Compounded semaglutide and tirzepatide are not currently covered by insurance, and are only available at an OUT OF POCKET COST.  You can use your HSA or FSA card if you would like.  The pricing for a month’s supply of compounded medication including supplies and a complimentary consultation with our staff is as follows:

Semaglutide (2.5mg/mL) VIAL and PRE-FILLED SYRINGES

• 1 mL- $179.00 (compounded formulation of Ozempic/Wegovy 0.25mg or 0.5mg)
• 2 mL- $269.00 (compounded formulation of Ozempic/Wegovy 0.75mg or 1mg)
• 3 mL- $329.00 (compounded formulation of Wegovy 1.7mg)
• 4 mL (2mlx2)- $399.00 (compounded formulation of Ozempic 2 or Wegovy 2.4mg) 

Tirzepatide (10mg/mL) VIAL and PRE-FILLED SYRINGES

• 1 mL- $229.00 (compounded formulation of Mounjaro/Zepbound 2.5mg)
• 2 mL- $329.00 (compounded formulation of Mounjaro/Zepbound 5mg)
• 3 mL- $409.00 (compounded formulation of Mounjaro/Zepbound 7.5mg)
• 4 mL (2mLx2)- $489.00 (compounded formulation of Mounjaro/Zepbound 10mg)
• 5 mL- $579.00 (compounded formulation of Mounjaro/Zepbound 12.5mg)
• 6 mL (3mLx2)- $649.00 (compounded formulation of Mounjaro/Zepbound 15mg)

Semaglutide oral capsules

• 1 mg- $229.00/month
• 3 mg- $309.00/month
• 6 mg- $429.00/month
• 9 mg- $549.00/month

Semaglutide sublingual oral solution (1mg/ml) vial

• 30 mL- $229.00/month

Semaglutide and B12 (cyanocobalamin) oral troches

• 3 mg- $309.00/month
• 6 mg- $429.00/month
• 12 mg- $669.00/month

Please fill out our interest form at your earliest convenience, so we can establish a direct line of communication with you. Detailed next steps will be provided once the form is submitted. This allows us to better serve you by having some information on file, so when we get the script it can be processed at lightning speed.

Semaglutide works as a GLP-1 agonist. In simpler terms, this means it increases the GLP-1 hormone produced in the body. This hormone helps to reduce appetite and slow digestion, thus assisting patients with weight loss.

Tirzepatide works as a GIP & GLP-1 agonist. To break it down, this means the medication has two mechanisms. One of the mechanisms increases the GLP-1 hormone, which is the same as in semaglutide. The other mechanism increases the GIP hormone, which also helps to slow digestion and decrease appetite and cravings.

Both medications aid in weight reduction, but because tirzepatide has a dual mechanism some patients may experience greater weight loss benefits with this medication in comparison to semaglutide. However, every patient is different and may experience different levels of weight loss with each medication.

Patients may choose to have their medication shipped to them at an additional fee of $30 or pick up their medication from the pharmacy at no additional cost.

Yes, although brand new scripts directly from the provider are preferred, if your script is at another pharmacy and you would like us to transfer it over for you, please send us an email at clinic@skippackpharmacy.com or text 267-766-0076.

No, we are able to use a dosing conversion chart to match the dosing which allows patients to remain on the same dose they have already been established on.

After completing the payment form, it takes approximately 1-2 business days for the order to be processed.  We strive to process the orders as quickly as possible while still prioritizing accuracy and appreciate your patience.

We do not like needles either, thus the needles you get with your injectables are very tiny – you’ll be pleasantly surprised!  Most of our patients cannot even feel the needle when they inject it into an area of fat.  BUT if you really do not like needles, Skippack Pharmacy offers compounded semaglutide oral capsules, semaglutide sublingual oral solution, and semaglutide with B12 (cyanocobalamin) oral troches.

Semaglutide capsules are hard shell capsules that contain powdered semaglutide. These are to be taken with water and will be broken down by the digestive system.

Semaglutide oral solution is a liquid that comes in a vial and is administered with a dropper. This solution is specifically designed to be administered sublingually (under the tongue) where it is absorbed by mucous membranes.

Semaglutide troches are small tablets that slowly dissolve when placed under the tongue or between the cheek and gum, similar to a cough drop. Unlike capsules, troches bypass the digestive system and the active ingredients go straight into the blood stream. Troches should not be swallowed whole or chewed.

