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Every patient is biochemically unique.

That’s why off-the-shelf hormone therapies don’t always deliver the best results. At The Medicine Store, we offer a personalized approach to hormone balance through our Bioidentical Hormone Replacement Therapy (BHRT) Collaborative Care Program.

We work closely with you and your provider in what we call the TRIAD of care: Patient. Provider. Pharmacist. Together, we build a plan tailored to your health history, hormone levels, and goals.

What is BHRT?

BHRT uses bioidentical hormones with the same molecular structure as the ones your body naturally produces. Bioidentical hormone replacement therapy is formulated to closely align with your body’s natural rhythms. Bioidentical hormones are often custom-compounded to match your individual dosing needs.

Already Have a Prescription?

If your provider is already experienced in BHRT and sends us a compounded prescription, we can begin preparing your medication immediately. A formal pharmacist consultation is not required if your provider is comfortable managing your hormone therapy independently.

How the Collaborative Program Works

If you need a referral to a qualified provider who will work with us as a part of this BHRT collaborative care program, we can connect you with trusted local providers.

* Note: Pharmacists cannot prescribe. Your provider must approve and sign all BHRT prescriptions.

Key Benefits of our Collaborative Program

Why Choose The Medicine Store?

When it comes to bioidentical hormone replacement therapy, precision and personalization matter. At The Medicine Store, we specialize in custom-compounded BHRT solutions designed to restore hormonal balance safely and effectively. Our experienced pharmacists collaborate closely with patients and providers to create individualized formulations—whether in creams, capsules, troches, or gels—based on your unique hormone profile and treatment goals.

Collaborative BHRT Care — Expertise, Education, and Ongoing Support

Healthcare providers manage an enormous amount of clinical information every day. With rapidly evolving research and busy patient schedules, it can be difficult for providers in doctor's offices to have the time to manage the details involved with hormone therapy and wellness. That’s why many providers partner with pharmacists for Bioidentical Hormone Replacement Therapy (BHRT) collaboration. At The Medicine Store, our role is to support both you and your provider through true collaborative care.

What Our Pharmacists Do

  • Provide in-depth patient education on hormones, lifestyle, and wellness
  • Help you understand the benefits vs. potential risks of therapy
  • Serve as a go-between, monitoring symptoms and progress
  • Communicate with your provider regarding:
  • Initial therapy recommendations
  • Suggested adjustments based on response
  • Ongoing symptom tracking and outcomes

Your provider remains your prescriber and directs your medical care. Pharmacists do not prescribe medications. Our role is to provide clinical insight, education, and monitoring to reduce the burden on your provider while improving your experience and results. This is true collaborative care — your provider, your pharmacist, and you working together.

What to Expect From Your Initial Consultation

Your $200 initial BHRT consultation includes:

  • Comprehensive education on hormones and how they affect your body
  • Review of symptoms, health history, and lifestyle factors
  • Discussion of testing options and various treatment dosage forms
  • Personalized wellness and supplement guidance
  • Coordination with your provider to support therapy decisions
  • Ongoing follow-up and monitoring throughout your hormone journey

As part of your program, you’ll also receive: A personalized 20% off coupon . This coupon will be valid for one full year from the date of you initial appointment with us and can be used on all TMS Therapeutics products in-store or on our website.

Coupon cannot be combined with any other offer.

Patient Instructions & Expectations

Before Your First Appointment

  • Complete the Confidential Female Hormone Evaluation Form (link to this form will be sent in your appointment confirmation email after you schedule an appointment with us through the schedule a consultation button).
  • Ensure you’re up to date on relevant screening exams (Pap, Mammogram, Well Woman, etc). We’ll help review current guidelines with you.

Symptom Journal

Track any changes or side effects once BHRT begins.

Lab Work

To monitor hormone balance:

  • We MAY or MAY NOT request serum (blood) or saliva baseline labs before starting therapy.
  • Once you start on a compounded BHRT prescription, we often require labs 3 months after starting, then every 6–12 months thereafter. These follow-up labs will be required to be saliva labs instead of serum if your BHRT RX is a topical cream. Saliva kits are sold at The Medicine Store and can be taken home for collection.
  • Baseline labs you could ask your provider to order: Estradiol, Estrone, Progesterone, Free & Total Testosterone, DHEA, Vitamin D, & morning cortisol. (however, we will help coordinate which labs should be ordered during your appointment. So, it is not necessary to do this before meeting with us).

Important:

  • Serum labs must be drawn exactly 5–6 hours after your dose.
  • Saliva labs, you must follow the kit’s exact timing guidelines.
  • Never stop BHRT doses before testing unless told otherwise.
  • Forward all lab results to our pharmacy for review.
Service Cost
Initial Consultation (includes review with a pharmacist on all future labs that are relevant to this program) $200 (includes: personalized code for 20% off all TMS Therapeutics products for one year).
Follow-up Consults (15+ min) $30 per 15-minute block
Compounded Hormones $55–$70 per fill
Saliva Labs (standard kit) $200 (not usually covered by insurance)

Quick questions under 15 minutes are always free—we want you to feel comfortable and encourage you reach out with any questions or concerns during your BHRT journey.

Topical vs. Oral BHRT | Serum vs. Saliva Labs

  • We often recommend non-oral forms (like creams or troches) to avoid first-pass metabolism through the liver and mimic natural hormone delivery.
  • For topical hormones, saliva testing gives more accurate insight than serum.
  • Serum labs are still valuable—especially for oral forms like troches.
  • We use ZRT Laboratories for saliva testing kits (available in-pharmacy).

Recommended Supplements for BHRT Support

All available in-store and online from our own brand, TMS Therapeutics.

  • Multivitamin: Supports hormone conversion pathways
  • Probiotic: For gut and immune health
  • Omega-3s: Anti-inflammatory and heart/brain benefits
  • Magnesium: Supports sleep, mood, heart health, and headaches

Our program includes a personalized code for 20% off all TMS Therapeutics products for one year. Code will be given too you upon completion of the Consultation.

Active Life Nutrient Capsules

Active Life Nutrient Capsules

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52 Billion CFU Probiotic

52 Billion CFU Probiotic

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Clean Omega Professional Fish Oil

Clean Omega Professional Fish Oil

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Activated Magnesium

Activated Magnesium

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Frequently asked questions

Do I have to pay for a consultation to get my BHRT prescription filled?

No. If your provider is already comfortable managing your BHRT and sends a prescription directly to The Medicine Store, we will fill it like any other prescription. The $200 consultation is only for those who want the added benefit of our pharmacist-led collaborative monitoring and program.

What’s the difference between BHRT and regular HRT?

BHRT uses hormones identical to your body’s own. Traditional HRT often uses synthetics with altered structures.

How long does it take to see results?

Some see improvements in weeks. Full hormone balance may take up to 6 months.

Can my provider work with your pharmacist?

Yes. We send recommendations, your provider signs off, and we stay in sync through the entire process.

What forms do the hormones come in?

Topical creams, oral capsules, troches, vaginal creams—based on your needs and labs.

Do I need labs before starting?

Often yes—but we’ll help decide whether baseline labs or post-treatment tracking is needed based on your history.