talking costs for a moment
anyone with a DEA number can prescribe test. Nurse pract, RN,s in those practices set up for it, they do the monitoring also less expensive.
In summary, you are incorrect.
It is not the cost, or the ease of administration of testosterone that is the issue. A DEA license does not permit a doctor to prescribe unless strict medical and legal procedures are followed.
Yes, a DEA license CAN prescribe testosterone. They can also prescribe oxycontin, Vicodin and growth hormone. And they CAN lose their license, face professional misconduct charges, hefty fines and jail time. I personally know of one doctor in the area who was nailed for prescribing testosterone without an adequate history and physical exam.
There are also pain management doctors where you can get oxycontin, Vicodin and Percocet on demand.
You can also buy testosterone illegally without a prescription. But finding a doctor to write a prescription does not mean you have an ethical, knowledgable or law abiding doctor. And, as a physician, I will continue to say that testosterone is not safe it not prescribed by someone with expertise in the area who diagnoses, treats, and monitors correctly.
I am talking about ethical doctors with expertise in the area of age management. If an internist (or other MD) accepts insurance, they cannot practice age management legally. Testosterone treatment for age management is not covered by insurance. They are prohibited from providing a non covered service and having the patient pay directly.
The doctors who do not take insurance are the concierge MD's who charge premium prices, or doctors who are unable to join insurance plans ( usually because if prior medical misconduct, license suspensions, etc)
As for NP's, in most states they can prescribe testosterone, but not all. I know of no NP's in New York area that are in independent practice and practice age management. And again, if they accept insurance, they cannot do age management.
(RN's cannot prescribe controlled substances.)
BTW, I am an MD and I have an unrestricted DEA license. I prescribe testosterone to certain patients with an endocrine abnormality that causes testicular failure. I cannot and do not prescribe for age management.
If it was so easy to find reputable well trained MD's or RN's who practice age management, I would not need to pay for Cenegenics.
I am an MD in practice for over 25 years, on staff at the major medical centers, and know the majority of the available specialists in the region. I have personal contact with numerous other doctors I have asked about age management doctors they might know. I am not able to find any other than concierge MD's, Cenegenics or the like, or "fringe" complementary doctors who can be more expensive than concierge MD's. I know of no NP's who are reputable and practice age management.
If you know of people in the New York region, tell me who they are. I will gladly use them.
In New York, every testosterone prescription must be reported to the NYS Prescription Monitoring Program. The patients and doctors are both tracked. If I am going to prescribe a controlled substance, I must first register and log onto the website and review that patient's prescription history. This review is given an ID number and I must do this for every controlled substance prescription I write.
To say it is simple and inexpensive to get testosterone treatment and management is just not true in the real world.
Newly Old