AquaVitality, also presented as AquaVitae on its website, offers hormone services through regional clinics. That office-based arrangement may interest someone who wants a physical appointment and continuing contact with a local practice. It also brings a different set of practical questions from a prescription-delivery service.
We checked the practice's hormone, pricing and refund pages on October 13, 2026. This review describes those public terms; we have not attended an appointment, inspected a pharmacy or measured patient outcomes. A membership menu cannot decide whether hormone treatment belongs in an individual's care.
Establish the office and the care relationship
Begin with the location you would actually attend. The practice lists offices in South Carolina, Georgia and Florida, with a Charlotte-area listing in Fort Mill, South Carolina. Confirm the address, treating clinician and services available there. A network heading does not guarantee that every office offers every procedure or that remote follow-up is possible from your state.
Ask how the practice communicates with an existing primary-care clinician and where a physical examination or laboratory draw happens. Our appointment checklist also works for preparing a clinic visit: bring your medicine list, relevant history and the concerns you want assessed. It is reasonable for that assessment to lead to further evaluation instead of a prescription.
Separate the first visit from ongoing charges
The pricing page advertises a $199 consultation that includes a physical examination, InBody assessment and an hour with a physician. It separately lists a $220 monthly BHRT plan with hormone options, supplies, prescription management, unlimited visits and InBody assessments. Those are published inclusions, not a verified personal invoice or assurance that all outside laboratory charges are covered.
Request a written estimate identifying the first payment, ongoing amount and anything billed elsewhere. Ask whether the selected route changes the cost and whether a procedure charge applies. The HRT cost guide helps distinguish recurring access from medicine, testing and one-time costs without assuming that an advertised package covers everything.
One package has inconsistent public pricing
The checked plans page puts the BHRT-plus-peptide package at $520 per month. The separate hormone-treatment page displays $480 for that combination. We cannot resolve that difference from the public material, so neither amount should be treated as a confirmed quote for a new patient. Ask the practice which offer applies and what commitment it requires.
The disagreement concerns that combined package; both pages support a $220 base BHRT display. A peptide add-on also needs a separate clinical explanation. A longer inclusion list or a higher-priced tier is not evidence that more medicines would help a particular person, and the price difference does not measure treatment quality.
Identify what would actually be prescribed
The hormone page describes custom-compounded treatment and names estrogen, progesterone and testosterone among a broader hormone menu. Its route descriptions include creams, pills and injections, while the clinic also promotes pellets. These broad categories do not identify the preparation that a clinician would propose for you, its pharmacy or its full ingredients.
FDA explains that compounded drugs are not FDA-approved and do not undergo the agency's premarket assessment of safety, effectiveness and quality. Read our bioidentical and compounded HRT guide before treating bioidentical as an approval category. Ask why a compound is being considered and whether an approved product could meet the same clinical need.
Keep the symptom and the treatment connected
A broad wellness consultation can cover several concerns, but that does not establish that they all arise from a hormone deficiency. Ask which symptom the proposed medicine is intended to address and how the clinician would judge its benefit. Claims that natural or personalized hormones are inherently safer, or prevent major diseases, need evidence beyond the clinic's own marketing.
If systemic estrogen is proposed and you have a uterus, ask how the endometrium will be protected. Our progesterone guide explains the question without choosing a regimen. Tell the clinician about unexplained bleeding, relevant medical conditions and other medicines. A convenient clinic or familiar hormone name does not remove the need for an individual risk discussion.
Understand procedures and the exit terms
A pellet service involves a procedure and a different adjustment process from stopping a daily preparation. Ask about insertion, complications, follow-up and what happens if the treatment is poorly tolerated. We have not verified a particular pellet's identity or regulatory status; neither should be inferred from the practice offering other prescription forms.
The public refund page generally treats prescription sales as final, with a process for filling errors. That is not a complete cancellation policy for a recurring care plan. Obtain the membership terms, record-transfer process and correct contact for the chosen clinic. Compare Bailey Health Solutions for another physical-practice model or Midi for scheduled virtual care, keeping each provider's actual quote and responsibilities separate.
FOLLOW THE EVIDENCE
Sources & further reading
Provider pages support service and price descriptions. Medical guidance supports treatment explanations. Neither is a first-hand review of patient outcomes. Latest source check: October 13, 2026.
- AquaVitality: plans and pricing (checked October 13, 2026) ↗
- AquaVitality: bioidentical hormone service (checked October 13, 2026) ↗
- AquaVitality: pellet treatment description (checked October 13, 2026) ↗
- AquaVitality: prescription refund policy (checked October 13, 2026) ↗
- FDA: understanding compounded-drug risks ↗
- ACOG: hormone therapy for menopause ↗