Most sleep telehealth ends at melatonin gummies.
If supplements worked you wouldn't be here. Real prescription options exist, but they require a clinician.
If you've been cycling melatonin, magnesium, and prayer for years, there are better options. Clinician-reviewed. Non-habit-forming first. One transparent price.

If supplements worked you wouldn't be here. Real prescription options exist, but they require a clinician.
And the path usually ends with a controlled substance most patients don't want long-term.
Low-dose doxepin, hydroxyzine, trazodone, and ramelteon are all non-controlled. Few people are offered them first.
| Den Health | In-clinic / telehealth | DIY / supplements | |
|---|---|---|---|
| Price | From $39 / month | $50–$150 / month | Low, but inconsistent |
| Cash-pay, no insurance games | |||
| Licensed clinician review where required | Yes (and slow) | ||
| Pharmacy-fulfilled medication where supported | Yes | ||
| Continuity of care | Inconsistent | ||
| No upsells, no surprise charges | N/A |
Our long-term thesis is that automated pharmacy operations and a focused clinical workflow deliver the same quality of care at a meaningfully lower price. The number to the right is what we're targeting.
No payment to start. Treatment is subject to clinician review.
No call trees. No surprise charges. No 30-day-supply-of-melatonin upsells.
Most healthcare invoices are a black box. Here's where the typical month's cost actually lives, and how we keep ours below market.
The clinical thinking behind sleep. Not marketing. The actual literature we'd build on.
Z-drugs are over-prescribed for chronic insomnia despite tolerance and dependency concerns. Non-controlled options (low-dose doxepin, ramelteon, hydroxyzine) are often a better first move.
Source: AASM clinical practice guideline, 2021
When available, cognitive-behavioral therapy for insomnia outperforms most medications over 6+ months. Medication + behavioral guidance is the modern best practice.
Source: American College of Physicians
An estimated 80%+ of moderate-severe sleep apnea cases are undiagnosed in adults. Any program treating insomnia should screen for it, not paper over it.
Source: AASM 2023
Den Health serves sleep patients across the US. We add new states as we expand. Submit an intake to confirm availability in yours.
“I'd been paying $300 a session at a ketamine clinic. The math never worked. Hearing someone is finally building this at a real price made me sign up the same day.”

“My OB told me to ride out perimenopause. I'm not riding anything out. Give me a clinician who knows modern HRT and a price that isn't predatory.”

“I've been on three different telehealth platforms for anxiety. Different prescriber every time, six-minute visits, refill gaps. Just give me one clinician and a flat price.”

Patients on the sleep program. Real people, real prescriptions, in supported states.






Healthcare is one of the few industries where the price you pay has almost nothing to do with what something costs to make. We're operators and clinicians who got tired of explaining that to our families.
Den Health is the company we wanted to build. A vertically integrated cash-pay pharmacy. Automation where it makes sense. Clinicians where it matters. The difference goes to patients.
Five programs today. Cash-pay only. One price per month. Roughly 30% below the market we replace.
Anything else you want to know? You can ask in the intake. We read every response.
Where clinically appropriate, options like low-dose doxepin, hydroxyzine, ramelteon, or trazodone. Controlled substances (e.g. zolpidem) are not the first move and may not be offered by mail-order at all.
No payment. No spam. Honest answers help us build the program that's worth shipping.
Submitting an intake does not establish a clinician-patient relationship until a licensed clinician reviews your information.