# FAQ > Plain answers to common questions about GLP-1 medications, compounded semaglutide and tirzepatide, pricing, shipping, and how provider review works. Source: https://livingplusrx.com/faq/ Publisher: Living+ Rx (livingplusrx.com) Last updated: 2026-11-11 [Home](https://livingplusrx.com/) / FAQ Good to know # GLP-1 questions?*Answered plainly.* How Living+ works, what it costs, who decides your treatment, and what to expect once you start. If we've missed something, your care team is a message away. ### Clear, upfront pricing. Every treatment’s price is listed on its page, what you see is what you pay. Medication, supplies, unlimited provider care and discreet shipping included. Pause or cancel anytime. Priced per treatment Exact price shown on every treatment page ### Still have a question? Patients can message their provider and care team any day of the week, right in the Living+ app. Not a patient yet? Email us at [support@livingplusrx.com](mailto:support@livingplusrx.com). [Start your assessment](https://livingplusrx.com/getting-started/) ## Ready when you are. Complete a short health assessment and a licensed provider reviews it, decides whether treatment is appropriate for you, and, if it is, chooses the medication and dose that fit your history. [Start your assessment](https://livingplusrx.com/getting-started/) A licensed provider reviews every assessment. Not everyone is a candidate, and treatment is not guaranteed. You are not charged until a provider accepts treatment. ## About Living+ ### What exactly does Living+ do? Living+ is a telehealth weight management service. We do one thing: connect you with a licensed provider who decides whether a GLP-1 medication is appropriate for you, and then support you the whole way through. That focus is the point. One care team, and one clear monthly price for your treatment that covers medication, supplies, provider care and shipping. There's no waiting room and no appointment to book. You complete a short online assessment, a provider reviews it, and if treatment is right for you it ships to your door. ### Who decides which medication I get? **Your provider does. You don't.** Living+ does not offer medications for selection or sale, and there is nothing on this site to add to a cart. Your assessment goes to a licensed provider who decides three things: whether treatment is appropriate for you at all, which medication fits your history if it is, and what dose to start you on. They may prescribe something other than what you expected, or nothing at all. Each medication has its own flat monthly price: compounded semaglutide is $197 a month, oral semaglutide is $197 a month, and compounded tirzepatide is $247 a month. Your provider chooses the medication based on your health history, and you see the exact price before you pay. ### Who are the providers that prescribe my medication? Clinical care through Living+ is delivered by **OpenLoop Healthcare Partners, PC**, an independent medical group. Your provider is a licensed U.S. clinician — a physician, nurse practitioner, or physician assistant — licensed in the state where you live. They review your health history, your assessment, and any labs before deciding whether a treatment is appropriate for you. No prescription is issued without that review. If a GLP-1 isn't right for you, they'll say so — and they may recommend something different, or nothing at all. Living+ handles the platform, the plan, and the support around your care. The medical decisions are your provider's alone. You can verify any provider's license with your state medical board at no cost — ask us and we'll give you the details you need. ### What states are you available in? Living+ connects patients with licensed providers across the U.S. and Washington, D.C. GLP-1 weight loss is not offered in Louisiana. Because rules on telehealth prescribing and compounded medications are written state by state, not every treatment is available everywhere. The full, dated list — including any state-specific limits — is on our States Served page. What matters is where you are physically located when your visit happens, not your billing address. You'll see exactly what's available to you as soon as you enter your state in your assessment — always before you pay. ### Do I qualify? That's your provider's call, not a box you tick on a website. They look at your height and weight, your health history, the medications you already take, and any conditions that would make a GLP-1 unsafe for you. Broadly, GLP-1 treatment is considered for adults carrying excess weight, and often for people who also have a weight-related health condition. Your provider will tell you where you land. The assessment is free and there's no charge for medication until a provider prescribes a plan for you. **Not everyone is a candidate.