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What we treat / Specifics



Acne | learn more
  • Prescription length and follow-up:
    • Controlled: 1 year
    • Uncontrolled / med adjustments / initial therapy: 8 weeks
Anxiety
  • Prescription length and follow-up:
    • Controlled: 1 year
    • Uncontrolled / med adjustments / initial therapy: 6 weeks
    • See antidepressants for medication information. Please note that we do not prescribe benzodiazepines (e.g. Xanax, alprazolam, diazepam).
  • Prescription length and follow-up:
    • Controlled: 1 year
    • Uncontrolled / med adjustments: 4 weeks
    • If you are having an acute asthma exacerbation (attack), you should seek immediate, in-person medical attention
    • If you have not been formally diagnosed with asthma, you should be evaluated in person
Atrial fibrillation | learn more | A fib medication help
  • Prescription length and follow-up:
    • Established diagnosis / controlled: 1 year
    • Patients taking warfarin may require periodic lab work (PT/INR $12)
    • Patients who have unstable atrial fibrillation (e.g. heart failure) should see a physician in person
Bacterial vaginosis (BV) | learn more
  • We treat bacterial vaginosis in women
  • Follow-up is not typically required
Back pain | learn more
  • We are happy to evaluate and discuss your back pain
  • Follow-up will depend on the individual situation
Bipolar disorder
  • Prescription length and follow-up:
    • Controlled: 1 year
    • Uncontrolled / med adjustments / initial therapy: 6 weeks
  • Lab costs (frequency):
    • Lithium level: $12 (when indicated)
    • Carbamazepine level: $20 (when indicated)
    • Valproic acid level: $16 (when indicated)
    • Comprehensive metabolic panel (CMP): $10 (when indicated)
    • Thyroid stimulating hormone (TSH): $10 (when indicated)
Birth control / contraception | learn more
  • All birth control methods will be prescribed for one year
Bronchitis | learn more
  • We are happy to see you for bronchitis, but we do not prescribe antibiotics for bronchitis. The CDC, ACP, and ACCP all state that antibiotics are not useful for acute bronchitis and should not be offered.
  • If you have shortness of breath, a rapid heart rate, or an underlying lung condition like asthma or COPD, you should be evaluated in person. See pneumonia vs bronchitis for more
Boils / cellulitis / MRSA (cellulitis, boils)
  • We can evaluate and treat skin infections such as boils and cellulitis which may be caused by MRSA and other bacteria
  • Follow-up and labs are not typically required
Chlamydia | learn more
  • Only one appointment is necessary for chlamydia evaluation and/or treatment
  • If lab testing comes back positive, we will send the appropriate treatment to your pharmacy
  • In some cases, treatment without lab testing may be appropriate
  • Lab costs:
    • Chlamydia (performed on urine sample): $25
Conjunctivitis / pink eye | learn more
  • We can evaluate and treat conjunctivitis
  • Follow-up and labs are not typically required
COPD (chronic obstructive pulmonary disease) | learn more | COPD medication help
  • Prescription length and follow-up:
    • Controlled: 1 year
    • Uncontrolled / med adjustments: 4 weeks
    • If you are having an acute COPD exacerbation (attack), you should seek immediate, in-person medical attention
    • If you have not been formally diagnosed with COPD, you should be evaluated in person
Deep vein thrombosis (DVT) | learn more | DVT medication help
  • Prescription length and follow-up:
    • Patients taking direct oral anticoagulants for preventive therapy will be given prescriptions for a year
    • Patients taking warfarin may require periodic lab testing (PT/INR $12)
    • Patients being treated for a DVT will require follow-up at 3 - 6 months
Depression
  • Prescription length and follow-up:
    • Controlled: 1 year
    • Uncontrolled / med adjustments / initial therapy: 6 weeks
    • See antidepressants for medication information
Diabetes, type two | learn more | diabetes medication help
  • Prescription length and follow-up: depends on hemoglobin A1C value | learn more
    • A1C < 7%: 1 year
    • A1C 7 - 8%: 6 months
    • A1C > 8%: 3 months
  • Lab costs (frequency):
    • Comprehensive metabolic panel (CMP): $10 (typically once a year)
    • Hemoglobin A1C: $12 (every 3 months to 1 year depending on blood sugar control)
    • Lipid panel: $10 (once a year or less)
