Nuvia Total Wellness
Async · Cash-pay · No memberships

Care that fits between
meetings, not around them.

Answer a few questions, hear back from a licensed NP the same day, and get treatment sent to your door or pharmacy — no waiting rooms, no video calls to schedule, no subscription required.

<24hr
typical response time
$0
membership fee
10
states licensed
Example visit

UTI Treatment

Same-day async visit. If it's a straightforward UTI, treatment is sent to your pharmacy — often within hours.

$75 one-time visit

How an async visit works

01

Tell us what's going on

A short intake — symptoms, history, photos if relevant. Takes about five minutes, any time of day.

02

An NP reviews it personally

No queue of strangers — every intake is reviewed by a licensed nurse practitioner, usually same-day.

03

Treatment, on your terms

Prescription sent to your pharmacy, or medication shipped directly. Message your NP anytime with questions.

Where we treat

Nuvia's nurse practitioner is licensed in ten states. You need to be physically in one of them when you submit your intake and at each follow-up, not just live there.

Traveling or located somewhere else? We can't treat you from outside these states, and an intake sent from elsewhere will be declined and refunded.

  • Colorado
  • Connecticut
  • Florida
  • Iowa
  • Missouri
  • New Mexico
  • New York
  • Tennessee
  • Vermont
  • Washington

Every service, one flat visit fee

Pay only for the visit you need. Medication and lab costs are billed separately at cost, shown before you check out.

Fully async One video visit required

Sexual & Reproductive Health

7 services

Birth Control

Ongoing prescribing and refills, no annual exam required to start.

$45per visit

Emergency Contraception

Fast-tracked review, prescription sent same day where possible.

$45one-time

UTI Treatment

Straightforward UTIs treated same-day based on symptom review.

$75one-time

Yeast Infection & BV

Symptom-based treatment for common vaginal infections.

$75one-time

Erectile Dysfunction

Generic sildenafil or tadalafil plans, dosed to fit your life.

$75visit + meds from $2/dose

Premature Ejaculation

Discreet, judgment-free treatment plans reviewed by your NP.

$75visit

Low Libido (Women)

A private review of desire changes, with hormonal, medication, and treatment options discussed.

$75visit · meds separate

Weight Loss

2 services

GLP-1 Weight Loss Program

NP-directed program with visits, dose titration, and monitoring. Medication is prescribed based on current FDA-approved options and eligibility.

$125initial visit · meds separate, from $149/mo

Weight Loss Maintenance

For patients tapering to a lower maintenance dose after reaching their goal.

$75visit · meds separate

Hormone & Longevity Care

4 services

Menopause & Perimenopause

Symptom-led plans covering mood, sleep, hot flashes, and HRT candidacy.

$125initial · $100 follow-up

Hormone Replacement (HRT)

Ongoing hormone management with lab review built into follow-ups.

$125initial · $100 follow-up

Testosterone Therapy (TRT)

Lab-informed TRT plans. Controlled substance — one video visit required by federal rule.

$125initial, incl. lab review

PCOS Care

Whole-picture care for irregular cycles, weight, acne, and hair changes linked to PCOS.

$125initial · $100 follow-up

Skin & Hair

5 services

Hair Loss

Topical or oral plans based on pattern and progression.

$45visit · meds separate

Acne Treatment

Custom topical or oral routine, adjusted as your skin responds.

$75visit · meds separate

Hyperpigmentation & Anti-Aging

Prescription-strength routines for dark spots, texture, and fine lines.

$75visit · meds separate

Cold Sore Treatment

Antiviral treatment at the first sign of an outbreak, or ongoing suppression.

$45one-time

Personalized Skincare (Custom Rx)

A compounded topical formula tailored to your skin — tretinoin, niacinamide, and other actives blended into one nightly step.

$75visit · formula separate

Everyday Care

6 services

Virtual Urgent Care

General acute concerns reviewed and treated the same day.

$75visit

Allergy & Sinus

Seasonal or year-round relief, prescription strength when OTC isn't enough.

$75visit

Migraine Treatment

Non-controlled abortive and preventive options reviewed by your NP.

