New Weight Management Program Q&A

Two Ways to Get Medication

You have two ways to obtain Ozempic/Wegovy (semaglutide) or Mounjaro (tirzepatide):

  1. Compounded semaglutide or tirzepatide from a compounding pharmacy or…
  2. A Prescription for the name brand drug Ozempic/Wegovy (active ingredient semaglutide) or Mounjaro (active ingredient tirzepatide).

 

 

The Benefits of the compounded semaglutide or tirzepatide are as follows:

  • Medication shipped to you
  • No hassle at the pharmacy
  • No lines
  • No insurance hassles
  • No backordered medication

Drawbacks of compounded semaglutide or tirzepatide:

  • Out of pocket cost
  • May not be able to access semaglutide or tirzepatide from a compounding pharmacy in the future due to FDA regulations

 

The Benefits of a Ozempic/Wegovy or Mounjaro prescription:

  • Insurance may cover some or all of the cost

Drawbacks of Ozempic/Wegovy or Mounjaro prescription:

  • Risk of shortage
  • May need to go to multiple pharmacies to find your medication because of shortages
  • Long lines at pharmacy
  • Insurance coverage may change with each subsequent refill, from mostly covered to not covered at all

 

How much does it cost and will insurance cover it

Our 6-month weight management coaching program is $1199 and includes coaching with our nurse practitioner up to once per week, a bluetooth-enabled scale, journal and baseline labs. The non-coaching program is $350 and includes the bluetooth-enabled scale, journal and baseline labs (similar to the coaching program without the coaching). After that, the subscription to get compounded semaglutide or tirzepatide, or a prescription for Ozempic/Wegovy/Mounjaro is $470 every 28 days. Once you have the prescription, hopefully insurance will cover the cost of the medication. So whether it’s the compounded semaglutide or tirzepatide shipped to your door or a prescription for the name brand drug, it’s $470 every 28 days.

If you’re going the insurance route, we’ll submit the prescription to a pharmacy of your choice that has the medication and correct dosage in stock and handle any pre-authorizations for $470 every 28 days, with the hope that insurance covers the rest of the cost. To check whether there’s a chance insurance will cover the name brand drug Wegovy, click here.

Additionally, if you attempt to use insurance for medication coverage, remember that the lower/starting doses of Wegovy are in short supply per the manufacturer and insurance coverage is statistically unlikely in a majority of cases. If insurance doesn’t cover Ozempic, Wegovy or Mounjaro, or your dose is unavailable, we can still get the medication for you in the compounded version for the same monthly cost of $470 every 28 days.

Either way, you’re guaranteed access to the medication for $470 each month – either via a compounding pharmacy or through a prescription for the name brand drug from a traditional pharmacy.

 

Consultation and Coaching Program

If you decide to move forward with the consultation, we will discuss your medical history, BMI and your needs so that we can assist you in making two decisions: whether to get compounded semaglutide/tirzepatide or a prescription and whether you should do the 6-month Program that includes patient-led scheduling for coaching, labs, scale and journal vs the Non-coaching enrollment program that does NOT include a 6-month coaching program but does include labs, scale, and journal.

 

Unfortunately, if FDA regulations change (name brand drugs go off of the shortage list) such that we can no longer get the compounded semaglutide or tirzepatide from the compounding pharmacy, we will be unable to provide access to the compounded medication going forward. We will still be able to provide you with a prescription.  To reiterate, whether you do the coaching program or not, if the compounded semaglutide or tirzepatide becomes unavailable, we will be unable to provide you any compounded semaglutide or tirzepatide moving forward but we can still give you a prescription in the hopes you can obtain insurance coverage.

 

Labs

Labs can be obtained at any LabCorp near you and the cost of the labs are included with either the coaching or non-coaching program. You will not have to pay the lab anything out of pocket to have your blood drawn. We’ll electronically place the order with LabCorp and you just show up to any LabCorp in an America, give them your name, they’ll draw your blood and we’ll have the results in 24 hours.

 

Monthly Subscription Signup

Once we receive your lab results and you are clear to take the medication, we will send you a link to start your monthly recurring subscription for the compounded medication or a prescription..

 

Ozempic/Wegovy/semaglutide: Whether you’re getting your medication directly from a compounding pharmacy or getting a prescription submitted to a traditional pharmacy, you will sign up here for the $500 monthly subscription of Ozempic/Wegovy/semaglutide. You will be charged $500 every 28 days for the first 6 months and after each charge, we will ship 4 prefilled syringes to you for your once per week injection or we will submit a prescription to the pharmacy of your choice that has the medication and dosage in stock.

 

Moujaro/tirzepatide: Whether you’re getting your medication directly from a compounding pharmacy or getting a prescription submitted to a traditional pharmacy, you will sign up here for the $600 monthly subscription of Mounjaro/tirzepatide. You will be charged $600 every 28 days for the first 6 months and after each charge, we will ship 4 prefilled syringes to you for your once per week injection or we will submit a prescription to the pharmacy of your choice that has the medication and dosage in stock.

 

Insurance can be a hassle

To be clear, we are not trying to encourage patients to go the compounded semaglutide route or discourage patients going the prescription route for the name brand Ozempic/Wegovy/Mounjaro. But we can not overstate how convoluted and difficult and frustrating it will be to obtain these medications through a traditional pharmacy with insurance. You will be met with hurdles every step of the way and we will be unable to lower those barriers despite assisting with preauthorizations, because those barriers are out of our control.

But no matter what happens, insurance coverage or not, you’re guaranteed access to the medication in some form with the monthly $500 (Ozempic/Wegovy/semaglutide) or $600 (Mounjaro/tirzepatide) subscription fee, either via a compounding pharmacy or through a prescription for the name brand drug from a traditional pharmacy.

 

Contact us!

We look forward to your participation in our program. Please let us know if you have any questions. Pay for your consultation online here to receive priority scheduling.

“Dr. Kaplan is a true professional. He gave me extremely helpful and direct honest advice…I strongly recommend him.”– David S.

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