SynergenX TRT Reviews: What Patients Say, What It Really Costs, and What Its Chapter 11 Filing Means

Last updated: September 29, 2026

SynergenX TRT reviews can help you judge service, not medical quality. It may fit insured men near a clinic who want in-person care; it is not a fully remote option. Its Self-Inject plan is self-pay, a complete TRT cash price remains unverified, and a July 2026 bankruptcy filing warrants clinic-specific continuity questions.¹²³

By TRT Provider Guide · Last verified September 2026 (public sources checked September 29, 2026) · Editorial research, not clinically reviewed.

Best for: a local, insured reader who wants face-to-face care and confirms coverage. Not for you if: you need fully remote care or have near-term fertility plans.²¹⁴

SynergenX at a glance (checked September 29, 2026)

The filing is easy to miss on a clinic website. Keep reading, and we'll show you what the filing does and doesn't mean for your care — plus the written quote to ask for before you pay.

The answer changes if you have no insurance and need a price before you walk in, you live outside the states where SynergenX has clinics, you'd rather not go to a clinic every week, or you want to have a child soon.

SynergenX is worth a look if you:

• Have one of its listed insurance plans, confirm your clinic is in-network, and live nearby
• Want face-to-face care and a real person giving your shots
• Want a product the company describes as non-compounded testosterone cypionate

Look elsewhere first if you:

• Need a published cash price before your first visit
• Live outside its clinic states
• Are trying to conceive now or soon
• Don't want weekly clinic visits and need insurance to pay for the at-home plan, which SynergenX lists as self-pay only
• Aren't comfortable starting long-term care before you have answers about the reported bankruptcy filing and your clinic's continuity

Affiliate disclosure: TRT Provider Guide has disclosed affiliate relationships with Male Excel and Hone Health. We may earn through labeled partner links on our provider guides. The official provider links in this article are ordinary, untracked information links; SynergenX links are not affiliate links. Read our affiliate disclosure.

TRT Provider Guide is the independent decision resource for testosterone replacement therapy — helping U.S. adults understand how low testosterone is evaluated, compare online and local care models and providers, and choose the next step that fits their health needs, fertility plans, budget, state, and care preferences, with every material claim verified and dated.

This page is educational information, not medical advice. It doesn't diagnose low testosterone, read your labs, or tell you what dose to take. Chest pain, sudden trouble breathing, fainting, or stroke symptoms need emergency care right away. A new painful, swollen leg needs prompt medical assessment.⁹

This guide covers adult men being evaluated for testosterone deficiency. It does not assess women's hormone care, gender-affirming care, or nonmedical performance use.

Sounds like your situation? Find your nearest SynergenX clinic and ask about the free testosterone test — take our question list with you. → Find a SynergenX clinic (official SynergenX directory; not an affiliate link) · Jump to the question list

The right TRT provider is not the same for every person — it depends on whether low testosterone has been properly evaluated, your symptoms and health history, your fertility plans, your state, your insurance or cash-pay preference, your treatment-format preference, your budget, and whether online or in-person care is the better starting point. Some situations belong with primary care, urology, endocrinology, reproductive urology, or urgent or emergency care when the symptoms warrant it. Because a general answer cannot resolve those for you, use TRT Provider Guide's Find My TRT Path tool to map your situation to the right care route and the questions to ask before you pay. (The tool is educational. It doesn't diagnose anything or guarantee a prescription.)

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What do SynergenX TRT reviews actually say?

SynergenX TRT reviews are split across clinic pages and app stores, and they measure different things. The accessible clinic reviews include praise for staff and visits, plus complaints about service or billing; the app ratings were 3.9 on Apple and 2.8 on Google Play. None of these samples establishes a company-wide medical-quality score.^10111213

Here's the problem with "SynergenX reviews" as a search. There isn't one pile of reviews. There are dozens of small piles — one per clinic, one per app store — and they don't agree.

So we pulled them apart.

Review signals by platform (checked September 29, 2026)

What stood out to us: the McKinney pages display different scores, but they are different samples captured at different times. We cannot attribute that gap to review manipulation or make it a current head-to-head comparison. It's also why one star number shouldn't make your decision.¹⁰¹¹

What people praise

• Named staff. Reviews call out staff members by first name. That is useful service detail, not proof of clinical quality or a review's authenticity.¹¹¹⁰
• Short waits. Several location reviews mention quick visits.¹¹
• The app for labs. On the App Store, reviewers describe convenient access to lab results.¹²

What people complain about

• App access and messaging. Recent Google Play reviews describe login problems and messages that don't get answered.¹³
• Visit timing. Bart S.'s January 17, 2026 Yelp review reports longer visits than expected. The clinic replied on January 20 asking the reviewer to contact it; we did not confirm an outcome.¹¹
• Late billing. A recent review by Zak Shimon, displayed in Birdeye's Google-review collection, reports bills arriving months after visits. We did not inspect that person's bills, insurance records, or the clinic's response; this is a reason to ask about billing, not proof of a company-wide policy.¹⁰

Three short, real reviews

These describe individual experiences. They do not establish typical results or medical safety or effectiveness. We did not commission these reviews or independently confirm each reviewer's relationship with the clinic or app.

"Harrison, Daisy, Destiny and the whole staff are super friendly." — Aaron C., Yelp, December 2, 2017 (about staff at SynergenX McKinney; an older experience, not evidence about today's team)¹¹

"I can see my lab results when they come in." — Rammie M., Apple App Store, June 24, 2025 (about the app)¹²

"it keeps saying I don't have an account." — Stephonie Woodard, Google Play, August 15, 2026 (about the app)¹³

How to read TRT clinic reviews: Stars can reflect service — the wait, the staff, the billing. They don't tell you whether testosterone is right for you. Read recent reviews for your clinic, and look for specifics: which visit, which plan, what happened, and whether anyone fixed it.

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Is SynergenX legit?

