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What it can do
Replace most of the travel. Consultations, results reviews, dose adjustments and follow-ups can be conducted by video where clinically appropriate.
Physician-directed online TRT care
Online TRT in Florida: Physician-Directed Testosterone Therapy by Telehealth
Medically reviewed by Timothy W. Mackey, D.O.
NovaGenix treats men across Florida by telehealth from our office in Jupiter. Dr. Timothy W. Mackey reviews your symptoms, your medical history, your current medications and your lab work, and decides whether testosterone therapy is appropriate for you.
Lab work is required, and it requires a blood draw. That part does not happen over video. Whether you are a candidate is a clinical determination — which is the reason we do not prescribe on the basis of an online form.
Not everyone who asks is a candidate, and a consultation is not a guarantee of a prescription.
4.9 Google rating
BBB Accredited
A+ rating
A+ rating
Physician-led care
Florida license OS9185
Bloodwork required
Individualized treatment
Ongoing monitoring
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Quick answers
Clear answers to common questions about physician-directed testosterone therapy by telehealth in Florida.
Can I get testosterone prescribed online in Florida?
A physician can evaluate you by telehealth and prescribe if it is clinically appropriate, but a legitimate prescription still requires laboratory confirmation and a genuine evaluation. Any service issuing testosterone on a questionnaire alone is skipping the part that makes it safe.
Do I need blood work before starting?
Yes. Low testosterone is a laboratory diagnosis. Testosterone is drawn in the morning, when levels are highest, and an abnormal result is usually confirmed on a second draw before any diagnosis is made.
Where do I get the blood draw done?
At a LabCorp location near you. We send the order, and LabCorp has draw sites in almost every Florida town — most patients find one within a few minutes of home or work. You can also have labs drawn at the Jupiter office if that is easier.
Do I ever have to come to Jupiter?
Not necessarily. Consultations may be conducted by video or in person, at Dr. Mackey's clinical discretion. Blood draws happen at a lab, which may be local to you.
Is the first consultation free?
Yes. NovaGenix is a self-pay practice, and expected costs are explained before you begin any treatment.
What gets monitored once I start?
Testosterone levels, hematocrit, estradiol, PSA and blood pressure, at intervals Dr. Mackey sets based on your response.
What “Online TRT” Actually Involves
A lot of online testosterone services work like this: fill in a questionnaire, enter a card, receive a vial. No physician conversation, no baseline labs, no monitoring.
That is not what happens here, and the difference is worth understanding before you choose one.
- A free consultation with Dr. Mackey — by video or in person — covering your symptoms, your history, and everything you currently take.
- Laboratory testing at LabCorp. We send the order to a LabCorp draw site near you — there are locations in almost every Florida town — or you can have it drawn at the Jupiter office. Low testosterone is a laboratory diagnosis, not a symptom checklist.
- A clinical decision. Sometimes that decision is that testosterone therapy is not appropriate for you, and you are told so.
- If treatment is indicated, a plan built around your results, with medication shipped or collected as appropriate.
- Ongoing monitoring — repeat labs and follow-up at intervals Dr. Mackey sets.
Steps 2, 3 and 5 are the ones the questionnaire services skip. They are also the ones that make treatment safe.
What Telehealth Can and Cannot Do
What it cannot do
Replace the blood draw. Baseline labs and monitoring labs both require a sample, and no video visit produces one. We send the order to a LabCorp location near you, so for most patients this is a short trip a few times a year rather than a drive to Jupiter.
Telehealth changes how often you travel. It does not remove the evaluation.
Why the Evaluation Is Not a Formality
Testosterone therapy is ongoing medical treatment with real effects that need watching. Baseline labs establish whether your levels are actually low — several conditions produce the same symptoms without involving testosterone at all — and monitoring catches the things that change once treatment begins.
Monitoring typically includes testosterone levels, hematocrit, estradiol, PSA and blood pressure. Possible effects include:
- A rise in red blood cell count
- Acne or oily skin
- Fluid retention
- Breast tenderness
- Worsening of existing sleep apnea
- Suppression of fertility
A service that prescribes without a baseline has no way of knowing which of these applies to you, and no way of noticing when one develops.
Who Telehealth Works For, and Who Should Come In
Telehealth suits patients who are geographically distant, who have stable schedules, and whose clinical picture is straightforward.
An in-person visit may be preferred where your history is complex, where physical examination would change the assessment, or where Dr. Mackey judges it appropriate. That determination is his, made case by case, and it is not something a website can decide for you.
Patients across Florida are seen this way. Patients closer to Jupiter often choose a mix — an initial visit in person, follow-ups by video.
Prescribing Testosterone by Telehealth: the Honest Position
Testosterone is a Schedule III controlled substance. Prescribing it by telemedicine sits under federal rules that differ from those covering non-controlled medications, and those rules have been under review for several years.
Federal telemedicine flexibilities permitting controlled-substance prescribing without a prior in-person examination are currently extended through 31 December 2026. Florida law applies in addition, and NovaGenix follows it.
