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Online Ketamine Therapy: At-Home Ketamine Treatment With a Psychiatric Provider

Online Ketamine Therapy: At-Home Ketamine Treatment With a Psychiatric Provider

Video visits · $150 self-pay or in-network insurance

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Offered by video in 28 states. Pick yours to see who prescribes there and what you'd pay.

Visit, self-pay
$150 / visit
Same for new and follow-up visits
Medication, if prescribed
$45–$100 / month
Typical; paid to the pharmacy, which sets the price

Insurance can cover visits when your plan is in network with the clinician in your state. We don't bill insurance for the medication.

Getting care is simple

1

Check your state

Pick your state above to see whether at-home ketamine therapy is offered there, who prescribes, and which plans are in network.

2

Book a video evaluation

Choose a time with a licensed psychiatric clinician. Self-pay is $150 per visit.

3

Get a clinical decision

Your clinician reviews your history, prior treatments and health before deciding whether ketamine is appropriate. A prescription is never guaranteed.

What to expect from your care

Online ketamine therapy starts with a video evaluation by a licensed psychiatric clinician, who decides whether ketamine is appropriate for you. If it is prescribed, medication ships to your home and you follow a written protocol with integration visits. Ketamine is prescribed off-label and is not FDA-approved for psychiatric conditions; it is not appropriate for everyone, and a prescription is never guaranteed.

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Ketamine Therapy Online: How At-Home Treatment Works

Ketamine therapy online means the clinical side of care (psychiatric evaluation, prescribing decisions, follow-ups and integration support) happens by secure video, while any prescribed medication ships from a U.S.-licensed compounding pharmacy for use at home under a structured protocol. Ketamine is prescribed off-label and is not FDA-approved for any psychiatric condition; whether it is appropriate for you is a decision only a licensed clinician can make after a full evaluation.

You may see it called virtual ketamine therapy, ketamine telehealth, ketamine online therapy or ketamine treatment online. The care is the same: a licensed psychiatric clinician evaluates you by video before any prescribing decision.

What separates clinician-led online ketamine therapy from direct-to-consumer models is everything around the medication: cardiovascular, psychiatric and substance-use screening before any prescription; mandatory peer support during sessions; and scheduled integration visits afterward. Responses vary, and ketamine is one component of a broader psychiatric care plan, never a standalone fix.

If you're comparing options, including an Innerwell alternative, start with a free ketamine consultation video or read patient testimonials. The FDA-approved esketamine nasal spray Spravato is a separate, in-clinic program at our Las Vegas Calm Clinic.

Before you start ketamine treatment at home

Where at-home ketamine therapy is available

We offer at-home ketamine therapy by video in 28 states. Each state below lists the clinician who prescribes ketamine there and the plans in network with that clinician for your visits. Plan data updated November 3, 2026.

Check your exact plan with the insurance checker. Plans are listed at the carrier level; out-of-network plans aren't listed, and we can help check your benefits.

Where we don't offer at-home ketamine therapy

We can't prescribe controlled substances, including ketamine, in Alabama, Arkansas, Hawaii, Louisiana, Maine, Massachusetts, Minnesota, Missouri, Oklahoma, Pennsylvania or West Virginia. Where we see patients in those states, we can still evaluate you and provide therapy and non-controlled medication management when clinically appropriate.

Ketamine therapy is not available in Texas. We offer telepsychiatry and medication management for Texas residents.

Other options in every state we serve: online depression treatment and medication management with an online psychiatric clinician.

Ask before booking a ketamine visit

We see patients in California, Colorado, District of Columbia, Florida, Georgia, Mississippi, New Hampshire, New Jersey and New York for psychiatric care, but they aren't on our list of confirmed at-home ketamine states. Call (702) 848-2256 before booking a ketamine visit there.

Georgia requires an in-person visit within 12 months. Visits before then can be by secure video. Call (702) 848-2256 to schedule.

State guides: ketamine therapy in California, ketamine therapy in Colorado and ketamine therapy in New York.

What at-home ketamine therapy costs

Evaluation and follow-up visits
$150 per visit self-pay, the same for new and follow-up visits. Or billed to your plan when it's in network with the prescribing clinician in your state.
Ketamine, if prescribed
Typically $45–$100 a month, paid directly to the compounding pharmacy. The pharmacy sets the price; we don't bill it or send it to your insurance.
Spravato (Las Vegas, in person)
Billed to your plan where Calm Clinic is in network (your plan may require prior authorization); otherwise self-pay. See Spravato.

What insurance covers, and what it doesn't

Is at-home ketamine treatment covered by insurance? The visits can be; we don't bill insurance for the medication.