Yes — SynergenX is a real, Houston-based clinic business with a live location directory and an insurance-billing program, but we did not independently check your assigned clinician's license. The company says it was founded in 2016 and acquired Low T Center and HerKare in 2022. "Legit" and "right for you" are different questions, though, and the company's finances are part of that second question.¹⁶⁵²

Here's who you're dealing with:

• The company: SynergenX was founded in 2016 by Wayne Wilson, whom its recent company announcement identifies as founder and CEO. Its brand announcement describes hundreds of thousands of patients across the organization; we did not independently audit that volume.¹⁶¹⁷
• The sister brands: SynergenX bought Low T Center and HerKare in 2022, according to the company. In June 2026, it announced those clinics would move to the SynergenX name over the next year.¹⁶¹⁸
• Who treats you: Clinic pages list individual providers, including nurse practitioners; we did not count the whole workforce or check every license. The Android app lists Synergenx Physician Services PLLC as its developer, which is not proof of any individual's prescribing authority. Before your first shot, ask for your prescriber's full name and look up their license on your state's nursing or medical board website.⁵¹³

Which states appear in the combined clinic directory?

The directory lists locations in Arkansas, Colorado, Illinois, Indiana, Missouri, North Carolina, Ohio, Oklahoma, Tennessee, and Texas. This is a directory check, not a state-by-state licensing audit or a guarantee that every listed office offers men's TRT, Self-Inject, or new appointments. Confirm the exact clinic, current address, program, and whether it can treat a resident of your state before traveling.⁵

Is SynergenX the same as Low T Center?

They are related brands, not a reason to assume identical prices or contracts. SynergenX owns Low T Center, and Low T Center clinics are becoming SynergenX clinics. In its June announcement, the company said providers, locations, and treatment plans would stay the same during the name change. You'll see both names in SynergenX's clinic directory, including Low T Center locations in places like Richardson and South Austin, Texas; Little Rock, Arkansas; and Johnson City, Tennessee.¹⁸⁵

Why this matters to you: older reviews under the Low T Center name may help you identify a location's history. They do not confirm today's team, price, or agreement. Get the quote and billing entity for the actual clinic you would use, rather than importing another brand's price. More on that below.

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Did SynergenX file for bankruptcy, and what does it mean for patients?

Brown Rudnick, counsel to the unsecured creditors' committee, reported on August 12 that SynergenX Legacy Holdings filed for Chapter 11 on July 2, 2026, in the Southern District of Texas. That dated announcement is not confirmation of the latest court outcome or every clinic's current status. A Chapter 11 filing does not automatically mean a clinic has shut down.³¹⁹

If this is news to you, take a breath. A filing alone does not tell you what will happen to your clinic. It is also not nothing.

What we know

What we don't know

We could not confirm the current status of every clinic, the latest court orders, or what happens to any prepaid balance. The company has also announced a Southwest San Antonio relocation and advertised a September 26, 2026 celebration at 2113 W Loop 1604 S, Suite 204. That is a provider announcement, not proof of the bankruptcy outcome or uninterrupted care. Check your own clinic directly before you drive over or pay ahead.¹⁷

If you're a current patient: do these six things this week

1. Download your records. Save the lab results available to you in the SynergenX app. Ask the clinic how to obtain a full record, including visit notes; we did not verify that the app can export all of it.¹²²⁰
2. Write down your exact prescription. Product name, strength, schedule, prescriber, and the pharmacy that fills it.
3. Ask in writing whether your clinic, your prescriber, or your pharmacy is changing.
4. Don't prepay months ahead until the case outcome is clearer. Ask what would happen to a prepaid balance.
5. Don't stop or change testosterone on your own. Talk to a clinician about any change, including a switch.
6. If you decide to leave, request a full copy of your records and line up your next prescriber before your supply runs out. Our guide on how to switch TRT providers walks through it.

If you're a new patient: should you wait?

Our take: a filing does not establish medical quality either way, and a live clinic website is not proof of uninterrupted service. It is a real reason to clarify any prepayment risk, keep your own records from day one, and have a backup plan. If staying with one company for years is what you care about most, weigh this honestly.

Not sure whether to stay, start, or switch? Map the care routes and questions that fit your situation. → Map your options with Find My TRT Path

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How does SynergenX TRT work, step by step?

SynergenX advertises a free first testosterone test at a clinic, followed by a clinician's evaluation and further testing. A low first result does not by itself establish a diagnosis or guarantee treatment; if TRT is prescribed, the Self-Inject page describes the first injection in the clinic. The published ongoing choices are weekly clinic injections or Self-Inject, with monthly supplies and clinic labs about every three months.⁶¹⁸²¹

The path, in five steps

1. Free testosterone test at a clinic with a new-patient TRT appointment.⁶
2. Provider visit and lab work, including appropriate confirmation of a low result, to decide whether treatment makes sense.²¹
3. First injection in the clinic, if treatment is prescribed.¹
4. Pick your rhythm: weekly in-clinic shots, or the at-home Self-Inject plan.
5. Ongoing monitoring: labs, clinician-directed treatment changes when needed, and check-ins.¹

Weekly in-clinic TRT

SynergenX's own FAQ says men on in-clinic TRT need weekly visits. Its TRT page advertises quick injections, progress tracking, and body-composition scans, with wellness services such as B12 also available; confirm which are included in your quote.⁸⁷

Weekly means about 52 visits a year. That's fine if the clinic is on your way home. It's a lot if it's 40 minutes away.

One tip: those optional add-ons are just that — optional. Ask what each one costs and whether it's medically needed before you say yes.

At-home Self-Inject TRT

This plan is SynergenX's answer to "I can't come in every week." Here's how the company describes it:

• You start with in-clinic testing and your first injection in the clinic.
• After a telehealth visit, the company describes a monthly supply of pre-filled testosterone cypionate syringes. Its new-patient pathway says arrival within 4–7 business days; its existing-patient pathway says shipping within 4–7 business days.¹
• You check in by telehealth or the app and return to the clinic for labs about every three months.
• It is self-pay only. SynergenX says Self-Inject isn't covered by insurance.¹

So it's "at home," but not fully remote. You still need to live within driving distance of a clinic.

How many tests before treatment? SynergenX says two different things

This is worth knowing before you go.

• The Self-Inject page says that if your first test is low, you come back for a second full panel and a deeper evaluation before treatment.¹
• The company's referral page says eligible patients can often start treatment after the first lab evaluation if they're self-pay or Self-Inject, and after the second lab evaluation if they use insurance.²²

Those don't line up. And it matters. The Endocrine Society says low testosterone should be diagnosed only when you have symptoms or signs and consistently low testosterone, confirmed by repeat early-morning, fasting blood tests. Its July 2026 statement reiterates at least two such tests; one result or a cutoff such as 300 ng/dL is not a diagnosis by itself.⁴²¹

These are conflicting public descriptions, not proof of what happened in a patient's appointment. Ask whether prior outside results count, what collection timing the clinician needs, which laboratory performs testing, and what any repeat or unusable-sample test costs. Our blood tests for TRT guide explains the terms.

