FORMS
SEMAGLUTIDE REORDER FORM
SEMAGLUTIDE REORDER FORM
DO NOT USE THIS FORM IF YOU ARE STARTING THE SEMAGLUTIDE
SEMAGLUTIDE CONSENT
TIRZEPATIDE REORDER FORM
TIRZEPATIDE REORDER FORM
DO NOT USE THIS FORM IF YOU ARE STARTING THE TIRZEPATIDE
LIPO INJECTIONS AND VITAMIIN B12 INJECTIONS CONSENT FORM
IV NUTRITION CONSENT FORM
NEW LOW WEGOVY PRICING
ABOUT SEMAGLUTIDE (OZEMPIC, WEGOVY)
Semaglutide is generic name for Ozempic and Wegovy.
Wegovy is an injectable prescription medicine used for adults who are obese, overweight or someone who also has weight-related medical problems.
This gut hormone has many important metabolic actions including:
•Helping to regulate blood sugar
•Slowing stomach-empyting of food
•Controlling appetite
Significant improvements were also seen in:•Waist circumference•Blood pressure•Blood fats•Inflammation•Physical ability
Choosing a Semaglutide Package
New patients and patients that have not been seen at our office one year or more will need lab drawn prior to starting Semaglutide or Tirzepatide. You are responsible for knowing your insurance benefits.
SEMAGLUTIDE START
$400 New Patient start (7 weeks of medicine to start)
$600 New Patient start (11 weeks of medicine to start)
- PRICE INCLUDES:
- CONSULTATION
- 7 WEEKS OF SEMAGLUTIDE (DOSES: 0.25MGx 5 wks, 0.5MGx 2 weeks)
- 11 Weeks (0.25mg x 4 weeks, 0.5mg x 4 weeks, 1mg x 3 weeks )
- REQUIRED LAB DRAW ADDITIONAL FEE $95 (SELF PAY) NO FEE IF USE INSURANCE
- MINIMUM LAB REQUIREMENTS; (CBC, CMP, lipids, TSH, HGAIC, fasting insulin)
TO GET YOUR VIAL IN TIME FOR YOUR NEXT INJECTION, PLEASE REORDER TWO WEEKS IN ADVANCE.
COMPLETE SEMAGLUTIDE REORDER FORM. CLICK BLUE LINK.
AN INVOICE WILL BE SENT TO YOUR EMAIL. YOU MUST PAY YOUR INVOICE BEFORE AN ORDER IS PLACED ON YOUR BEHALF.
SEMAGLUTIDE 2ND VIAL
$325 (3ml vial) stay on low doses
$375 (5ml vial) move to higher doses
TO GET YOUR VIAL IN TIME FOR YOUR NEXT INJECTION, PLEASE REORDER TWO WEEKS IN ADVANCE.
COMPLETE SEMAGLUTIDE REORDER FORM. CLICK BLUE LINK.
AN INVOICE WILL BE SENT TO YOUR EMAIL. YOU MUST PAY YOUR INVOICE BEFORE AN ORDER IS PLACED ON YOUR BEHALF.
SEMAGLUTIDE 3RD VIAL OR MAINTENANCE VIALS
$325 (3ml vial) stay on low doses
$375 (5ml vial) move to higher doses
TO GET YOUR VIAL IN TIME FOR YOUR NEXT INJECTION, PLEASE REORDER TWO WEEKS IN ADVANCE.
COMPLETE SEMAGLUTIDE REORDER FORM. CLICK BLUE LINK.
AN INVOICE WILL BE SENT TO YOUR EMAIL. YOU MUST PAY YOUR INVOICE BEFORE AN ORDER IS PLACED ON YOUR BEHALF.
MOUNJARO PRICING
TIRZEPATIDE STARTING DOSES 2.5MG TO 5MG
4 WEEKS STARTING DOSE
COST: $400
- PRICE INCLUDES: CONSULTATION and 5 weeks of medicine (Dose 2.5mg)
10 WEEKS STARTING DOSE
Cost: $650
- PRICE INCLUDES: CONSULTATION and 10 weeks of medicine (Doses: 2.5mg and 5mg)
Lab is required to start with Tirzepatide.
Minimum lab required: CBC, CMP, Lipid panel, TSH, HGAIC, Fasting Insulin. (VIT D LEVEL OPTIONAL)
SELF PAY LAB FEE: $95
NO FEE IF YOU USE INSURANCE FOR THE LAB DRAW.
TIRZEPATIDE 2ND VIAL: 5MG TO 7.5MG
5MG VIAL (6 WEEKS OF MEDICINE)
COST: $600
7.5MG VIAL (6 WEEKS OF MEDICINE)
COST: $650
TIRZEPATIDE 3RD VIAL: 10.0MG TO 12.5MG
10.0MG (5 WEEKS OF MEDICINE)
COST: $650
12.5MG (4 WEEKS OF MEDICINE )
COST: $650
TIRZEPATIDE 4TH VIAL: 15MG
15MG (4 WEEKS OF MEDICINE)
COST: $650
TIRZEPATIDE 15MG DOSE
COST: $650
3 WEEKS OF MEDICINE
ONCE A WEEK INJECTIONS
