FAQ

Getting Started

What is CHROMA23® and how does it work?

CHROMA23® is a telehealth platform that connects members with independent licensed providers, across five categories: weight loss, longevity, sexual health, hair, and skincare. Complete a free health assessment. A provider licensed in your state, where available, reviews your profile. If clinically appropriate, your provider issues a prescription that is dispensed and shipped by a licensed pharmacy. Every category, one place.

Do I need a prescription?

Yes, for every medication on the platform. Nothing is sold without a valid prescription issued by a provider after a clinical evaluation. CHROMA23® offers no over-the-counter products and no controlled substances.

Who decides whether treatment is right for me?

The provider assigned to your case, based on your complete health assessment. CHROMA23® does not make clinical decisions and not every applicant is approved. You must be 21 or older to use CHROMA23®. If your provider determines treatment is not appropriate before a prescription is issued, you are notified and your payment for the order is refunded, less a
3 case review fee. One exception: if the decline is because of a condition listed on the pre-payment screen that you confirmed did not apply to you, the provider visit fee is not refunded. Medication is always refunded.

Is CHROMA23® available in my state?

Current state coverage is listed on the Physicians & Coverage page. Availability of specific treatments varies by state based on applicable telehealth and prescribing laws, and is confirmed during the assessment.

How long does the whole process take?

The free assessment takes about two minutes and the full intake under ten. After you submit, a provider reviews your case. If a prescription is issued, it ships from the pharmacy with tracking. Timing varies with your case, your state, and the pharmacy. Some cases move quickly; some take longer. You're notified at every step.

Membership, Pricing & Billing

What is the CHROMA23+ Membership and what does it include?

CHROMA23+ is one membership that covers every category on your account: sexual health, longevity, weight loss, hair, and skincare. Membership is $99 every 6 months, and your first 6 months are free. After that, membership is free with any 3-month or 6-month plan; on a monthly plan it is $99 every 6 months. Plan prices are separate and include your medication, provider visits and shipping. The membership fee and its dates are shown at checkout before you pay. A visit for Zepbound®, Wegovy® or Foundayo™ does not need a membership.

What happens when my free membership period ends?

You are emailed before it ends, with the date and the amount. On a 3- or 6-month plan, membership stays free and nothing changes. On a monthly plan, membership is $99 every 6 months from then on. Switching to a 3- or 6-month plan before that date keeps it free.

How much does CHROMA23® cost?

The health assessment is free. Every plan has one price that includes the medication, provider visits and shipping, shown on each treatment card. CHROMA23+ membership is $99 every 6 months: free for your first 6 months, and free after that with any 3- or 6-month plan. CHROMA23® Rx is a $46 provider visit for Zepbound®, Wegovy® or Foundayo™, which Lilly or Novo fill and bill at their own price. Every cost is shown in full before checkout, plus tax where required: no hidden fees.

Do you take insurance? Can I use FSA/HSA funds?

CHROMA23® is cash-pay only and does not accept, bill, or process health insurance. Zepbound®, Wegovy® and Foundayo™ are paid directly to Lilly or Novo at their own price; CHROMA23® charges for the provider visit. FSA and HSA cards are accepted at checkout. Whether a charge qualifies is decided by your plan administrator, so an itemized receipt for each payment is available on Orders & Billing.

How does billing work?

Plans are available monthly, 3-month, and 6-month; longer plans lower the per-month price and are billed once upfront for the period. Monthly plans charge at enrollment and on the same date each month. Plans renew at the end of the period at the same rate unless you cancel. Payment is by credit or debit card through Stripe-powered checkout.

Can I cancel my membership?

Yes, any time from your dashboard. Cancelling your membership stops your plans from renewing; anything you have already paid for runs to the end of its period, except a 3-month or 6-month compounded tirzepatide plan, which ends today with a refund for the months not used. When you have no active plan, your membership ends on its own, so you are never charged for a membership with nothing on it.

Can I cancel? Is there a cancellation deadline?

You can cancel at any time from your dashboard or by contacting support@chroma23.com. There is no cancellation deadline or notice window. Cancellation stops all future charges and takes effect at the end of the current billing period. Prepaid periods are not prorated or refunded mid-cycle unless required by applicable state law. The exceptions are a provider decline of a follow-up check-in, or a missed check-in, during a prepaid plan; see the refund policy below. A 3-month or 6-month compounded tirzepatide plan works differently: it ends the day you cancel, and a month already sent to the pharmacy still ships and counts as used. The months used are charged at the monthly price, or at the 3-month price once 3 have been sent, and the rest of your payment is refunded with its tax. The cancellation cannot be undone.