Your move: Ask the clinic, "Will you confirm my result with a second early-morning, fasting test before I start — even if I pay cash?" If the answer is no, that's your cue to slow down.

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How much does SynergenX TRT cost?

We did not find a complete SynergenX cash price for TRT on the program and offer pages checked. Its first-year cost cannot be calculated reliably without your clinic's charges for testing, visits, medication, monitoring, and any shipping or supplies. With insurance, your cost depends on how your plan bills weekly visits, labs, and the drug.⁷¹⁶²

Here's the one honest drawback we'll call out plainly, because it's the first thing most readers want.

SynergenX does NOT show a complete TRT cash price on the program pages we checked. If knowing your exact monthly number before you walk in is your top priority, a provider that supplies a complete written price before intake is the better fit — see our TRT cost guide. SynergenX's in-clinic insurance-billing option is a separate strength for the right patient, not a reason to accept an unclear bill. The online programs compared below do not bill insurance for their care memberships.^7122324

What the numbers you've seen actually mean

SynergenX's site shows several dollar amounts. None of them is a TRT price.

What a year could cost: our model

A first-year model needs your clinic's prices, not another brand's figures. We could not read Low T Center's full cost page during this check or confirm that any price shown under that name applies at a SynergenX-branded clinic. We will not present a sister-brand subtotal as your likely SynergenX bill.

Use the same model for both care plans. Count a charge once: a bundled visit may already include an injection or lab work.

Our caveats, plainly: This is a model, not a SynergenX quote. Four and six follow-ups are planning scenarios, not a prescribed schedule. We don't know exactly how many follow-ups your first year will need. Use the model to check what a quote includes — not as a promise.

Ask for a 365-day payment calendar, not just a monthly average. Confirm the first medication charge, refill dates, any minimum commitment, automatic renewals, and what happens to charges if treatment is not prescribed. If an item is included, record which charge includes it; if it is unknown, your result is still a subtotal.

With insurance: the "52 visits" question

For an insured local reader, insurance billing may be SynergenX's main advantage. It can also make the real cost harder to see.

A once-weekly plan means about 52 visits a year. If your plan charges a copay or coinsurance for each one, the total adds up quickly. Here's the simple math (these copays are examples, not your plan):

SynergenX's own blog says insured out-of-pocket costs "could be under $50," depending on your plan. Could be — but it does not define a billing period for that figure, and it is not an itemized annual quote.²⁷ Ask your insurer three things: Is each weekly injection billed as a visit? What do I pay per visit after my deductible? Is the testosterone covered, and under my medical or pharmacy benefit?

The table assumes 52 separate patient charges. Some services may be bundled, and an initial or follow-up visit may be billed differently. Ask the clinic for its billing codes and whether medication and labs are already included, so you do not add the same cost twice.

Want your number before visit two? Ask your clinic for a written, itemized first-year quote — then check it against our free calculator. → Find a SynergenX clinic · Estimate your first-year TRT cost

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Does SynergenX take insurance?

Yes, for in-clinic care: SynergenX lists Aetna, Blue Cross Blue Shield in six states, UnitedHealthcare, GEHA Standard Option, and several others. The at-home Self-Inject plan is self-pay only. The company says accepting your insurer does not guarantee payment, while eligible services may be paid with FSA or HSA funds.²¹⁷

Plans SynergenX lists (checked September 29, 2026)

• Aetna
• Blue Cross Blue Shield — Illinois, Indiana, Arkansas, Texas, Oklahoma, Tennessee
• UnitedHealthcare
• GEHA Standard Option
• Medical Mutual of Ohio
• Meritain Health
• APWU Health Plan
• HealthPartners of Minnesota
• Gravie, PHCS Savility, and Cornerstone Preferred Resources²

Two details worth catching:

• Cigna: It is not named on the SynergenX insurance page we checked. We could not recheck Low T Center's full insurance page, so do not assume a sister-brand list establishes your clinic's coverage.²
• Medicare and Medicaid: Neither appears on SynergenX's list. Don't assume either is accepted. Call and ask.²

Accepted isn't the same as covered

"We accept your insurance" is not a promise that your plan will pay for everything.² Ask your insurer about the exact clinic and clinician, deductible, copays, diagnostic requirements, prior authorization, and coverage for the proposed product. A payment rule is separate from a sound clinical diagnosis: the repeat-testing discussion still matters when you pay cash.²¹

HSA and FSA

SynergenX says eligible services can be paid with FSA or HSA funds.⁷ Keep itemized receipts. If you're on the self-pay at-home plan, ask your account administrator how it treats each charge.

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What testosterone does SynergenX use — is it compounded?

SynergenX says it uses pharmaceutical-grade testosterone cypionate that is not compounded, given as injections. We could not independently confirm the manufacturer, dispensing pharmacy, or preparation details for its pre-filled at-home syringes. The company's description is not verification of the exact product you would receive; compounded drugs are not FDA-approved.⁷²⁸

Why "compounded" matters

• An FDA-approved testosterone product has been reviewed by the FDA for safety, effectiveness, and quality, and comes with official labeling.²⁸
• A compounded drug is prepared or altered to meet a medical need, rather than supplied as that FDA-approved finished product. Compounded drugs are not FDA-approved; the FDA does not review their safety, effectiveness, or quality before they are marketed.²⁸

SynergenX puts "non-compounded" front and center in its own comparison table. That's a real point in its favor if it holds up for the product you receive. Male Excel describes its testosterone as compounded, and Hone's featured injectable testosterone page also identifies a compounded product.⁷²³²⁹

Ask these before your first shot

What about estrogen blockers?

SynergenX says it does not use an estrogen blocker by default and instead monitors estradiol, a form of estrogen, and symptoms.⁸ Ask the clinician what finding would justify any additional medicine, what evidence supports it, and what extra monitoring or cost it brings. That is a medical decision, not an automatic part of choosing a TRT membership.

Testosterone is a Schedule III controlled substance in the United States and requires a valid prescription from an appropriately authorized clinician after an evaluation.³⁰³¹

Does federal telemedicine policy remove SynergenX's clinic visits?

No. The federal temporary extension runs through December 31, 2026 and permits qualifying controlled-medication prescribing without a prior in-person visit under specified conditions. It does not override state law, require a clinician to prescribe, or remove SynergenX's own clinic-based testing and visit requirements.³¹¹

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What about fertility, safety, and monitoring?

