Archives: FAQs

How much does Plume’s letter writing service cost?

Plume’s letter writing service offers a one-time letter of support for surgery for $150. This includes a medical evaluation; a letter issued within one week of your appointment; and access to your care team for resources and recommendations. This service does not include gender-affirming hormone therapy. Plume’s GAHT membership includes letters at no cost.

How do I update my credit card?

It’s easy! Just message your care team with your new card number, expiration date, three digit code, and if your billing address has changed.

How do I switch to delivery?

Plume works directly with a delivery pharmacy. Switching to delivery means you only contact us with issues and there’s no travel or wait time. Your care team will message you when it’s time to place your new Rx order. Here’s what you need to know: We do not deliver injectable estradiol. You cannot use insurance …

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How do I get an Rx refill?

Relax, your care team will remind you when it’s time to refill your Rx. You will get a message in Spruce that a new refill is being sent either to your local pharmacy or our delivery pharmacy. If anything happens and you need a refill sooner than expected, reach out to discuss it with your …

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How do I change my dose?

You can discuss it with your provider anytime! Send a message to your provider in the Spruce app.

How do I perform an injection?

Injections can be a bit tricky at first, but we’re confident you will get the hang of it with practice. Message your care team in Spruce to learn or be reminded of how to perform either a subcutaneous or intramuscular injection. We’re always here to support you.

Blood work – when, how, and why

Blood work (aka labs) are an important part of monitoring your health and progress. We recommend doing labs every 3 months. Your membership includes the cost of blood work which is conducted at your local Quest center*.  Your care team will remind you when it’s time for labs. Instructions for scheduling will be in the …

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