** If your provider decides treatment isn't appropriate, you are not charged for medication. ## About the medications ### What's the difference between semaglutide and tirzepatide? Both are GLP-1 medications given as a weekly injection, and both work on the hormone pathways that regulate appetite and how full you feel after eating. **Semaglutide** acts on one of those pathways, GLP-1. **Tirzepatide** acts on two, GLP-1 and GIP. That second pathway is the main difference between them. Which one is right for you depends on your health history, your other medications, and how your body responds. **Your provider makes that decision after reviewing your assessment** — it isn't a preference you set at signup, and it doesn't change what you pay. ### Is this the same as Ozempic® or Wegovy®? No. Ozempic® and Wegovy® are FDA-approved, brand-name products manufactured by Novo Nordisk A/S. Mounjaro® and Zepbound® are FDA-approved products manufactured by Eli Lilly and Company. Living+ is not affiliated with, endorsed by, or sponsored by any of them. What a Living+ provider may prescribe is a **compounded** medication containing semaglutide or tirzepatide, prepared for you individually by a licensed U.S. compounding pharmacy. The difference matters: **compounded medications are not FDA-approved**, and they are not therapeutically equivalent to, or interchangeable with, the brand-name products. They're a different thing, prepared a different way, and you should weigh that before you start. ### When would a provider prescribe a compounded medication instead of an FDA-approved one? Only when there is a specific clinical reason. A compounded preparation is prescribed where your provider determines, on the basis of your documented medical history, that a commercially available FDA-approved product is not suitable for you — a documented reaction to an ingredient in the commercial product, for example, or a clinical need the commercial product cannot meet. **Lower cost, wider availability, and convenience are not clinical reasons, and we don't treat them as such.** When a compounded medication is prescribed, the clinical rationale is recorded in your medical record and in the pharmacy's records. If a commercially available FDA-approved product is right for you, your provider will discuss that instead. ### How does a GLP-1 medication work? GLP-1 is a hormone your body already makes after you eat. It signals fullness to your brain and slows how quickly your stomach empties. GLP-1 medications mimic that signal and extend it, which is why most people notice they feel satisfied sooner and stay satisfied longer. Tirzepatide adds a second hormone pathway, GIP, that works alongside it. It isn't a stimulant and it isn't a fat burner. It changes appetite signalling — which is why the habits you build alongside it matter, and why your provider stays involved rather than just writing a script and disappearing. ### Is it an injection? Do I have to give it to myself? Yes — the treatments here are self-administered as a small weekly injection under the skin of your stomach, thigh, or upper arm, using a very fine, short needle. Most people describe it as far less unpleasant than they expected. Everything you need comes with your order: **syringes, needles, alcohol swabs, a sharps container and step-by-step dosing instructions are included in your monthly price.** No separate pharmacy trip, no extra fee. Your care team will walk you through your first dose, and you can message them any time you're unsure. ### Do I still need to change how I eat and move? Yes. GLP-1 medication is a tool, not a replacement for the rest of it. It works alongside eating patterns, protein intake, movement and sleep — and your provider will talk with you about all of them. Protein and strength work matter more than most people expect while on treatment, because appetite drops and it becomes easy to under-eat. Your care team will help you plan for that. The medication makes the changes easier to stick to. It doesn't make them optional. Individual results vary, and no outcome is guaranteed. ## Pricing and your plan ### How much does it cost? Pricing for every treatment is listed on its own page, so you can see your exact monthly price before you start, with no membership fee or consultation fee stacked on top. You’ll always see your exact price in full before you pay, and you are not charged until a provider accepts treatment. ### Are there any other fees? No. There's no signup fee, no membership fee, no consultation fee, and no shipping charge. The assessment itself is free, and you aren't charged for medication unless a provider prescribes a plan for you. Injection supplies are included. If your provider changes your dose, or changes which medication you're on, **your monthly price does not change.** If anything about a charge on your account doesn't look right, message your care team — they can see your billing history and sort it out. ### Do you accept insurance? No. Living+ is a self-pay service, and compounded medications are generally not covered by insurance anyway. The upside is simplicity. One clear monthly price for your treatment, no claims, no deductibles, no prior authorizations, and no surprise bill arriving three months later. What you see before you pay is what you pay. You can usually pay with an HSA or FSA card, though whether the expense is eligible is between you and your plan administrator. ### Can my treatment change over time? Yes — that's a normal part of care, and it's your provider's decision. Message them in the app and tell them what's happening: side effects, how you're responding, anything that's changed in your health. They'll advise whether a different medication or dose makes sense and how to move across safely. **Your monthly price stays the same either way.