We found no fertility-specific protocol on the selected SynergenX men's TRT pages, and testosterone therapy can lower sperm production. The Endocrine Society recommends against starting testosterone in men who plan to have children soon. SynergenX says it checks PSA before treatment and every six months and watches red blood cell levels — but its FAQ's answer on high blood counts deserves a follow-up question.⁷¹⁸⁴

If you want kids soon, start somewhere else

Taking testosterone can signal your body to make less sperm. That doesn't make it reliable birth control, and it doesn't guarantee you'll become infertile. It also doesn't guarantee a quick recovery after a clinician-directed treatment change.³²

The Endocrine Society's guideline recommends against starting testosterone in men planning fertility in the near term.⁴ SynergenX's TRT page, FAQ, and Self-Inject page did not describe sperm testing or a fertility-specific treatment pathway when we checked. That is a disclosure gap, not proof that an individual clinician will not discuss fertility.⁷⁸¹

If a baby is in your plans, see a reproductive urologist or another fertility-focused clinician first. Start with our TRT and fertility guide.

Monitoring: what SynergenX says, and what to ask

• PSA (prostate-specific antigen, a prostate blood test): SynergenX says it checks PSA before treatment and every 6 months, along with questions about urination.⁸ That is its stated protocol, not a universal screening schedule; a clinician should discuss age, risk, and the limits of PSA testing.³³
• Hematocrit (the share of your blood made up of red blood cells): Testosterone can raise it, so baseline and follow-up checks matter.³³ In an answer linking increased red cells with blood pressure, SynergenX's FAQ says "blood donation will usually correct this." That is the provider's wording, not a complete plan for evaluating an elevated result.⁸
• What the guideline says: The Endocrine Society calls for hematocrit checks before treatment, at 3–6 months, and then annually. Its clinician guidance calls for intervention, including holding treatment and evaluating causes, when hematocrit is above 54%. It flags a baseline hematocrit above 48%, or above 50% at high altitude, for further evaluation because of increased risk. These are clinician-management points, not instructions to change treatment yourself.³³

Ask: "At what hematocrit level would you pause or lower my dose — not just send me to donate blood?"

Other situations that need a doctor's evaluation first

The Endocrine Society also advises against starting testosterone in men with untreated severe sleep apnea, a recent heart attack or stroke (within six months), uncontrolled heart failure, breast or prostate cancer, or certain prostate findings. If any of these apply, get evaluated by primary care, urology, or endocrinology before you start with any TRT clinic.⁴

What the FDA says now

The FDA approves testosterone products only for men who have low testosterone together with an associated medical condition. In June 2026, the FDA asked makers to update testosterone labels, including removing a statement that safety and effectiveness hadn't been established for age-related low testosterone, and revising prostate information. A request to update labels is not proof that every product label has already changed.³⁴

The large TRAVERSE trial found similar rates of major cardiovascular events with testosterone gel and placebo: 7.0% vs. 7.3%. It studied 5,246 men aged 45–80 with symptoms, two low fasting testosterone results, and existing or high cardiovascular risk; it tested 1.62% testosterone gel, not SynergenX's injections or a compounded preparation. The study also observed more atrial fibrillation (an irregular heartbeat), acute kidney injury, and pulmonary embolism (a blood clot in the lungs) in the testosterone group.³⁵

None of that makes testosterone risk-free. The FDA's class-wide blood-pressure warning remains part of the safety picture, and its labeling change is not an endorsement of a clinic, an anti-aging program, or a compounded drug.³⁶²⁸ Blood pressure, blood counts, prostate health, and sleep apnea still need appropriate assessment and monitoring. See our TRT safety guide.

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What about the app, records, refills, and canceling?

SynergenX runs a patient app for appointments, check-in, and lab results. The two app stores display different ratings and privacy disclosures. We did not find SynergenX's full TRT cancellation, refund, or records-release terms on the public pages checked, so get them in writing before you pay.¹²¹³¹⁸

The app: useful, uneven, and oddly labeled

• What it advertises: Book and cancel appointments, check in early, view lab results, and (per its July 2026 update) confirm and pay for pharmacy orders. We did not test these features in a patient account.¹²
• Ratings: 3.9 stars on Apple (67 ratings); 2.8 on Google Play (80 reviews in the header, 79 in the review section). These are app scores, not clinic scores.¹²¹³
• Privacy labels don't match. On Apple, the developer says it collects no data from the app. On Google Play, a different developer name says the app may collect and share personal info and photos, and that "Data isn't encrypted." These are developer disclosures, not the results of a security audit by TRT Provider Guide. We didn't test the app's security. Before sending health details through it, ask which privacy policy applies and how your messages are protected; the labels alone do not establish a breach, HIPAA compliance, or the protection used for every message.¹²¹³

Refills and shipping

SynergenX's Self-Inject page uses arrival within 4–7 business days for the new-patient pathway and shipping within 4–7 business days for existing patients. Shipping and arrival are not the same, and neither wording establishes your next refill date.¹ Ask: What's the order cutoff? Who do I call if a box is late? What happens if I'm traveling?

Get a telephone backup for the app, the clinical contact for side effects, and the process for late or damaged shipments. We did not verify a guaranteed response time, an after-hours clinical service, or a no-gap refill promise.

Canceling and your records

We didn't find a complete, public cancellation or refund policy for SynergenX TRT on the pages checked. That means the notice period, minimum commitment, final charge, and treatment of pending medication orders remain unknown — not that cancellation is free or unrestricted.¹⁸

Ask for three things in writing before you pay:

1. How to end the program (not just cancel an appointment), and how much notice you need
2. Any final payment or charge after you cancel
3. How to get a full copy of your labs, visit notes, and prescription history — whether there's a fee, how long it takes, and who keeps the records if the clinic changes

For providers covered by HIPAA, federal rules generally give you access to medical and billing records, with limited exceptions. An unpaid treatment bill is not a valid reason to deny your copy; permitted copying charges are a separate issue.²⁰ App access and complete-record access are not the same thing.

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Who should choose something else — and what to choose instead?