    • Spot urine microalbumin / creatinine ratio: $25 (once a year or less)
Diabetes, type one | learn more | diabetes medication help
  • Prescription length and follow-up: depends on hemoglobin A1C value | learn more
    • A1C < 8%: 6 months
    • A1C > 8%: 3 months
  • Lab costs (frequency):
    • Comprehensive metabolic panel (CMP): $10 (typically once a year)
    • Hemoglobin A1C: $12 (every 3 months to 6 months depending on blood sugar control)
    • Lipid panel: $10 (once a year or less)
    • Spot urine microalbumin / creatinine ratio: $25 (once a year or less)
Eczema / dermatitis / poison ivy
  • Prescription length and follow-up:
    • Topical treatments will be prescribed with enough refills to last one year
    • If oral steroids (e.g. prednisone) are needed, only one course will be prescribed
Epilepsy / seizures | learn more
  • Prescription length and follow-up:
    • Controlled (no recent seizures): 1 year
    • Uncontrolled / med adjustments:depends on individual situation
    • If you have had a new-onset seizure, you should be evaluated in person
  • Lab costs (frequency):
    • Comprehensive metabolic panel (CMP): $10 (typically once a year)
    • CBC: $9 (may be indicated in some cases)
    • Thyroid stimulating hormone (TSH): $10 (may be indicated in some cases)
    • Carbamazepine level: $20 (when indicated)
    • Valproic acid level: $16 (when indicated)
    • Phenytoin level: $15 (when indicated)
Erectile dysfunction (ED) / impotence | learn more
  • Prescriptions will be written for a year
  • See ED medications for more
  • Patient may follow-up for issues
Fever blisters / cold sores / herpes labialis | learn more
  • We can evaluate and treat fever blisters
  • Prescriptions for suppressive (daily) therapy will be written for a year
  • Prescriptions for acute outbreaks will be written with enough refills for a year
  • Patients may follow-up for issues
GERD / acid reflux
  • Prescriptions will be written for a year
  • Patient may follow-up for issues
Gonorrhea | learn more
  • Only one appointment is necessary for gonorrhea evaluation and/or treatment
  • If lab testing comes back positive, we will send the appropriate treatment to your pharmacy
  • In some cases, treatment without lab testing may be appropriate
Lab costs:
  • Gonorrhea (performed on urine sample): $25
Gout | learn more
  • Prescription length and follow-up:
    • Controlled on current meds: 1 year
    • Uncontrolled / med adjustments / initial therapy: 1 month
  • Lab costs (frequency):
    • Comprehensive metabolic panel (CMP): $10 (typically once a year)
    • Uric acid: $6 (once a month to once a year depending on results)
Hair loss / balding
  • We treat male pattern hair loss with finasteride
  • Prescriptions will be written for a year
Headache / migraine | learn more | Migraine medication help
  • Prescription length and follow-up:
    • Controlled: prescriptions are written for a year, follow-up as needed
    • Uncontrolled / med adjustments: 4 weeks
Herpes, genital | learn more
  • We can evaluate and treat genital herpes
  • Prescriptions for suppressive (daily) therapy will be written for a year
  • Prescriptions for acute outbreaks will be written with enough refills for a year
  • Patients may follow-up for issues
  • Lab costs (patient decides which labs to order):
    • Herpes simplex 1 and 2 IgG antibody: $25 (see herpes testing for more)
    • Herpes simplex 1 and 2 IgM antibody: $20 (see herpes testing for more)
Helicobacter pylori (H. pylori) | learn more
  • Prescription length and follow-up:
    • We can evaluate and treat H. Pylori
    • If H. Pylori testing is positive, we will send treatment to your pharmacy
    • Follow-up is not typically necessary
  • Lab costs:
    • H. Pylori antibody: $19
    • H. Pylori breath test: $63
    • H. Pylori stool antigen: $46
  • Prescription length and follow-up:
    • Prescription will be written for entire course of treatment which is typically 8 - 16 weeks
    • Only one appointment is needed, but periodic lab monitoring is required
    • See hepatitis C treatment for a review of medications that treat hepatitis C
  • Lab/study costs:
    • Hepatitis C genotype: $165 (if already done, does not need to be repeated)
    • Hepatitis C viral load (before therapy, at 4 weeks, and 12 weeks after therapy completion): $100 (each time)
    • CBC (before therapy and 4 weeks after starting therapy): $9
    • CMP (before therapy and 4 weeks after starting therapy): $10
