This article applies specifically to the Oral TRT treatment plan.
Requirements may differ for other Maximus programs. This article explains how the Oral TRT protocol is started, monitored, and renewed, including lab requirements and video visit policies.
Labs and Monitoring
Oral TRT affects hormone levels over time. Because responses vary, lab monitoring and clinician oversight are required to ensure treatment remains safe and effective.
Before Starting
Before prescribing Oral TRT, your clinician reviews:
medical history
baseline lab results
relevant health markers
These labs help determine eligibility and ensure the protocol is appropriate.
Follow-Up Labs
Follow-up labs may be required during treatment.
These evaluations help your clinician:
understand how your body is responding
review hormone changes
monitor key health markers
determine whether adjustments are appropriate
You will be notified through your Maximus account when labs are needed.
Video Visit Requirements
Why a Video Visit Is Required
A live (synchronous) video visit is legally required before starting TRT treatment.
Phone calls, messaging, or written questionnaires do not meet this requirement.
Most patients only need to complete one video visit before beginning treatment.
A new video visit may be required if you return to TRT after a significant gap in care.
Scheduling Your Video Visit
If you have not completed your required visit, a scheduling option will appear in your Maximus Dashboard.
To schedule:
log in to your dashboard
select an available appointment time
confirm your visit
After booking, you will receive a confirmation email with your video link and reminders before your appointment.
Appointment Availability
appointments are typically available 48+ hours in advance
availability varies by provider
If no appointments are available within a reasonable timeframe, a member of the scheduling team can assist.
Joining Your Appointment
At your scheduled time:
use the link provided in your confirmation email
join from your device with video enabled
Appointment Policies
Cancellations and Rescheduling
Appointments canceled or rescheduled within 48 hours may incur a fee.
If you have extenuating circumstances, support can assist with next steps.
Late Arrival
Providers allow a 5-minute grace period.
If you do not join within that time, the visit may be marked as a no-show and require rescheduling.
Provider Availability Issues
If your provider does not join your session, a member of the team can help verify and reschedule your appointment.
Optional Follow-Up Visits
Some patients may benefit from a follow-up video visit.
If needed, this will be arranged and communicated through your account.
Follow-up visits are not required for all patients.
Renewals and Refills
Prescription renewals depend on:
lab results
reported symptoms
overall health status
clinician evaluation
A refill may not be approved if required steps—such as labs or check-ins—are incomplete.
Notifications are typically sent through your account or email.
Pharmacy Fulfillment
Once approved:
the prescription is sent to a partner pharmacy
the medication is prepared
the order is shipped to your address on file
For shipping timelines and tracking, see the Prescription Fulfillment & Shipping article.
State Availability
Oral TRT is available only in states where Maximus clinicians are licensed.
If your address changes, availability may change. Your account will reflect current eligibility.
Messaging Your Clinician
You can message your clinician through your patient portal for:
symptoms
side effects
lab results
treatment questions
For account or scheduling issues, a member of the support team can assist.
Urgent or severe symptoms should be addressed through emergency medical care.