What that means for you in practice: NovaGenix's process — consultation, labs, physician determination, monitoring — does not change based on which flexibility is in force. It is built to be appropriate care regardless.
Who Runs This
Clinical direction: Timothy W. Mackey, D.O., Medical Director. Florida license OS9185, NPI 1730235797. Every clinical decision at NovaGenix is his.
Telehealth operations: NovaGenix's telehealth programme was built by co-founder Tim Bruce, formerly Director of Telemedicine at LifeMD. In 2016, LifeMD delivered a school-based telehealth programme to the Los Angeles Unified School District — video consultation stations and diagnostic equipment placed in schools so nurses could connect students to a pediatric physician network remotely.
It is the same problem in a different setting. Remote care works when a clinician is genuinely in the loop and fails when they are not, which is why NovaGenix's telehealth model is built around evaluation and monitoring rather than a questionnaire.
Clear starting price
What It Costs
TRT at NovaGenix starts at $129 / month
Laboratory testing is billed separately at $125 per lab panel.
What the $129 monthly programme includes
- All consultations with Dr. Mackey
- Review and interpretation of your lab results
- Medication
- Supplies
- Shipping
- All follow-up appointments
What is billed separately
- Laboratory testing — $125 per lab panel. Testosterone therapy requires periodic bloodwork to monitor your levels safely, so this is charged each time your labs are run rather than once at the start.
- Additional or non-standard tests cost more. If you ask for testing outside the standard panel, we get the price from the laboratory and confirm it with you before we order it. You are never billed for a test you did not agree to in advance.
What can change the cost
$129 is a starting point, not a ceiling. Your monthly cost depends on the protocol Dr. Mackey recommends, your dose, and which medications are prescribed. Expected costs are explained after your evaluation and before you commit to anything.
NovaGenix is a self-pay practice and does not bill insurance. The initial consultation is free.
Individualized care
Why NovaGenix
Direct physician access
Consultations, lab review and treatment decisions are handled by Dr. Mackey.
Evaluation before prescribing
No testosterone prescription is issued on the basis of an online form alone.
Required laboratory testing
Baseline and monitoring labs are part of the clinical process.
Florida-wide telehealth
Eligible patients across Florida may be seen by video where clinically appropriate.
Ongoing monitoring
Follow-up and repeat testing occur at intervals Dr. Mackey sets.
Costs explained first
Expected costs are reviewed before you decide whether to proceed.
Your physician
Meet Timothy W. Mackey, D.O.
NovaGenix's Medical Director provides individualized evaluation, lab review and ongoing physician monitoring for eligible patients.
View Dr. Mackey's credentials and clinical background →Patient questions
Frequently Asked Questions
Can I get testosterone prescribed online in Florida?
A physician can evaluate you by telehealth and prescribe if it is clinically appropriate, but a legitimate prescription still requires laboratory confirmation and a genuine evaluation. Any service issuing testosterone on a questionnaire alone is skipping the part that makes it safe.
Do I need blood work before starting?
Yes. Low testosterone is a laboratory diagnosis. Testosterone is drawn in the morning, when levels are highest, and an abnormal result is usually confirmed on a second draw before any diagnosis is made.
Where do I get the blood draw done?
At a LabCorp location near you. We send the order, and LabCorp has draw sites in almost every Florida town — most patients find one within a few minutes of home or work. You can also have labs drawn at the Jupiter office if that is easier.
What tests are needed?
Typically total and free testosterone, a complete blood count, a comprehensive metabolic panel, estradiol and PSA, with additional testing depending on your history.
Do I ever have to come to Jupiter?
Not necessarily. Consultations may be conducted by video or in person, at Dr. Mackey's clinical discretion. Blood draws happen at a lab, which may be local to you.
How far away can a patient be?
NovaGenix sees patients across Florida by telehealth where it is clinically appropriate. The Jupiter office is available to anyone who prefers to be seen in person.
Is the first consultation free?
Yes. NovaGenix is a self-pay practice, and expected costs are explained before you begin any treatment.
Do you accept insurance?
No. NovaGenix is self-pay and does not bill insurance.
What gets monitored once I start?
Testosterone levels, hematocrit, estradiol, PSA and blood pressure, at intervals Dr. Mackey sets based on your response.
What are the risks?
Possible effects include a rise in red blood cell count, acne or oily skin, fluid retention, breast tenderness, worsening of existing sleep apnea, and suppression of fertility. These are monitored, and treatment is adjusted rather than pushed. Dr. Mackey reviews the full prescribing information with you.
Will it affect my fertility?
Yes. Testosterone therapy suppresses sperm production, and in some men that suppression persists after stopping. If you intend to father children, raise it before you start.
What if I'm already on testosterone from another provider?
Bring your recent labs and a complete list of what you are taking. Dr. Mackey will review both before making any recommendation.
Continue learning
Related NovaGenix Resources
Schedule a Consultation in Jupiter, FL
NovaGenix Health & Wellness
609 N Hepburn Avenue, Suite 106
Jupiter, FL 33458
Call or text: 561-277-8260
Hours: Monday–Friday, 9:00 am–5:00 pm
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