Frequently Asked Questions

Do I need to have a primary care provider?

Yes. We require all patients to maintain a relationship with a primary care provider (PCP) for general medical care and ongoing health management. While we are happy to collaborate and share lab results or updates with your PCP, our focus is on specialized areas that most primary care offices don’t have time to address — like hormone optimization, weight loss, peptides, and metabolic wellness.

What payment options do you accept?

Top Tier Wellness is a fee-for-service (cash pay) clinic. We do not accept insurance for consultations or treatments. However, labs can typically be billed to your insurance.We accept all major credit cards, debit cards, checks, and most FSA/HSA accounts. It is your responsibility to verify that your plan covers our services.

Do you offer free consultations?

We do not offer free consultations with our licensed medical providers. However, we’re happy to schedule a brief discovery call with a member of our team to answer questions about our process, pricing, and whether Top Tier is the right fit for your goals — before booking a formal consult.

Can prescriptions be sent to a retail pharmacy?

Yes, in some cases. Oral medications and select hormones may be sent to your preferred retail pharmacy and covered by insurance. However, compounded medications, bioidentical hormones, peptides, and most injectables must be ordered through a compounding pharmacy and are typically not insurance-eligible.

What does the initial consultation include?

Your first visit includes a comprehensive medical intake, full lab panel, body composition analysis, and a personalized discussion with a licensed provider to develop your protocol. This ensures your treatment plan is rooted in real data — not guesswork.

How long do most patients stay on treatment plans?

• Treatment duration varies based on your individual goals and the type of therapy. Most patients start seeing meaningful results within 3 to 6 months.
• Weight loss protocols (including GLP-1s) may be continued for 6–12+ months, especially for patients with significant weight loss goals.
• Hormone optimization is often a long-term therapy, maintained safely over years for ongoing symptom relief and health benefits.
• Peptide therapy is typically prescribed in 10–12 week cycles, depending on the targeted outcome and how your body responds.

We personalize every plan based on your labs, goals, and progress — and review it regularly to ensure the best outcomes.

How long do most patients stay on treatment plans?

Yes. All care at Top Tier Wellness is overseen by a licensed Physician Assistant (PA), not med spa techs or unlicensed staff. We practice evidence-based medicine, and every protocol is designed for safety, effectiveness, and real clinical outcomes.

Do you work with patients outside of Littleton or Denver?

We currently serve patients across Colorado via in-person consultations. Some treatments may require periodic in-person visits, which we’ll review during your initial consultation.