What is the refund policy?

Five rules. (1) If your provider does not approve treatment before a prescription is issued, your payment for the order is refunded except a
3 case review fee. Before paying you confirm that none of the listed exclusion conditions apply to you; if the decline is because one of them does apply, the $46 provider visit fee is not refunded instead. Medication is always refunded. (2) A 3-month or 6-month compounded tirzepatide plan ends that day if you cancel it, if you choose to end it when a check-in is still not done 7 days after it is due, or if your provider stops treatment. Each month whose prescription has been sent to the pharmacy counts as used and still ships; those months are charged at the monthly price, or at the 3-month price once 3 have been sent, and the rest is refunded with its tax, with no case review fee. On any other prepaid plan, or a monthly compounded tirzepatide plan: if your provider declines a follow-up check-in, the medication for months not yet shipped is refunded, less the 3 case review fee, and the plan ends with no further charges; if a check-in is still not done 7 days after it is due, you choose: complete it and continue, or end the plan and have the renewal charge refunded (inside a prepaid term, the medication for months not yet shipped). (3) Prescription medications cannot be returned and are not refundable once dispensed and shipped, a pharmacy-regulation constraint, but are replaced free of charge for wrong medication or strength, pharmacy dispensing errors, shipping damage, or a verified cold-chain temperature excursion. (4) Other plans cancel anytime with no future billing and no prorated refunds for the current period. (5) Disputing a valid charge with your bank instead of contacting support results in a permanent block from CHROMA23® and its partner provider and pharmacy network, and the order, delivery and attestation records are sent to the card network. See the Refund & Cancellation Policy for full terms.

How do I delete my account?

First cancel each plan, from the Care tab on your dashboard. Once every shipment you have paid for has arrived and any refund owed to you has been processed, choose Delete my account in Settings on your dashboard, or on the Account tab in the app. The delete screen shows what is still open. You then enter your password and type DELETE, and the account is closed straight away: sign-in is closed, your profile is removed and all communications stop. A record of your payments, orders and the confirmations you gave, including the name and address they were made under, is kept for 7 years to handle refunds, disputes and legal obligations, then deleted. Clinical records are held by the medical group that provided your care, not by CHROMA23®.

Your Account & Dashboard

Where do I see my order status and tracking?

On your dashboard. Home shows each plan and its current step: questionnaire, provider review, prescription sent, or shipped. Orders & Billing lists every shipment with its tracking number once the pharmacy hands it to the carrier. You are notified at every step, and tracking follows as soon as your treatment ships.

What is a check-in, and when is mine?

A check-in is the provider visit included in your plan. Compounded GLP-1 plans include a monthly check-in; every other plan includes one review per prescription, at renewal. Your next check-in date is shown on your plan card on Home. There is nothing to book: your provider reaches you through your messages when it is due.

My provider asked for an ID photo, a video, or a document. What do I do?

Some states and some cases need a government ID photo, a short intro video, or a document before a provider can prescribe. When that happens your plan card on Home says what is needed, the request itself is in your messages on the Care tab, and you receive an email. Complete it there and your review continues.

I cancelled by mistake. Can I keep my plan?

Yes, while the period you already paid for is still running. Open Settings, find the plan under Your plans, and choose Keep this plan. It renews again on its usual date and nothing is charged today. Once the paid period has ended, the plan is added again through a new checkout. A 3-month or 6-month compounded tirzepatide plan is the exception: it ends the day you cancel, so it cannot be kept, but you can add it again through a new checkout.

What happens if a payment fails?

You receive an email, and your plan card shows a payment problem. Update the card in Settings, or through the secure billing page on Orders & Billing, and the renewal is retried. Nothing ships while a payment is outstanding.

How do I get an itemized receipt or a letter of medical necessity?

Receipts: on Orders & Billing, every payment has a Receipt link that opens your invoice, itemized by provider visit and treatment, which you can download as a PDF for a benefits claim. Letters: in Settings under Your plans, choose Request a letter of medical necessity on a paid plan. The request goes to your treating provider, and the letter is emailed to you if issued. Whether a letter can be issued is your provider's decision.