    • PT/INR (before therapy): $12
    • HIV (before therapy): $12
    • Hepatitis B surface antigen: $15 (before therapy)
    • Hepatitis B surface antibody: $20 (before therapy)
    • Hepatitis B core antibody: $15 (before therapy)
    • Abdominal ultrasound (before therapy): varies depending on location, typically around $150
  • Prescription length and follow-up:
  • Lab costs (frequency):
    • Comprehensive metabolic panel (CMP): $10 (typically once a year)
    • Lipid panel: $10 (once a year or less)
High blood pressure / hypertension | learn more
  • Prescription length and follow-up:
    • Controlled on current meds: 1 year
    • Uncontrolled / med adjustments / initial therapy: 1 month
    • See hypertension guidelines
  • Lab costs (frequency):
    • Comprehensive metabolic panel (CMP): $10 (typically once a year)
    • Lipid panel: $10 (once a year or less)
Hypothyroidism / low thyroid | learn more
  • Prescription length and follow-up:
    • Dose stable (TSH normal): 1 year
    • Dose adjustments required: 2 months
  • Lab costs (frequency):
    • Thyroid stimulating hormone (TSH): $10 (every 2 months to once a year)
Infertility testing
  • We offer infertility testing, but we do not offer infertility treatment
  • Lab costs (patient chooses labs they want):
    • Progesterone level: $13 (progesterone level measured 1 week prior to expected menses (cycle day 21) can be used to assess ovulation (see progesterone for more)
    • Anti-Müllerian hormone: $30 | learn more
    • Sperm count: $12
    • Semen study (sperm count + progressive motility and % normal sperm): $20
Insomnia / sleep issues
  • Prescriptions will be written for one year unless it is for a controlled substance in which case, by law, it can only be written for 6 months
  • See insomnia medications for more
Joint pain (shoulder, knee, foot, hand, etc.) | learn more
  • We can evaluate and treat joint pain
  • Follow-up will depend on the individual situation
Lice | learn more
  • We can treat lice infections
  • Follow-up and labs are not typically required
Menopause / hormone replacement therapy | learn more
  • Prescription length and follow-up:
    • Controlled on current meds: 1 year
    • Uncontrolled / med adjustments / initial therapy: 1 month
    • See female hormone medications for more
  • Lab costs (frequency):
    • FSH (Follicle stimulating hormone): $12 (when indicated)
    • LH (Luteinizing hormone): $10 (when indicated)
    • Estradiol: $17 (when indicated)
Obesity / overweight | learn more
  • We offer a comprehensive diet and exercise program overseen by a physician and personal trainer. Please email us for more details if you are interested in this plan.
  • For weight loss medications, we can prescribe Saxenda® and Contrave®. Contrave can be prescribed as its individual components (bupropion and naltrexone) which makes it much cheaper.
  • Follow-up for the weight loss medications will depend on the drug and individual goals
Osteoporosis | learn more
  • We treat osteoporosis
  • Prescriptions are written for a year
  • Follow-up is yearly
Pre-exposure prophylaxis (PrEP) for HIV | PreP medication help
  • There are 2 medications available for HIV prophylaxis - Truvada® and Descovy®
  • Prescription length and follow-up:
    • The manufacturer of Truvada® and Descovy® recommends assessing kidney function and testing for hepatitis B and HIV before starting PreP. They also recommend HIV testing every 3 months while on therapy and periodic kidney function testing.
    • I do the initial testing followed by HIV and kidney function testing every 3 months for 6 months. If those labs are stable, I go to every 6 month testing. I only require that the patient see me once a year, but they must maintain the appropriate lab testing.
  • Lab costs:
    • Hepatitis B surface antigen: $15 (before therapy)
    • Hepatitis B surface antibody: $20 (before therapy)
    • Hepatitis B core antibody: $15 (before therapy)
    • HIV: $12 (before therapy, every 3 months for 6 months, then every 6 months)
    • BMP: $8 (before therapy, every 3 months for 6 months, then every 6 months)
    • Urinalysis: $10 (before therapy, every 3 months for 6 months, then every 12 months)
  • Prescription length and follow-up:
    • Controlled: 1 year
    • Uncontrolled / med adjustments / initial therapy: 4 - 12 weeks
    • Labs may be required with certain therapies. TB testing may be required prior to initiating biologic therapy.