Our judgment is that SynergenX is worth investigating for insured men near a clinic who want in-person care and confirm their coverage, costs, and care plan. It's a weaker fit if you cannot attend clinic visits, need a complete price upfront, have near-term fertility plans, or are not satisfied with the clinic's continuity answers. For those readers, your own doctor, a fertility specialist, or an online program may fit better; online care still depends on clinical need, state access, and the actual program rules.²¹⁴³¹

Find yourself here

SynergenX vs. two online options (checked September 29, 2026)

For all three, near-term fertility plans call for a fertility-focused clinician before a TRT decision.⁴³²

One honest tradeoff: Neither online program bills insurance for its care membership, and both Male Excel's description and Hone's featured injectable page identify compounded testosterone. If insurance or an FDA-approved commercial product matters most to you, start by checking a clinician and dispensing pharmacy that can meet that need. Ask why a compounded preparation is needed rather than an FDA-approved product; FDA says compounded drugs should be used when a patient's medical needs cannot be met by an approved drug.²⁸ SynergenX's non-compounded claim still needs product-level confirmation; Hone allows an outside pharmacy, but that does not guarantee a particular product or coverage.^2329247

Read the numbers before comparing them. Male Excel's $120 example includes thyroid medicine as well as testosterone. Thyroid medicine is a separate clinical decision, not a required part of TRT for everyone. Its medication page says both “60 day Supply” and billing every other month: six 60-day supplies cover 360 days, so an additional refill charge can fall within a 365-day budget. Ask for actual charge dates and any separate confirmation-test cost.³⁷

Hone's Plus page lists confirmation at $45 in a lab or $80 at home; its lab-schedule page lists $50 at a lab, while its retesting FAQ says clinically necessary retesting has no extra charge. Those descriptions do not resolve your bill. The $1,710–$1,745 range above uses the paid-confirmation scenarios; if Hone confirms no separate fee, $45 + 12 × $135 is $1,665 before medication. Its help center says injections start at $28 per vial, while the product page says $28 per month — get the exact prescription's price and supply period, rather than choosing the cheaper wording.^38394229

If an online program fits you better

Can't use a nearby SynergenX clinic — and want one membership with regular provider check-ins? First check that Male Excel serves your state and that its testing, pharmacy, and cost terms fit.

Male Excel's homepage says prescribing may occur, when clinically appropriate, before lab results arrive. That does not establish its full process for a new diagnosis. Ask how symptoms, two appropriately timed testosterone measurements, baseline safety checks, and any existing outside results are assessed before TRT is prescribed.²³²¹

→ Read our Male Excel review (includes disclosed affiliate links) · Read Male Excel's posted price components · Read its current state-availability FAQ

Male Excel says an in-person exam may still be required in some cases, depending on DEA and state rules. Its 90-day guarantee covers membership fees only, not medication; the terms require continuous participation, adherence, and a claim within 30 days after that period. Its terms also restrict prescriptions to contracted pharmacies. Get the cancellation cutoff, pending-order policy, and record-release process in writing.⁴³⁴⁴

Prefer follow-up lab testing built into a membership, with medication priced separately? See Hone's current plans and lab schedule, and resolve the confirmation-test charge before paying. → See Hone Health's Plus membership and linked lab schedule · Compare Male Excel and Hone Health (our comparison includes disclosed affiliate links)

Hone's cancellation policy separates membership from medication orders: canceling one does not automatically cancel the other. It does not refund partial membership months or medication orders already processed or shipped.⁴⁵

A questionnaire or payment never guarantees a prescription. A licensed clinician must decide whether treatment is appropriate after an adequate evaluation; paying for a membership does not replace the diagnostic workup.³¹²¹ For a care-model comparison rather than another provider review, read online TRT versus a local clinic.

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What should you ask SynergenX before you pay?

Ask the clinic to put its care plan, required visits, full first-year costs, medication source, and cancellation terms in writing. A written answer turns a promotional offer into a real comparison. Anything the clinic won't write down, treat as unknown — not free.

The 10-question SynergenX checklist

Print this or screenshot it. Take it to your free test. Ask for answers before agreeing to recurring care; a no-charge test is not a commitment to treatment.

1. Testing: Will you confirm my testosterone with a second early-morning, fasting test before I start — even if I pay cash? What does that second visit cost?
2. Plan: Is my quote for weekly in-clinic care or the at-home Self-Inject plan?
3. Insurance: Is each weekly injection billed as a separate visit? What will I pay per visit after my deductible?
4. Cash price: What is the full, itemized first-year cost — visits, labs, medication, supplies, shipping?
5. Follow-ups: How many follow-up visits and lab draws will I need in year one, and what does each cost?
6. Medication: What exact product will I get, who makes it, and which licensed pharmacy fills my syringes?
7. Safety: What blood-count monitoring and clinician-led response do you use if hematocrit rises?
8. Fertility: If I want children in the future, how would you handle that? Will you refer me to a specialist?
9. Leaving: How do I end the program, how much notice do you need, is there a minimum commitment or final charge, and what happens to prepaid fees or pending medication orders?
10. Records: How do I download or request my full records, and is there a fee or delay? Who keeps them if the clinic changes? What can you confirm about my clinic, prescriber, pharmacy, and continuity after the reported Chapter 11 filing?

Your first-year cost worksheet

Write the clinic, program, quote date, and 365-day period at the top of your copy. Enter each charge once. If a line is bundled, write which other line pays for it; do not enter the same fee twice.

A blank line isn't free. It's a question you haven't gotten an answer to yet.

Got your questions ready? Contact SynergenX about the free testosterone test and ask for your written quote before agreeing to ongoing care. → Contact SynergenX to book your visit (official SynergenX contact page)

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How did we check SynergenX?

On September 29, 2026, we checked accessible SynergenX program, insurance, FAQ, promotion, referral, location, and rebrand pages; the law firm's dated bankruptcy announcement; official medical and regulatory sources; and the review pages identified above. We could not access Low T Center's full pricing and insurance pages or independently inspect the current bankruptcy docket, and the accessible Yelp page was an older snapshot. We did not become patients, call as patients, visit a clinic, inspect a pharmacy, test a patient account, or complete checkout.

