Defy Medical Telehealth
Lab-led TRT, BHRT, menopause, GLP-1, peptide, sexual health, thyroid, and hair-loss care by video with no subscription
Visit types
Video · Phone
Coverage
51 US regions
Lab partner
LabCorp and Quest Diagnostics; Getlabs mobile phlebotomy as add-on
Mobile app
Yes
About
Defy Medical Telehealth is the company's main national care pathway for hormone optimization and related longevity programs. It covers TRT, BHRT, perimenopause and menopause, GLP-1 weight loss, peptide therapy, thyroid therapy, ED and FSD prescribing, and hair loss. Care is built around lab work, a recent physical exam, a synchronous video consult, and ongoing follow-up through the patient portal. Prescriptions are fulfilled through partner pharmacy vendors and shipped to the patient when appropriate.
What to Know
Signature approach
The telehealth pathway starts with paperwork, comprehensive labs, and a recent physical exam before prescribing. The initial video consult reviews lab values, symptoms, history, and treatment goals, then turns that information into a protocol. Follow-up labs and consults happen after three months, then every six months for ongoing hormone care. The same portal handles appointments, lab orders, medication orders, supplies, and supplements.
What sets them apart
- Lab work before prescriptions. Defy requires comprehensive labs and a recent physical exam, giving the visit more clinical context than a symptom-only intake.
- Broad hormone and sexual-health scope. TRT, BHRT, menopause, ED, FSD, thyroid, GLP-1s, peptides, and hair loss sit in one care model.
- Women's hormone care is central. BHRT, perimenopause, menopause, FSD, and women's hormone panels are built into the program instead of being treated as an afterthought.
- No subscription lock-in. Patients pay for visits, labs, medications, and add-ons as they use them.
Before You Book
- Confirm your first-year cost. Labs, consults, medications, supplies, and follow-up are separate charges.
- Check state and lab access. Lab work is required, and lab-vendor limits affect NY, NJ, PA, RI, and MA.
- Understand testosterone rules. TRT is Schedule III care and depends on current telemedicine prescribing rules.
- Ask about peptide status. Some listed peptides are research-oriented and not FDA-approved therapeutics.
- Use Tampa for in-person procedures. Pellets, PRP, shockwave, IV therapy, and ketamine are not remote services.
How it works
- 1
Get Started intake
Complete Defy Medical's New Patient Paperwork via the Get Started form to begin onboarding.
- 2
Comprehensive lab panel + Physical Exam
Order labs through the Patient Portal and draw at LabCorp or Quest, or schedule Getlabs mobile phlebotomy. A recently completed Physical Exam (within 6 months) is required to begin care.
- 3
Initial Consultation (up to 1 hour)
Synchronous video consult with a Defy Medical provider. Review lab results, symptoms, history, and treatment goals; the provider builds an individualized protocol.
- 4
Prescriptions and supplies via portal
Order medications, supplies, and supplements through the online Patient Portal. Compounded and brand medications ship from Defy's network of Pharmacy Vendors directly to the patient.
- 5
Three-month follow-up
First follow-up consultation plus a follow-up lab panel three months after the initial consult to assess response and adjust the protocol.
- 6
Ongoing six-month follow-ups
After the first year, follow-up consults and lab panels run every six months. Additional consults can be booked at the patient's discretion.
Care delivery
Remote care includes
10Testosterone Replacement Therapy (TRT) — injectable, topical, nasal gel
Bioidentical Hormone Replacement Therapy (BHRT) for women — Estradiol, Estriol, Progesterone, Testosterone, DHEA, Pregnenolone (injection, topical, oral, suppository)
Perimenopause and menopause therapy
GLP-1 weight loss — Semaglutide, Tirzepatide, Liraglutide
Peptide therapy — AOD-9604, BPC-157, TB-500, Tesamorelin, CJC + Ipamorelin, Epithalon, GHK-Cu, IGF-1 LR3, Kisspeptin
Erectile dysfunction — Sildenafil, Tadalafil, Vardenafil, PT-141 (Bremelanotide), Oxytocin, Trimix, Bimix, Quadmix
Female Sexual Dysfunction — BHRT, PT-141, vasodilators, topical libido creams, Oxytocin
Thyroid Hormone Replacement Therapy (T3, T4)
Hair loss therapy (DHT-control and circulation prescriptions)
Performance consultations (45-minute individual or couples)
Needs local coordination
6Testosterone pellet implants — Tampa, FL clinic only
Shockwave therapy for ED — Tampa, FL clinic only
PRP injections (hair, ED, FSD, joint) — Tampa, FL clinic only
IV therapy and ketamine — Tampa, FL clinic only
Recently completed Physical Exam (within 6 months) — required before starting care; obtained from local PCP if patient is not in Tampa
Lab draws — LabCorp or Quest in-person draw, or Getlabs mobile phlebotomy ($125 add-on)
US coverage
Availability
Available in all 50 US regions
State-specific notes
5MA: Lab vendor coverage limited (LabCorp, Quest, and Access Medical Labs all restricted). Practical clinical access constrained because comprehensive labs are required to begin care.