How do I change my email, password, phone, or address?

All of it is in Settings. An email change sends a verification link to the new address and completes when you open it. A password change sends a confirmation to your inbox. Address changes apply to shipments that have not yet left the pharmacy. If you cannot sign in, use Forgot password on the sign-in page.

Can I have more than one category at the same time?

Yes. Each category is its own plan with its own questionnaire and review, and each renews on its own date. Add a category from Home. Cancelling one plan does not affect the others.

How do I contact the pharmacy that filled my order?

Every medication ships with the pharmacy's support number printed on its label, so the fastest route is the number on the bottle or box. Signed in, Help on your dashboard also names the pharmacy that filled your order with the same line. The pharmacy handles storage questions, supplies and packaging. For a damaged or wrong product, contact support@chroma23.com and the team coordinates the replacement with the pharmacy. How much to take and when is a question for your provider. If your prescription went to Lilly or Novo, contact them directly: LillyDirect® support at 1-844-559-3471 (Zepbound®, Foundayo™) or NovoCare® Pharmacy at 888-809-3942, Monday to Friday, 8am to 8pm ET (Wegovy®).

My package is late, lost, or damaged. What do I do?

Check the tracking link on Orders & Billing first. If a package is late or lost, send the details to support@chroma23.com or through Help on your dashboard, and the team coordinates with the pharmacy. If a package arrived damaged or with the wrong product, contact support@chroma23.com and the team coordinates the replacement with the pharmacy; damaged, wrong or temperature-compromised shipments are replaced free of charge under the Refund & Cancellation Policy.

How do I ask for a video visit?

Visits are set up by your provider. Send a message on the Care tab asking for one, and your provider arranges it with you. Where state law requires a live interaction, your provider initiates it and you are notified first.

Weight Loss

What weight-loss medications does CHROMA23® offer?

Three lines. GLP-1, compounded: tirzepatide as a weekly injectable or a needle-free daily oral tablet, through CHROMA23+ plans. Direct from Lilly or Novo: FDA-approved Zepbound® (tirzepatide) and Foundayo™ (orforglipron) shipped by Lilly through LillyDirect®, and Wegovy® (semaglutide, pen or once-daily pill) shipped by Novo Nordisk through NovoCare® Pharmacy. Weight Loss Support, without a GLP-1: injectable protocols listed under Longevity and cross-listed on the Weight Loss page (Sermorelin and MICC). Your provider determines which option, if any, is clinically appropriate. Compounded medications are not FDA-approved. Weight-loss treatments are not currently available in Louisiana; see the Physicians & Coverage page.

What is compounded tirzepatide, and how does it differ from Zepbound®?

Compounded tirzepatide is prepared for you by a state-licensed 503A compounding pharmacy against your prescription. Its active ingredient is tirzepatide, a dual GIP/GLP-1 receptor agonist; as a compounded preparation it may differ from any branded product in inactive ingredients, concentration, or form, and it is not FDA-approved. It has not undergone the FDA's approval process for safety, efficacy, and manufacturing quality as a finished product. CHROMA23®'s compounded weight-loss line is tirzepatide only; we do not offer compounded semaglutide. FDA-approved branded options are also offered, and your provider will discuss which is appropriate for you.

How do I get Zepbound®, Wegovy® or Foundayo™ through CHROMA23®?

The same way as anything else here: the free assessment, then a provider licensed in your state, where available, reviews your case. If Zepbound®, Wegovy® or Foundayo™ fits, your provider writes the prescription and sends it to Lilly (LillyDirect®) or Novo Nordisk (NovoCare® Pharmacy). They ship the medication to your door and bill you their own price. CHROMA23® charges 46 for the provider visit and nothing on the medication. No membership is required for this route.

How much do Zepbound®, Wegovy® and Foundayo™ cost?

You pay Lilly or Novo their published self-pay price, directly to them, and it varies by product and dose. We do not print their prices because they change; see them at Lilly's Zepbound® pricing, Lilly's Foundayo™ pricing, and Novo's Wegovy® pricing. On top of that, CHROMA23® charges 46 per provider visit. FSA and HSA cards are accepted for the visit; Lilly and Novo state their own FSA/HSA eligibility on their pages.

How do I contact Lilly or Novo about my order?

