Modality
Oral / sublingual ketamine providers
Oral lozenge (troche) ketamine is prescribed for at-home use, typically through a telemedicine service paired with remote psychotherapy. Bioavailability is lower (20-30%), onset is slower, the experience is milder. Evidence is strongest for mild-to-moderate depression paired with therapy.
- Typical dose
- 100-400 mg troche
- Setting
- Home, supervised by telehealth
- Monthly cost
- $150-$300 including prescribing
- Insurance
- Typically self-pay; HSA/FSA eligible
Comparing telehealth programs?
See Mindbloom, Joyous, Innerwell, Better U + Wondermed side by side
Cost, protocol, state coverage, therapy bundle, who each program is actually a fit for.
4 verified providers
ALLIANCE MENTAL HEALTH
SAN FRANCISCO, CA
Psychiatry practice in SAN FRANCISCO, CA. NPI-verified via the CMS National Provider Identifier registry. Contact the office to confirm whether they offer Spravato, ketamine, or other psychedelic-assisted treatments.
ANDALA MEDICAL TEXAS PA
HOUSTON, TX
Psychiatry practice in HOUSTON, TX. NPI-verified via the CMS National Provider Identifier registry. Contact the office to confirm whether they offer Spravato, ketamine, or other psychedelic-assisted treatments.
ANDALA MEDICAL TEXAS PA
SAN ANTONIO, TX
Psychiatry practice in SAN ANTONIO, TX. NPI-verified via the CMS National Provider Identifier registry. Contact the office to confirm whether they offer Spravato, ketamine, or other psychedelic-assisted treatments.
ANDALA MEDICAL TEXAS PA
ALLEN, TX
Psychiatry practice in ALLEN, TX. NPI-verified via the CMS National Provider Identifier registry. Contact the office to confirm whether they offer Spravato, ketamine, or other psychedelic-assisted treatments.
Oral / sublingual ketamine providers by state
Jump straight to verified listings for this modality in the state you care about. Each state page also shows the local coverage and licensing context.
Common questions
Is at-home ketamine safe?
Safer than many people assume, but it requires a clinical process: medical screening, starting low, a safe set-and-setting, someone aware that you are dosing, and clear escalation plans. Reputable telehealth groups build all of that into their intake.
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LicensedPsychedelics Editorial. (2026). Oral / sublingual ketamine providers. LicensedPsychedelics. Retrieved 2026-06-03, from https://licensedpsychedelics.com/modality/ketamine-oral