ACT 2 Health: Services, Costs and How It Works

What is ACT 2 Health?

ACT 2 Health is a telehealth service built around midlife. Its FAQ describes it as "a clinician-led telehealth service for adults in midlife, focused on metabolic health, hormone optimization, peptide therapy and longevity care." It says it is for men and women "in their forties, fifties and beyond," and it does not treat children.

The idea the whole site is organized around is measurement before treatment. The home page puts it as "We measure first. Then we act." In practice that means most plans start with a blood panel, a clinician reads it alongside your history, and only then is a treatment considered. The company says a treatment is prescribed only when a licensed clinician decides it is medically appropriate, and that being told no costs nothing.

Everything except the blood draw happens remotely: the assessment, the visit with a clinician (by phone or video), the plan, follow-ups and messaging. Approved prescriptions ship from licensed pharmacies to your door. There is no clinic to visit.

The site has separate entry points for women, men, former athletes and executives, and its treatments page lists 38 items.

Who owns or runs ACT 2 Health?

The site names A.J. McGunigal as founder. Its About page describes him as a former Division 1 college athlete who spent more than two decades as a management consultant to Fortune 15 companies and also built a real estate sales and development firm. It says he started ACT 2 after losing both of his parents by the age of 49.

The company is clear that the founder is not the doctor. The About page says: "A.J. does not write prescriptions or review your labs." Clinical decisions are made by the licensed clinicians listed on the site.

The legal set-up is spelled out in the footer of every page. ACT 2 Health describes itself as "a technology and administrative services platform." Medical services are provided by licensed professionals "practicing through an independent professional entity," and prescriptions are dispensed by licensed pharmacies, "including licensed compounding pharmacies." The footer adds that ACT 2 Health "does not practice medicine and does not dispense medication." The site does not name the professional entity or a street address for the company. If either matters to you, ask before you pay.

Is ACT 2 Health legit?

People ask this about most online health services, especially ones that offer compounded medications and peptides. Here is what can be checked:

• Named clinicians with checkable numbers. Seven of the eight clinician profiles list an NPI number, and six list state medical license numbers, with links to verify them. We looked up all seven listed NPI numbers in the federal NPI registry on 19 October 2026. Each was active, matched the named person, and (where the site lists licenses) showed the same license numbers.
• Prices published in full. The pricing page lists every treatment with its price and how it is billed, and the company says prices are the same in every state.
• Plain status labels. Every compounded item is marked "Compounded," with the statement that compounded medications are not FDA-approved. Lab-developed tests are marked as such and described as not cleared or approved by the FDA.
• A live visit before prescribing. The company says a live phone or video visit with a clinician is required before anything is prescribed, and that there is "no fully asynchronous, add-to-cart route."
• A written editorial policy. It says writers are not clinicians, that a physician reviews clinical pages and the reviewed pages carry a dated review line, and that it publishes no dosing information. When we checked it reported 288 reviewed clinical pages, with one more in the queue.
• Published terms. Terms of Service and a Telehealth Medical Consent (both last updated 29 July 2026) are on the site.

What you won't find: a physical clinic, a published company address, or review counts. We did not find enough independent review history to quote any.

Who are the clinicians?

The site lists eight clinicians. The credentials below are as the site states them. "NPI checked" means we confirmed the number is active in the federal NPI registry under that name.

The editorial policy says women's hormone content is reviewed by a board-certified OB-GYN, and metabolic and longevity content by a physician who practices in that area. The site also says you are matched to a clinician licensed in the state where you are, so the clinician you see depends on your location.

What does ACT 2 Health offer?

Below is the menu as the site lays it out. Every item is offered only to eligible patients after a clinical evaluation. The site describes what each one is; this guide does not say whether any of them will work for you.

Weight loss. The weight loss page describes a five-step loop (measure, plan, act, track, adjust). It says medication is "one possible tool," that some members use a nutrition, strength and sleep plan instead, and that progress is tracked by body composition, metabolic markers, and energy, sleep and strength. It does not publish outcome figures for its compounded GLP-1 medications. Its disclaimer says trial results "apply only to the FDA-approved branded medication" and not to compounded versions.