Once the prescription has been sent, the order, shipping and billing are handled by them, so go to them first. LillyDirect® support for Zepbound® and Foundayo™: 1-844-559-3471, or lilly.com/lillydirect/rx-support. NovoCare® Pharmacy for Wegovy® (pen and pill): 888-809-3942, Monday to Friday, 8am to 8pm ET, or novocare.com/pharmacy/wegovy.html. Questions about your prescription itself, your dose, or a refill go to your provider through the dashboard. If you are not sure who to call, write to support@chroma23.com and the team points you the right way.

Do you offer Ozempic® or Mounjaro®?

No. Ozempic® and Mounjaro® are FDA-approved for type 2 diabetes, not weight management, and CHROMA23® does not prescribe for diabetes care. For weight management we offer Wegovy®, Zepbound®, and Foundayo™ (all FDA-approved for chronic weight management) plus compounded tirzepatide. If you have type 2 diabetes, disclose it in your assessment. It affects what your provider can safely prescribe.

Who is eligible for GLP-1 weight-loss treatment?

FDA labeling for GLP-1 weight-management medications covers adults with a BMI of 30 or higher, or 27 or higher with at least one weight-related condition. That is the range providers typically consider, but eligibility on CHROMA23® is your provider's decision, made from your complete health profile, and not every applicant is approved. You must be 21 or older.

What are the side effects and contraindications of GLP-1 medications?

Common side effects include nausea, vomiting, diarrhea, constipation, abdominal discomfort, fatigue, and decreased appetite, most pronounced during dose escalation. Serious potential risks include pancreatitis, gallbladder disease, and dehydration-related kidney issues. GLP-1 medications are contraindicated with a personal or family history of medullary thyroid carcinoma (MTC) or Multiple Endocrine Neoplasia syndrome type 2 (MEN 2), and in pregnancy or breastfeeding. Patients on insulin or sulfonylureas face increased hypoglycemia risk. This list is not exhaustive. Your provider reviews your full history before prescribing. See the Informed Consent for complete risk disclosures.

Do you offer weight-loss treatment without a GLP-1?

Yes. The Weight Loss Support line on the Weight Loss page has no GLP-1 in it: injectable protocols that a provider may prescribe alongside or instead of a GLP-1 plan, Sermorelin and MICC. Each card states what the formulation contains and how it is administered. All are compounded and not FDA-approved. Which, if any, fits your case is your provider's decision.

How long do patients stay on treatment?

GLP-1 medications are generally prescribed for long-term use. Duration is a clinical decision your provider makes with you based on progress, goals, and overall health. There is no fixed program length, and dose changes within your plan (up to 40 mg a month on the injection) do not change your plan price.

Longevity

What longevity treatments does CHROMA23® offer?

Prescription injectable protocols listed on the Longevity page: NAD+, Niagen (nicotinamide riboside), Sermorelin, Glutathione, and MICC. Each treatment card states what the formulation contains and how it is administered. All are compounded by state-licensed 503A pharmacies against your prescription and are not FDA-approved. Availability depends on your provider's determination and state law.

Is Sermorelin the same as HGH?

No. Sermorelin is a synthetic analog of growth hormone-releasing hormone (GHRH). It is not synthetic human growth hormone (somatropin) and does not deliver exogenous HGH. Your provider determines whether a peptide protocol is clinically appropriate.

Do I need labs before starting?

Baseline labs are typically required before a peptide protocol begins; the specifics depend on the protocol and your provider's judgment. You are notified of any lab requirements during intake, and results are reviewed as part of the eligibility evaluation.

Is injectable glutathione different from oral supplements?

Yes. Oral glutathione is substantially broken down in the digestive tract before absorption; the injectable form is administered by injection. Whether it is clinically appropriate for you is your provider's determination.

How are longevity injectables administered?

By subcutaneous self-injection at home, following your provider's instructions and the pharmacy's dosing guide. Your comfort and ability to self-inject are reviewed during intake. Medication ships directly to you from the licensed pharmacy.

Niagen or the NAD+ injection: what is the difference?

Two routes to the same coenzyme, the one your mitochondria burn to make energy and your cells use as a cofactor for DNA repair. Niagen is nicotinamide riboside, a patented form of vitamin B3 your body converts into NAD+ on its own; it is our signature longevity injectable. The NAD+ injection is the coenzyme itself, with no conversion step. Both are compounded injections dispensed by a licensed U.S. pharmacy and neither is FDA-approved. Which route fits you is your provider's call.