What we actually verified

Verification date: September 29, 2026

Confirmed in the accessible sources:

• Brown Rudnick's August 12 announcement reports the July 2 Chapter 11 filing and the court; this is not a verification of the latest case outcome.³
• SynergenX publishes the named insurance list and the statement that Self-Inject is self-pay only.²¹
• The promotions page advertises a free first test through December 31, 2026.⁶
• The FAQ states weekly visits for in-clinic men's TRT.⁸
• The Self-Inject and referral pages describe different numbers of pre-treatment lab evaluations.¹²²
• The referral terms exclude TRT and women's HRT from uses of the $250 credit.²²
• The combined clinic directory lists the ten states identified above; that is not an operating-status or licensing audit.⁵
• Apple and Google Play display the ratings, counts, features, and developer privacy labels reported above; the quoted reviews were attributable to their original pages.¹²¹³¹¹
• Birdeye labels the McKinney profile unclaimed and identifies the displayed review collection as Google reviews.¹⁰
• The domain-specific Trustpilot profile had no reviews.¹⁴
• The FDA's current testosterone information, the 2026 federal telemedicine extension, and the cited Endocrine Society recommendations support the regulatory and clinical distinctions on this page.^3431421

Provider-stated (we didn't independently confirm delivery of the service):

• That SynergenX's testosterone is non-compounded, and the exact product supplied to a patient
• The company's patient-volume description
• PSA checks every 6 months and estradiol monitoring
• Self-Inject shipping or arrival in 4–7 business days, as described for the two pathways
• The June assurance that providers and plans would not change because of the Low T Center name change
• Appointment speed, lab scheduling, app functions, and support access

Could not confirm:

• A complete SynergenX cash price, all required fees, or a complete first-year total
• Current Low T Center prices or whether they apply at SynergenX-branded clinics
• The exact manufacturer, preparing entity, and dispensing pharmacy for Self-Inject syringes
• Each assigned clinician's state license and prescribing authority
• Your individual insurance coverage, including Medicare or Medicaid acceptance
• The current status of every clinic or the latest court orders and case outcome
• A uniform repeat-testing protocol across all SynergenX payment plans, including repeat-test fees
• Full cancellation, refund, minimum-commitment, renewal, and records-release terms
• Guaranteed refill or clinical-response times, app security, or complete-record export

What each label means: A verified publication means we confirmed what an accessible source says, with its date and limits. That does not independently prove the provider delivered the service. Provider-stated means the company says it, but we didn't test it. Customer-experience signals are individual reviews — not proof of safety, results, or policy. Our take is editorial judgment based on the facts above.

Read our full method: How We Review TRT Providers. See also our editorial standards, privacy policy, and corrections policy. If you're a patient or clinic with a current written source that changes anything here, send it to us. Do not send private medical records or identifying health details through a general contact form.

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SynergenX TRT reviews: what are the frequently asked questions?

A review, a free test, and an accepted-insurance list answer different questions. These answers separate the advertised offer from your diagnosis, full bill, and care agreement so you can confirm what applies to your own clinic.

Is SynergenX legit?

SynergenX is a real Houston-based clinic business with a live directory and published insurance-billing information. The company says it owns Low T Center and HerKare. That does not verify your clinician's license, your coverage, or every clinic's current status; the reported July 2 filing makes written continuity answers and your own record copies useful.¹⁶⁵²³

How much does SynergenX TRT cost per month?

We did not find a complete SynergenX TRT cash price on the program and offer pages checked. Low T Center's pricing is not a verified substitute for a SynergenX quote. With insurance, cost depends on your plan and how it bills weekly visits, medication, and labs.⁷¹²

Is the SynergenX free testosterone test really free?

SynergenX advertises a free first testosterone test with a new-patient TRT appointment, through December 31, 2026.⁶ “Free” describes the advertised charge, not necessarily a measurement of free testosterone, a specific blood-test marker. Ask what measurement is included and what the appointment, second visit, confirmation labs, and follow-ups cost before you go; the offer is not a free complete diagnostic workup.

Does SynergenX take insurance?

Yes, for in-clinic care. It lists Aetna, several Blue Cross Blue Shield plans, UnitedHealthcare, GEHA, and others. The at-home Self-Inject plan is self-pay only. Medicare and Medicaid aren't on its list, so ask; an insurer's name on the list does not confirm your benefits.²¹

Do I have to go to SynergenX every week?

On the standard in-clinic plan, yes — SynergenX says weekly visits are needed. The at-home Self-Inject plan replaces weekly visits with monthly shipped syringes and clinic lab visits about every three months, but it's self-pay only.⁸¹

Is SynergenX testosterone compounded?

SynergenX says its testosterone cypionate is pharmaceutical-grade and non-compounded. We couldn't confirm the manufacturer, preparing entity, or dispensing pharmacy for its at-home syringes. Ask for the exact product and source before your first shot; a provider description is not an independent FDA-approval check.⁷²⁸

Did SynergenX go bankrupt? Is it closing?

Brown Rudnick's August 12 announcement reports that SynergenX Legacy Holdings filed for Chapter 11 on July 2, 2026, in the Southern District of Texas. We did not independently confirm the latest court outcome. Chapter 11 can allow continued operations but can also involve a sale or liquidation; confirm your own clinic's status directly.³¹⁹

What happens to my records if my clinic changes?

We couldn't find SynergenX's full records-release terms. Save the lab results you can access, and request visit notes and the rest of your record directly rather than assuming the app exports everything. Keep a written copy of your prescription, and ask who holds your records if the clinic changes.¹²²⁰

Is SynergenX the same as Low T Center?

They are related brands: SynergenX says it acquired Low T Center and HerKare in 2022 and announced a move to the SynergenX name in June 2026. Its June announcement said providers and treatment plans would stay the same because of the rebrand. That does not establish identical current prices, contracts, or clinic availability.¹⁶¹⁸

Does SynergenX diagnose low T from one test?

Its public descriptions conflict: the Self-Inject page describes a second full panel, while the referral page describes some starts after the first lab evaluation. That does not establish what your clinician will do. The Endocrine Society calls for symptoms or signs plus consistently low results confirmed with repeat early-morning, fasting testing; ask the clinic how it meets that standard for your evaluation.¹²²²¹

Does SynergenX offer online TRT?

Partly. The Self-Inject plan uses telehealth check-ins and shipped syringes, but it starts with clinic visits and requires clinic lab visits about every three months. That is not a fully remote plan, even while the federal telemedicine extension remains in effect.¹³¹

Can I get a gel, cream, or pellets instead of injections?

The men's TRT and Self-Inject pages checked describe testosterone cypionate injections. We did not verify a current men's gel, cream, or pellet program from those pages; women's treatment pages do not establish men's options. Ask your clinic for the exact product and format, or review our TRT treatment options guide before choosing a care model.⁷¹

Does SynergenX help with fertility?