Women's hormone therapy. The page carries a medical review line from Dr. Niles dated 26 August 2026. It lists what is measured first (a hormone panel, thyroid, metabolic and lipid markers, iron status and a full history) and has a section on who hormone therapy isn't right for.

Men's testosterone therapy. The site says testosterone is confirmed low on more than one morning draw before treatment is considered, that there is "no blanket cutoff," and that a live visit is required before any prescription. Baseline markers it lists include total and free testosterone, LH and FSH, hematocrit and CBC, PSA, thyroid, metabolic markers and estradiol. It compares two routes: testosterone replacement, and enclomiphene (compounded, not FDA-approved), which it describes as supporting your own production. It tells men who may want children in the next few years to say so at the first visit.

Peptides and recovery. The Repair & Recovery page opens with a caveat: "the evidence is largely preclinical and none of them is FDA-approved." It says the rules on whether pharmacies may compound these peptides "were still being revisited as of September 2026." The site describes any peptide use as "a monitored trial with a defined endpoint." It says that if a baseline panel finds a more common cause (iron, thyroid, testosterone, sleep), that cause is treated instead.

For executives. The site has an unusually frank page on executive physicals. It says that if your company pays for one, take it. It also says: "We have no imaging, no physical examination and no stress testing." It positions ACT 2 as the measurement and follow-up layer between annual physicals, not a replacement for one.

Lab testing, test by test

Lab work is the starting point for most plans, and it can also be bought on its own. Blood is drawn at a local patient service center, and the company says results usually return to your clinician within days.

The site says lab-developed tests are run by a single CLIA-certified laboratory and have not been cleared or approved by the FDA. It also notes that it is "continuing to expand physician involvement in reviewing the full report," and that the clinician who prescribes a treatment reviews the labs that treatment depends on.

If you already have recent bloodwork from your own doctor, you can usually upload it. That matters most in New York, New Jersey and Rhode Island, where ACT 2 cannot order labs directly.

How much does ACT 2 Health cost?

ACT 2 publishes every price. The pricing page says: "No membership fee, the same price in every state, and no charge to find out whether you are eligible." Prices are confirmed at your eligibility review. These are the prices published on 19 October 2026.

What the price includes. For most treatments, the company says the monthly price covers both the clinical care and the medication. Lab work is priced separately, except in the hormone programs (first month of TRT and of women's HRT, and the enclomiphene program), which include the baseline panel. Shipping and taxes, where they apply, are shown before you pay.

A worked example from the site. The TRT cost page estimates a first year of $2,087: $249 for month one, $1,639 for eleven monthly refills, and one $199 follow-up panel. It adds that a second follow-up panel would bring the year to $2,286. That assumes monthly billing and nothing else added.

Discounts. A welcome page offers new patients 10% off their first order, with the code sent by email. It excludes lab panels and diagnostics, CGMs and branded GLP-1 medication. It cannot be combined with other promotional codes or discounts. Semaglutide and tirzepatide injections separately list $100 off the first month for new patients. Ask which one applies to you.

Does ACT 2 Health take insurance, HSA or FSA?

Insurance: no. The FAQ says ACT 2 Health "is a direct-pay service and does not bill insurance for its treatments or lab panels." It does not bill Medicare or Medicare Advantage either. It adds that compounded medications and proactive lab panels are generally not covered anyway.

If your insurance covers a branded GLP-1: the Weight Loss Program Membership (from $75 a month) exists for this case. You get the medication through your own pharmacy benefit, and ACT 2 charges only for the clinical care around it. The site says the membership covers a live visit with a clinician, monitoring and plan review, and body-composition and biomarker tracking.

If your insurance covers testosterone: the TRT cost page itself says someone with good coverage "may pay less through insurance than through ACT 2," and suggests pricing the insured route first.

HSA and FSA: the company does not say its services qualify. Its FAQ says eligibility "depends on your plan, your administrator's interpretation and current IRS rules," and some administrators ask for a letter of medical necessity. Check with your plan administrator before you pay.