Why take sermorelin alongside a GLP-1?

Weight lost quickly is not all fat; some of it is muscle. Sermorelin signals your pituitary to release more of your own growth hormone, the hormone your body uses for recovery and body composition, so members on a GLP-1 often add it to protect muscle while the weight comes off. It is not synthetic HGH. It is also prescribed on its own for sleep and recovery. Compounded, not FDA-approved; your provider decides whether it fits.

What is MICC, and who is it for?

MICC is a lipotropic injection, meaning the ingredients take part in how the liver handles fat: methionine, inositol, choline and vitamin B12. It is an add-on to a weight-loss plan or a plan on its own, prescribed by your provider, and it is not weight-loss medication. Compounded, not FDA-approved.

Why glutathione during weight loss?

Fat loss is liver work: as the weight comes off, your liver processes what is released. Glutathione is the body's main antioxidant and the molecule the liver uses to clear oxidative stress. The injection replenishes it directly, which is why members add it during a GLP-1 plan. Skin tone often brightens with it. Compounded, not FDA-approved.

Sexual Health

Do I need an in-person visit for an ED prescription?

No. ED prescriptions are issued through telehealth: you submit a health assessment and your provider evaluates it. Where state law or clinical judgment requires it, your provider initiates a live phone or video visit. You are notified before any additional step.

Can I take ED medication if I use nitrates or have heart problems?

PDE5 inhibitors (sildenafil, tadalafil, vardenafil) must never be combined with nitrates. The interaction can cause a dangerous drop in blood pressure. Cardiovascular conditions require careful provider review, and the assessment includes hard-stop safety screening for nitrate use and cardiac history. For men who cannot take PDE5 inhibitors, your provider reviews what is safe for you, which can include injection therapy. Seek emergency care for any erection lasting longer than four hours.

What is the difference between sildenafil and tadalafil?

Both are PDE5 inhibitors. Sildenafil is taken as needed, typically acting within 30 to 60 minutes for roughly 4 to 6 hours. Tadalafil lasts up to 36 hours and is also available as a low-dose daily option. On CHROMA23® they are prescribed inside compounded multi-active products for men: CHROMA 3X (tadalafil, sildenafil, citrulline), CHROMA 4X (sildenafil, vardenafil, tadalafil, apomorphine), the CHROMA X Max sublinguals (CHROMA X Max and CHROMA X Max Peak, with tadalafil, oxytocin and PT-141), and CHROMA Trimix injections. Your provider determines which fits your health history and needs.

What is Trimix and who is it for?

Trimix is a compounded injectable combining papaverine, phentolamine, and alprostadil, administered by intracavernosal injection. It is typically prescribed when oral PDE5 inhibitors have not worked adequately or are contraindicated, requires specific patient training, and carries a priapism risk that your provider reviews with you.

How is Trimix injected?

It is a self-injection into the side of the penis, into the erectile tissue, with a small insulin-type syringe and a very fine, short needle. The site is the outer side of the shaft about a third of the way down from the base, alternating sides each time; never the top, where the urethra runs, and never the underside. The dose is measured in units on the syringe: your provider sets it low to start and adjusts from there, and a higher-concentration version of the same three drugs exists for men who need more per unit, which you can be stepped up to. The three actives (alprostadil, papaverine, phentolamine) relax the muscle and open the vessels directly, so an erection comes on in about 5 to 20 minutes, with or without stimulation, and typically lasts around an hour. No more than one injection in 24 hours, and usually no more than about three a week, as prescribed. An erection lasting more than four hours is an emergency: seek care immediately. The vial stays refrigerated; use an alcohol swab, a fresh needle every time, and a sharps container. Your provider walks you through the first dose and the pharmacy ships written instructions.

Do you offer treatments for women's sexual health?

Yes. The prescription option for women is Euphoria, a compounded topical cream (arginine, papaverine, alprostadil), prepared by a licensed compounding pharmacy where clinically appropriate. Like all compounded medications, it is not FDA-approved, and your provider determines suitability from your health profile.

3-in-1 or 4-in-1: what is the difference?

