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65
Good
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Joyous

The most affordable at-home ketamine provider, offering very-low-dose (microdose) sublingual ketamine for depression, anxiety, and PTSD at $129/month.

Foster City, CAFounded 2021~34 employeesReviewed Sep 19, 2026Prices checked Oct 9, 2026
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Our Verdict

Joyous scores 65/100 in our independent evaluation — good overall, standing out most for value. Plans start at $129/mo.

What we like

+Most affordable at-home ketamine option at $129/mo — fraction of competitors' pricing
+Microdose approach: patients stay fully functional, no sitter required, compatible with SSRIs
+All-inclusive flat pricing: consultation, medication, provider access, portal, and check-ins bundled
+Daily/weekly structured check-ins with care team for ongoing monitoring
+89%+ of patients report improvement within the first month

What to watch

−$400K privacy class action settlement (2025) for disclosing confidential customer data
−BBB C+ rating with 112 complaints — billing after cancellation is the top issue
−High provider turnover — patients rarely see the same clinician twice
−Medication shipment delays and missed refills reported increasingly during 2026
−Compounded ketamine is not FDA-approved for psychiatric use (off-label)

Full Review

Joyous has built a compelling position as the most accessible entry point for at-home ketamine therapy, with flat $129/mo pricing that significantly undercuts competitors like Mindbloom ($330-430/mo) and IV clinics ($400-800/session). The company's microdose approach (10-120mg sublingual troches) keeps patients fully functional during treatment — no 'trip' experience, no required sitter, and compatibility with other antidepressants. Joyous reports 89%+ of patients see improvement within the first month. However, a $400K privacy class action settlement (2025), deteriorating service quality in early 2026, and persistent BBB complaints about billing and cancellation friction are material concerns. Available in 28 states.

Last researched: Sep 19, 2026 · Prices checked: Oct 9, 2026

Pricing

Prices shown are based on our most recent research and may not reflect current pricing. Telehealth providers update their pricing frequently. Always verify pricing directly with the provider before purchasing.

TreatmentCategoryPrice/moIncludesNotes
Commitment Plan (3-month minimum)Mental Health$129
● Consults○ Lab work● Shipping
Free video consultation before starting; cancelling inside three months still requires paying the remaining months. Medication included
Subscription required
Flexible Plan (cancel anytime)Mental Health$159
● Consults○ Lab work● Shipping
$159 for the first three months then automatically $129; costs $90 more than the commitment plan over those three months and is identical from month four
Subscription required

Where Joyous medication comes from

Joyous refers to 'our pharmacy' shipping compounded ketamine but does not name it.

We couldn't find a named pharmacy for Joyous. Before you order, ask which pharmacy fills your prescription and check its license with your state board of pharmacy.

See every pharmacy behind the telehealth brands we track →

Score Breakdown

60
Trust & Safety (30%)
85
Value (25%)
60
Experience (20%)
55
Product Range (15%)
55
Reputation (10%)
Trust & Safety60/100
Value85/100
Experience60/100
Product Range55/100
Reputation55/100

Joyous — Frequently Asked Questions

Is Joyous legit?

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We rate Joyous's trust & safety at 60/100 (fair), based on FDA compliance, licensing, and pricing transparency. Its overall score across all five of our scoring dimensions is 65/100 — see the full breakdown above.

How much does Joyous cost?

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Joyous's plans start at $129/mo. Exact pricing varies by treatment — see the pricing table above for a breakdown by product. Prices were last verified 2026-09-19.

Does Joyous require a subscription?

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Yes — every Joyous plan we track requires an ongoing subscription.

What does Joyous treat?

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Joyous offers treatment in: Mental Health.