How it works, step by step

1. Take the online assessment. A short, free, confidential questionnaire about your symptoms, history and goals. The company says most people finish in a few minutes, and it does not commit you to anything. No referral is needed.
2. Clinician review. A licensed clinician reviews your answers and, where appropriate, orders baseline labs. You visit a local patient service center for the blood draw, or upload recent results from your own doctor.
3. Live visit. A live phone or video visit with a clinician is required before anything is prescribed. For testosterone, bloodwork and a live visit are both required. Video visits need a camera; the FAQ says a phone call works where video isn't practical.
4. Your plan. If a treatment is appropriate, you get a plan that names it, explains the reasoning and gives the price before you commit. If nothing is appropriate, the company says the clinician tells you so and suggests another route, such as further testing or in-person care.
5. Delivery. Approved prescriptions ship "discreetly" from licensed pharmacies, with written guidance on use and storage. Delivery timing is not guaranteed.
6. Follow-up and adjustment. Follow-ups and repeat labs run on a cadence your clinician sets. Treatment may be continued, adjusted or stopped based on the results and how you feel. You message your clinician through the secure patient account between visits.

The company does not publish a guaranteed turnaround; it says timing depends mostly on whether lab work is needed. For the first visit, it suggests bringing your medication and supplement list, recent lab results and notes on your symptoms.

Which states does ACT 2 Health serve?

The company says care is delivered "by healthcare professionals licensed in the state where the patient is located," and that "services are available only in states where our providers are licensed." You are matched to a clinician licensed where you are physically located at the time of the visit, so the physician you see may differ from the one a friend in another state sees.

On the profiles we checked, the listed medical licenses cover 14 states: Arizona, California, Florida, Georgia, Michigan, Missouri, New York, Ohio, Pennsylvania, South Carolina, Texas, Utah, Virginia and Washington. Two profiles list no license states. Before you pay, ask the care team which clinician licensed in your state would see you.

Other availability points the site makes:

• Lab testing is not currently available in New York, New Jersey or Rhode Island. The company says clinical care is still available there, and you can upload recent bloodwork instead.
• Travel: the state you are in at the time of a visit governs it, so tell the care team in advance.
• Moving: your records move with you, and care may transfer to a clinician licensed in your new state at no charge.
• Outside the US: not available. Clinicians are US-licensed and can treat only patients physically in a US state.

What "compounded" means on the site

Many of ACT 2's medications are labeled "Compounded." That includes its semaglutide and tirzepatide, the women's hormone preparations, the enclomiphene tablet, all the peptides, and NAD+. The site's own definition: a compounded medication is "prepared by a licensed compounding pharmacy under a prescription written for you." It also says, on every page that offers one, that compounded medications "are not FDA-approved, are not reviewed by the FDA for safety or effectiveness, and are not equivalent to or interchangeable with any branded product."

Some items are not compounded: metformin, rapamycin, B12 injection, daily tadalafil and beta blockers carry no "Compounded" label. The site describes TRT as "prescription medication, dispensed as manufactured." Compounded preparations ordered through ACT 2 are dispensed by its partner compounding pharmacies and, per the FAQ, cannot be transferred to a retail pharmacy.

The Telehealth Medical Consent says the clinician should explain the regulatory status, risks and alternatives of any proposed treatment, and that you may decline it.

What ACT 2 Health does not do

The site is direct about its limits. According to its FAQ and consent pages, ACT 2 Health does not provide:

• Emergency or urgent care. For chest pain, trouble breathing, stroke signs, severe allergic reactions or suicidal thoughts, call 911.
• General primary care or pediatric care. It says it complements your own doctor rather than replacing one, and encourages you to tell your regular doctor what you take.
• Physical examinations, imaging or stress testing. Its executive-physical page says it does none of these.
• A sleep apnea diagnosis. It says it screens for sleep apnea and refers you for testing.
• Care outside the United States.
• Dosing information on its website. Dosing is set by your clinician.