** Changing medication or dose doesn't change what you pay. You can't switch yourself from inside the app. Any change to what's prescribed goes through a provider review first — that's what makes it a prescription rather than a product. ### Can I pause or cancel my plan? Yes — both. To pause your plan or cancel it outright, email support@livingplusrx.com or use the live chat in your portal. No phone call, no retention script, no cancellation fee, and nobody trying to talk you out of it. Plans renew automatically so your medication keeps arriving on schedule and you don't run out mid-treatment. **Cancel any time before your renewal date and you won't be charged again.** If you cancel after your refill has already been processed, that order still ships and is your final charge — nothing renews after it. We email you before each renewal so the charge is never a surprise, and your renewal date and next charge amount are always visible in your plan details in the app. Refund terms are in Section 12 of our Terms of Service. Pausing works the same way as cancelling, minus the goodbye — your plan picks back up when you're ready, and you don't start over. ## Safety and side effects ### Is this real medication? Yes. Everything prescribed through Living+ is a real prescription medication, ordered by a licensed provider and prepared by a licensed U.S. compounding pharmacy — not a supplement, and not sold over the counter. Compounded medications are made to order for an individual patient rather than mass-manufactured, against a patient-specific prescription. One thing to understand clearly: **compounded medications are not FDA-approved.** The FDA does not review compounded drugs for safety, effectiveness, or manufacturing quality before they are dispensed. The pharmacies that prepare them are licensed and regulated by state boards of pharmacy and, in part, by the FDA. ### How do I know this is safe and effective? Two honest parts to this answer. The **active ingredients** — semaglutide and tirzepatide — are well-established medicines that have been studied extensively and used in clinical practice for years. Your provider decides whether one is appropriate for you based on your health history, and monitors you over time. The **compounded formulations** themselves are not FDA-approved and have not been through FDA review for safety or effectiveness. They have also not been studied in the clinical trials that supported approval of any brand-name product. They are prepared by U.S. pharmacies licensed by their state boards of pharmacy, compounding to United States Pharmacopeia (USP) standards — USP, and — that govern how compounded medications are prepared, handled, and dispensed. What that means in practice: the pharmacy is licensed and inspected, the standards it works to are national, and the decision to prescribe is made by a clinician who knows your history. What it does not mean is FDA approval. Both things are true, and you should weigh them together. ### What are the side effects? The most common side effects of GLP-1 medications affect digestion — nausea, vomiting, diarrhea, constipation, stomach discomfort, heartburn, or fatigue. They're usually most noticeable in the first weeks and after a dose increase, and they often settle as your body adjusts. Starting at a low dose and increasing slowly is the main reason your provider manages your dose rather than handing you a fixed one. If side effects are rough, message your care team — they can slow your titration, hold your dose, or change your treatment. **Serious side effects are possible**, including pancreatitis, gallbladder problems, kidney problems from dehydration, and severe allergic reactions. Your provider will review the specific risks with you before you start, and written information comes with your medication. If you have symptoms of a serious reaction — severe or persistent abdominal pain, trouble breathing, swelling of the face, lips or throat, or vomiting that won't stop — **seek emergency medical care right away.** ### Who should not take a GLP-1 medication? GLP-1 medications are not appropriate for everyone. Tell your provider in your assessment if any of the following apply to you — they change what can be prescribed: - A personal or family history of medullary thyroid carcinoma, or Multiple Endocrine Neoplasia syndrome type 2 - A history of pancreatitis or gallbladder disease - Type 1 diabetes, or diabetes treated with insulin or a sulfonylurea - Severe gastrointestinal disease, including gastroparesis - A history of an eating disorder - Pregnancy, planning a pregnancy, or breastfeeding This list isn't exhaustive, and it isn't a self-screening tool. Answer your assessment fully and honestly — your provider uses it to decide whether treatment is safe for you. ### Will I need bloodwork or labs? Sometimes. Your provider may ask for labs before starting or during treatment, depending on your health history and what your assessment shows. If they do, they'll tell you exactly what's needed and how to get it done. If you've had recent bloodwork, you can share those results with your provider in the app rather than repeating them. ### What happens if I stop treatment? GLP-1 medication works while you're taking it. When you stop, appetite signalling gradually returns to where it was before — which is why weight regain is common after stopping, and why it's worth planning your exit