The number is how many actives are in the dose, and each active does a different job. CHROMA 3X, the 3-in-1 dissolving tablet, pairs sildenafil for a fast start with tadalafil for a long window, plus citrulline for blood flow. The 3-in-1 sublinguals (CHROMA X Max and CHROMA X Max Peak) add the desire side: tadalafil for blood flow, and oxytocin and PT-141 acting on the brain's desire signals, so the erection and the wanting arrive together. CHROMA 4X, the 4-in-1 dissolving tablet, carries three PDE5 inhibitors plus apomorphine for arousal, the most complete oral option we carry. A generic pill gives you one active and one chance. Which one fits is your provider's decision. All are compounded and not FDA-approved.

Under the tongue or dissolved in the mouth: what is the difference?

None of them is swallowed whole. The CHROMA X Max tablets are sublingual: you let them dissolve under the tongue and the actives are absorbed straight into the bloodstream, skipping the stomach, which is why they work in about 30 minutes. Tadalafil in the formula keeps you ready for up to 36 hours. CHROMA 3X and CHROMA 4X are tablets that dissolve in your mouth, taken 30 to 60 minutes before, and they trade a little of that speed for more actives per dose.

What is CHROMA X Max, and which one do I start with?

CHROMA X Max is our 3-in-1 sublingual, in two strengths. CHROMA X Max is the entry dose. CHROMA X Max Peak is the same three actives at full strength. Your provider sets the starting rung and steps you up when it fits.

I cannot take Viagra-type drugs. Is there an option?

Trimix. It is injected directly and does not rely on the pathway pills use, which is why it works for men whose pills have stopped working, including after diabetes or prostate surgery. It still has its own contraindications, so tell your provider exactly why the pills are off the table.

How does the women's arousal cream work?

Euphoria is applied where it matters and increases blood flow to the tissue, which brings sensation and natural lubrication back within minutes, for up to two hours. No pill, no hormone. It is built on alprostadil, the vasodilator used in prescription ED injections, with papaverine and arginine. Compounded, not FDA-approved.

Hair

What hair-loss treatments does CHROMA23® offer?

Two prescription compounded topicals, dispensed by state-licensed compounding pharmacies. Men's Scalp Topical: minoxidil, finasteride, cetirizine, and caffeine. ManeTain, for men and women: minoxidil, fluocinolone, retinoic acid, and vitamin E, with no finasteride. Compounded formulations are not FDA-approved. Your provider determines which protocol, if any, fits your history and goals.

What are the known risks of finasteride?

Known potential side effects include decreased libido, erectile dysfunction, and ejaculation disorders in a subset of patients; some patients have reported persistent sexual side effects after discontinuing. Mood changes have also been reported. Finasteride is contraindicated in pregnancy and must not be handled by women who are or may become pregnant due to teratogenic risk. This applies to topical formulations too. Your provider reviews your complete history and discusses the risks before prescribing.

Can finasteride and minoxidil be used together?

They work through different mechanisms: finasteride reduces DHT, the androgen behind androgenetic alopecia, while minoxidil acts as a vasodilator, and can be prescribed together. Whether to combine them is your provider's clinical decision.

Why do your topicals require a prescription when store minoxidil doesn't?

Over-the-counter minoxidil (2% and 5%) needs no prescription. CHROMA23®'s formulations are prescription-strength compounded combinations, higher-concentration minoxidil plus prescription actives, prepared for you by a licensed compounding pharmacy against your prescription.

4-in-1 or 3-in-1: which topical is which?

Three formulas, each built for a different case. ManeTain is the 4-in-1 for men and women with no finasteride: minoxidil restarts growth, fluocinolone calms the scalp inflammation that chokes follicles, retinoic acid drives the minoxidil deeper, vitamin E protects the follicle. The men's 4-in-1 scalp topical is the one with finasteride, which blocks DHT, the hormone shrinking the follicle, plus minoxidil, cetirizine and caffeine. The women's 3-in-1 is finasteride-free: minoxidil, caffeine and melatonin. Your provider matches the formula to your pattern and history. All three are compounded and not FDA-approved.

Why doesn't ManeTain contain finasteride?

So it can be prescribed to men and women alike. Finasteride is the most effective way to block DHT, but it is not for women who are or may become pregnant, and some men prefer to avoid it. ManeTain does the rest of the job without it. Men who want the DHT block choose the men's 4-in-1 topical instead, where finasteride stays on the scalp rather than in a pill.

How long before I see a change?

