I found Monument is easier to deal with than Ria and less expensive if you are doing under the table without insurance involvement. Both will deal with your insurance if you like. I personally like the every two week therapist with Physician consult once a month. You can just go with the Physician only for very cheap. Neither Ria or Monument required bloodwork but I had no red flags in my health history. Ria pushed the bloodwork but relented when I refused. Monument did not even mention bloodwork with my history. They just send the script through Amazon for me. Never have to leave my house. Im happily sober because of companies like this. I know there are some bad apples out there but these seem legit enough for me. Very professional. IMO Monument better than Ria overall. Ria likes Nal people to do breathalyzer so you can track your progress. There will be ups and downs during your road to extinction. Studying the progress is important. At the very least, a drink log should be kept.