rather than just stopping. Talk to your provider before you stop. They can taper your dose, discuss maintenance options, and help you put habits in place that don't depend on the medication. Nothing locks you in. But the conversation is worth having first. ## Getting your treatment ### How quickly will my medication arrive? Once your provider prescribes your treatment, allow up to **48 hours** for the pharmacy to prepare your prescription. It then ships, with tracking sent to you as soon as it leaves the pharmacy. Shipping is free, your medication arrives in discreet, unmarked packaging, and you get tracking as soon as it leaves the pharmacy. Your care team can check on any order in the app. ### How should I store my medication? Your medication ships cold-chain and should go in the refrigerator when it arrives. Storage and beyond-use dates are printed on your label, and full instructions come in the box. Don't freeze it, and keep it out of direct light. If a shipment arrives warm or looks wrong in any way, message your care team before you use it — they'll arrange a replacement with the pharmacy. ### What pharmacies fill my prescription? Your prescription is filled by one of the licensed U.S. compounding pharmacies in our partner network. Which one fills your order depends on the medication prescribed and the state you live in. Each is licensed by its state board of pharmacy and licensed to ship to the state where you live, and each compounds to United States Pharmacopeia (USP) standards. Full addresses and accreditations are in our Platform Disclosure. **You are not required to use a partner pharmacy.** You can ask that your prescription be sent to a pharmacy of your choosing, subject to that pharmacy's policies and applicable law — just tell your provider or our care team. The pharmacy that filled your prescription is identified on your medication label and in your order details, so you always know where your treatment came from. ### What if I have questions once I've started? Message your provider and care team in the Living+ app. It's unlimited, it's included in your monthly price, and it's available 7 days a week. Most messages get a reply within a day. Side effect you didn't expect? Not sure the dose is right? Treatment doesn't feel like it's working? That's exactly what the message thread is for — your provider can adjust your dose, change your treatment, or tell you what to watch for. **Living+ is not an emergency service.** If you are having a medical emergency — chest pain, trouble breathing, swelling of the face or throat, severe abdominal pain, thoughts of harming yourself, or any symptom that feels serious — call 911 or go to your nearest emergency room. Don't wait on a message reply. ### How do I raise a concern or complaint? Message your care team, or email support@livingplusrx.com. Clinical concerns are routed to OpenLoop Healthcare Partners, PC, which is responsible for clinical quality — Living+ can't review or reverse a clinical decision. You can also go straight to a regulator without involving us at all: your state medical board, your state board of pharmacy, your state attorney general, or the FDA. We will not retaliate against you in any way for doing so. Adverse reactions should be reported to your provider immediately, and may also be reported to the FDA's MedWatch program. ## After you’re prescribed ### What happens after my first shipment? Support starts, it doesn’t stop. Your care team checks in around day 6 and day 14 to see how you’re settling in, your provider follows up around day 30, and your provider reviews how you’re doing before every refill. You don’t have to wait for a check-in. You can message your care team from your portal at any point in between. ### How do check-ins work? They’re short messages through your portal, a quick look at how things are going and a chance to raise anything on your mind. Reply when it suits you. Anything clinical that comes up in a check-in is passed to your licensed provider. Check-ins are part of your care, not a sales touchpoint. ### How do I reach my care team, and who answers? Message your care team from your portal anytime, day or night. The care team handles support, scheduling, shipping, account questions, and helping you know what to expect. Clinical questions, anything about your health, your treatment, or how you’re feeling, are answered by your licensed provider, not the support team. ### What if I have side effects? Tell your provider through your portal, describe what you’re experiencing, and a licensed provider reviews it and advises you on what to do next. Don’t wait for a scheduled check-in. If you think you’re having a medical emergency, call 911 or go to the nearest emergency room first. ### How do refills work? Your provider reviews how you’re doing before every refill, a refill is a clinical decision, not an automatic shipment. If anything needs to change, your provider decides that too. Once your provider approves it, the pharmacy prepares your prescription and it ships, like your first order. ### Does pausing affect my care? No. Pausing stops shipments and billing, nothing ships and nothing is charged, but your record and your care relationship stay intact. When you resume, your provider reviews where you are before anything ships, so you pick back up safely rather than starting over.