  • Covered: your psychiatric evaluation and follow-up visits, when your plan is in network with the clinician who prescribes in your state. 17 of the 28 states have at least one such plan; the state list above names them.
  • Not billed to insurance: the compounded ketamine itself. You pay the pharmacy directly.
  • Self-pay only: in Connecticut, Delaware, Indiana, Iowa, North Carolina, North Dakota, Ohio, Oregon, Utah, Virginia and Wisconsin there's no in-network plan with the prescribing clinician, so visits are $150 each.
  • Medicaid: in network with the prescribing clinician only in Michigan, Montana and Nevada. Medicaid can't be billed out of network.

Is at-home ketamine therapy safe? Who isn't a candidate

Ketamine is a Schedule III controlled substance (Ketalar label). It is prescribed off-label and is not FDA-approved for any psychiatric condition. In 2023 the FDA warned that using compounded ketamine at home, without a clinician on site to watch for sedation, dissociation and changes in blood pressure and heart rate, may put patients at risk. The risks it lists include abuse and misuse, psychiatric events, raised blood pressure, slowed breathing, and bladder and urinary tract symptoms (FDA). The ketamine label also warns that repeated use can injure the liver and bile ducts, including sclerosing cholangitis (Ketalar label, section 5.6).

Who usually isn't a candidate

  • Uncontrolled high blood pressure, aneurysmal vascular disease, significant heart valve disease, class III heart failure, or a heart attack or other cardiovascular event in the past 6 weeks. Expert guidance excludes these (McIntyre et al., 2021), and the ketamine label rules it out when a significant rise in blood pressure would be a serious hazard (Ketalar label).
  • A history of psychosis. Expert guidance advises ruling out psychosis before starting (McIntyre et al., 2021), and the esketamine label calls for careful assessment of patients with psychosis (Spravato label).
  • Pregnancy, or planning a pregnancy. The esketamine label warns it may cause fetal harm, based on animal studies of ketamine (Spravato label).
  • A past allergic reaction to ketamine (Ketalar label).
  • A history of drug misuse or dependence. It raises the risk of ketamine misuse, so your clinician weighs it carefully (Ketalar label).

How we screen and monitor

  • Before any prescription: lab work and a review of your medical records, medications and history for cardiovascular, psychiatric and substance-use risks.
  • During treatment: a written protocol from your clinician, with mandatory peer support during sessions.
  • After: scheduled follow-up and integration visits to review side effects and adjust the plan.

Federal telehealth rules for controlled substances are temporary through Dec 31, 2026 and may change. (Federal Register) If they change, an in-person evaluation may be needed before ketamine can be prescribed. Our in-person office is Calm Clinic in Las Vegas.

At-home ketamine therapy isn't crisis care. If you're thinking about suicide or might harm yourself, call or text 988 for the Suicide and Crisis Lifeline, or call 911 if you're in immediate danger.

At-home ketamine vs. Spravato (esketamine)

At-home ketamine

FDA status
Not FDA-approved for any psychiatric condition; prescribed off-label.
Where
At home, after a video evaluation, in the 28 states listed above.
Monitoring
Peer support during sessions, plus follow-up and integration visits by video.
Cost
$150 per visit self-pay or in-network insurance, plus the pharmacy cost ($45–$100 a month, typical).

Spravato

FDA status
FDA-approved esketamine nasal spray for treatment-resistant depression in adults, alone or with an oral antidepressant, and for depressive symptoms in adults with major depressive disorder with acute suicidal thoughts or behavior, with an oral antidepressant (label).
Where
Only in a healthcare setting certified under the FDA's REMS program. Ours is Calm Clinic, 4029 Dean Martin Dr., Las Vegas, NV 89103.
Monitoring
A healthcare provider monitors you for at least 2 hours after each dose, and you shouldn't drive until the next day after a restful sleep.
At home?
No. Spravato can't be bought online, shipped or used at home.
Cost
Billed to your plan where Calm Clinic is in network (your plan may require prior authorization); otherwise self-pay.

Read more about Spravato treatment or TMS at Calm Clinic.

