Every month, not just the first. Applied automatically, no code needed. Chart review only, no extra appointment.
Some at-home ketamine programs advertise prices under $150 a month. They usually prescribe a fraction of the dose, often around 15mg a day, with no nasal spray, app-only check-ins instead of a live doctor, and support only in business hours. Pluto plans include up to 30 physician-directed doses a month at 50 to 250mg, your choice of nasal spray, ODT, or troche, a real consultation with a licensed doctor, and unlimited care team messaging. No consult fees, no membership fees, no first-month teaser pricing. Compare the medication you actually get, not just the sticker.
Versus a ketamine clinic: a clinic means driving in, a session on their schedule, and paying per visit. Pluto is the same medication, prescribed by a licensed doctor after a real consult, taken at home on your schedule, one monthly price.
Want more than ketamine? Add weight loss, peptides or any second treatment to your plan and 10% comes off your whole order, every month. Same doctor, same box, no extra appointment.
Anxiety
Depression
PTSD
Chronic Stress
Burnout
Low Motivation
Not the heavy, sedated clinic kind. Low functional doses that ease stress, anxiety, burnout, and PTSD while you stay clear and get on with your day.
Yes. Your plan renews every 30 days, or every 90 days on a quarterly plan, at the price you see here. Pause, skip, change or cancel anytime from your account, at least 4 days before renewal. No fees, no contract. Treatment is prescribed only if a licensed clinician approves you.
Your doctor consult, the pharmacy and shipping. Nothing else to pay. If the doctor does not approve you, you get a full refund.
Texas residents only. A licensed doctor decides after your consult. The common reasons for a no: you currently take benzodiazepines or several controlled medications, or the doctor wants a clearance letter from your psychiatrist or primary care doctor first. Not approved means a full refund, automatically.
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.
Our providers will review all potential risks, contraindications, and safety measures with you during your virtual consultation.
During your consultation your doctor will tell you what to expect, look out for and explain reasons to reach back to them.
If your treatment is well received you can follow your provider's instructions for safe at-home low-dose use.
If you experience a medical emergency contact 911 before contacting your provider within the patient portal.
Unlike many ketamine treatments, PlutoCare's functional approach uses low doses so you can stay alert, clear-headed, and productive. Our goal is to fit therapy into your schedule. No large doses that require isolation, therapist-led sessions, or stopping your day.
Whether you're a busy professional, parent, frontline worker, or executive, our low-dose protocol lets you manage PTSD, stress, and anxiety on your terms. In short, our treatments adapt to your life rather than forcing you to pause it.
15% off every month. Verify once at checkout with GovX ID. Does not stack with other offers; you always get the better one.
Same medication, prescribed by a licensed doctor either way. The difference is where you take it, who decides the schedule, and what you pay.
A clinic course is priced per session, and the number of sessions is up to the clinic. Pluto is priced per month, the price does not change after month one, and you can pause, skip or cancel from your account at least 4 days before renewal with no cancellation fee. The honest comparison is the total you would spend over the same period, not one visit against one month.
At-home works for adults in Texas with anxiety, stress or burnout who want a doctor involved and do not want a clinic schedule. It is not for anyone on benzodiazepines or several controlled medications, anyone the clinician feels needs in-person care, or anyone in crisis. The clinician may ask for a clearance letter first. If you are not approved, you are refunded in full and nothing ships.
Pluto ships to every Texas address, from Austin and Dallas to Houston, San Antonio, Fort Worth and El Paso. Texas residents only for now.
Choose your treatment and your intake starts at checkout.
Prescriptions are issued only if a licensed clinician approves you. Not for emergency or crisis use. If you are in crisis, call or text 988.