$75visit

Nausea & Motion Sickness

Relief for travel, motion sickness, and short-term nausea, sent to your pharmacy.

$45one-time

Travel Health Kit

Motion sickness, traveler's diarrhea, and altitude prep before you fly.

$75one-time

Smoking Cessation

Medication-supported quit plan with ongoing check-ins.

$75visit · meds separate

Ongoing Care & Labs

4 services

Chronic Medication Refills

Blood pressure, thyroid, and cholesterol management for stable patients.

$45per refill visit

Thyroid Care

Lab-guided care for hypothyroidism, including dose checks and ongoing refills.

$75visit · labs separate

Biomarker Lab Panel

Comprehensive bloodwork plus a personalized written review from your NP.

$199labs + $49 review

Wellness Supplements

NP-formulated bundles shipped monthly, built around your lab results.

$45visit · supplements separate

Documentation & Letters

4 services

Work / School Note

A same-day excuse note backed by an actual clinical review.

$45one-time

FMLA & Disability Paperwork

Forms completed and returned with the clinical detail employers require.

$125one-time

Letter of Medical Necessity

For equipment, accommodations, or insurance appeals.

$125one-time

Pre-Op Medical Clearance

Clearance review ahead of a scheduled procedure.

$125one-time

Meet your nurse practitioner

I'm Edna, a dual board-certified nurse practitioner based in Florida and the founder of Nuvia Total Wellness. Every intake that comes through Nuvia is read by me, a licensed NP, with your full history in front of me, not just the box you checked.

If your concern is a good fit for async care, you'll have a plan the same day in most cases. If it needs labs, a video visit, or someone to see you in person, I'll tell you that plainly and refund the visit fee when treatment isn't right for you.

  • FNP-BC family nurse practitioner
  • PMHNP psychiatric mental health nurse practitioner
  • 10 states active NP licenses

Start a visit

Pick what you need and where you are right now. We'll confirm we can treat you before you fill out the full intake or pay anything.

Having an emergency? Call 911 or go to the nearest ER. Nuvia can't help with chest pain, trouble breathing, stroke symptoms, a severe allergic reaction, or thoughts of suicide (call or text 988).

Questions, answered

Anything else, ask in your intake and your NP will answer it along with your plan.

What does "async" actually mean?

You fill out a written intake whenever it suits you, and your NP reviews it and replies, usually within 24 hours. There's no appointment to book and no video call to sit through, unless your treatment legally requires one.

Do you take insurance?

No. Nuvia is cash-pay, and every price is shown up front. If you'd like to try for out-of-network reimbursement, ask for an itemized receipt to send your insurer. Reimbursement isn't guaranteed.

What if the NP decides treatment isn't right for me?

You get a full refund of the visit fee, along with a clear explanation and a recommendation for where to go next.

Am I guaranteed a prescription?

No. Whether to prescribe, and what, is a clinical decision your NP makes based on your intake. Sometimes that means asking for labs or more information first.

Why does testosterone therapy need a video visit?

Testosterone is a federally controlled substance, and current DEA telemedicine rules require one live video visit before it can be prescribed. You'll schedule it after your intake is reviewed.

Are GLP-1 medications compounded?

By default, Nuvia prescribes FDA-approved medication. Compounded semaglutide or tirzepatide is used only when your NP documents an individual clinical reason and current law allows it, not as a standard cheaper option.

How do I get my medication?

Your prescription goes to the pharmacy you choose, or it's shipped to your door for services that include shipping. Medication and lab costs are separate from the visit fee, and you'll see them before you're charged.

Can I message my NP after my visit?

Yes. Messages are for non-urgent questions and are usually answered within 24 hours. They aren't monitored around the clock, so never use them for an emergency.

Is my information private?

Your intake is protected health information and handled under HIPAA. Nuvia shares it only with the pharmacies, labs, and service providers needed for your care, and never sells it.

Building your own telehealth practice?

Consulting for NPs and small practices launching a cash-pay or async telehealth line — structure, vendor selection, and compliance included.

From $250 / session Book a consult

Prices shown are for the visit itself. Medication and lab costs are billed separately and shown before checkout. Testosterone therapy is a federally controlled substance and requires one live video visit in addition to your intake.