NJ: Lab vendor coverage limited (LabCorp, Access Medical Labs restricted). Practical clinical access constrained because comprehensive labs are required to begin care.
NY: Lab vendor coverage limited (LabCorp, Access Medical Labs restricted). Practical clinical access constrained because comprehensive labs are required to begin care.
PA: Lab vendor coverage limited (LabCorp, Access Medical Labs restricted). Practical clinical access constrained because comprehensive labs are required to begin care.
RI: Lab vendor coverage limited (LabCorp, Quest, and Access Medical Labs all restricted). Practical clinical access constrained because comprehensive labs are required to begin care.
Pricing
TRT averages under $250/mo in year one and under $200/mo after; BHRT averages under $200/mo in year one and under $150/mo after. Self-pay only.
Pricing detailsBilling cadence, medication costs, insurance, cancellation, and refund notes.
Public anchors: TRT averages under $250/mo in year one and under $200/mo after. BHRT averages under $200/mo in year one and under $150/mo after. Performance consultations are $95 individual or $125 couples, and initial hormone panels are $299 Quoted through the portal: GLP-1s, peptides, thyroid, ED/FSD, hair-loss protocols, medications, and supplies are priced after intake. Billing model: Self-pay, fee-for-service, no subscription, no insurance billing.
Additional details
Medication and prescribing detailsFine-print prescribing, pharmacy, and state-professional-corporation details.
Testosterone is a Schedule III controlled substance. Defy Medical prescribes testosterone (TRT) and other anabolic-androgenic therapies via telemedicine under Ryan Haight Act post-COVID telemedicine flexibilities. The practice publishes its own regulatory advocacy on telemedicine prescribing of Schedule III hormones. Care begins with a comprehensive lab panel and a recently completed Physical Exam (within 6 months) — required before any prescription.
Team
Morgan Bulawa, PA-C
Bioidentical hormone therapy PA-C with Exercise Science, collegiate soccer, and HRT-pharmacist family roots
Defy Medical
Beth Bray, APRN
Hormone replacement and integrative wellness from an APRN with orthopedic, oncology, primary-care, and holistic-care experience
Defy Medical
Michelle Maiolo, FNP-BC
Hormone, nutrition, and exercise-focused FNP-BC with 20+ years across nursing, pain management, and addiction medicine
Defy Medical
Robin Cozine, APRN, FNP-C
BHRT, medical weight loss, IV/injectable wellness, and aesthetic-procedure experience from a multi-state FNP-C
Defy Medical
Kristian Schoppaul, APRN, FNP-C
Hormone replacement care from an FNP-C with ER, ICU, oncology, cardiology, pediatrics, and sports-medicine experience
Defy Medical
Melissa Faulk, PA-C
Men's health and hormone replacement from a PA-C with Army, flight-surgeon, orthopedic trauma, and cardiology experience
Defy Medical
Justin Saya, MD
Medical Director and lead practicing physician for Defy's hormone, menopause, TRT, and telehealth care model
Defy Medical
Ben Walker, APRN, DC
Hormone optimization and integrative care from a dual-credentialed APRN/DC with decades in chiropractic and prescribing care
Defy Medical
Caleb Calkins, MD
Family-medicine physician focused on hormones, metabolism, nutrition, fitness, GLP-1s, and root-cause wellness
Defy Medical
Corbin Burns, PA-C
Hormone optimization and TRT from a PA-C with emergency-medicine and behavioral-health experience
Defy Medical
Elizabeth Thara, APRN, FNP-C
Women's health, hormone therapy, and weight-management care from an FNP-C with a decade in labor and delivery nursing
Defy Medical
Marisa Palles, PA-C, MPAS
Hormone optimization PA-C with a Defy patient-services background, endocrinology interest, and symptom-plus-lab approach
Defy Medical
Megan Kershner, MSN, APRN, AGNP-C, MSCP
Menopause Society Certified APRN focused on HRT, menopause care, Biote pellets, and adult-gerontology care
Defy Medical
Mike Linkous, PA-C
TRT and integrative hormone care from a PA-C with sports orthopedics, family medicine, pain management, and personal TRT experience
Defy Medical
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