If you’ve heard of brand names such as Ozempic, Wegovy, or Rybelsus, then you might be familiar with semaglutide. Semaglutide is a popular weight loss injection that helps to suppress your cravings by mimicking hormones naturally released in the gastrointestinal tract when you eat. This weekly injection prompts the body to produce more insulin, thus reducing blood glucose levels and helping you control your appetite so you can lose weight and focus on establishing healthier eating habits.

While semaglutide is an effective weight loss tool, it can also have other incredible health benefits. Semaglutide can lower the risk of heart attack, stroke, or death for individuals with type 2 diabetes or those struggling with heart disease. If you struggle with any of these conditions, or struggle to lose weight on your own, ask your doctor about semaglutide injections to jumpstart your journey.

Another weight loss injection that can help you navigate your weight loss journey is tirzepatide. Also known as Mounjaro or Zepbound, tirzepatide is an effective weight-loss injection that has been used to assist adults dealing with obesity or weight-related conditions. This medication activates hormone receptors to reduce your appetite and improve your blood sugar levels so you can make progress without having to combat your cravings. It’s a great tool to get you started and improve your long-term health. This injection is provided weekly, gradually increasing the dosage over several weeks until you reach the level that is most effective for you and your weight loss goals. If you’re ready to make a change in your health, but are have difficulties taking the first step, then tirzepatide may be a great solution for you.

Ref: Dr. Myra Reed

As with any medication, each person responds differently to any medication they take.  Everyone’s situation is a little bit different, so we always recommend speaking to your health care provider and getting their thoughts.

YES, we believe in the products’ quality and safety.  Our team diligently assessed many options for compounding pharmacy partners and have chosen a partner we fully trust.  If we did not believe in the product, we would not have our own staff members on it.  They were the first to use it prior to us opening this up to our patients.  See some graphics below in regards to how our compounding pharmacy partner exceeds quality standards.  Analytical testing, API, facility, cleanroom, and quality are just some of the measures in place to ensure this.

FDA approved brand name drugs, containing the active ingredient semaglutide, are currently on a national shortage.  During a drug shortage, pharmacies are permitted to compound a drug so their patients still have access to it.

Our current supply of semaglutide and tirzepatide comes from 503a and 503b compounding pharmacies. These compounding pharmacy partners have up-to-date accreditation from the Pharmacy Compounding Accreditation Board (PCAB) and collaborates exclusively with FDA-registered API manufacturers.

Patients who are approved by their provider/doctor to receive compounded weight loss medication may obtain this medication from our pharmacy. All patients will need to have a valid and active prescription for an injectable medication containing semaglutide or tirzepatide that allows for substitution or compounded formulation.

Semaglutide is currently approved for patients who are 12 years of age or older, and tirzepatide is currently approved for patients who are 18 years of age or older. The difference in age requirements is simply due to the fact that semaglutide has been on the market longer, and more studies have been conducted in younger patients. The age requirements are likely to become more comparable in the near future.

For anyone without a provider/doctor, Skippack Pharmacy has worked with Physician 360 Health Clinic, which is a telemedicine service who can evaluate patients and write prescriptions for weight loss injectables (consult is $69.95).

Please visit our clinic page to learn more.

**we are not directly affiliated with Physician 360, and simply provide them as a cost-effective option for our patients to use**

These medications are expected to have the similar side effects to other semaglutide products, tirzepatide products, and GLP-1 agents.

The most common side effects include gastrointestinal related symptoms such as nausea, indigestion, abdominal pain, diarrhea, constipation, and vomiting.   We have learned that certain vitamins may help to reduce these side effects, but it is important to consult your provider prior to adding anything new to your regimen.  When making a payment using our online form, you will have the option to add these vitamins onto your purchase.

If extreme sensitivity reactions occur such as rash, shortness of breath, or swelling in your face or neck, report these to your prescriber/doctor immediately.

These medications have the possibility of causing episodes of low blood sugar, which may include dizziness, lightheadedness, confusion,  drowsiness, weakness and shakiness. Risk of low blood sugar increases when taking these medications with other blood sugar lowering medications such as insulins and sulfonylureas.

Yes, due to the additives included in the prefilled syringes that allow for extended dating, patients may experience different side effect profiles on the prefilled syringes compared to the vials.