We found no fertility-specific protocol on the men's TRT, FAQ, and Self-Inject pages checked; that does not prove a clinic offers no counseling. Testosterone can lower sperm production, and the Endocrine Society recommends against starting it in men planning fertility soon. See a reproductive urologist first.⁷⁸¹⁴

Can I cancel SynergenX TRT?

We didn't find complete public cancellation or refund terms on the pages checked. Before paying, ask in writing how to end the program, how much notice is needed, whether there's a final charge, and what happens to prepaid services or medication orders. Canceling an appointment may not end a recurring care agreement.¹⁸

What are the best SynergenX alternatives?

It depends on why SynergenX doesn't fit. Start by comparing your own in-network doctor when insurance matters, or reproductive urology when fertility is central. Male Excel or Hone Health are options to investigate only when the chosen program serves your state and its testing, product, pharmacy, and full cost fit your needs. Neither is an automatic substitute just because a SynergenX clinic is too far away.²³⁴⁰⁴

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Still not sure which TRT care route fits you? Use our free Find My TRT Path tool.

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Sources

Checked September 29, 2026. Source publication dates and snapshot limits are stated where relevant.

Footnotes

1. SynergenX, Self-Inject TRT. Provider-stated clinic testing, confirmation, first injection, follow-up, shipment/arrival wording, and self-pay restriction. ↩ ↩² ↩³ ↩⁴ ↩⁵ ↩⁶ ↩⁷ ↩⁸ ↩⁹ ↩¹⁰ ↩¹¹ ↩¹² ↩¹³ ↩¹⁴ ↩¹⁵ ↩¹⁶ ↩¹⁷ ↩¹⁸ ↩¹⁹ ↩²⁰ ↩²¹ ↩²² ↩²³ ↩²⁴ ↩²⁵ ↩²⁶ ↩²⁷ ↩²⁸ ↩²⁹ ↩³⁰ ↩³¹ ↩³² ↩³³ ↩³⁴ ↩³⁵ ↩³⁶ ↩³⁷

2. SynergenX, Insurance. Published plan list and coverage disclaimer; not a patient-specific benefits check. ↩ ↩² ↩³ ↩⁴ ↩⁵ ↩⁶ ↩⁷ ↩⁸ ↩⁹ ↩¹⁰ ↩¹¹ ↩¹² ↩¹³ ↩¹⁴ ↩¹⁵ ↩¹⁶ ↩¹⁷ ↩¹⁸ ↩¹⁹

3. Brown Rudnick, Brown Rudnick to Represent Unsecured Creditors in SynergenX Bankruptcy, August 12, 2026. Announcement by counsel to the creditors' committee; reports the July 2 filing, not the latest case outcome. ↩ ↩² ↩³ ↩⁴ ↩⁵ ↩⁶ ↩⁷ ↩⁸ ↩⁹ ↩¹⁰

4. Endocrine Society, Testosterone Therapy for Hypogonadism: Clinical Practice Guideline, 2018. Diagnostic standards, fertility restrictions, and conditions requiring further evaluation. ↩ ↩² ↩³ ↩⁴ ↩⁵ ↩⁶ ↩⁷ ↩⁸ ↩⁹ ↩¹⁰ ↩¹¹ ↩¹²

5. SynergenX, Clinic directory. Combined brand/location listings; directory presence does not independently establish current services or licenses. ↩ ↩² ↩³ ↩⁴ ↩⁵ ↩⁶ ↩⁷ ↩⁸ ↩⁹

6. SynergenX, Promotions. Advertised new-patient testosterone-test offer and December 31, 2026 expiration. ↩ ↩² ↩³ ↩⁴ ↩⁵ ↩⁶ ↩⁷ ↩⁸ ↩⁹

7. SynergenX, Testosterone Replacement Therapy for Men. Care model, non-compounded description, services, and FSA/HSA statements; not an independent product or pharmacy audit. ↩ ↩² ↩³ ↩⁴ ↩⁵ ↩⁶ ↩⁷ ↩⁸ ↩⁹ ↩¹⁰ ↩¹¹ ↩¹² ↩¹³ ↩¹⁴ ↩¹⁵ ↩¹⁶ ↩¹⁷ ↩¹⁸ ↩¹⁹ ↩²⁰ ↩²¹

8. SynergenX, Frequently Asked Questions. Provider statements about weekly visits, estradiol, PSA, red blood cells, and blood donation. ↩ ↩² ↩³ ↩⁴ ↩⁵ ↩⁶ ↩⁷ ↩⁸ ↩⁹ ↩¹⁰ ↩¹¹ ↩¹² ↩¹³ ↩¹⁴ ↩¹⁵ ↩¹⁶ ↩¹⁷

9. CDC, About Blood Clots, and Signs and Symptoms of Stroke, updated May 19, 2026. Emergency symptoms and the distinction between prompt assessment for possible leg clots and emergency care for possible pulmonary embolism or stroke. ↩

10. Birdeye, SynergenX McKinney: TRT & Weight Loss Clinic. September 29 snapshot: 4.8, 129 reviews, unclaimed profile, Google-review collection; includes Zak Shimon's individual billing report. ↩ ↩² ↩³ ↩⁴ ↩⁵ ↩⁶

11. Yelp, SynergenX McKinney. Accessible page snapshot labeled February 2026: 3.5, 20 reviews. Aaron C.'s quoted staff comment is dated December 2, 2017; Bart S.'s timing complaint is dated January 17, 2026, with a business response January 20. Not a live September rating verification. ↩ ↩² ↩³ ↩⁴ ↩⁵ ↩⁶ ↩⁷ ↩⁸

12. Apple App Store, SynergenX. September 29 snapshot: 3.9, 67 ratings; Rammie M. review dated June 24, 2025; advertised functions, version history, and developer privacy disclosure. ↩ ↩² ↩³ ↩⁴ ↩⁵ ↩⁶ ↩⁷ ↩⁸ ↩⁹ ↩¹⁰ ↩¹¹

13. Google Play, SynergenX. September 29 snapshot: 2.8; 80 reviews in the header and 79 in the review section. Stephonie Woodard review dated August 15, 2026; developer-provided Data safety statements. ↩ ↩² ↩³ ↩⁴ ↩⁵ ↩⁶ ↩⁷ ↩⁸ ↩⁹

