Custom MD
Verified listingAbout Custom MD
What is Custom MD?
Custom MD is a membership-based primary care practice at 2207 N Molter Rd Suite 100 in Liberty Lake, Washington. Keenan Milonas, MD, created the practice and is the only prescriber named. Google lists it as a family practice physician and gives it a rating of 5 from 83 reviews. Appointments are generally about an hour long.
Weight management with GLP-1 therapy is one service among many. The list also covers primary care, mental health, hormone therapy (HRT), peptide therapy, ketamine therapy, hyperbaric chamber treatments, sleep studies and esthetic services. The team includes a clinical lead and a master esthetician. Both are listed as medical assistants, and neither is named as a prescriber.
What does it cost?
Membership is the entry point. In its own words: "Membership plans start at $150 per month per adult, $50 per month per child with discounted pricing for family plans." The initial visit is included in the membership fee. If you choose not to join, your insurance is billed for the visit. The practice accepts most commercial insurance and Medicare, but not state Medicaid.
Missed visits carry fees. A late cancellation, meaning one made less than 48 hours before the appointment, costs $50.00. A no-show costs $75.00.
It does not publish prices for GLP-1, hormone or peptide therapy. It does not say whether the membership fee includes medication, and it does not state a membership commitment or cancellation terms.
What should you ask before you book?
Ask who writes the prescription. Keenan Milonas, MD, is the only prescriber named, so confirm whether he would prescribe for you. Ask whether the membership fee covers any medication, and whether the GLP-1 medicine is brand-name or compounded. The practice offers compounded medications, so ask which version you would receive and what it costs.
Then ask what follow-up visits, lab work and injections cost beyond the membership. Ask how you cancel and whether there is a minimum term. Ask whether a membership visit is billed to insurance, to the membership, or to both. If you expect to use telemedicine from another state, ask which states it covers.
Last, the website is custommedicinemd.com, but the contact address uses custommd.com. Confirm you are reaching the practice before you send health details or pay.
Who is it a good fit for?
This is a good fit if you want a physician-led membership practice for ongoing primary care and you are comfortable paying a monthly fee alongside insurance for longer visits. It is a weaker fit if you need published prices for medication before you book.
Sources: custommedicinemd.com, custommedicinemd.com/about, custommedicinemd.com/staff, custommedicinemd.com/faqs
Services Offered
What we confirmed
Read off Custom MD’s own website on 2026-10-15. These are their words, not ours.
- ✓Medical weight loss — listed on their site as “Weight Management including GLP-1 therapy.” source
- ✓Hormone therapy — listed on their site as “Hormone therapy (HRT)” source
- ✓Peptide therapy — listed on their site as “Peptide therapy.” source
We have not yet collected published prices or prescriber credentials for this clinic. When we do, they will appear here with a link to the page they came from — or a note saying the clinic publishes none, which is itself worth knowing. Call them for a price in the meantime.