The ingredients in each of the compounded products are as follows:

COMPOUNDED VIALS: 

• Semaglutide
  • Active Ingredient – semaglutide
  • Inactive Ingredients – benzyl alcohol, dibasic sodium phosphate, and sterile water for injection
• Tirzepatide
  • Active Ingredient – tirzepatide
  • Inactive Ingredients – benzyl alcohol and sterile water for injection

COMPOUNDED PREFILLED SYRINGES:

• Semaglutide
  • Active Ingredient – semaglutide
  • Inactive Ingredients – sodium biphasic dihydrogen phosphate, sodium chloride, hydrochloric acid, and sodium hydroxide
• Tirzepatide
  • Active Ingredient – tirzepatide
  • Inactive Ingredients – sodium biphasic dihydrogen phosphate, sodium chloride, hydrochloric acid, and sodium hydroxide

Compounded semaglutide and tirzepatide are contraindicated in patients with a personal or family history of medullary thyroid cancer (MTC) or Multiple Endocrine Neoplasia syndrome type 2 (MEN2). Contraindications also exist for patients with known hypersensitivity reactions to other brand-name and generic formulations of semaglutide and tirzepatide.

Before stating a weight loss medication, please let your doctor/provider know if you have any of these conditions:

• Kidney disease
• Gallbladder disease
• Severe gastrointestinal disease
• Eye disease or diabetic retinopathy
• History of pancreatitis
• History of hypoglycemia
• Allergies to semaglutide, tirzepatide, other medications, foods, dyes, and preservatives
• Pregnant or breast-feeding

Yes, since the medication is a healthcare product/RX – this can be paid for with an HSA or FSA card.  You can use the HSA or FSA card when making a payment on our website: www.SkippackPharmacy.com/payment

Most medications will come in either a multi-dose vial, available in different strengths, or pre-filled syringes which come in packages of 4 syringes. Along with the medication, our team will provide the following complimentary items:

• Syringes with needles
• Alcohol swabs as needed for injection site sterilization and vial sterilization
• Educational handouts

Once punctured, multiple-dose vials should not be used for longer than the assigned beyond use date (BUD) of 28 days—to minimize the likelihood of microbial contamination.  Pre-filled syringes are good until the expiration date on the package.  However, you can order up to a 9-months supply of the medication if your provider sends in a script for that.

Yes, you can purchase multiple vials of a specific strength at once – when you make the payment online, select the quantity of vials you would like to purchase.  If you are just starting the medication, make sure the strength you purchase isn’t going to change the following month. Purchasing a greater number of vials or a larger month’s supply is recommended for patients who are established on a certain strength.

The question may arise: “If my prescription is for a strength which equates to 1mL, can’t I just fill for a 3mL vial and use that vial over a period of 3 months?”  This would be amazing. However, as mentioned above, the beyond use date on the vials is 28 days once punctured.  If you receive a 3mL vial and used 1mL total over one month, you would need to discard the other 2mL at the end of the month.

When you pick your prescription up at Skippack Pharmacy, our team will ensure you feel confident about administering the injection before you leave! However, at home, you will use a syringe to draw up your instructed dose from the medication vial or simply attach the needle to a pre-filled syringe, and administer the medication via a subcutaneous (under the skin) injection. After the first puncture of the medication vial, the vial is good for 28 days. Please discard any unused medication after the expiration date.  Vials which are not punctured and pre-filled syringes, if stored in a fridge, are good until the expiration date listed on the outside of the package. Feel free to use the following links to review our personalized educational materials.

How to administer from a VIAL:

• Instructional Handout 
• Instructional Video

How to administer from a PRE-FILLED SYRINGE:

• Instructional Handout
• Instructional Video

No, unfortunately we are not permitted to perform this type of injection on-site at the pharmacy. However, when you pick your prescription up at Skippack Pharmacy, our team will ensure you feel confident about administering the injection before you leave!  Also, feel free to use the following links to review our personalized educational materials.

How to administer from a VIAL:

• Instructional Handout 
• Instructional Video

How to administer from a PRE-FILLED SYRINGE:

• Instructional Handout
• Instructional Video

Each month, you will receive 1 vial that includes the medication your provider has ordered for you. The specific amount of mL in the bottle is dependent on your dose. Typically, patients have taken this medication once a week.  The best practice is taking it on/around the same day each week so you remember.  Setting a reminder on your calendar or phone may serve as a helpful tool.