Billing, cancellation and refund terms

• Subscriptions. Monthly treatments recur. The FAQ says "every subscription can be canceled at any time," and multi-month packages are paid in full when ordered.
• Cancellation and refunds. No single sitewide refund policy is published. The Terms of Service say cancellation terms and refund eligibility are shown at checkout or enrollment, and refunds are given "only as stated in the applicable purchase terms or as required by law." Read the terms shown for your specific treatment.
• If you're declined. You are not charged if a clinician decides a treatment isn't right for you. Labs already drawn are a separate purchase.
• Stopping treatment. The site says some treatments should be tapered rather than stopped abruptly, so talk to your clinician first.
• Price changes. The FAQ says catalog prices can change and there is no published price lock.
• Accounts. One person per account; partners each start their own assessment. Medication must not be shared.
• Privacy. Health information is handled under a Privacy Policy and Notice of Privacy Practices, both linked in the footer.

How it compares with other options

This compares the structure of each option, not results. Which kind of care fits you is a decision for you and a clinician.

Who it suits, and who should look elsewhere

Questions to ask before you start

1. Which clinician licensed in my state would see me, and can I see their license?
2. Is the treatment I'm considering compounded or FDA-approved, and what does that mean for me?
3. Which labs do I need first, what will they cost, and how often will they be repeated?
4. What are the cancellation and refund terms for this specific treatment?
5. Does the 10% welcome code or the $100 first-month discount apply to my order?
6. If my insurance covers a branded medication, would that route cost less?
7. Will my HSA or FSA administrator need a letter of medical necessity?

How to get started

1. Read the pricing page and the how it works page.
2. Check the states we serve page and the physician profiles for your state.
3. Take the free online assessment ("See if you're eligible" on any page).
4. Questions first? Call (415) 854-5012 or email support@act2health.com.

Visit ACT 2 Health

Terms you'll see on the site

• Compounded: a medication prepared by a licensed compounding pharmacy for one patient's prescription. Not FDA-approved.
• Lab-developed test: a test designed and run by a single laboratory, not cleared or approved by the FDA.
• CLIA: the federal certification program for clinical laboratories.
• GLP-1: a class of medications (such as semaglutide) that act on the GLP-1 receptor. Tirzepatide acts on both GLP-1 and GIP receptors.
• HRT / TRT: hormone replacement therapy (here, for women) and testosterone replacement therapy (for men).
• ODT: orally dissolving tablet.
• NAD+: nicotinamide adenine dinucleotide, a coenzyme found in every cell.
• Peptide: a short chain of amino acids. The site groups BPC-157, TB-500, sermorelin and others under peptide therapy.
• NPI: National Provider Identifier, a federal ID number for health care providers, searchable in a public registry.
• Patient service center: a local lab location where blood is drawn.

Frequently asked questions

Sources

All pages checked on 19 October 2026.

1. ACT 2 Health, home page: act2health.com
2. How it works: act2health.com/how-it-works
3. About us: act2health.com/about-us
4. Physicians: directory, Krasne, Miller, Niles, Hechtman, Reichman, Coleman, Javaheri, Malamud
5. Pricing: act2health.com/pricing
6. TRT cost: act2health.com/pricing/trt-cost
7. Semaglutide cost: act2health.com/pricing/semaglutide-cost
8. New-patient offer: act2health.com/welcome
9. FAQ: index, Getting Started, Pricing and Insurance
10. States we serve: act2health.com/states-we-serve
11. Contact: act2health.com/contact
12. Editorial and medical review policy: act2health.com/editorial-policy
13. Treatments: all treatments, Comprehensive Lab Panel, Galleri test, Weight Loss Program Membership
14. Service pages: Lab testing, Weight loss, Hormone optimization, Women's HRT, Men's TRT, Peptide therapy, Repair & recovery, Sexual wellness, NAD+
15. Executive physicals: act2health.com/for-executives/executive-physicals
16. Compare pages index: act2health.com/compare
17. Terms of Service: act2health.com/legal/terms-of-service
18. Telehealth Medical Consent: act2health.com/legal/medical-consent
19. NPPES NPI Registry (CMS), lookups for the seven NPI numbers listed on the profiles: npiregistry.cms.hhs.gov