Inhale Form

Why the Switch Makes Sense​
Men’s Health Membership Program & Prescription

  • Physician Info

  • Prescription Info

  • Physician Signature & Certification: (Stamped dates / signatures not valid. Must be signed by Physician /PA/NP)

  • Good

    $150 /month

    • Testosterone Only Program $150 / month membership

    Better

    $175 /month

    • Testosterone / Estrogen Blocker Program – $175 / month membership

    Best

    $250 /month

    • Testosterone / Estrogen Blocker/ Anti-Ball Crush Program $250 / month membership