Questions about online and at-home ketamine therapy

Can I get ketamine therapy online?
Yes, in the 28 states listed on this page, if your clinician decides it's appropriate. Your evaluation, follow-ups and integration visits happen by secure video, and any prescribed medication ships to your home from a U.S.-licensed compounding pharmacy. A prescription is never guaranteed. Federal telehealth rules for controlled substances are temporary through Dec 31, 2026 and may change. If they change, an in-person visit may be needed before ketamine can be prescribed.
Can I get ketamine prescribed online?
You can get a ketamine prescription online only after a video evaluation, and only if a licensed clinician decides ketamine is appropriate for you. Ketamine is a Schedule III controlled substance, prescribed off-label; it is not FDA-approved for any psychiatric condition. We don't prescribe ketamine without an evaluation, and we don't offer it in Alabama, Arkansas, Hawaii, Louisiana, Maine, Massachusetts, Minnesota, Missouri, Oklahoma, Pennsylvania, Texas or West Virginia. Federal telehealth rules for controlled substances are temporary through Dec 31, 2026 and may change.
Is at-home ketamine therapy legal?
Ketamine is a legal prescription medication. It is a Schedule III controlled substance, so only a clinician registered with the DEA can prescribe it, and prescribing it for a psychiatric condition is off-label. Prescribing it by telehealth without an in-person exam relies on temporary federal rules: Federal telehealth rules for controlled substances are temporary through Dec 31, 2026 and may change. State rules also differ, and we offer at-home ketamine therapy only in the states listed on this page.
How much does online ketamine therapy cost?
Visits are $150 each if you self-pay, for the first visit and for follow-ups. Medication is separate: if ketamine is prescribed, you pay the compounding pharmacy directly, typically $45–$100 a month, and the pharmacy sets the price. In-network insurance can cover the visits; we don't bill insurance for the medication.
Does insurance cover ketamine therapy?
Insurance can cover the visits. When your plan is in network with the clinician who prescribes in your state, your evaluation and follow-up visits are billed to the plan. We don't bill insurance for compounded ketamine; you pay the pharmacy. In Connecticut, Delaware, Indiana, Iowa, North Carolina, North Dakota, Ohio, Oregon, Utah, Virginia and Wisconsin, there's no in-network plan with the prescribing clinician, so at-home ketamine treatment visits are $150 self-pay. Medicaid can be used only where it's listed as in network on this page, because it can't be billed out of network.
Where is at-home ketamine therapy available?
In 28 states: Alaska, Arizona, Connecticut, Delaware, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Maryland, Michigan, Montana, Nebraska, Nevada, New Mexico, North Carolina, North Dakota, Ohio, Oregon, South Dakota, Tennessee, Utah, Vermont, Virginia, Washington, Wisconsin and Wyoming. We can't prescribe controlled substances in Alabama, Arkansas, Hawaii, Louisiana, Maine, Massachusetts, Minnesota, Missouri, Oklahoma, Pennsylvania or West Virginia, and ketamine therapy is not available in Texas. In California, Colorado, District of Columbia, Florida, Georgia, Mississippi, New Hampshire, New Jersey and New York, call (702) 848-2256 before booking a ketamine visit.
Is at-home ketamine therapy available in Ohio?
Yes. In Ohio, at-home ketamine therapy by video is prescribed by Dr. Grant Bullock, DO. There's no in-network plan with this clinician in Ohio, so visits are $150 self-pay. A prescription is never guaranteed; your clinician decides after your evaluation.
Is online ketamine therapy available in Illinois?
Yes. In Illinois, at-home ketamine therapy by video is prescribed by Dr. Grant Bullock, DO. In-network plans with this clinician in Illinois: Aetna, Cigna, Medicare and UnitedHealthcare. Self-pay is $150 per visit. A prescription is never guaranteed; your clinician decides after your evaluation.
How is ketamine delivered to my house?
If your clinician prescribes ketamine, the prescription goes to a U.S.-licensed compounding pharmacy, which ships it to your home. You pay the pharmacy directly, typically $45–$100 a month. Spravato is different: it is never shipped home and is only given in a certified clinic.
What is the difference between ketamine and Spravato?
Spravato (esketamine) nasal spray is FDA-approved, but it can only be given in a healthcare setting certified under the FDA's REMS program, with at least 2 hours of monitoring after each dose. It can't be bought online, shipped or used at home. We give Spravato in person at Calm Clinic in Las Vegas. At-home ketamine is a compounded medication prescribed off-label; it is not FDA-approved for any psychiatric condition.
Who isn't a candidate for at-home ketamine therapy?
Published expert guidance excludes people with uncontrolled high blood pressure, aneurysmal vascular disease, significant heart valve disease, class III heart failure or a cardiovascular event in the past 6 weeks, and advises ruling out psychosis first. The esketamine label warns it may cause fetal harm, so pregnancy matters too. A past allergic reaction to ketamine rules it out, and a history of drug misuse raises the risk of ketamine misuse. Your clinician screens for these before any prescribing decision.
Who prescribes ketamine at Anywhere Clinic?
In the states listed on this page, at-home ketamine is prescribed by Dr. Grant Bullock, DO and Dr. Sam Zand, DO. The state list shows who sees patients in each state. Your clinician decides whether ketamine is appropriate after your evaluation.
What is ketamine?
Ketamine is a Schedule III prescription medication that has been used in U.S. medical settings since 1970, originally as an anesthetic. At lower, sub-anesthetic doses, some clinicians prescribe it off-label for certain mental-health conditions such as treatment-resistant depression. Generic and compounded ketamine are not FDA-approved to treat any psychiatric condition; the only FDA-approved esketamine product is Spravato, which is delivered through a separate REMS program.
How is ketamine thought to work?
Ketamine acts primarily on NMDA glutamate receptors and is being studied for its effects on neuroplasticity. Research is ongoing and individual response varies. Ketamine is not a cure, is not appropriate for everyone, and should only be used under the supervision of a licensed clinician as part of a broader psychiatric care plan.
Is ketamine safe?
Important: We cannot and do not claim that ketamine is safe. Ketamine is a Schedule III controlled substance with real risks, and no medication is risk-free. Any decision to prescribe is made by a licensed clinician based on an individual evaluation. Possible effects include dissociation, dizziness, nausea, and short-term increases in blood pressure and heart rate. Misuse can lead to dependence and bladder or urinary tract problems, and the Ketalar prescribing label warns that repeated use can injure the liver and bile ducts. The FDA has issued warnings about the risks of compounded ketamine used for psychiatric purposes, especially without clinical supervision. Ketamine is generally not appropriate for patients with active psychosis or mania, uncontrolled hypertension, recent cardiovascular events, certain substance-use disorders, or pregnancy. A psychiatric provider will screen for these and other contraindications before any prescribing decision. This information is educational and is not medical advice.
Is ketamine FDA-approved for psychiatric conditions?
No. Generic and compounded ketamine are not FDA-approved to treat any psychiatric condition. When prescribed for psychiatric care it is used off-label, at the discretion of a licensed clinician. The only FDA-approved esketamine product is Spravato, which is a separate program.
What are the risks?
Ketamine is a Schedule III controlled substance. Possible effects include dissociation, dizziness, nausea and raised blood pressure and heart rate. The FDA also lists abuse and misuse, psychiatric events, slowed breathing, and bladder and urinary tract symptoms, and has warned that using compounded ketamine at home, without a clinician on site to watch for sedation, dissociation and blood pressure changes, may put patients at risk. The Ketalar label also warns that repeated use can injure the liver and bile ducts.
How does the at-home ketamine program work?
Step 1: Book a psychiatric evaluation. Step 2: A licensed psychiatric clinician reviews your history, medications, and goals, then decides whether ketamine is clinically appropriate for you. Step 3: If a prescription is written, medication ships from a U.S.-licensed compounding pharmacy and you complete the protocol with structured follow-up and integration visits.
What does online ketamine treatment at home involve?
If ketamine is prescribed, you follow a structured at-home protocol set by your clinician. Before any prescription we screen for cardiovascular, psychiatric, and substance-use contraindications. Peer support is mandatory during sessions, and scheduled follow-up and integration visits are used to review side effects and adjust your care plan.
How long is the first online ketamine visit, and what does it cost?
The first visit takes about 30 to 40 minutes by video. Self-pay is $150 per visit, for both new and follow-up visits, or the visit is billed to your plan where it's in network. The visit fee does not include medication, which is priced by the compounding pharmacy.

