or nasal sprays for improved circulation and performance.

Oxytocin is a natural “bonding” hormone that enhances emotional connection, arousal, and orgasm quality.
Oxytocin works best alongside your main sexual health treatment (e.g., testosterone cream or ODT erectile support) to boost intimacy and reduce performance anxiety. It’s optional because not everyone needs that extra emotional lift, and you can use it only when you want a stronger bonding effect.

Labs are typically not required for most PlutoCare treatments. All our sexual health offerings are commonly prescribed, safe and effective for a broad audience and use type without labs in most cases. In some rare cases your clinician may recommend labs based on your health history or goals.