Totara Health review

Compare the full plan total and chosen formulation before choosing a low monthly label. Obtain the next renewal charge and product-specific coverage in writing; the public FAQ and policies leave important differences to resolve.

Totara Health LLC is a marketplace connecting patients with independent licensed clinicians and pharmacies. Its FAQ names MD Integrations as the provider network and Manifest Pharmacy as a possible dispensing pharmacy. Totara does not itself prescribe or dispense, and the pharmacy assigned to a particular prescription may vary.

Patients aged 18 or older complete an online evaluation. Some states require live chat or video before the clinician makes a decision. Totara is cash-pay and does not accept insurance. The GLP-1 pages list ongoing care, support and injection supplies as included; a prescription is not guaranteed.

The FAQ lists 48 states, excluding Alaska and Mississippi, while site banners say all 50. Confirm the chosen treatment in your state. Free shipping is advertised. The returns policy says no refrigerated products are currently shipped, while product pages discuss refrigeration or cold-chain handling; ask the dispensing pharmacy how your specific prescription will be packaged.

Semaglutide injection selectors show $190 for one month, $399 total for three months, $714 for six and $1,188 for twelve. Tirzepatide injection shows $239 for one month, $589 total for three, $1,074 for six and $1,799.64 for twelve. The $196 and $150 monthly labels on longer tirzepatide plans are rounded averages; use the displayed total, not the rounded label multiplied by the term.

Semaglutide oral drops show $190 for the starter month and $190 for maintenance. Its sublingual RDT options show $190 per month across the listed strengths. Tirzepatide oral RDT options show $239 per month. These oral prices are separate from the injection plan discounts; they do not establish equivalent dosing or results.

NAD+ prices differ between public displays. The NAD+ selector quotes injection at $199 for one month or $549 total for three, and nasal at $149 for one month or $399 total for three. Another public display quotes injection at $299/$897 and nasal at $149/$447. Confirm the selected total before authorizing payment.

The FAQ says medication is charged when shipped, with notice before refilling and charging. Account cancellation is available before shipment. The pages do not establish the automatic renewal interval or charge after a longer term. NAD+ FAQs say unused months are refundable under the policy, while the general policy makes dispensed prescriptions final once charged and handed to a carrier. Ask which unused amounts are refundable; do not assume a dispensed supply can be returned.

The current selectors distinguish semaglutide injection, oral drops and oral sublingual RDT, and tirzepatide injection and oral RDT. NAD+ injection and nasal preparations are separate listings. Compounded medicines are not FDA-approved, and naming a medicine or route does not establish suitability or clinical benefit.

Totara permits sending a prescription to a local pharmacy if support is contacted before ordering. The network’s advertised price does not guarantee the local pharmacy’s charge. Exact dose, quantity, assigned pharmacy and monitoring costs need confirmation.