Ketamine Troche

1. Choose your plan and check out. Your card is charged now. Nothing ships until a clinician approves you.
2. Fill out a short intake form. You get the link right after checkout.
3. A licensed clinician reviews it. Ketamine patients get a video visit, included, and same-day slots are often open. Other treatments are reviewed from your intake, no call needed.
4. It ships to your door in a plain box from a licensed pharmacy, usually 3 to 5 days after approval.

Yes. It renews every 30 days, or every 90 on the 90-day plan, at the price you see here.

Pause, skip, change or cancel anytime in your account. Cancel at least 4 days before renewal and you won't be charged again. No fees, no contract.

Your clinician visit, the medication and shipping. Nothing else to pay. Not approved? Full refund.

Two ways, both built in. 90-day plans cost less: you save $100 every three months on ketamine and 10% on everything else. Add a second treatment and 10% comes off your whole order, every month.

Veterans and first responders get 15% off everything, for life.

Yes. After your first order, once your intake is done and you're set up in your patient portal, your clinician can adjust your dose or switch your form, including injectable options for some treatments.

Some options are only set up through your care team, so just ask in your portal.

Ketamine and hormones: yes, one video visit with a licensed clinician before your first order ships. It's included in your price.

Everything else: a licensed clinician reviews your intake form. No call unless they have a question.

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

Common reasons for a no: you take benzodiazepines or several controlled medications, or your clinician wants a clearance letter from your psychiatrist or primary care doctor first. Texas residents only.

Yes. Pluto is LegitScript certified, the standard Google and Meta require to advertise prescription telehealth. Every prescription is written by a licensed Texas clinician and filled by a pharmacy licensed by the Texas State Board of Pharmacy.

Your clinician goes over risks and side effects before you start. These are low-dose treatments you take at home, not for emergencies.

No. Your treatment arrives in plain packaging from the pharmacy. Nothing on the outside says what it is.

Low-dose ketamine as a flavored troche, marshmallow or passion fruit, that dissolves between your cheek and gum over 15 to 20 minutes. Prescribed by a licensed Texas clinician after a video visit, for stress, anxiety, depression, PTSD and burnout.

Why people pick the troche

• Two flavors, marshmallow or passion fruit
• No spray and no water needed
• Easy to take at home, on your schedule

What's included

• Video visit included. A licensed Texas clinician meets you by video before your first order ships.
• Ships 3 to 5 days after approval. Free, in a plain box, from a licensed pharmacy.
• Not approved? Full refund. Automatically.
• Your plan, your way. $345 a month or $935 for 90 days. Pause, skip or cancel at least 4 days before renewal.

Clinical details

• Form: Troche (lozenge), marshmallow or passion fruit
• Dose: 50 to 200 mg, set by your clinician. Changes start at your next refill.
• Supply: 30 days, or 90 days in one shipment
• Controlled substance: Ketamine is Schedule III, so you can have one active prescription at a time, from any provider
• Pharmacy: Licensed compounding pharmacy

Not a fit if

• You take benzodiazepines or several controlled medications
• You already have an active ketamine prescription somewhere else
• You're in crisis. Call or text 988.
• You're under 18 or live outside Texas

Compounded medications are prepared by a licensed pharmacy for an individual patient. They are not FDA-approved, and the FDA does not review them for safety, effectiveness or quality. A prescription is issued only if a licensed clinician decides it is right for you. Low-dose ketamine for mood is prescribed off-label. Texas residents only. Not for emergency use.