It is recommended to rotate the injection site with each dose to minimize irritation. This also prevents the development of a fatty lump formation under the skin that can occur over time with damaged tissue and over-used injection sites

Oral capsules should be taken every day as instructed by your doctor. Patients should take this medication on an empty stomach after waking up in the morning. Take the capsule with no more than 4 ounces of water. After 30 minutes, you can eat, drink and take other medications or vitamins.

Oral solution comes in a vial with a 1mL dropper for easy administration under the tongue. A 1mL dose should be applied under the tongue and kept there for at least 5 minutes before swallowing. Patients should not eat or drink 30 minutes before or after taking medication.

Oral troches should be taken 15 minutes before or after food and drink. The troche should be placed under the tongue or between the gum and cheek. Allow the troche to fully dissolve before swallowing. DO NOT CHEW.  Rotate the troche site with each dose.

Weight Loss Injectables

These medications should be stored in the original container in the refrigerator until it is time for administration. After removing your medication from the refrigerator, you may administer your dose while it is still cold or you can allow the syringe sit at room temperature for 15 to 30 minutes prior to injecting.  Some people find the injection more comfortable if done at room temperature. Weight loss injectables can be left at room temperature, outside of refrigeration, for 30 days with the same potency and stability. However, it is preferred to keep the medication in the fridge.

Oral Semaglutide Formulations

Semaglutide oral capsules, sublingual oral solution, and troches can both be stored at room temperature. Do NOT refrigerate.

The ingredients in each of the compounded injectables are as follows:

COMPOUNDED VIALS: 

• Semaglutide
  • Active Ingredient – semaglutide
  • Inactive Ingredients – benzyl alcohol, dibasic sodium phosphate, and sterile water for injection
• Tirzepatide
  • Active Ingredient – tirzepatide
  • Inactive Ingredients – benzyl alcohol and sterile water for injection

COMPOUNDED PREFILLED SYRINGES:

• Semaglutide
  • Active Ingredient – semaglutide
  • Inactive Ingredients – sodium biphasic dihydrogen phosphate, sodium chloride, hydrochloric acid, and sodium hydroxide
• Tirzepatide
  • Active Ingredient – tirzepatide
  • Inactive Ingredients – sodium biphasic dihydrogen phosphate, sodium chloride, hydrochloric acid, and sodium hydroxide

Yes, the compounded semaglutide troches contain vitamin B12, but no other compounded formulations do.

The original brand name products, Ozempic, Wegovy, Mounjaro, and Zepbound do not contain vitamin B12, thus we have opted out of including it in the other products.

Our pharmacy DOES carry vitamin B12 and other vitamins in tablet formulation, which may be picked up along with your prescription or shipped to you.  You will have the option to add these items to your order on the payment form OR grab them from vitamin aisle at the pharmacy.

When it comes time for your last injection (4th dose) or the last 7 days of your oral medication, please use the same secure payment link you received  from our team when you first got approved to make another payment. This link is used each month when reordering.  Here is the link in case you cannot find it: REFILL LINK

You will have the option to select up to a 9-month supply and inform our team if you will continue the same dose or take a different strength. We can use existing refills or scripts on hold to fill your next order. If no refills remain, your provider will need to send a new script.

On average, patients lose approximately 10-15% of their baseline weight within three to six months of starting weight loss injectable therapy. However, weight loss is patient specific and may vary depending on a variety of factors. Some of these factors include diet, exercise, and comorbidities (other conditions patients may have).

Patients who are willing and able to improve their dietary habits and increase their physical activity may see quicker results than those who are not. Likewise, patients who are able to better control their other conditions may be more successful in losing weight.

The most important thing to remember is to maintain a positive mindset and NEVER compare yourself to others. Having a strong support system may help you to achieve the results you are looking for.

Because this medication works by decreasing patients’ appetites and reducing cravings, patients may gain weight back if the medication is stopped. In this way, this medication is more of a long-term solution than a short-term solution.

This is because patients’ eating behaviors will likely return to the way things were before they started the medication. However, continuing to implement healthier dietary habits after stopping the medication may help to maintain a more ideal weight. Likewise, increasing physical activity may help to combat weight gain as well.

Regardless whether you are or are not using a weight loss medication, it is important to implement other non-medication strategies such as eating a balanced diet and exercising regularly to promote a healthier lifestyle! However, combining weight loss medication with these other strategies has demonstrated increased weight loss benefits.

Please visit the CDC website for resources on healthy eating for a healthy weight.