What Choose Your Horizon does

Choose Your Horizon is a telehealth platform that delivers at-home medication-assisted treatment (MAT) for adults seeking to address alcohol use disorder, depression, anxiety, PTSD, and related mental health conditions. Operating from Austin, Texas, the company serves patients in 49 US states through a direct-to-consumer model that combines a self-serve online assessment, virtual psychiatric evaluation, home-delivered prescription medication, and ongoing clinical oversight. The platform's revenue engines are monthly naltrexone subscriptions for alcohol cravings, a recently added GLP-1 (semaglutide) therapy used off-label alone or in combination with naltrexone, the bundled Iceberg Program (naltrexone plus coaching, at-home liver testing, and progress tracking), and ketamine-assisted therapy for treatment-resistant mental health conditions in 21 states. Clinical services are delivered by independently licensed practitioners operating through affiliated professional medical groups (CYH Medical Group entities in Delaware, Texas, California, and New Jersey), with Choose Your Horizon Inc. functioning as the management services organization that owns the technology, marketing, and pharmacy-vendor relationships.

The technology stack combines a web-based assessment and consultation workflow, native iOS and Android applications, and an AI coaching layer called Aurora built on OpenAI's large language models with a zero data retention BAA. Medication fulfillment is routed through three licensed pharmacy partners (Millers of Wyckoff, Healthwarehouse, and Honeybee), payment processing is handled by Stripe (PCI-DSS compliant), installment financing is offered via Affirm and Klarna, and the company website runs on Webflow with A/B testing through Webflow Optimize. There is no public-facing API; all external integrations are vendor integrations rather than partner developer surfaces.

The business model is direct-to-consumer and subscription-led, with one-time clinical intake fees (initial consultation $250, follow-up $150-$250) gating entry into 30-day recurring treatment cycles. Insurance, HSA, and FSA payments are accepted in some cases, while Medicare and Medicaid are not. Customer acquisition is product-led through a 1-2 minute online assessment funnel supplemented by paid digital advertising on Google, Bing, Meta, Reddit, and LinkedIn, and by organic content marketing across the company blog and social channels (Facebook, Instagram, LinkedIn, YouTube, TikTok). The company has reported 20,000+ lifetime treatments, 4,000+ active patients, and outcomes of 98% patient-reported improvement within four weeks versus a less than 1% adverse side-effect rate.

Name

Choose Your Horizon

Legal name

Choose Your Horizon Inc.

Website

https://chooseyourhorizon.com

Company type

Private

Founded year

2021

Operating status

Operating

Headcount range

11–50 employees

Short description

Choose Your Horizon is a telehealth platform delivering at-home medication-assisted treatment for alcohol use disorder and mental health conditions via naltrexone, GLP-1, and ketamine therapies. It serves privacy-conscious adults in 49 US states through a direct-to-consumer subscription model.

Ownership category

akta.pro rank

Product category

Telehealth Addiction Treatment

NAICS

Offices of Physicians, Mental Health Specialists (621112), Outpatient Mental Health and Substance Abuse Centers (621420)

SIC

Services-Offices & Clinics Of Doctors Of Medicine (8011)

akta.pro primary industry

DTC Telehealth with Integrated Online Pharmacy (Cash-Pay/Subscription) (HLALAIAA)

akta.pro secondary industries

Psychiatry & Medication Management Platforms (HLALAEAB), Symptom Checker & Self-Triage Platforms (HLALAJAB), Medication Adherence, Digital Therapeutics & Remote Coaching (condition-specific programs) (HLALAFAF)

Keywords

• Alcohol addiction treatment
• Ketamine therapy services
• Medication-assisted treatment
• Telehealth mental health
• Alcohol recovery programs

Headquarters

HQ city

Austin

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Marketing or Sales, Technology or R&D, Infrastructure, Others