Sources

The Anywhere Clinic difference

What our at-home ketamine program looks like

Care from home

Your psychiatric evaluation, follow-ups, and integration calls happen by video. Any prescribed medication is shipped from a U.S.-licensed compounding pharmacy.

Psychiatric Providers

A licensed psychiatric clinician reviews your history, prior medications, and goals before any prescribing decision. Ketamine is not appropriate for everyone and is not always offered.

Screening and monitoring

We screen for cardiovascular, psychiatric, and substance-use contraindications through lab work and a thorough review of medical records and personal history. Mandatory peer support is built into care, alongside structured follow-up and integration check-ins throughout the protocol.

Whole-person care

Ketamine, when prescribed, is one component of a broader psychiatric care plan. Integration sessions help patients translate experiences into daily routines.

Pink brain illustration representing mental health and brain wellness.

How the at-home ketamine program works

From psychiatric evaluation to integration, here's the process.

Psychiatric evaluation

A virtual evaluation with a licensed psychiatric clinician to review your medical history, current medications, prior treatments, and goals. The clinician decides whether ketamine is appropriate.

Prescribing decision

If the clinician determines ketamine may be appropriate for you, a personalized protocol is sent to a U.S.-licensed compounding pharmacy. Ketamine is prescribed off-label and is not FDA-approved for psychiatric conditions.

Integration & follow-up

Structured follow-up visits and integration calls with your clinician to monitor response, review side effects, and adjust the care plan.

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