Cerbo alternatives for TRT, peptide & longevity clinics

1. Why clinics start looking

Cerbo has been serving functional medicine, direct primary care and cash-based practices for years, and it shows in the charting. The reasons clinics leave are rarely about clinical depth.

They are almost always one of three things. The bill grows every time you hire a prescriber. The platform charges separately for pieces a cash-pay clinic treats as core — the patient portal is $79/mo and telemedicine is $27–39/mo per provider on top of the seat. And an optimization clinic that dispenses testosterone or peptides in-house, or runs its revenue on recurring memberships, ends up managing those in a spreadsheet beside the EHR.

2. The comparison, with real numbers

Every figure here comes from the vendor's own published pricing page, checked on 11 August 2026. Two of the four publish enough to cost out a clinic; one publishes nothing at all.

Three prescribers is used as the comparison point because it is where per-seat and flat-fee models diverge sharply, and it is a common size for an established optimization clinic. Cerbo's figure is 3 × $281 prescribing-provider seats plus the $79/mo patient portal; telemedicine at $27–39 per provider per month would add roughly $80–120 on top. OptiMantra's is $99 for the first practitioner, $49 for each of the other two, plus the $38/mo eRx licence that carries EPCS.

3. Per-provider versus flat fee — the actual maths

The difference is not a percentage, it is a slope. On a per-provider model every clinical hire raises the monthly bill; on a flat tier it does not until you cross a prescriber threshold.

At one prescriber Cerbo runs $281/mo plus the $79 portal, so $360 against Aminova Solo at $199. At three prescribers it is $922 against Aminova Core at $599. The gap widens with every hire, and it widens fastest for the clinics that are growing — which is the opposite of what you want from a cost line.

The bigger swing is support staff. Cerbo charges $63/mo for each additional staff member. Aminova includes unlimited non-prescribing staff on every tier, including Solo at $199. A clinic with two prescribers and five front-desk and MA seats pays for seven people on a per-seat model and two on a flat one.

4. EPCS and controlled substances

For a TRT clinic this is not a feature, it is the product. Testosterone is Schedule III, so every script needs DEA-compliant electronic prescribing with two-factor signing, and the prescriber has to be identity-proofed before they can send anything.

Both platforms support controlled-substance prescribing. What differs is what surrounds it — whether the DEA schedule is derived reliably from the drug rather than typed by hand, whether a failed transmission surfaces on the chart or dies silently in a queue, and what happens on the day e-prescribing is down and a patient still needs their script.

5. In-house dispensing and inventory

Optimization clinics sell what they administer. Vials, peptide kits, injection supplies and oral medications move through the building, and the margin on them is a real share of revenue.

Aminova treats dispensing as part of the chart: lot and expiry tracking, decrementing stock when a dose is given, reorder thresholds, and cold-chain records where the product needs them. If you are currently reconciling a stock spreadsheet against your EHR at the end of every week, that reconciliation is the thing being removed.

6. Memberships and cash-pay billing

A cash-pay optimization clinic does not bill visits, it bills a monthly membership that includes an allowance — an injection a week, a lab panel a quarter, a follow-up a month.

Aminova models that natively: a plan carries credits, credits draw down when the visit happens, and the booking screen tells the front desk whether this appointment is covered before they take payment. The alternative is a subscription tool that charges the card correctly and knows nothing about what the patient is owed clinically.

7. Where Cerbo is still the better choice

If your practice is primarily functional or integrative medicine rather than optimization, Cerbo has the longer history and a deeper library built around that work. It has been doing this for years and has a substantial installed base of practices that are genuinely happy.

If you bill insurance in any meaningful volume, or you run a direct primary care model with a wide clinical scope rather than a protocol-driven one, Cerbo is built for that shape and Aminova is not. And if you are a single prescriber with no support staff and no dispensing, the per-provider bill is small and the argument above mostly disappears.

The honest summary: Cerbo is the better fit for broad integrative practice. Aminova is the better fit for a protocol-driven cash-pay clinic that dispenses, prescribes controlled substances and sells memberships.

8. Frequently asked questions

Can we move our patient records across?
Yes. Records, demographics, appointment history and documents import; the practical question is always the format your current system will export, which is worth establishing before you commit to a date.

Does Aminova support controlled substances?
Yes — EPCS with DEA two-factor signing, on every tier. Schedule III drugs like testosterone are the common case here, not an edge case.

How does the pricing actually work?
Flat monthly by tier: $199 Solo (1 prescriber), $379 Duo (2), $599 Core (3), $949 Growth (5). Non-prescribing staff are unlimited and free on all of them. Add-ons are the white-label app at $275/mo and the AI scribe at $100/mo.

Is the comparison above independent?
No, and it says so at the top. Aminova publishes it. Every competitor figure comes from that vendor's own published pricing page, so you can check all of them in about five minutes — which is the standard any comparison should be held to, including this one.