Revenue model

1. Medication Subscription: Recurring monthly subscription for GLP-1, naltrexone, and combination therapy programs. Patients pay per treatment cycle (30 days) and must complete check-in forms to continue receiving prescriptions. Subscription renewals can be cancelled before billing cycle begins.
2. Ketamine Therapy Program: One-time and recurring fees for ketamine-assisted therapy including initial consultation ($250), welcome kit ($80-$330 depending on stage), and ongoing treatment sessions. Full treatment plans with multiple sessions and shipments.
3. Clinical Consultation: One-time fees for psychiatric evaluations and clinician consultations. Initial consultation is $250, with additional fees for follow-up evaluations ($150-$250).
4. Financing & Payment Plans: House payment plans for clients financing their program through Choose Your Horizon. Contract reflects cost of services rendered. Also offers Affirm and Klarna financing at checkout for installment payments.

Pricing tiers

Go-to-market motion2 records

Distribution channels3 records

Marketing channels6 records

Core offering

Choose Your Horizon operates a direct-to-consumer telehealth platform that delivers at-home medication-assisted treatment for alcohol use disorder and mental health conditions, including naltrexone therapy, GLP-1/semaglutide medications, the signature Iceberg Program, and ketamine therapy. Patients complete an online assessment, undergo a virtual psychiatric evaluation, and receive FDA-approved medications shipped directly from licensed pharmacy partners, with ongoing clinical oversight and AI-powered coaching support.

Product overview

Choose Your Horizon is a telehealth platform offering medication-assisted treatment programs for alcohol use disorder, depression, anxiety, PTSD, and related mental health conditions. The platform operates as a platform-plus-modules architecture centered on three core treatment modalities: Naltrexone Therapy (FDA-approved oral tablet available in multiple dosages), GLP-1/Semaglutide therapy (off-label for alcohol cravings, available standalone or in combination with naltrexone), and Ketamine Therapy (for treatment-resistant conditions). The Iceberg Program serves as the signature naltrexone-based alcohol reduction offering that combines medication with coaching, liver testing, and progress tracking. Treatment is delivered via telehealth with at-home medication delivery, psychiatric evaluation, and ongoing clinical support. The platform also features Aurora, an AI-powered coaching assistant powered by OpenAI's language models to provide guidance to patients.

Differentiator

Problem solved

Functional benefit

Brands

• Iceberg Alcohol Program: Signature alcohol reduction program built around naltrexone with coaching, at-home liver testing, and progress tracking tools.
• Aurora

Products and services

• Naltrexone Therapy FDA-approved prescription medication (oral tablet, 25mg-150mg doses) that blocks opioid receptors in the brain to reduce alcohol cravings and consumption. Works by preventing alcohol from triggering endorphin release, reducing the rewarding effects of alcohol without causing dependence. Delivered monthly via subscription with required check-ins. For adults seeking to reduce or eliminate alcohol consumption.
• GLP-1 For Alcohol Cravings (Semaglutide) Compounded GLP-1 medications, such as semaglutide, prescribed off-label to help reduce urges to drink by acting on appetite and reward pathways in the brain that influence cravings and impulse control. Available as a standalone monthly subscription or paired with naltrexone for combination therapy.
• Iceberg Program Signature alcohol reduction program built around naltrexone medication, combining medication with coaching, at-home liver testing, progress tracking tools, clinical oversight, and optional support resources. Designed to address both visible drinking behavior and underlying mental health conditions that fuel addiction.
• Ketamine Therapy Ketamine-assisted therapy for individuals with treatment-resistant depression, anxiety, PTSD, or trauma. Administered via telehealth under guidance of trained professionals with peer monitoring requirements. Initial consultation $250 plus $80 welcome kit, with ongoing treatment sessions. Available in 21 US states.
• Sexual Trauma Recovery Specialized ketamine therapy program for individuals who have experienced sexual trauma, using ketamine-assisted therapy to help process trauma and grief. Part of the broader ketamine therapy service line targeting specific mental health use cases.

Quantifiable outcome

• 98% of patients report improvements within 4 weeks
• +3 more outcomes

Named customers1 record

Segments3 records

Ideal customer profiles3 records

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration2 records

AI capability2 records

Feature3 records

Partnerships

Five partnerships are on record, tiered core and minor.