Pulmonary embolism (PE) | learn more | PE medication help
  • Prescription length and follow-up:
    • Patients taking direct oral anticoagulants for preventive therapy will be given prescriptions for a year
    • Patients taking warfarin may require periodic lab testing (PT/INR $12)
    • Patients being treated for a PE will require follow-up at 3 - 6 months
Rash
  • We are happy to evaluate your rash
  • Follow-up and labs will depend on the individual situation
Scabies | learn more
  • We can treat scabies infections
  • Follow-up and labs are not typically necessary
Screening / annual exams
  • We can discuss recommended screening with you
  • We can order both labs and radiology studies depending on the situation
  • Costs for some common screening tests are listed below
  • See screening recommendations for more
  • Lab costs (patient decides which labs to order):
    • Comprehensive metabolic panel (CMP): $10
    • Complete blood cell count (CBC): $9
    • Hemoglobin A1C: $12
    • Hepatitis B surface antigen: $10
    • Hepatitis B surface antibody titer: $15
    • Hepatitis C antibody: $12
    • H. Pylori antibody: $19
    • Lipid panel: $10
    • Measles / Rubeola antibody (negative vs equivocal vs positive): $18
    • Mumps antibody (negative vs equivocal vs positive): $20
    • Tuberculosis (TB) Quantiferon Gold: $65
    • Prostate specific antigen (PSA): $14
    • Rubella antibody (reactive vs nonreactive): $10
    • Testosterone (total, free, and SHBG): $28
    • Thyroid stimulating hormone (TSH): $10
    • Varicella antibody (negative vs equivocal vs positive): $18
    • Vitamin B12: $12
    • Vitamin D: $32
  • Radiology studies
    • Many radiology practices offer reasonable pricing on mammograms and bone mineral density tests for cash-pay patients. Green imaging is one example.
  • Colon cancer screening
Sexually transmitted diseases | learn more
  • Only one appointment is necessary for STD evaluation and/or treatment
  • If lab testing comes back positive, we will send the appropriate treatment to your pharmacy
  • In some cases, treatment without lab testing may be appropriate
  • Lab prices are listed below. The doctor can offer recommendations on which testing is indicated, but the patient will ultimately decide which labs to order.
  • Lab costs (patient decides which labs to order):
    • Gonorrhea (performed on urine sample): $25
    • Chlamydia (performed on urine sample): $25
    • HIV: $10
    • Syphilis (RPR): $10 (see syphilis screening for more)
    • Hepatitis C antibody: $12
    • Hepatitis B surface antigen: $10 (see hepatitis B screening for more)
    • Herpes simplex 1 and 2 IgG antibody: $25 (see herpes screening for more)
    • Herpes simplex 1 and 2 IgM antibody: $20 (see herpes screening for more)
Sinusitis | learn more
  • We are happy to see you for sinusitis, but we DO NOT prescribe antibiotics for sinusitis. Every randomized, placebo-controlled trial that has compared antibiotics to placebo in patients with sinusitis has found they make no difference (see antibiotic studies in sinusitis for more).
Smoking cessation / tobacco use
  • We can treat smoking / tobacco use with medications like Chantix and Wellbutrin
  • Prescriptions are written for a year
  • Patients may follow-up as needed
Sore throat / pharyngitis | learn more
  • Most throat infections are caused by viruses. Antibiotics are only indicated if strep testing is positive.
  • We prescribe antibiotics for throat infections if home strep testing is positive or if testing done at a laboratory is positive
Toenail fungus / onychomycosis | learn more
  • Prescription length and follow-up:
    • Prescriptions are written for a full course of therapy
    • Follow-up is not typically needed
  • Lab costs:
    • Liver function tests: $6 (not always necessary)
    • KOH stain of nail: $7 (not always necessary)
Urinary tract infection (UTI) | learn more
  • We treat urinary tract infections. In some cases, it may be necessary to order a urinalysis and/or urine culture to be done at Quest or CPL. We can also review results from a home test.
  • Lab costs:
    • Urinalysis: $10
    • Urine culture: $25 (only necessary in some cases)
Work / school requirements
  • We can order lab tests required for work or school
  • Costs for some common screening tests are listed below
  • Lab costs (patient decides which labs to order):
    • Hepatitis B surface antigen: $10
    • Hepatitis B surface antibody titer: $15
    • Hepatitis C antibody: $12
    • Measles / Rubeola antibody (negative vs equivocal vs positive): $18
    • Mumps antibody (negative vs equivocal vs positive): $20
    • Tuberculosis (TB) Quantiferon Gold: $65
    • Rubella antibody (reactive vs nonreactive): $10
    • Varicella antibody (negative vs equivocal vs positive): $18
Yeast infection / candidiasis / tinea / intertrigo | learn more
  • We treat yeast infections in women and men
  • Follow-up is not typically required