BHRT Office Policies

Bio-identical Hormone Health Collaborative Care Program

Hormone Therapy is a very individualized choice and can be very beneficial to help with aggravating symptoms. These symptoms include hot flashes, insomnia, weight gain, depression, and mood swings. Hawthorne Pharmacy understands the needs of patients seeking a perfect hormone balance. We want to help you through this process and provide the most up-to-date information on hormonal health. Our consultants have been trained in the field of Bio-Identical Hormone Replacement (BHRT) and receive annual ongoing education in this practice. They can work with your current prescribing health care provider to come up with a personalized plan for you.

In our program, we require initial hormone testing and completion of an online or paper evaluation form before scheduling a consultation. These 2 important steps help the consultant determine an appropriate course and dosage of therapy. During the scheduled consultation the pharmacist will review your medical history, current medications, symptoms, and dietary/ lifestyle modifications to achieve the best results. After the consultation, the consultant will send a prescription recommendation to your current prescriber for approval. A licensed prescriber (ie. a medical physician, nurse practitioner, or physician assistant) can prescribe BHRT and will need to agree with the recommendation before any prescription medication is given.

The resolutions of symptoms depend upon how each patient’s response to therapy. A medication or plan may need to be adjusted based on this response. Typically, a new recommendation cannot be justified until 8-12 weeks into a new therapy, for it takes that long for hormone levels to normalize. Additional testing; including thyroid, vitamin D, and/or other levels may be recommended.

Before having a consultation, please review the following policies. We look forward to providing you with the best in hormonal care.

Bio-identical Hormone Health Collaborative Care Program Office Policies


Hawthorne Pharmacy recommends saliva tests of sex hormone levels due to the challenges that serum testing presents. We recommend a 2-tube test for general testing. If you are interested in any additional tests that are not listed below, there may be an additional fee.

Access Lab 2-Tube Saliva Test $109 (plus tax) payable at the time of pick up

Tests the following: Estradiol, Estrone, Estriol, Progesterone, Testosterone, DHT, DHEA, Cortisol AM & PM, 17-OH Progesterone, Androstenedione, Melatonin AM & PM


Initial BHRT Consultation: $75

BHRT Follow-Up Visits: $75

Appointment Cancellation Fee: $25 when less than 24-hour notice is given.

Scheduled Consultations: Initial BHRT Consultations must be in-person to establish a relationship with our Hormone Specialist properly. BHRT Clinical Follow-Ups can be planned as a “phone consult” to accommodate those who may be out of town or unable to travel to our office. The pharmacy will bill the patient for any scheduled phone consults.

We do require a credit card to keep on file for patients for appointment cancellation fees. All fees are due at the time of service.