• OpenAIcoreTechnology or IntegrationProvides large language model technology powering the Aurora AI coach. Company maintains Business Associate Agreement (BAA) with OpenAI and enforces zero data retention policy - no user data stored or retained by OpenAI.
• Millers Of Wykoff PharmacyminorOthersLicensed pharmacy partner sourcing prescription medications. Located at 678 Wyckoff Ave, Wyckoff, NJ 07481. Phone: 201-891-3333.
• HealthwarehouseminorOthersLicensed pharmacy partner sourcing prescription medications. Located at 7107 Industrial Rd, Florence, KY 41042. Phone: 800-748-7001.
• HoneybeeminorOthersLicensed pharmacy partner sourcing prescription medications. Located at 3515 Helms Ave, Culver City, CA 90232. Phone: (833) 466-3979.
• StripecoreTechnology or IntegrationPayment processing partner for all transactions. Supports Affirm and Klarna financing options at checkout. PCI-DSS compliant payment processing. SSL encryption protects checkout.

Scale indicators5 records

Recent moves5 records

Expansion highlights5 records

Emerging players

• Lionrock Recovery: Lionrock provides online substance use counseling and intensive outpatient programs delivered virtually, including medication-assisted treatment. Comparable in telehealth delivery for addiction, with a stronger emphasis on counseling/IOP rather than medication-led protocols.
• Eleanor Health: Eleanor Health delivers outpatient addiction and mental health treatment via in-person and telehealth, including medication-assisted treatment. Comparable in clinical scope (AUD + behavioral health) but operates a hybrid in-person/telehealth model vs CYH's pure telehealth.
• Reframe App: Reframe is a digital alcohol reduction app with education, tracking, and community features targeting users wanting to cut back. Comparable in alcohol-reduction focus and digital-first delivery, though it does not prescribe medication.

Broad incumbents

• Cerebral: Cerebral is a broad mental health telehealth platform providing medication management and therapy for depression, anxiety, ADHD, and related conditions. Comparable in DTC telehealth psychiatry and medication prescribing model, but operates at significantly larger scale and broader behavioral health scope.
• Done (Done.): Done is a large DTC telehealth platform focused on ADHD treatment that has expanded into adjacent mental health prescribing. Comparable in DTC telehealth prescribing model and growth-stage scale, though focused on stimulants rather than addiction.

Direct peers

• Ria Health: Ria Health is a telehealth alcohol use treatment program combining medication (naltrexone), coaching, and connected tools. Highly comparable to CYH's Iceberg Program on modality, structure, and target patient.
• Ophelia: Ophelia is a telehealth provider of medication-assisted treatment primarily for opioid use disorder, with online clinician visits and at-home prescriptions. Comparable telehealth-plus-medication model, though focused on opioids rather than alcohol.
• Pelago (formerly QuitGenius): Pelago is a virtual substance use management platform serving employers and health plans, offering telehealth-based AUD, opioid, and tobacco treatment. Closely comparable to CYH in telehealth delivery of medication-assisted addiction care, though Pelago is enterprise/B2B-led vs CYH's DTC orientation.
• Workit Health: Workit Health is a telehealth addiction treatment provider offering medication-assisted treatment for opioid and alcohol use disorder, with online therapy, coaching, and at-home drug testing. Highly comparable to CYH's combined medication-plus-coaching model.
• Monument: Monument is a DTC telehealth platform specifically focused on alcohol use disorder, offering online therapy, medication (including naltrexone), and community support. Directly comparable to CYH's core AUD focus and subscription-based DTC model.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks6 records

Key highlights7 records

Customer concentration

• YouTubeyoutube.com/@ChooseYourHorizon
• Facebookfacebook.com/ChooseYourHorizon
• LinkedInlinkedin.com/company/choose-your-horizon
• Instagraminstagram.com/chooseyourhorizon
• TikToktiktok.com/@choose.your.horiz

Compliance2 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles6 records

Funding overview

Funding rounds6 records

Investors2 records

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Choose Your Horizon