Hair grows in cycles, so the topicals need daily use for three to six months before the change is visible, and continued use to keep it. Stopping lets the loss resume. Minoxidil alone slows the loss; the combinations are built to stop what is causing it and regrow.

Can women use these?

Yes. ManeTain and the women's 3-in-1 are formulated for women, and the quiz asks whether the treatment is for him or for her so the right formula is shown. The finasteride topical is for men only.

Skincare

What skincare treatments does CHROMA23® offer?

Two prescription compounded topicals, prepared by state-licensed compounding pharmacies: Tighten Max, a GHK-copper peptide cream at 4%, and NADvantage, an NAD+ 10% topical cream. Compounded formulations are not FDA-approved. Your provider determines which, if any, is appropriate for your skin goals and history.

Why does skincare require a prescription?

Because these are compounded prescription-strength formulations, not cosmetic-counter products. Prescription strength requires a provider's individualized determination that the formulation fits your needs, and preparation by a licensed pharmacy against that prescription. The same provider network covers your skincare and every other category.

How does the skincare process work?

The same as every category: free assessment, provider review, and, if prescribed, the compounded topical ships from the licensed pharmacy to your door, with application guidance and follow-up through your care portal.

What is GHK-Cu, and why three strengths?

GHK-Cu is a copper peptide your skin makes on its own and makes less of with age. At prescription concentration it signals skin cells to rebuild collagen and elastin: firmer skin, smoother fine lines, a repaired barrier. Tighten Max is 4%, the strongest we carry, and your provider confirms it fits your skin. Compounded, not FDA-approved.

Why can't I buy this strength in a store?

Shop creams are limited to cosmetic concentrations. The strengths that actually signal cells to rebuild are prescription-only, compounded for you by a licensed U.S. pharmacy against a prescription. That is the whole point of the line: the strength no counter can sell you.

What does topical NAD+ do?

NAD+ is the coenzyme skin cells use for the repair and energy work they do overnight, and levels fall with age. NADvantage delivers it at 10% in a cream applied as prescribed, for brighter, smoother, more resilient skin. It is not on any shelf. Compounded, not FDA-approved.

Can I use these with my current routine?

Usually, yes: they are applied once daily as directed, typically at night, and sit alongside a normal cleanser and sunscreen. Tell your provider about retinoids, acids or other prescription creams you already use so the routine is sequenced properly, and stop and message them if irritation persists.

Providers & Care

Who are the providers, and are they CHROMA23® employees?

Independent, licensed physicians; they are not employees of CHROMA23®. Each is individually credentialed, with state licensure verified in the patient's state of residence. Providers operate with full clinical independence: CHROMA23® does not direct, influence, incentivize, or discourage any clinical decision. The public roster with NPI numbers is on the Physicians & Coverage page.

Will I have a video call with my provider?

Usually not. Consultations default to asynchronous review: you submit a detailed health assessment and your provider evaluates it. Some states require a short intro video as part of intake, which remains an asynchronous review. Where state law or clinical judgment requires a live interaction, your provider initiates a phone or video visit. You are notified before any additional step.

What happens if my prescription is denied?

You are notified of your provider's determination, your payment for the order is refunded per our Refund Policy less a
3 case review fee (or less the $46 provider visit fee when the decline is for a listed condition you confirmed did not apply), and your provider may suggest alternatives or recommend in-person evaluation with a primary care provider. If a follow-up check-in is declined during a prepaid plan, the medication for months not yet shipped is refunded, less the 3 case review fee, and the plan ends. CHROMA23® does not override a provider's clinical decision.

How do I reach my provider after treatment starts?

Through secure messaging on the Care tab of your CHROMA23® dashboard, for questions, side effects, dose concerns, and follow-up. Your provider's replies arrive there, and you get an email when a new message is waiting. Platform support (support@chroma23.com, +1 (323) 639-3773, Monday to Friday 9am to 5pm PST) handles everything non-clinical: your account, orders, billing, and the website. For emergencies, always call 911.

Can I request a different provider?

Contact support@chroma23.com with any concern about your assigned provider. Reassignment requests are handled case-by-case and are not guaranteed; patients do not select a specific provider from a directory.

Pharmacy & Shipping

Which pharmacy fills my prescription?

