Two numbers. Priced in the open.
Care membership and medication, priced separately and shown with the total. Physician care and labs are included in your membership. Every visit is physician-led, your protocol is lab-tracked from baseline through quarterly panels, and it all runs under one Vayra-branded program.
Care membership plus medication. The total, per program.
Each figure is a starting monthly total: the care membership at that tier plus the lowest medication option for the program. Your exact medication and eligibility are set with your physician.
| Program | Foundation$179/mo care | Optimize$349/mo care | Concierge+$699/mo care | EnterpriseVariable |
|---|---|---|---|---|
| Weight loss | $778/mo | $948/mo | $1298/mo | Custom |
| Hair loss | $208/mo | $378/mo | $728/mo | Custom |
| Sexual health | $208/mo | $378/mo | $728/mo | Custom |
| Menopause and perimenopause | $238/mo | $408/mo | $758/mo | Custom |
| Testosterone therapy | $228/mo | $398/mo | $748/mo | Custom |
| Peptide therapy | At visit | At visit | At visit | At visit |
Hair loss and Sexual health also offer an Essentials tier at $79/mo care (async review, one annual safety panel), for a lower starting total.
"At visit" means the physician selects the protocol at your encounter; you see the exact cost in your dashboard before you are charged. Enterprise pricing is custom.
Foundation
Your starting protocol
Single-vertical optimization for self-directed patients. One Rx protocol, quarterly clinical reviews, and async clinical messaging through your Patient Dashboard.
- 1 Rx protocol (peptide therapy or GLP-1)
- Initial physician consult + quarterly clinical reviews
- 2 lab panels per year + baseline at intake
- AI-generated nutrition framework
- Async clinical messaging via Patient Dashboard
- Member discount: 10% on Vayra-formulated supplements
Optimize
The standard of care
For patients with moderate symptoms or active-phase treatment. Reflects evidence-based active-phase clinical cadence for the protocols Vayra currently delivers.
- 1 Rx protocol with peptide-stack option
- Initial consult + quarterly clinical reviews + 2 ad-hoc video visits/year
- 4 quarterly comprehensive lab panels + baseline at intake
- Persistent async messaging + video visits via the Patient Dashboard
- Biomarker dashboard
- Member discount: 18% on Vayra-formulated supplements
Concierge+
Complete integration
For patients with complex presentations, concurrent physical and mental protocols, or a preference for high-touch care. Includes the Annual Optimization Review, a 60-minute physician strategic session once per year.
- Multi-protocol access (peptide therapy + GLP-1 simultaneously where clinically appropriate)
- Monthly clinical review with physician
- Annual Optimization Review, 60-min senior physician strategic session
- 12 monthly priority lab panels + baseline at intake
- Same-day messaging response SLA + direct physician line
- Dedicated care coordinator + VIP community access
- Member discount: 25% on Vayra-formulated supplements
Six commitments, every tier.
Vayra competes on physician-led, lab-tracked care and pricing shown in the open, not on lock-in or hidden fees. These policies are non-negotiable across every tier.
No minimum subscription
Cancel any time, in two taps. We don't compete on lock-in.
No pro-rated cancellation
Keep your tier inclusions through the end of your current period when you cancel.
FSA / HSA eligible
We don't bill commercial insurance, Medicare, or Medicaid for clinical services. Your care membership and medication are priced separately and shown with the total; physician care and labs are included in your membership. Superbills available for FSA / HSA submission.
Priced in the open
Physician care, labs, and your medication in one simple monthly price. You know what you pay before you start.
Use-it-or-lose-it inclusions
Sessions and labs included in your tier don't roll over. Add-ons are available at fair cost-plus pricing.
Insights Program is opt-out
You are enrolled by default at intake. Opt out anytime through your portal, care is identical regardless of opt-status.
Cancel anytime. Two taps.
We answer common questions about insurance, billing, cancellation, and tier upgrades on the FAQ page. No commitment, no minimum term, no exit fee.