14. Trustpilot, synergenxhealth.com. September 29 snapshot: unclaimed profile with no reviews. ↩ ↩²

15. SynergenX, Reviews. Retrieved text displayed a review shortcode; the underlying collection could not be assessed. ↩

16. SynergenX company announcement via Business Wire, SynergenX, Low T Center and HerKare Clinics Unite Under the SynergenX Brand, June 11, 2026. Company history, ownership, and rebranding claims. ↩ ↩² ↩³ ↩⁴ ↩⁵

17. SynergenX company announcement via Business Wire, SynergenX Expands New Brand with Southwest San Antonio Relocation, September 24, 2026. Announces the address and September 26 celebration; identifies Wayne Wilson as founder and CEO. ↩ ↩²

18. SynergenX, Low T Center and HerKare Are Transitioning to SynergenX, published June 12 and updated June 15, 2026. The continuity assurances are the company's June rebranding statements. ↩ ↩² ↩³

19. U.S. Courts, Chapter 11 — Bankruptcy Basics. General explanation of operations and plans, including liquidating Chapter 11 plans; not a determination of this company's outcome. ↩ ↩² ↩³

20. U.S. Department of Health and Human Services, Medical Records. Access rights for records held by HIPAA-covered providers, limits, unpaid treatment bills, and copying charges. ↩ ↩² ↩³

21. Endocrine Society, Statement on Testosterone Replacement Therapy, July 16, 2026. Reiterates symptoms, at least two early-morning fasting measurements, and individualized evaluation. ↩ ↩² ↩³ ↩⁴ ↩⁵ ↩⁶ ↩⁷ ↩⁸

22. SynergenX, Refer a Friend, Get $250!, updated August 3, 2026. Referral exclusions and the published first-lab/second-lab descriptions by payment pathway. ↩ ↩² ↩³ ↩⁴ ↩⁵

23. Male Excel, Homepage and FAQs. Provider-stated compounded products, check-ins, laboratory schedule, payment model, excluded states, and prescribing-before-results language; not an independent assessment of its clinical practice. ↩ ↩² ↩³ ↩⁴ ↩⁵ ↩⁶ ↩⁷ ↩⁸ ↩⁹ ↩¹⁰ ↩¹¹

24. Hone Health, Can I use my own pharmacy?. Outside-pharmacy option and limits on insurance/prior-authorization assistance. ↩ ↩² ↩³

25. SynergenX, Acute Care Telemedicine. Lists a $59 cash-pay visit; this is not a TRT program price. ↩

26. SynergenX, Two Paths to Women's Hormone Testing, updated August 4, 2026. The $99 price applies to the women's evaluation offer, not men's TRT. ↩

27. SynergenX, TRT and Hard Times: Why TRT Is Worth It. Source of the provider's under-$50 statement; it does not state a billing period or provide an itemized patient quote. ↩

28. FDA, Understanding the Risks of Compounded Drugs, and Compounding and the FDA: Questions and Answers. Approval, medical-need, preparation, and oversight distinctions. ↩ ↩² ↩³ ↩⁴ ↩⁵ ↩⁶

29. Hone Health, Injectable testosterone product page. Featured product is explicitly described as compounded and not FDA-approved; displayed price wording differs from the help center's per-vial description. ↩ ↩² ↩³ ↩⁴

30. Drug Enforcement Administration, Drug Scheduling. Testosterone is listed as a Schedule III substance. ↩

31. U.S. Department of Health and Human Services, DEA and HHS extend telemedicine prescribing flexibilities through 2026. Temporary extension through December 31, 2026, subject to its conditions and applicable federal and state law. ↩ ↩² ↩³ ↩⁴ ↩⁵ ↩⁶

32. AUA/ASRM, Diagnosis and Treatment of Infertility in Men, Part II, 2021, especially the testosterone and sperm-production discussion. For recovery uncertainty, Kohn and colleagues, Age and duration of testosterone therapy predict time to return of sperm count after human chorionic gonadotropin therapy, Fertility and Sterility, 2017;107:351–357.e1. This retrospective study concerned men with infertility after testosterone use; it does not supply an individual prediction or guarantee. ↩ ↩² ↩³

33. Bhasin and colleagues, Testosterone Therapy in Men With Hypogonadism: An Endocrine Society Clinical Practice Guideline, Journal of Clinical Endocrinology & Metabolism, 2018;103:1715–1744. Full-text monitoring tables and hematocrit discussion. ↩ ↩² ↩³

34. FDA, Testosterone Information, content current as of June 23, 2026. Approval context and June 2026 labeling-change requests. ↩ ↩²

35. Lincoff and colleagues, Cardiovascular Safety of Testosterone-Replacement Therapy, New England Journal of Medicine, 2023;389:107–117. Original TRAVERSE trial: population, gel formulation, primary events, and additional adverse-event observations. ↩

36. FDA, FDA issues class-wide labeling changes for testosterone products, February 28, 2025. Source for the class-wide blood-pressure warning; read alongside the later June 2026 testosterone information, not as the final word on the age-related labeling request. ↩

37. Male Excel, HRT Costs. Consultation and membership charges, testosterone-plus-thyroid price examples, shipping exclusion, and 60-day/every-other-month descriptions. Article subtotals are calculations under the stated assumptions, not complete patient quotes. ↩ ↩² ↩³ ↩⁴

38. Hone Health, Hone Plus Membership — Men's Hormone Optimization with Labs. Membership, initial testing, confirmation-test price, included follow-up, and separate medication charges. ↩ ↩² ↩³ ↩⁴ ↩⁵

39. Hone Health, Men's Plus HRT Lab Testing Schedule for TRT Patients. Follow-up schedule and confirmation-test pricing that differs from the Plus membership page. ↩ ↩² ↩³ ↩⁴

40. Hone Health, Service Availability by State (2026). Program-specific availability, not a single national eligibility promise. ↩ ↩² ↩³

41. Hone Health, Hone Premium Membership — Full Clinical Insight for Men. $155 monthly membership and separate startup/medication charges. ↩

42. Hone Health, Why Retesting and Confirmatory Testing Are Important. Testing description and no-extra-charge wording whose application needs clarification alongside the paid-confirmation pages. ↩ ↩²

43. Male Excel, Excel Advantage Guarantee Terms and Conditions. Membership-only refund scope, participation conditions, claim deadline, and possible in-person requirement. ↩

44. Male Excel, Terms and Conditions. Contracted-pharmacy and program terms. ↩

45. Hone Health, Order Cancellation and Refund Policy. Separate membership and prescription cancellations; partial-period and processed-order limits. ↩