Prescriptions are routed to a licensed pharmacy in the fulfillment network based on your medication and state. The patient does not choose the pharmacy. Compounded medications are prepared by state-licensed 503A compounding pharmacies. Zepbound®, Foundayo™ and Wegovy® prescriptions go to Lilly (LillyDirect®) or Novo Nordisk (NovoCare® Pharmacy), who ship them to you. CHROMA23® is not a pharmacy and does not dispense medication. Once your order ships, the pharmacy that filled it is named on the package and its customer line is shown on your dashboard under Help; the pharmacies are also listed in the Prescription Policy.

What is a 503A compounding pharmacy?

A state-licensed pharmacy that prepares customized medications for a specific patient against a valid prescription, under licensed pharmacists and state board of pharmacy oversight. All compounded medications dispensed through CHROMA23® programs come from 503A pharmacies. Compounded medications are not FDA-approved.

What does shipping cost, and how fast is it?

Nothing extra. Shipping is included in every price, on every plan, along with the provider visit. Zepbound®, Foundayo™ and Wegovy® carry no CHROMA23® shipping charge at all: Lilly or Novo deliver them. Every order ships in discreet packaging with cold-chain protection where required, and tracking follows as soon as your treatment ships.

Where can medication be shipped, and what if it doesn't arrive?

To a valid US residential or business address in a state we serve (PO Boxes may not be available for all medications; no international shipping). If a package is late, lost, or damaged, contact support@chroma23.com. We coordinate with the pharmacy, and damaged or temperature-compromised shipments are replaced free of charge. Reshipping fees may apply only when a package returns due to an incorrect address.

Can I transfer my prescription to an outside pharmacy?

Transfers require your provider's explicit consent and coordination, and are not guaranteed. They depend on the medication, the receiving pharmacy, and applicable regulations. Contact support@chroma23.com to request one.

Privacy & Data

Who holds my health information?

Your clinical data, the health assessment and all clinical communications, flows directly to the medical group treating you and lives in their HIPAA-compliant clinical systems. CHROMA23® holds only your membership and billing account data, encrypted at rest and in transit. See the Privacy Policy and HIPAA Notice for the complete picture.

Do you track me or sell my data?

No. CHROMA23® does not sell or share personal information with advertising technology partners, and places no ad pixels or cross-site trackers. The only analytics is Plausible, a cookieless, privacy-focused tool that loads solely with your consent via the "Your Privacy Choices" panel.

What are my privacy rights?

Depending on your state, rights include access, correction, deletion, and opting out of sale or sharing (we sell and share nothing regardless). Exercise any right via the "Your Privacy Choices" link at the bottom of every page or privacy@chroma23.com. Washington My Health My Data and similar state health-privacy statutes are covered in the Consumer Health Data Privacy Policy.

Legal & Compliance

Is it legal to get a prescription through telehealth?

Yes. Federal and state telehealth laws allow licensed providers to evaluate patients and prescribe through telehealth for a wide range of conditions. Every CHROMA23® prescription is issued by a provider individually licensed in the patient's state after a clinical evaluation, and no medication on the platform is a controlled substance.

Are compounded medications legal, and why are they prescribed?

Compounding is legal when performed by properly licensed pharmacies under applicable conditions. Compounded formulations are prescribed when your provider determines that a preparation differing from the FDA-approved product, in form, strength, or included ingredients, serves your individualized clinical need. They are not FDA-approved, FDA policy in this area evolves, and if a change ever affects your treatment, your provider will transition you to an appropriate alternative.

Why doesn't CHROMA23® show before/after photos or results numbers?

By policy, CHROMA23® does not publish outcome claims, weight-loss statistics, before/after imagery, or testimonials. What treatment can realistically do for you is a conversation with your provider, based on your biology.

Why is CHROMA23® 21+ only?

A deliberate platform policy. Every treatment on the platform is designed and prescribed for adults, and the age gate is enforced at intake alongside identity verification in the clinical process.

How do I raise a complaint or grievance?

Start with support@chroma23.com or +1 (323) 639-3773. Most issues resolve there. The Patient Bill of Rights describes your grievance rights, and formal legal notices go to legal@chroma23.com. Nothing limits your right to contact your state medical board or consumer-protection authorities.

What entity operates CHROMA23®?

CHROMA23® is operated by CHROMA23® Health Network LLC. All policies are in the Legal & Trust Center. For legal, compliance, or regulatory inquiries: legal@chroma23.com.