Why We Built Pluto

Most people get it 3 to 5 days after their clinician approves it.

Yes. The pharmacy texts or emails you a tracking number when it ships. Your patient portal shows which pharmacy has your order, under Prescriptions.

• Marked delivered but not there? Contact support and we'll open a claim with the pharmacy.
• Damaged? Keep everything, box included, and contact support. We'll sort it out with the pharmacy.

We take orders 24/7, but most carriers don't deliver on major holidays. Need it by a certain date? Order early.

Yes, if it hasn't shipped. Contact support within two hours of ordering. Once it's in transit, the address can't change.

Very. Plain box, nothing about your medication on the outside, and neutral wording on receipts and shipping emails.

If your clinician says it's not a fit, you get a full refund automatically. It can take up to a week to show up, depending on your bank.

Once the pharmacy has made your medication, we can't refund it. That's a safety rule for prescriptions.

Email support@plutocare.us. We reply within one business day.

Once it ships, it can't be refunded, even unopened. Pharmacies can't take prescriptions back.

No. Refunds go back to your original payment method.

Ketamine has been FDA-approved as an anesthetic since 1970 and has been given to millions of people. Research on low doses for mood goes back to 2000, and in 2019 the FDA approved esketamine, a close cousin, for treatment-resistant depression. Pluto clinicians prescribe ketamine off-label when it's appropriate and go over the risks with you at your visit.

• Stress
• Anxiety
• Depression
• PTSD
• Burnout

Pluto prescribes low doses for these five. Your clinician decides at your visit if it's right for you.

Yes, if your clinician approves. Ketamine pairs with weight loss, hormones, sexual wellness and longevity treatments. Your clinician checks everything you take first, and a second treatment takes 10% off your whole order every month.

• Tirzepatide as a dissolvable tablet (ODT).
• Semaglutide + vitamin B6 as a dissolvable tablet.

Both are GLP-1 medicines, made by a licensed U.S. pharmacy into a form you take by mouth instead of a shot. Your clinician decides if one fits and sets your dose.

Compounded medications are prepared by a licensed U.S. pharmacy for an individual patient. They are not FDA-approved, and the FDA does not review them for safety, effectiveness or quality.

No. Ozempic®, Wegovy®, Mounjaro® and Zepbound® are FDA-approved injectable products made by Novo Nordisk and Eli Lilly. Pluto does not sell them and is not affiliated with either company.

Pluto prescribes compounded semaglutide and tirzepatide, prepared by a licensed U.S. pharmacy as a tablet that dissolves on your tongue. Compounded drugs are not FDA-approved, are not generic versions of those brands, and the FDA does not review them for safety, effectiveness or quality.

It depends on you: your starting point, your dose, how consistently you take it, and how you eat and move. Your clinician starts you on a dose and adjusts it over time.

We don't promise a number. Results from studies of the FDA-approved shots don't carry over directly to compounded forms you take by mouth.

NAD+, glutathione and sermorelin, each as a nasal spray or a troche that dissolves in your cheek.

Looking for testosterone, estradiol or progesterone? Those live in Hormone Therapy, with a video visit included.

Compounded medications are prepared by a licensed U.S. pharmacy for an individual patient. They are not FDA-approved, and the FDA does not review them for safety, effectiveness or quality.

The ingredients have been studied, and the evidence is stronger for some than others. We don't claim any of them slows aging or extends life.

Your clinician can walk you through what is known about the one you are considering. Compounded medications are prepared by a licensed U.S. pharmacy for an individual patient. They are not FDA-approved, and the FDA does not review them for safety, effectiveness or quality.

Not always. Your clinician decides based on your history and your treatment. Labs from the last 3 to 6 months? Upload them in your patient portal. Need new ones? We'll give you low-cost options.

• Dissolvable tablets (ODT): compounded sildenafil, tadalafil or both, with an optional oxytocin blend. For erectile dysfunction.
• PT-141 nasal spray: a peptide that works on desire rather than blood flow. For men and women.
• Sildenafil + testosterone troche: both in one dissolving troche, taken as needed. For men. Includes a video visit.

A licensed clinician decides what fits you. Compounded medications are prepared by a licensed U.S. pharmacy for an individual patient. They are not FDA-approved, and the FDA does not review them for safety, effectiveness or quality.

Oxytocin is the hormone your body makes for bonding and closeness. Some people add it to their main treatment, like an ED tablet, for the connection side of things. It's optional because not everyone wants it.

Not always. Anything with testosterone includes a video visit, and your clinician makes the call there based on your history. Labs from the last 3 to 6 months can be uploaded in your patient portal. Need new ones? We'll give you low-cost options.

For him: testosterone cream, testosterone troche, and a sildenafil + testosterone troche.

For her: estradiol cream, progesterone cream and low-dose testosterone cream.

Everything is prescribed only if a licensed clinician decides it is right for you. Compounded medications are prepared by a licensed U.S. pharmacy for an individual patient. They are not FDA-approved, and the FDA does not review them for safety, effectiveness or quality.

Yes. Every hormone plan starts with a video visit with a licensed clinician, and it's included in your price. Hormones need a real conversation about your history, symptoms and goals, and testosterone is a controlled substance. You book it right after checkout.

Not always. Your clinician decides at your video visit, based on your history and your treatment.

Labs from the last 3 to 6 months? Upload them in your patient portal. Need new ones? We'll give you low-cost options. Lab fees aren't part of your plan price.

No needles, no clinic trips for shots, and a small daily dose instead of a big one every week or two. Injections usually cost less per dose, and we won't pretend otherwise. Your clinician can walk you through the tradeoffs.

It's not for anyone pregnant, breastfeeding or trying to get pregnant, or men trying to have a child soon (testosterone can lower sperm count). It may not be right with a history of breast, uterine or prostate cancer, blood clots, stroke or heart attack. Your clinician goes over all of this at your visit.

You get a full refund, automatically. It usually lands back on your card within 7 business days.