Request a Consultation

Weight-loss injections are prescription-only medications. They cannot be purchased directly. To get started, request a consultation below. A licensed U.S. healthcare provider will review your eligibility, and — if appropriate — issue a prescription that our pharmacy can fill. No medication is sold or shipped without a valid prescription from a licensed provider.

How it works

1. Request a consultation — complete the short form below.
2. Provider review — a licensed telehealth provider reviews your health history and BMI to determine eligibility.
3. Prescription (if eligible) — if appropriate, the provider issues a prescription. Not everyone qualifies.
4. We fill your Rx — your prescription is filled with authentic, FDA-approved medication and shipped discreetly.

Start your consultation request

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Full Name *

First

Last

Email *

Phone *

Which U.S. state do you live in? *Select your stateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming

Age *

You must be 18 or older to qualify.

Height (in inches) *

Current weight (in pounds) *

Do you have any weight-related health conditions? (Select all that apply)

• High blood pressure
• High cholesterol
• Type 2 diabetes
• Obstructive sleep apnea
• Heart disease
• None of these

A BMI of 27+ with one of these, or a BMI of 30+, is generally required to qualify.

Important safety screening — do any of the following apply to you? (Select all that apply)

• Personal or family history of medullary thyroid cancer or MEN2
• Currently pregnant, planning pregnancy, or breastfeeding
• History of pancreatitis
• Personal or family history of thyroid cancer
• None of these apply

GLP-1 medications are not safe for everyone. This helps your provider screen for contraindications.

Which medication are you interested in? *Select oneOzempic (semaglutide)Wegovy (semaglutide)Mounjaro (tirzepatide)Zepbound (tirzepatide)Saxenda (liraglutide)Not sure — provider recommendation

Do you currently have a valid prescription for this medication? *

• Yes
• No

Anything else your provider should know? (medications, allergies, medical history)

Acknowledgment & Consent *

• I understand a valid prescription from a licensed U.S. provider is required, and I consent to a telehealth eligibility review. The information I have provided is accurate. I understand this is a request for a consultation and not a guarantee of a prescription.

Request My Consultation

Medical disclaimer: This form is a request for a consultation, not a guarantee of a prescription. GLP-1 medications carry FDA warnings, including a boxed warning for risk of thyroid C-cell tumors. Only a licensed provider can determine whether a prescription medication is appropriate for you. This page is for educational purposes and is not medical advice.