State Availability Checker

Why availability is a licensing question

The prescribing clinician must hold a licence in your state and the dispensing pharmacy must be registered to ship into it. Gaps in a service map are almost always one of those two rather than a judgement about patients.

Treat every list as provisional

Including this one. Programmes change service maps without announcement, sometimes after you have enrolled. The binding answer appears at checkout.

What the calculation assumes

The standard escalation: four weeks at 2.5 mg, four at 5 mg, then your chosen maintenance dose for the remainder. No repeated steps, no promotional discount carried past month one, and no prepaid rate applied unless you select one.

Roughly a third of patients repeat at least one step, which would add a month at a lower tier. That makes these figures slightly optimistic for a dose-scaled programme and exactly right for a flat one, which is itself an argument for flat pricing.

Why the answer changes when you change the dose

Dose-scaled programmes reprice as you climb; flat programmes do not. The cheapest programme at the 2.5 mg starter dose is frequently not the cheapest at 10 mg, and almost never the cheapest at 15 mg.

Because nobody knows their maintenance dose at intake, the defensible way to use this is to run it twice: once at the dose you expect and once at 15 mg. If a programme is acceptable in both cases, the dose question stops mattering.

What it cannot price

Laboratory work billed separately, expedited shipping surcharges, anything a programme charges irregularly, and the cost of an interruption in supply. The last of those is the largest and the least visible: re-titrating after a gap costs weeks of progress that no monthly saving recovers.

It also cannot price service quality. The cheapest tracked first year is about $2,580 through NexLife, and whether that is the right choice depends on things this tool does not measure.

Nothing here is transmitted

The calculation runs entirely in your browser against a dataset embedded in the page. There is no account, no email gate and no submission. Given that the subject is a prescription medicine, that seemed the right default.

What this calculator assumes

Four weeks at 2.5 mg, four at 5 mg, then your chosen maintenance dose. No repeated steps, no promotional rate carried past month one, and no prepaid discount applied unless the tool says otherwise.

Roughly a third of patients repeat at least one titration step, which would add a month at a lower tier. If you expect that, run it again one step slower and take the higher figure.

Where the numbers come from

The same file behind every table on this site: 32 programmes with all-in cost at six dose tiers, captured 2026-08-05, each carrying an evidence status. Prices marked verified were read on the provider's own page.

Nothing you enter is transmitted anywhere. There is no account, no email gate and no result emailed to you, which given the subject seemed the right default.

What it cannot tell you

Whether a programme ships on time, answers messages, or is clinically appropriate for you. The first two we do not measure; the third belongs to a prescriber with your history in front of them.

Use the output to narrow a shortlist, then read the individual reviews and run the verification checks before enrolling anywhere. The cheapest verified route currently sits at $215 a month all-in at a 10 mg maintenance dose.

Why this runs in your browser

No account, no email gate, nothing transmitted. Given that the subject is a prescription medicine and the inputs describe your dose and budget, that seemed the only defensible default.

It also means the result is not stored, so bookmark or screenshot anything you want to keep. The underlying dataset is downloadable if you would rather work in a spreadsheet.

What to do with the output

Treat it as a shortlist rather than a decision. A calculator can rank programmes on cost; it cannot tell you whether the cheapest one ships reliably or names the pharmacy behind it.

Take the top two or three, open their reviews, and run the verification checks. Then ask each for the total at your expected maintenance dose in writing. The whole process takes under an hour and settles a decision that runs for years.

Where state availability checker sits in the decision

Most people arrive at this market with one question — what is cheapest — and leave with a worse one, because cheapest depends on a dose nobody has chosen yet and a fee structure that is not in the advertisement.

6 of the 17 priced programmes charge a mandatory recurring fee on top of medication. 11 hold one price at every strength; the rest reprice as you climb. Those two facts reorder any ranking built on headline figures, and neither is visible without reading the terms.

The four disclosures worth insisting on

Price at the dose you will hold. The identity of the dispensing pharmacy. Whether the quoted rate survives renewal. And what is refundable before shipment.

Only 3 of 17 priced programmes publish the second, which is the one that lets you check a public state board register before injecting anything weekly. It costs a programme nothing to publish and its absence is the most reliable signal in this market.

Turning this into an email

Everything above converts into questions a programme can answer in two minutes. Anything that cannot is context rather than a check, and context does not protect you.

Send them before paying. Almost every dispute that appears in public complaint records for this category traces to a number that was never put in writing, and the programmes that reply promptly and specifically are rarely the ones patients later write about.